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class="h3">19<sup>th</sup> International Conference on </p> <h1><span> Dementia and Alzheimer Disease</span></h1> <h4 class="date-venue"> <time datetime="2025-06-16"> June 16-17, 2025 </time> Frankfurt, Germany </h4> <h4 class="em"> Neurological Advancements: Revolutionizing Alzheimer's Diagnosis and Treatment </h4> <div class="primary-links"> <a href="https://dementia.annualcongress.com/abstract-submission.php" title="Submit your Abstract" class="btn btn-sm btn-flat-green">Submit Abstract</a> <a href="https://dementia.annualcongress.com/registration.php" title="Register for the Conference" class="btn btn-sm btn-flat-orange">Register Now</a> <a href="https://dementia.annualcongress.com/call-for-abstracts.php" title="Sessions and tracks" class="btn btn-sm btn-flat-blue">Sessions & Tracks</a> <a href="https://dementia.annualcongress.com/scientific-program" title="Scientific Program" class="btn btn-sm btn-flat-red">Program Schedule</a> <a 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l-11.279,8.511c-16.113,12.158-45.513,34.336-45.513,78.267c0,52.031,33.296,72.041,49.292,81.665 c7.061,4.248,14.37,8.628,14.37,18.208c0,6.255-49.922,140.566-122.417,140.566c-17.739,0-30.278-5.332-41.338-10.034 c-11.191-4.761-20.845-8.862-36.797-8.862c-8.086,0-18.311,3.823-29.136,7.881C221.496,505.73,204.752,512,185.753,512H185.255z"/> <path d="M351.343,0c1.888,68.076-46.797,115.304-95.425,112.342C247.905,58.015,304.54,0,351.343,0z"/> </g> </svg> </span> </a> <!-- <small>Get App</small> --> </div> </div> </div> <ul itemscope itemtype="https://www.schema.org/SiteNavigationElement" hidden> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/abstract-submission.php">Abstract Submission</a></li> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/registration.php">Registration</a></li> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/organizing-committee.php">Organizing Committee</a></li> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/conference-brochure.php">Conference Brochure</a></li> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/call-for-abstracts.php">Sessions & Tracks</a></li> <li itemprop="name"><a itemprop="url" href="https://dementia.annualcongress.com/scientific-program">Scientific Program</a></li> </ul> </div> </header><!--Header Ends Here--> <!--Navigation Ends Here--> <div class="main-content"> <div class="container"> <section class="row"> <!--Main Content Starts Here--> <section class="py-3"> <div class="container"> <h3 class="h1 text-center mb-4 font-weight-bold heading">Euro Dementia Organizing Committee</h3> <!-- <h4 class="text-center text-uppercase mb-4">Organizing Committee</h4> --> <div class="row speakers-list-main pt-2"> <div class="col-md-3 col-sm-6 col-xs-12 ocmembers1"> <div class="card my-5"> <div class="img-container position-relative w-50 mx-auto"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/dr-uqbah-iqbal-universiti-kebangsaan-malaysia-usa" title="" target="_blank"> <img class="img-fluid" src="https://d2cax41o7ahm5l.cloudfront.net/cs/ocm/euro-dementia-2022-dr-uqbah-iqbal-92747365.jpg" alt="euro-dementia-2022-dr-uqbah-iqbal-92747365.jpg 10501"> </a> </div> <div class="card-body text-center p-2"> <div class="speaker-affiliation"> <h5 class="card-title"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/dr-uqbah-iqbal-universiti-kebangsaan-malaysia-usa" title="" target="_blank" class="no-underline text-dark pb-1">Dr. Uqbah Iqbal</a> </h5> <p class="small text-secondary"><span class="affiliation">Researcher </span><br><span class="university"> Universiti Kebangsaan Malaysia </span><br><span> USA </span> </p> </div> <div class="small"> <p class="custom-height"><span class="biography"><b>Biography: </b> Dr. Uqbah Iqbal is a Socioeconomic Researcher at Research for Social A<a href='#' role='button' data-toggle='modal' data-target='#bio_1_0'> ReadMore...</a> </span> </p> </div> <div class="modal fade" id="bio_1_0" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Biography" aria-hidden="true" aria-describedby="about OCM Biography"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Biography</h4> </div> <div class="modal-body"> <p>Dr. Uqbah Iqbal is a Socioeconomic Researcher at Research for Social Advancement. Winning Second Place in Malaysian Historical Essay Writing Competition 2013, he was the recipient of Research University Fellowship Scheme, Graduate on Time Award and Outstanding Student Award from Faculty of Social Sciences and Humanities as well as the Youngest Ph.D. in History Holder and the only Malaysian achieved a Ph.D. in History in conjunction with the 43rd Convocation of Universiti Kebangsaan Malaysia. He's authoring notable books/ebooks