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<!DOCTYPE html> <html lang="en"> <head> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1"> <meta charset="UTF-8"> <title>Register</title> <script src="https://code.jquery.com/jquery-3.6.0.min.js" integrity="sha256-/xUj+3OJU5yExlq6GSYGSHk7tPXikynS7ogEvDej/m4=" crossorigin="anonymous"></script> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.0.0-beta2/css/all.min.css" integrity="sha512-YWzhKL2whUzgiheMoBFwW8CKV4qpHQAEuvilg9FAn5VJUDwKZZxkJNuGM4XkWuk94WCrrwslk8yWNGmY1EduTA==" crossorigin="anonymous" referrerpolicy="no-referrer" /> <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous"> <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/js/bootstrap.min.js" integrity="sha384-QJHtvGhmr9XOIpI6YVutG+2QOK9T+ZnN4kzFN1RtK3zEFEIsxhlmWl5/YESvpZ13" 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white; background: url('/static/background_ipad.jpg') no-repeat fixed center center; background-size: cover; } .main_div { width: 60%; margin-left: 20%; } } /* Portrait tablets and small desktops */ @media (min-width: 768px) and (max-width: 991px) { body { color: white; background: url('/static/background_portrait.jpg') no-repeat fixed center center; background-size: cover; } .main_div { width: 60%; margin-left: 20%; } } /* Landscape phones and portrait tablets */ @media (max-width: 767px) { body { color: white; background: url('/static/background_ipad.jpg') no-repeat fixed center center; background-size: cover; } } /* Portrait phones and smaller */ @media (max-width: 480px) { body { color: white; background: url('/static/background_portrait.jpg') no-repeat fixed center center; background-size: cover; } } </style> </head> <body id="main_body"> <div id="main_flex_div"> <div style="margin-top: 2%;"> <div class="container main_div col-lg-50" style="display: flex; flex-direction: column; height: 80vh; "> <div> <h2 style="margin-bottom: 5%; text-align: center">Register to Unlok</h2> </div> <div style="flex: 1" class=""> <div class="mb-3"> <label for="email" class="form-label">Email Address</label> <input type="email" onfocusout="CheckEmailExistence()" autocomplete="off" class="form-control" id="email" aria-describedby="emailHelp"> <div id="emailHelp" class="form-text">We'll never share your email with anyone else.</div> </div> <div style="display: flex; flex-direction: row; width: 100%"> <div class="mb-3" style="width: 100%; margin-right: 6px"> <label for="firstname" class="form-label">First Name</label> <input type="text" autocomplete="off" class="form-control" id="firstname"> <div id="emailHelp" class="form-text">Please Use English Characters.</div> </div> <div class="mb-3" style="width: 100%"> <label for="lastname" class="form-label">Last Name</label> <input type="text" autocomplete="off" class="form-control" id="lastname"> <div id="emailHelp" class="form-text">Please Use English Characters.</div> </div> </div> <div class="mb-3"> <label for="select" class="form-label">Country</label> <select id="sel1" class="form-select" aria-label="Default select example"> <option disabled selected>Select Country</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Antigua and Deps">Antigua and Deps</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</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="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia Herzegovina">Bosnia Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Brazil">Brazil</option> <option value="Brunei">Brunei</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina">Burkina</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Cape Verde">Cape Verde</option> <option value="Central African Rep">Central African Rep</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo Democratic Republic">Congo Democratic Republic</option> <option value="Costa Rica">Costa Rica</option> <option value="Croatia">Croatia</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="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</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="Greece">Greece</option> <option value="Grenada">Grenada</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="Honduras">Honduras</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="Ivory Coast">Ivory Coast</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="Kosovo">Kosovo</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="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="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</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="Montenegro">Montenegro</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="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau">Palau</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="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="St Kitts and Nevis">St Kitts and Nevis</option> <option value="St Lucia">St 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 & Principe">Sao Tome & 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="Slovakia">Slovakia</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="South Sudan">South Sudan</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</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="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="Tuvalu">Tuvalu</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">Vatican City</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Yemen">Yemen</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> <div id="emailHelp" class="form-text">Use Current Residence Please.