{"id":3648,"date":"2025-02-12T06:16:41","date_gmt":"2025-02-12T06:16:41","guid":{"rendered":"https:\/\/nationalmedicalforum.org\/demo\/?page_id=3648"},"modified":"2025-02-26T09:47:04","modified_gmt":"2025-02-26T09:47:04","slug":"registered-medical-practitioner","status":"publish","type":"page","link":"https:\/\/nationalmedicalforum.org\/demo\/get-involved\/registered-medical-practitioner\/","title":{"rendered":"Registered Medical Practitioner"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3648\" class=\"elementor elementor-3648\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b520dd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b520dd\" data-element_type=\"section\" 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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-ac0fe5a\" data-id=\"ac0fe5a\" 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-a875c33 elementor-widget elementor-widget-shortcode\" data-id=\"a875c33\" data-element_type=\"widget\" data-settings=\"{&quot;wdt_animation_effect&quot;:&quot;none&quot;}\" 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\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-3896 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-3896\" data-uid=\"69e01d24b8615\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3896\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3896 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3896\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e01d24b8615\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e01d24b8615\" id=\"forminator-field-name-1_69e01d24b8615-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69e01d24b8615\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e01d24b8615\" id=\"forminator-field-email-1_69e01d24b8615-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69e01d24b8615\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e01d24b8615\" id=\"forminator-field-phone-1_69e01d24b8615-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 3004005000\" id=\"forminator-field-phone-1_69e01d24b8615\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"in\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e01d24b8615\" id=\"forminator-field-text-1_69e01d24b8615-label\" class=\"forminator-label\">Highest Education<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69e01d24b8615\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-3896__field--select-1_69e01d24b8615\" id=\"forminator-form-3896__field--select-1_69e01d24b8615-label\" class=\"forminator-label\">Choose Work Category <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3896__field--select-1_69e01d24b8615\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Choose Work Category\" data-search=\"false\" data-search-placeholder=\"Choose Work Category\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3896__field--select-1_69e01d24b8615-label\"><option value=\"\"  >Choose Work Category<\/option><option value=\"one\"  data-calculation=\"0\">Allopathy Doctor<\/option><option value=\"two\"  data-calculation=\"0\">AYUSH\/ISM<\/option><option value=\"Dentistry\"  data-calculation=\"0\">Dentistry<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-3896__field--select-2_69e01d24b8615\" id=\"forminator-form-3896__field--select-2_69e01d24b8615-label\" class=\"forminator-label\">Specialisation of Practice <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3896__field--select-2_69e01d24b8615\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Specialisation of Practice\" data-search=\"false\" data-search-placeholder=\"Specialisation of Practice\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3896__field--select-2_69e01d24b8615-label\"><option value=\"\"  >Specialisation of Practice<\/option><option value=\"one\"  data-calculation=\"0\">Anatomy<\/option><option value=\"two\"  data-calculation=\"0\">Anesthesiology<\/option><option value=\"Biochemistry\"  data-calculation=\"0\">Biochemistry<\/option><option value=\"Cardiology\"  data-calculation=\"0\">Cardiology<\/option><option value=\"Critical-Care\"  data-calculation=\"0\">Critical Care<\/option><option value=\"CTVS\"  data-calculation=\"0\">CTVS<\/option><option value=\"Dermatology\"  data-calculation=\"0\">Dermatology<\/option><option value=\"Diabetes-and-Endocrinology\"  data-calculation=\"0\">Diabetes and Endocrinology<\/option><option value=\"ENT\"  data-calculation=\"0\">ENT<\/option><option value=\"Gastroenterology\"  data-calculation=\"0\">Gastroenterology<\/option><option value=\"MBBS\"  data-calculation=\"0\">MBBS<\/option><option value=\"Hematology\"  data-calculation=\"0\">Hematology<\/option><option value=\"Medical-Education\"  data-calculation=\"0\">Medical Education<\/option><option value=\"Medicine\"  data-calculation=\"0\">Medicine<\/option><option value=\"Microbiology\"  data-calculation=\"0\">Microbiology<\/option><option value=\"Nephrology\"  data-calculation=\"0\">Nephrology<\/option><option value=\"Neuro-Surgery\"  data-calculation=\"0\">Neuro Surgery<\/option><option value=\"Neurology\"  data-calculation=\"0\">Neurology<\/option><option value=\"Obstetrics-And-Gynaecology\"  data-calculation=\"0\">Obstetrics And Gynaecology<\/option><option value=\"Oncology\"  data-calculation=\"0\">Oncology<\/option><option value=\"Ophthalmology\"  