such as The Historical Development of the Malay Nationalism Before Independence, The Historical Development of the Malay Society Economic Nature During Pre-Colonial Era, The Historical Development of British Investment in Malaya Before the Second World War, The Historical Development of Foreign Investment in the Formation of the Malaysian Economy and Sejarah Pemikiran Pandang Ke Timur: Kepentingan Jepun Dalam Pembangunan Sosio-Ekonomi Malaysia (1906-1980). His publications have appeared in a wide range of international and national journals such as TAWARIKH, SUSURGALUR, Management and Administrative Sciences Review, Social and Basic Sciences Research Review, Jurnal Kemanusiaan, Jurnal Sejarah, Jurnal Pengajian Melayu, Jebat, International Journal of Social Science and Humanities Research, Asia Pacific Journal of Education, Arts and Sciences, Asian Social Science and Geografia. He's also actively in the editorial board such as Asian Social Science, International Journal of Art and Literature, International Journal of Archaeology and History, American Journal of Social Sciences, Asia Pacific Journal of Education, Arts and Sciences, Social Sciences, Humanities and Social Sciences, History Research and Pratidhwani the Echo. Through his involvement as a reviewer with the Nonfiction Authors Association, 15 of his reviewed books received Awards. </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> <div class="reserach-interest bg-light p-2 text-secondary small"> <p class="research"><b>Research Interest: </b>Psychiatry, Psychology </p> </div> <div class="modal fade" id="research_1_0" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Research" aria-hidden="true" aria-describedby="about OCM Research"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Research Interest</h4> </div> <div class="modal-body"> <p>Psychiatry, Psychology </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> </div> </div> </div> <div class="col-md-3 col-sm-6 col-xs-12 ocmembers1"> <div class="card my-5"> <div class="img-container position-relative w-50 mx-auto"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/jaime-senabre-researcher-at-the-university-of-ali-spain" title="" target="_blank"> <img class="img-fluid" src="https://d2cax41o7ahm5l.cloudfront.net/cs/ocm/euro-dementia-2022-jaime-senabre-1650158169.jpg" alt="euro-dementia-2022-jaime-senabre-1650158169.jpg 10501"> </a> </div> <div class="card-body text-center p-2"> <div class="speaker-affiliation"> <h5 class="card-title"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/jaime-senabre-researcher-at-the-university-of-ali-spain" title="" target="_blank" class="no-underline text-dark pb-1">Jaime Senabre</a> </h5> <p class="small text-secondary"><span class="affiliation">Psychologist. Director of SINIF. </span><br><span class="university"> Researcher at the University of Ali </span><br><span> Spain </span> </p> </div> <div class="small"> <p class="custom-height"><span class="biography"><b>Biography: </b> Degree in Psychology and Master in Psychopathology and Health. He comp<a href='#' role='button' data-toggle='modal' data-target='#bio_1_1'> ReadMore...</a> </span> </p> </div> <div class="modal fade" id="bio_1_1" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Biography" aria-hidden="true" aria-describedby="about OCM Biography"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Biography</h4> </div> <div class="modal-body"> <p>Degree in Psychology and Master in Psychopathology and Health. He completed doctoral studies in the Department of Personality, Evaluation and Psychological Treatment of the UNED, related to Stress and the Immune System, Posttraumatic Stress Disorder and Moobing. Chief of Brigade in the Forest Fire Service of the Generalitat Valenciana, with more than 20 years of experience. With multidisciplinary training at the Master's level in areas such as: Occupational Health and Safety, Emergency Management, Sport Psychology, Human Resources Management, Mediation, Conflict Resolution and Coaching. Postgraduate in Environmental Consulting and Criminology. As a psychologist, he collaborates with several companies and institutions in the area of training in Psychology in Emergencies and Human Resources management. He is Professor at the University of Valencia in the Master in "Intervention and operational coordination in emergencies and catastrophes" and Diploma of University Specialization in "Instructor in Emergency Operations Services", among others. He is Director and President of the International Scientific-Professional Committee of the National Symposium on Forest Fires (SINIF). He has given numerous conferences at international level and has been part of the Organizing Committee