{"id":1197,"date":"2020-07-24T13:56:21","date_gmt":"2020-07-24T13:56:21","guid":{"rendered":"http:\/\/arcloop.com\/projects\/icail\/?page_id=1197"},"modified":"2020-07-27T04:58:32","modified_gmt":"2020-07-27T04:58:32","slug":"membership-enrolment-form","status":"publish","type":"page","link":"http:\/\/arcloop.com\/projects\/icail\/membership-enrolment-form\/","title":{"rendered":"Membership Enrolment from"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1197\" class=\"elementor elementor-1197\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ed2233e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ed2233e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-74740e9\" data-id=\"74740e9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2782a77 elementor-widget elementor-widget-heading\" data-id=\"2782a77\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Become a Member<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81c373a elementor-widget elementor-widget-text-editor\" data-id=\"81c373a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To become a member, please fill in the below form:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-93af0f9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"93af0f9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0742c09\" data-id=\"0742c09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ee739f elementor-widget elementor-widget-shortcode\" data-id=\"6ee739f\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"6\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/projects\/icail\/wp-json\/wp\/v2\/pages\/1197#wpcf7-f6-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=\"6\" \/>\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-f6-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Membership Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"MembershipNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required membershipno\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MembershipNumber\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Full Name* (Enter full name as per ICAI records)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"FullNameEnterfullnameasperICAIrecords\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required membershipname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"FullNameEnterfullnameasperICAIrecords\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Gender<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Gender\"><select class=\"wpcf7-form-control wpcf7-select gender1\" aria-invalid=\"false\" name=\"Gender\"><option value=\"Select Gender\">Select Gender<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Please Select Your DOB<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date selectdate\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dob\" \/><\/span><br \/>\n<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Marital Status<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"MaritalStatus\"><select class=\"wpcf7-form-control wpcf7-select statusofm\" aria-invalid=\"false\" name=\"MaritalStatus\"><option value=\"Marital Status\">Marital Status<\/option><option value=\"Married\">Married<\/option><option value=\"Unmarried\">Unmarried<\/option><\/select><\/span><br \/>\n<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Please Enter Country of Residence<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SelectCountry\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text SelectCountry\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"SelectCountry\" \/><\/span><br \/>\n<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Please Enter Full Address with Zipcode<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea Address\" aria-invalid=\"false\" name=\"Address\"><\/textarea><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-2\">\n\t\t\t<p><label>Please Enter Country Code *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"CountryCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text CountryCode\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"CountryCode\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<p><label>Please Enter Mobile Number *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Mobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel Mobile\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Mobile\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Email ID*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EmailID\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email EmailID\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"EmailID\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Member Since<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"OtherQualification\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text desig\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"OtherQualification\" \/><\/span><\/label><br \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Select Your Occupation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"occupation\"><select class=\"wpcf7-form-control wpcf7-select occu\" aria-invalid=\"false\" name=\"occupation\"><option value=\"Self Employed\">Self Employed<\/option><option value=\"Business\">Business<\/option><option value=\"Working Professional\">Working Professional<\/option><option value=\"Others\">Others<\/option><\/select><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Enter Your Designation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"designation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text desig1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"designation\" \/><\/span><\/label><br \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<p><label>Enter Your Company Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"companyname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required com\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"companyname\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" id=\"submitbtn\" type=\"submit\" value=\"Send\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<p><a href=\"http:\/\/arcloop.com\/projects\/icail\/other-professionals\/\" target=\"_blank\" class=\"pptext\">For Other Professionals<\/a>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><script> document.addEventListener( 'wpcf7mailsent', function( event ) { location = 'http:\/\/arcloop.com\/projects\/icail\/thank-you\/'; }, false ); \n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Become a Member To become a member, please fill in the below form:<\/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-1197","page","type-page","status-publish","hentry"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/pages\/1197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/comments?post=1197"}],"version-history":[{"count":49,"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/pages\/1197\/revisions"}],"predecessor-version":[{"id":1503,"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/pages\/1197\/revisions\/1503"}],"wp:attachment":[{"href":"http:\/\/arcloop.com\/projects\/icail\/wp-json\/wp\/v2\/media?parent=1197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}