{"id":3736,"date":"2013-11-16T09:46:26","date_gmt":"2013-11-16T09:46:26","guid":{"rendered":"http:\/\/sh118.global.temp.domains\/~igsgorg\/lusophonegoa\/?page_id=3736"},"modified":"2014-01-12T08:04:53","modified_gmt":"2014-01-12T08:04:53","slug":"registration","status":"publish","type":"page","link":"https:\/\/lusophonegoa.org\/en\/registration\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<p>Before completing this form please read the conditions for registration <a href=\"https:\/\/lusophonegoa.org\/registration-conditions-and-fees\/\">here<\/a><\/p>\n<p align=\"center\"><strong>&#8220;India and the Lusophone Market&#8221; International Congress<\/strong><br \/>\n<strong> 14 and 15 January 2014, Goa, India<\/strong><\/p>\n<p>* required fields<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3741-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3741\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/3736#wpcf7-f3741-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3741\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3741-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>*<span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"gender[]\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"gender[]\" value=\"Ms\" \/><span class=\"wpcf7-list-item-label\">Ms<\/span><\/span><\/span><\/span>\n<\/p>\n<p>First name*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n<\/p>\n<p>Last name*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n<\/p>\n<p>Your email*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/p>\n<p>Address*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span>\n<\/p>\n<p>Phone (with country code)*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone\" \/><\/span>\n<\/p>\n<p>Mobile phone (with country code)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Mobile-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Mobile-phone\" \/><\/span>\n<\/p>\n<p>Your institution or company, with country*. If you don't belong to any please write \"none\".\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-institution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-institution\" \/><\/span>\n<\/p>\n<p>Your activity\/responsability in your institution\/company*. If not applicable please write \"none\".\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-activity\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-activity\" \/><\/span>\n<\/p>\n<p>Subjects of your interest\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-interest\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-interest\"><\/textarea><\/span>\n<\/p>\n<p><b>Registration Category* (prices valid until 31 December 2013)<\/b>\n<\/p>\n<p>(Registration for \"face-to-face\" business networking only, is not possible)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"International delegate 350 USD\" \/><span class=\"wpcf7-list-item-label\">International delegate 350 USD<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"Indian delegate 15000 INR\" \/><span class=\"wpcf7-list-item-label\">Indian delegate 15000 INR<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"&#039;Face-to-face&#039; business networking (International)* 250 USD\" \/><span class=\"wpcf7-list-item-label\">&#039;Face-to-face&#039; business networking (International)* 250 USD<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"&#039;Face-to-face&#039; business networking (Indian)* 10000 INR\" \/><span class=\"wpcf7-list-item-label\">&#039;Face-to-face&#039; business networking (Indian)* 10000 INR<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"Accompanying person (international) 100 USD\" \/><span class=\"wpcf7-list-item-label\">Accompanying person (international) 100 USD<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"Accompanying person (Indian) 3000 INR\" \/><span class=\"wpcf7-list-item-label\">Accompanying person (Indian) 3000 INR<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"Special Category (only for Indians) 1000 INR\" \/><span class=\"wpcf7-list-item-label\">Special Category (only for Indians) 1000 INR<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"category[]\" value=\"Indian student (Limited number) 500 INR\" \/><span class=\"wpcf7-list-item-label\">Indian student (Limited number) 500 INR<\/span><\/span><\/span><\/span>\n<\/p>\n<p>In case you opted for an accompanying person, please give the name:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"gender\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"gender[]\" value=\"Ms\" \/><span class=\"wpcf7-list-item-label\">Ms<\/span><\/span><\/span><\/span>\n<\/p>\n<p>First name of the accompanying person\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acc-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"acc-first-name\" \/><\/span>\n<\/p>\n<p>Last name of the accompanying person\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acc-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"acc-last-name\" \/><\/span>\n<\/p>\n<p>Any additional information you'd like to make:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"additional-info\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"additional-info\"><\/textarea><\/span>\n<\/p>\n<p>Will you require a headset for the simultaneous translation plenary sessions?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-663\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\" id=\"Headset\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-663\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-663\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Mode of payment: Payments by bank transfer will be accepted either in USD (or correspondent in Euro) or in INR in respective cases. You can also pay at:<br \/>\nALPHA CREATIVE<br \/>\n502, Zarina Towers, A Block<br \/>\nSt Inez, Panjim-Goa. INDIA. 403001.<br \/>\nTel: 91-832-2420154<br \/>\nPlease make the payment when submitting this Form. Upon receipt of registration form and payment, confirmation of registration will be sent.\n<\/p>\n<p>For more information<br \/>\n<span style=\"color: #444444;\">Please contact <\/span><a href=\"file:\/\/\/C:\/00_auro_LAPTOP\/Projectos\/00_Projectos_inclui_publicacoes\/CDDG+IGSG+LSG\/0_LSG\/Colaboracao_e_ideias_proximo_programa\/0_India_and_lusophone%20Market\/Textos_finais_divulgacao_attach\/info@sh118.global.temp.domains\">info@sh118.global.temp.domains<\/a><span style=\"color: #444444;\"> or directly <\/span><a href=\"https:\/\/lusophonegoa.org\/en\/contacts-neu\/\">here<br \/>\n<\/a>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send form\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"1\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>Find details of how to make the payment <a href=\"https:\/\/lusophonegoa.org\/en\/registration-conditions-and-fees\/\" target=\"_blank\"><strong>here<\/strong>&#8230;<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Before completing this form please read the conditions for registration here &#8220;India and the Lusophone Market&#8221; International Congress 14 and 15 January 2014, Goa, India * required fields Find details of how to make the payment here&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3736","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/pages\/3736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/comments?post=3736"}],"version-history":[{"count":25,"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/pages\/3736\/revisions"}],"predecessor-version":[{"id":3758,"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/pages\/3736\/revisions\/3758"}],"wp:attachment":[{"href":"https:\/\/lusophonegoa.org\/en\/wp-json\/wp\/v2\/media?parent=3736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}