of several International Congresses. He is part of the Editorial Board of several international scientific journals. He has published numerous articles on forest fires, stress, psychosocial risks and emotional trauma, mainly in relation to emergency services and natural disasters. Currently, he is assigned to the Research Group in "Climate and Territorial Planning" (Department of Regional Geographical Analysis and Physical Geography) of the Faculty of Philosophy and Letters of the University of Alicante, where he researches on the Social Perception of Forest Fire Risk and Conduct to possible Disasters. He is a member of the Spanish Society for the Study of Anxiety and Stress (SEAS), and the Spanish Association of Clinical Psychology and Psychopathology (AEPCP). </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> <div class="reserach-interest bg-light p-2 text-secondary small"> <p class="research"><b>Research Interest: </b>Work stress, occupational health and safety, anxiety disorde<a href='#' role='button' data-toggle='modal' data-target='#research_1_1'> ReadMore...</a> </p> </div> <div class="modal fade" id="research_1_1" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Research" aria-hidden="true" aria-describedby="about OCM Research"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Research Interest</h4> </div> <div class="modal-body"> <p>Work stress, occupational health and safety, anxiety disorders, post-traumatic stress disorders, social perception of risks and psychology in emergencies. </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> </div> </div> </div> <div class="col-md-3 col-sm-6 col-xs-12 ocmembers1"> <div class="card my-5"> <div class="img-container position-relative w-50 mx-auto"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/javier-fiz-perez-university-of-rome-italy" title="" target="_blank"> <img class="img-fluid" src="https://d2cax41o7ahm5l.cloudfront.net/cs/ocm/euro-dementia-2022-javier-fiz-perez-450341998.png" alt="euro-dementia-2022-javier-fiz-perez-450341998.png 10501"> </a> </div> <div class="card-body text-center p-2"> <div class="speaker-affiliation"> <h5 class="card-title"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/javier-fiz-perez-university-of-rome-italy" title="" target="_blank" class="no-underline text-dark pb-1">Javier Fiz Perez</a> </h5> <p class="small text-secondary"><span class="affiliation">Psychotherapist and Professor of Psychology </span><br><span class="university"> University of Rome </span><br><span> Italy </span> </p> </div> <div class="small"> <p class="custom-height"><span class="biography"><b>Biography: </b> Javier Fiz Perez Ph.D., Psychotherapist and Professor of Psychology at<a href='#' role='button' data-toggle='modal' data-target='#bio_1_2'> ReadMore...</a> </span> </p> </div> <div class="modal fade" id="bio_1_2" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Biography" aria-hidden="true" aria-describedby="about OCM Biography"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Biography</h4> </div> <div class="modal-body"> <p>Javier Fiz Perez Ph.D., Psychotherapist and Professor of Psychology at the European University of Rome, where he cooperates also as Delegate for International Research Development. He is Co-Director of the Laboratory of Applied Business and Health (Organizational Psychology) being also Member of the Board of Coaching Teachers (RENACOP; graduated in Philosophy, Psychology and Social Bioethics, obtaining specialization in Executive Business Administration (EMBA) after his PhD. He is a Member of the Advisory Board of the Academic Senate of the Accademia Tiberina. Professor Fiz Perez is Coordinator of the Scientific Committee of The International School of Economics and Ethics (Italy) and collaborates with the International Academy for Economic and Social Development (AISES), for which he has been Vice President for Spain and Latin America. He is a Scientific Research Director for the European Institute of Positive Psychology in Madrid (IEPP) and also a Member of the Scientific Committee of the International Institute Jacques Maritain. He is a Member of several Committees of Scientific Journals and Director of the International Network for Social and Integrated Development (INSID). Professor Fiz Perez has more than 200 national and international pubblications. He is Chief Editor of “Sviluppo Integrale†(Persiani Editori, Bologna), “Human Sciences: From Training to Practice†(NeP Edizioni, Roma) and also collaborates with Aleteia-Org. as Director of the International Scientific Committee, actually being International Director for Development in Italy, Spain and Latin America for SoEI - UK (Society of Emotional Intelligence - UK). </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> <div class="reserach-interest bg-light p-2 text-secondary small"> <p class="research"><b>Research Interest: </b>Life Span, Integral Formation and Developmental Psychology; <a href='#' role='button' data-toggle='modal' data-target='#research_1_2'> ReadMore...