</div> </div> <div> <div class="mb-3"> <label for="select" class="form-label">I'm a HealthCare Professional</label> <select id="sel_healthcarePro" class="form-select" onchange="setHC((this.options[this.selectedIndex].value))"> <option disabled selected>Please Select</option> <option value=1>Yes</option> <option value=0>No</option> </select> <div id="emailHelp" class="form-text">Are you a healthcare professional?</div> </div> <label for="select" class="form-label" >Professional Role</label> <div style="display: flex; flex-direction: row; width: 100%" class="mb-3"> <div style="width: 100%"> <select id="sel_healthcare" class="form-select" onchange="setRole((this.options[this.selectedIndex].value))"> <option disabled selected>Please Select</option> <option value='Basic Science Researcher'>Basic Science Researcher</option> <option value='Clinical Practitioner'>Clinical Practitioner</option> <option value='Clinical Researcher'>Clinical Researcher</option> <option value='Dentist/Oral health professional'>Dentist/Oral health professional</option> <option value='Healthcare Administrator'>Healthcare Administrator</option> <option value='Hospital Manager/Healthcare Provider Executive'>Hospital Manager/Healthcare Provider Executive</option> <option value='Industry/Corporate Professional'>Industry/Corporate Professional</option> <option value='Nurse/Advanced Practice Nurse'>Nurse/Advanced Practice Nurse</option> <option value='Other'>Other</option> <option value='Pharmacist'>Pharmacist</option> <option value='Policy Maker'>Policy Maker</option> <option value='Resident/Research Fellow'>Resident/Research Fellow</option> <option value='Student'>Student</option> </select> <div id="emailHelp" class="form-text">What's your Professional Role?</div> </div> <div id="other_role_div" style="display: none; width: 100%; margin-left: 6px"> <input type="text" autocomplete="off" class="form-control" id="other_role" placeholder="Please Specify your Role" onchange="setRoleOther(this.value)"> </div> </div> <label for="select" class="form-label" >Speciality</label> <div style="display: flex; flex-direction: row; width: 100%"> <div class="mb-3" style="width: 100%"> <select id="sel_speciality" class="form-select" onchange="setSpeciality((this.options[this.selectedIndex].value))"> <option disabled selected>Please Select</option> <option value="22">Autoimmunity</option> <option value="1">Bioengineering</option> <option value="2">Biotechnology</option> <option value="3">Cardiology & Vascular Medicine</option> <option value="23">Clinical Immunology</option> <option value="4">Clinical Pharmacology</option> <option value="5">Endocrinology, Diabetes and Metabolism</option> <option value="6">Gastroenterology</option> <option value="7">General Practitioner/Primary Care</option> <option value="8">Geriatrics</option> <option value="9">Infectious Diseases</option> <option value="10">Internal Medicine</option> <option value="11">Neurology</option> <option value="12">Neuroscience</option> <option value="13">Obstetrics & Gynecology</option> <option value="21">Other (Specify)</option> <option value="14">Paediatric Endocrinology</option> <option value="15">Paediatrics</option> <option value="16">Palliative/Supportive Care</option> <option value="17">Physical Medicine & Rehabilitation</option> <option value="18">Psychiatry</option> <option value="19">Pulmonology/Respirology</option> <option value="20">Rheumatology</option> </select> <div id="emailHelp" class="form-text">What's your Speciality?</div> </div> <div class="mb-3" id="spec_role_div" style="display: none; width: 100%; margin-left: 6px"> <input type="text" autocomplete="off" class="form-control" id="other_speciality" placeholder="Please Specify your Speciality" onchange="setSpecialityOther(this.value)"> </div> </div> <div class="mb-3"> <label for="select" class="form-label">What is your main field of interest?</label> <select id="sel_interest" class="form-select" onchange="setInterest((this.options[this.selectedIndex].value))"> <option disabled selected>Please Select</option> <option value=6>All: CaReMeLo, Microbiome, Oncology, Autoimmunity, Diabetes, Neurology, Hospital at Home </option> <option value=4>Autoimmunity</option> <option value=1>Diabetes</option> <option value=3>Hospital at Home</option> <option value=2>Neurology</option> </select> </div> <div class="mb-3" style="display: none" id="congress_class"> <label for="select" class="form-label">You will be enrolled in this e-learning community:</label> <select id="sel_cong" disabled class="form-select"> <option disabled selected>Please Select</option> <option value=6>UNLOK all: Multidisciplinary Academy</option> <option value=4>Mosaic of Autoimmunity Academy & Network</option> <option value=1>Advanced Technologies & Treatments for Diabetes (ATTD)</option> <option value=3>World Hospital at Home Community (WHAHC)</option> <option value=2>Alzheimer鈥檚 and Parkinson鈥檚 Diseases and related neurological disorders (ADPD)</option> </select> </div> <div class="mb-3"> <label for="select" class="form-label">How would you describe your knowledge level in your chosen field?</label> <select id="sel_level" class="form-select" onchange="setLevel((this.options[this.selectedIndex].value))"> <option disabled selected>Please Select</option> <option value='Early Learner'>Early Learner</option> <option value='Advanced Learner'>Advanced Learner</option> <option value='Practitioner'>Practitioner</option> </select> </div> </div> <div class="mb-3"> <p> I acknowledge that I have read the <a href="https://unlok-education.com/privacy-policy/" target="_blank">Privacy Policy</a></p> </div> <div class="mb-3 form-check"> <input type="checkbox" class="form-check-input" id="exampleCheck1" onchange="calc()"> <label class="form-check-label" for="exampleCheck1" >I agree to the <a href="/static/terms.pdf" target="_blank">Terms of Use</a></label> </div> <p>* It is possible to register to several e-learning communities (for free) with different email addresses.