data-calculation=\"0\">Ophthalmology<\/option><option value=\"Orthopaedic\"  data-calculation=\"0\">Orthopaedic<\/option><option value=\"Paediatrics-Neonatology\"  data-calculation=\"0\">Paediatrics\/Neonatology<\/option><option value=\"Paramedical\"  data-calculation=\"0\">Paramedical<\/option><option value=\"Pathology\"  data-calculation=\"0\">Pathology<\/option><option value=\"Pharmaceutical\"  data-calculation=\"0\">Pharmaceutical<\/option><option value=\"Pharmacology\"  data-calculation=\"0\">Pharmacology<\/option><option value=\"Physiology\"  data-calculation=\"0\">Physiology<\/option><option value=\"Plastic-Surgery\"  data-calculation=\"0\">Plastic Surgery<\/option><option value=\"Psychiatry\"  data-calculation=\"0\">Psychiatry<\/option><option value=\"Pulmonology\"  data-calculation=\"0\">Pulmonology<\/option><option value=\"Radiology\"  data-calculation=\"0\">Radiology<\/option><option value=\"Rheumatology\"  data-calculation=\"0\">Rheumatology<\/option><option value=\"Surgery\"  data-calculation=\"0\">Surgery<\/option><option value=\"Urology\"  data-calculation=\"0\">Urology<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-3896__field--select-3_69e01d24b8615\" id=\"forminator-form-3896__field--select-3_69e01d24b8615-label\" class=\"forminator-label\">Specialisation of Practice<\/label><select  id=\"forminator-form-3896__field--select-3_69e01d24b8615\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Specialisation of Practice\" data-search=\"false\" data-search-placeholder=\"Specialisation of Practice\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3896__field--select-3_69e01d24b8615-label\"><option value=\"\"  >Specialisation of Practice<\/option><option value=\"one\"  data-calculation=\"0\">Ayurveda<\/option><option value=\"two\"  data-calculation=\"0\">Homeopathy<\/option><option value=\"Siddha\"  data-calculation=\"0\">Siddha<\/option><option value=\"Unani\"  data-calculation=\"0\">Unani<\/option><option value=\"Yoga\"  data-calculation=\"0\">Yoga<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3896__field--select-4_69e01d24b8615\" id=\"forminator-form-3896__field--select-4_69e01d24b8615-label\" class=\"forminator-label\">Specialisation of Practice <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3896__field--select-4_69e01d24b8615\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Specialisation of Practice\" data-search=\"false\" data-search-placeholder=\"Specialisation of Practice\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3896__field--select-4_69e01d24b8615-label\"><option value=\"\"  >Specialisation of Practice<\/option><option value=\"one\"  data-calculation=\"0\">Orthodontics and dentofacial orthopedics<\/option><option value=\"two\"  data-calculation=\"0\">Conservative dentistry and Endodontics<\/option><option value=\"Pedodontics-and-Preventive\"  data-calculation=\"0\">Pedodontics and Preventive<\/option><option value=\"Prosthodontics-and-Crown-and-Bridge\"  data-calculation=\"0\">Prosthodontics and Crown and Bridge<\/option><option value=\"Oral-and-Maxillofacial-Surgery\"  data-calculation=\"0\">Oral and Maxillofacial Surgery<\/option><option value=\"Oral-medicine-and-radiology\"  data-calculation=\"0\">Oral medicine and radiology<\/option><option value=\"Oral-pathology-and-microbiology\"  data-calculation=\"0\">Oral pathology and microbiology<\/option><\/select><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69e01d24b8615\" id=\"forminator-field-text-2_69e01d24b8615-label\" class=\"forminator-label\">Designation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Designation\" id=\"forminator-field-text-2_69e01d24b8615\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69e01d24b8615\" id=\"forminator-field-text-3_69e01d24b8615-label\" class=\"forminator-label\">Organization <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-3_69e01d24b8615\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69e01d24b8615\" id=\"forminator-field-text-4_69e01d24b8615-label\" class=\"forminator-label\">MCI Registration Name<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-4_69e01d24b8615\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69e01d24b8615\" id=\"forminator-field-text-5_69e01d24b8615-label\" class=\"forminator-label\">MCI Registration Number<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-5_69e01d24b8615\" class=\"forminator-input forminator-name--field\" data-required=\"\" 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value=\"forminator_submit_form_custom-forms\"><\/form><\/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":"","protected":false},"author":1,"featured_media":0,"parent":3640,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3648","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/pages\/3648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/comments?post=3648"}],"version-history":[{"count":15,"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/pages\/3648\/revisions"}],"predecessor-version":[{"id":3901,"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/pages\/3648\/revisions\/3901"}],"up":[{"embeddable":true,"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/pages\/3640"}],"wp:attachment":[{"href":"https:\/\/nationalmedicalforum.org\/demo\/wp-json\/wp\/v2\/media?parent=3648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}