</a> </p> </div> <div class="modal fade" id="research_1_2" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Research" aria-hidden="true" aria-describedby="about OCM Research"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Research Interest</h4> </div> <div class="modal-body"> <p>Life Span, Integral Formation and Developmental Psychology; Vocational Rehablitation,; Social Reintegration; Cross cultural intelligence; Cognitive and behavioral Psychotherapy; Quality of life; Positive Psychology, workplace and work life balance; Emotional intelligence; Education.; Soft skills. </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> </div> </div> </div> <div class="col-md-3 col-sm-6 col-xs-12 ocmembers1"> <div class="card my-5"> <div class="img-container position-relative w-50 mx-auto"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/dr-elia-gourgouris-southern-federal-university-russia" title="" target="_blank"> <img class="img-fluid" src="https://d2cax41o7ahm5l.cloudfront.net/cs/ocm/euro-dementia-2022-dr-elia-gourgouris-453370480.jpg" alt="euro-dementia-2022-dr-elia-gourgouris-453370480.jpg 10501"> </a> </div> <div class="card-body text-center p-2"> <div class="speaker-affiliation"> <h5 class="card-title"> <a href="http://dementia.psychiatryconferences.com/ocm/2022/dr-elia-gourgouris-southern-federal-university-russia" title="" target="_blank" class="no-underline text-dark pb-1">Dr. Elia Gourgouris</a> </h5> <p class="small text-secondary"><span class="affiliation">Visiting Professor </span><br><span class="university"> Southern Federal University </span><br><span> Russia </span> </p> </div> <div class="small"> <p class="custom-height"><span class="biography"><b>Biography: </b> Sam Vaknin is the author of Malignant Self-love: Narcissism Revisited <a href='#' role='button' data-toggle='modal' data-target='#bio_1_3'> ReadMore...</a> </span> </p> </div> <div class="modal fade" id="bio_1_3" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Biography" aria-hidden="true" aria-describedby="about OCM Biography"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Biography</h4> </div> <div class="modal-body"> <p>Sam Vaknin is the author of Malignant Self-love: Narcissism Revisited and other books about personality disorders. His work is cited in hundreds of books and dozens of academic papers. He spent the past 6 years developing a treatment modality for Narcissistic Personality Disorder (NPD). Over the years, with volunteers, he found that it was effective with clients suffering from a major depressive episode.</p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> <div class="reserach-interest bg-light p-2 text-secondary small"> <p class="research"><b>Research Interest: </b>Psychology, Narcissism </p> </div> <div class="modal fade" id="research_1_3" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Research" aria-hidden="true" aria-describedby="about OCM Research"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Research Interest</h4> </div> <div class="modal-body"> <p>Psychology, Narcissism </p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> </div> </div> </div> <div class="col-md-3 col-sm-6 col-xs-12 ocmembers1"> <div class="card my-5"> <div class="img-container position-relative w-50 mx-auto"> <a href="http://dementia.psychiatryconferences.com/ocm/2020/ms-suchi-early-childhood-education-singapore" title="" target="_blank"> <img class="img-fluid" src="https://d2cax41o7ahm5l.cloudfront.net/cs/ocm/euro-dementia-2020-ms-suchi-1011855970.jpg" alt="euro-dementia-2020-ms-suchi-1011855970.jpg 6114"> </a> </div> <div class="card-body text-center p-2"> <div class="speaker-affiliation"> <h5 class="card-title"> <a href="http://dementia.psychiatryconferences.com/ocm/2020/ms-suchi-early-childhood-education-singapore" title="" target="_blank" class="no-underline text-dark pb-1">MS Suchi</a> </h5> <p class="small text-secondary"><span class="affiliation">Manager </span><br><span class="university"> Early Childhood Education </span><br><span> Singapore </span> </p> </div> <div class="small"> <p class="custom-height"><span class="biography"><b>Biography: </b> MS. SUCHI is an experienced International Pre School Principal/Manager<a href='#' role='button' data-toggle='modal' data-target='#bio_1_0'> ReadMore...