</p> <div> <button style="width: 100%; margin-bottom: 20px" class="btn btn-primary mt-2" disabled onclick="startReg()" id="btn1">Submit</button> </div> </div> </div> </div> <script> let useAnyClipCode = 0; let community = '' let community_id = 0 let interest = '' function startReg() { if ($('#firstname').val() === '' || $('#lastname').val() === '' || $('#email').val() === '') { alert('Please Fill All the Fields'); return; } if (level == '' || hc_pro == '') { alert('Please Fill All the Fields'); return; } if (community == '' || interest == '') { alert('Please Fill All the Fields'); return; } if (role == '') { alert('Please Fill All the Fields (Role)'); return; } if (speciality == '') { alert('Please Fill All the Fields (Speciality)'); return; } var pattern = /^\b[A-Z0-9._%-]+@[A-Z0-9.-]+\.[A-Z]{2,4}\b$/i if(!pattern.test($('#email').val())) { alert('not a valid e-mail address'); return; } var selected = $("#sel1").prop('selectedIndex'); if (selected === 0) { alert('please select your country'); return; } $('#btn1').prop('disabled', true); $('#btn1').html( `<span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span> Loading Next Step, Please Wait...` ); grecaptcha.ready(function() { grecaptcha.execute('6LfdqVAlAAAAABS_Jq5g79YuDcZtc7TQgDmKF6wX', {action: 'submit'}).then(function(token) { $("input").prop("disabled", true); $("select").prop("disabled", true); $.ajax({ type: "post", url: '/start_reg_process', data: JSON.stringify({'congress': 'unlok', 'firstname': $('#firstname').val(), 'lastname': $('#lastname').val(), 'email': $('#email').val(), 'country': $( "#sel1 option:selected" ).val(), 'anyClipCode': $("#anyClipCode").val(), 'useAnyClipCode': useAnyClipCode, 'role': role, 'other_role': other_role, 'community': community, 'community_id': community_id, 'interest': interest, 'hc_pro': hc_pro, 'speciality': speciality, 'other_speciality': other_speciality, 'token': token, 'level': level, }), contentType: "application/json; charset=utf-8", complete: function (data) { if (data.status === 200){ window.location.href = "/nadfoligwep5ov4259vbny458dsfgopir7b2-450976n245-7vk,c24765-267nb25-vn475-9" } else if (data.status === 401) { alert('Recaptcha Error'); window.location.href = "/register_full/unlok"; } else if (data.status === 403) { alert('You Fiddled with the data....'); window.location.href = "https://saml.unlok-education.com/unlok"; } else if (data.status === 208) { alert('This email is already registered'); window.location.href = "https://saml.unlok-education.com/unlok"; } else { console.log("error: " + data.responseText); } }, } ) }); }); } function calc() { if ($('#exampleCheck1').is(":checked")) { $('#btn1').prop('disabled', false); } else { $('#btn1').prop('disabled', true); } } calc(); function checkAnyClip() { let checkbox = $('#exampleCheck2'); if (checkbox.is(":checked")) { $('#anyClipCode').show(); useAnyClipCode = '1'; } else { $('#anyClipCode').hide(); useAnyClipCode = '0'; } } let role = '' function setRole(role_val) { if (role_val === 'Other') { $('#other_role_div').show(); role = role_val; } else { $('#other_role_div').hide(); role = role_val; } } let other_role = null function setRoleOther(role_val) { other_role = $('#other_role').val(); } let speciality = '' let other_speciality = null function setSpeciality(role_val) { if ($('#sel_speciality').find(":selected").text() === 'Other (Specify)') { $('#spec_role_div').show(); speciality = $('#sel_speciality').find(":selected").val(); } else { $('#spec_role_div').hide(); speciality = $('#sel_speciality').find(":selected").val(); } } function setSpecialityOther(role_val) { other_speciality = $('#other_speciality').val(); } let hc_pro = '' function setHC(hc) { if (hc == 0) { hc_pro = 'No' } else { hc_pro = 'Yes' } } function setInterest(int){ interest = int $('#congress_class').show(); let index = $("#sel_interest").prop('selectedIndex'); index = parseInt(index) + 1; $('#sel_cong :nth-child(' + index + ')').prop('selected', true); community = $('#sel_cong :selected').text(); community_id = $('#sel_cong :selected').val(); } // let level = '' function setLevel(int){ level = int } function CheckEmailExistence() { $.ajax({ type: "post", url: '/check_email_existence', data: JSON.stringify({ 'email': $('#email').val() }), contentType: "application/json; charset=utf-8", complete: function (data) { if (data.status === 385){ toRedirect(); } }, } ) } function toRedirect() { Swal.fire({ title: 'This Email is already registered, would you like to redirect to the Login Page?', showDenyButton: true, showCancelButton: false, confirmButtonText: 'Yes', denyButtonText: 'No', customClass: { actions: 'my-actions', denyButton: 'order-1 right-gap', confirmButton: 'order-2 left-gap', } }).then((result) => { if (result.isConfirmed) { window.location.replace("https://saml.unlok-education.com/unlok"); } else if (result.isDenied) { Swal.fire('OK, Clearing the form and starting over') window.location.reload(); } }) } </script> <script type="text/javascript"> var vsid = "ce222623cadbd97"; (function() { var vsjs = document.createElement('script'); vsjs.type = 'text/javascript'; vsjs.async = true; vsjs.setAttribute('defer', 'defer'); vsjs.src = 'https://www.virtualspirits.eu/vsa/chat.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(vsjs, s); })(); </script> </body> </html>