</a> </span> </p> </div> <div class="modal fade" id="bio_1_0" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Biography" aria-hidden="true" aria-describedby="about OCM Biography"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Biography</h4> </div> <div class="modal-body"> <p>MS. SUCHI is an experienced International Pre School Principal/Manager who picked up Laughter exercises from many coaches around the world. She then designed ‘Laughter Therapy' which is being used in many places such as hospitals and Senior Activity Centres. She provides individual and group therapy in educational and home settings.</p> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> </div> </div> </div> </div> <div class="reserach-interest bg-light p-2 text-secondary small"> <p class="research"><b>Research Interest: </b>Research Interest: Neurology/Psychiatry/Public Health </p> </div> <div class="modal fade" id="research_1_0" tabindex="-1" role="dialog" aria-labelledby="OCM_01_Research" aria-hidden="true" aria-describedby="about OCM Research"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="OCM_01_Biography">Research Interest</h4> </div> <div class="modal-body"> <p>Research Interest: Neurology/Psychiatry/Public Health </p> </div> <div class="modal-footer"> <button type="button" class="btn 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value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canadian Nunavut Territory">Canadian Nunavut Territory</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="France, Metropolitan">France, Metropolitan</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta<">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Research Interest</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputSubject" id="inputSubject" placeholder="Enter Your Research Here" name="mobile"> </div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="submitbtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; $('#submitbtn').click(function(event){ event.preventDefault(); var postData = { 'conference_name' : $("#conference_name").val(), 'conference_url' : $("#conference_url").val(), 'conference_email' : $("#conference_email").val(), 'inputName' : $("#inputName").val(), 'inputEmail' : $("#inputEmail").val(), 'inputMobile' : $("#inputMobile").val(), 'inputCountry' : $("#Country").val(), 'inputSubject' : $("#inputSubject").val(), 'inputMessage' : $("#inputMessage").val(), 'confId' : $("#confId").val(), 'country' : $("#conference_country").val() } if (postData.inputName=='') { $('#contact_msg').html('<font style="color:red;font-weight:bolder;">Name Required!</font>'); } else if (postData.inputEmail=='') { $('#contact_msg').html('<font style="color:red;font-weight:bolder;">Email Required!</font>'); } else if (!Emailfilter.test(postData.inputEmail)) { $('#contact_msg').html('<font style="color:red;font-weight:bolder;">Invalid Email!</font>'); } else if (postData.inputMobile=='') { $('#contact_msg').html('<font style="color:red;font-weight:bolder;">Mobile Number Required!</font>'); 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value="dementia@europeconferences.com" /> <input type="hidden" name="confId" id="confId" value="13301" /> <div class="form-group"> <label for="inputName" class="col-sm-2 control-label">Name</label> <div class="col-sm-10"> <input type="name" class="form-control" name="inputName" id="inputName" placeholder="Enter Your Name Here" name="name" required="required"> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-sm-2 control-label">Email</label> <div class="col-sm-10"> <input type="email" class="form-control" name="inputEmail" id="inputEmail" placeholder="Enter Your Email Address Here" name="email" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Mobile Number</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputMobile" id="inputMobile" placeholder="Enter Your Mobile Number Here" name="mobile" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Country</label> <div class="col-sm-10"> <select class="form-control" name="Country" id="Country" required=""> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option 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<option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Material Type</label> <div class="col-sm-10"> <select class="form-control" name="MaterialType" id="MaterialType" required=""> <option value="">Select Material Type</option> <option value="Proceedings (Souvenir) - Hard Copy">Proceedings (Souvenir) - Hard Copy</option> <option value="Proceedings (Souvenir) - Soft Copy">Proceedings (Souvenir) - Soft Copy</option> <option value="Attendees List & Contacts">Attendees List & Contacts</option> <option value="Post Conference Networking">Post Conference Networking</option> <option value="Conference Photos Gallery">Conference Photos Gallery</option> </select> </div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="purchaseTodayBtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; $('#purchaseTodayBtn').click(function(event){ event.preventDefault(); var postData = { 'conference_name' : $('#purchaseToday input[id=conference_name]').val(), 'conference_url' : $('#purchaseToday input[id=conference_url]').val(), 'conference_email' : $('#purchaseToday input[id=conference_email]').val(), 'inputName' : $('#purchaseToday input[id=inputName]').val(), 'inputEmail' : $('#purchaseToday input[id=inputEmail]').val(), 'inputMobile' : $('#purchaseToday input[id=inputMobile]').val(), 'inputCountry' : $('#purchaseToday select[id=Country]').val(), 'materialType' : $('#purchaseToday select[id=MaterialType]').val(), 'inputMessage' : $('#purchaseToday textarea[id=inputMessage]').val(), 'confId' : $('#purchaseToday input[id=confId]').val(), 'country' : $('#purchaseToday input[id=conference_country]').val() } if (postData.inputName=='') { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Name Required.</font>'); } else if (postData.inputEmail=='') { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Email Required.</font>'); } else if (!Emailfilter.test(postData.inputEmail)) { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Invalid Email.</font>'); } else if (postData.inputMobile=='') { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Mobile Number Required.</font>'); } else if (postData.inputCountry=='') { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Country Required.</font>'); } else if (postData.materialType=='') { $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Material Type Required.</font>'); } else { $('#materials_msg').html(""); $.ajax({ url:'http://dementia.annualcongress.com/purchase_materials.php', type:'post', data:postData, success: function(response){ if(response==1){ $('#purchase_form').html('<p style="color:green;font-weight:bold; font-size:20px; text-align:center;">Thanks for contacting us for purchasing,<br/> we will get back to you soon from </p><a id="contact_mail" href="mailto:' + postData.conference_email + '">' + postData.conference_email + '</a>'); }else{ $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }, error:function(response){ $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }); } }); }); </script> <div class="modal fade" id="customisedSponsorship" tabindex="-1" role="dialog"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h3 class="modal-title text-center">Customised Sponsorship</h3> <div id="sponsorship_msg" class="span12 text-center"></div> </div> <div class="modal-body" id="contact_form"> <p class="text-center text-success"><strong>Please fill the form. we will get back you soon.</strong></p> <form class="form-horizontal" id="sponsorship_form"> <input type="hidden" name="conference_url" id="conference_url" value=""> <input type="hidden" name="conference_country" id="conference_country" value=""> <input type="hidden" name="conference_name" id="conference_name" value="" /> <input type="hidden" name="conference_email" id="conference_email" value="dementia@europeconferences.com" /> <input type="hidden" name="confId" id="confId" value="13301" /> <div class="form-group"> <label for="inputName" class="col-sm-2 control-label">Name</label> <div class="col-sm-10"> <input type="name" class="form-control" name="inputName" id="inputName" placeholder="Enter Your Name Here" name="name" required="required"> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-sm-2 control-label">Email</label> <div class="col-sm-10"> <input type="email" class="form-control" name="inputEmail" id="inputEmail" placeholder="Enter Your Email Address Here" name="email" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Mobile Number</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputMobile" id="inputMobile" placeholder="Enter Your Mobile Number Here" name="mobile" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Country</label> <div class="col-sm-10"> <select class="form-control" name="Country" id="Country" required=""> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canadian Nunavut Territory">Canadian Nunavut Territory</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="France, Metropolitan">France, Metropolitan</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta<">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Category Type</label> <div class="col-sm-10"> <select class="form-control" name="SponsorType" id="SponsorType" required=""> <option value="">Select Your Category</option> <option value="Young Researcher Awards Sponsor">Young Researcher Awards Sponsor</option> <option value="Best Poster Award Sponsor">Best Poster Award Sponsor</option> <option value="Keynote Forum Sponsor">Keynote Forum Sponsor</option> <option value="Speaker Forum">Speaker Forum</option> <option value="Program Sponsor">Program Sponsor</option> <option value="Coffee Break Sponsor">Coffee Break Sponsor</option> <option value="Luncheon Sponsor">Luncheon Sponsor</option> <option value="Pre Conference Dinner Sponsor ">Pre Conference Dinner Sponsor </option> <option value="Backdrop Sponsor">Backdrop Sponsor</option> <option value="Souvenir Sponsor">Souvenir Sponsor</option> <option value="Conference Kit Sponsor">Conference Kit Sponsor</option> <option value="Podium Sponsor">Podium Sponsor</option> <option value="Lanyard Sponsor">Lanyard Sponsor</option> <option value="Add Sponsor (In Souvenir)">Add Sponsor (In Souvenir)</option> </select> </div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="sponsorshipBtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; $('#sponsorshipBtn').click(function(event){ event.preventDefault(); var postData = { 'conference_name' : $('#customisedSponsorship input[id=conference_name]').val(), 'conference_url' : $('#customisedSponsorship input[id=conference_url]').val(), 'conference_email' : $('#customisedSponsorship input[id=conference_email]').val(), 'inputName' : $('#customisedSponsorship input[id=inputName]').val(), 'inputEmail' : $('#customisedSponsorship input[id=inputEmail]').val(), 'inputMobile' : $('#customisedSponsorship input[id=inputMobile]').val(), 'inputCountry' : $('#customisedSponsorship select[id=Country]').val(), 'sponsorType' : $('#customisedSponsorship select[id=SponsorType]').val(), 'inputMessage' : $('#customisedSponsorship textarea[id=inputMessage]').val(), 'confId' : $('#customisedSponsorship input[id=confId]').val(), 'country' : $('#customisedSponsorship input[id=conference_country]').val() } if (postData.inputName=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Name Required.</font>'); } else if (postData.inputEmail=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Email Required.</font>'); } else if (!Emailfilter.test(postData.inputEmail)) { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Invalid Email.</font>'); } else if (postData.inputMobile=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Mobile Number Required.</font>'); } else if (postData.inputCountry=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Country Required.</font>'); } else if (postData.SponsorType=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sponsor Type Required.</font>'); } else { $('#sponsorship_msg').html(""); $.ajax({ url:'http://dementia.annualcongress.com/customised_sponsorship.php', type:'post', data:postData, success: function(response){ if(response==1){ $('#sponsorship_form').html('<p style="color:green;font-weight:bold; font-size:20px; text-align:center;">Thanks for contacting us for customied sporsorship,<br/> we will get back to you soon from </p><a id="contact_mail" href="mailto:' + postData.conference_email + '">' + postData.conference_email + '</a>'); }else{ $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }, error:function(response){ $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }); } }); }); </script> <div class="modal fade" id="callForWebinars" tabindex="-1" role="dialog"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h3 class="modal-title text-center">Download Call for Webinars</h3> <div id="webinar_msg" class="span12 text-center"></div> </div> <div class="modal-body" id="call_for_webinar_form"> <p class="text-center text-success"><strong>Please fill the form to download Call for Webinars.</strong></p> <form class="form-horizontal" id="enquiry_form"> <input type="hidden" name="conference_url" id="conference_url" value=""> <input type="hidden" name="conference_country" id="conference_country" value=""> <input type="hidden" name="conference_name" id="conference_name" value="" /> <input type="hidden" name="conference_email" id="conference_email" 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value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canadian Nunavut Territory">Canadian Nunavut Territory</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="France, Metropolitan">France, Metropolitan</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta<">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Research Interest</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputSubject" id="inputSubject" placeholder="Enter Your Research Here" name="mobile"/> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> <div class="clear"></div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="submitbtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; 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