{"id":9570,"date":"2018-08-07T15:19:50","date_gmt":"2018-08-07T07:19:50","guid":{"rendered":"https:\/\/hksnmd.org\/?page_id=9570"},"modified":"2023-08-04T17:01:16","modified_gmt":"2023-08-04T09:01:16","slug":"registration","status":"publish","type":"page","link":"https:\/\/hksnmd.org\/en\/registration\/","title":{"rendered":"Membership Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"9570\" class=\"elementor elementor-9570\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a92e4ff elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a92e4ff\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\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-e7c95c6\" data-id=\"e7c95c6\" 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-26e55110 elementor-widget elementor-widget-shortcode\" data-id=\"26e55110\" 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\"><div id=\"swpm-form-19\" class=\"swpm-form-builder-container\"><form id=\"registration-form-19\" class=\"swpm-form-builder swpm-form-19 left\" method=\"post\" enctype=\"multipart\/form-data\">\n\t<input type=\"hidden\" name=\"form_id\" value=\"19\" \/><input type =\"hidden\" name=\"level_identifier\" value=\"e4da3b7fbbce2345d7772b0674a318d5\" \/><input type =\"hidden\" name=\"swpm_level_hash\" value=\"a64eb1e068efcc3b503f5cb419cebbb1\" \/><input type =\"hidden\" name=\"membership_level\" value=\"5\" \/><fieldset class=\"swpm-fieldset swpm-fieldset-1 fieldset \" id=\"item-swpm-457\"><div class=\"swpm-legend\"><h3>Personal Particulars<\/h3><\/div><ul class=\"swpm-section swpm-section-1\"><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-458\"><label for=\"swpm-458\" class=\"swpm-desc\">Create Username  <span class=\"swpm-required-asterisk\">*<\/span><\/label><span class=\"swpm-span\"><input type=\"text\"  name=\"swpm-458\" id=\"swpm-458\" value=\"\" class=\"swpm-text  swpm-medium  required  email  nowhitespace \"  \/><p>Please use your email address as username.<\/p><\/span><\/li><li class=\"swpm-item swpm-item-password  \" id=\"item-swpm-459\"><label for=\"swpm-459\" class=\"swpm-desc\">Password  <span class=\"swpm-required-asterisk\">*<\/span><\/label><div><input type=\"password\" placeholder=\"Type password here\" name=\"swpm-459\" id=\"swpm-459\" value=\"\" class=\"swpm-text  swpm-medium  required  \" \/><\/div><div><input type=\"password\" placeholder=\"Retype password here\" name=\"swpm-459_re\" id=\"swpm-459_re\" value=\"\" class=\"swpm-text  swpm-medium  required  \" \/><\/div><\/li><li class=\"swpm-item swpm-item-email  \" id=\"item-swpm-461\"><label for=\"swpm-461\" class=\"swpm-desc\">Email  <span class=\"swpm-required-asterisk\">*<\/span><\/label><input type=\"email\"  name=\"swpm-461\" id=\"swpm-461\" value=\"\" class=\"swpm-text  swpm-medium  required  email \"  \/><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-471\"><label for=\"swpm-471\" class=\"swpm-desc\">First Name  <span class=\"swpm-required-asterisk\">*<\/span><\/label><input type=\"text\"  name=\"swpm-471\" id=\"swpm-471\" value=\"\" class=\"swpm-text  swpm-medium  required  \"  \/><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-473\"><label for=\"swpm-473\" class=\"swpm-desc\">Last Name  <span class=\"swpm-required-asterisk\">*<\/span><\/label><input type=\"text\"  name=\"swpm-473\" id=\"swpm-473\" value=\"\" class=\"swpm-text  swpm-medium  required  \"  \/><\/li><li class=\"swpm-item swpm-item-address  \" id=\"item-swpm-475\"><label class=\"swpm-desc\">Corresponding Address <\/label><div><span class=\"swpm-full\"><input type=\"text\" value=\"\" name=\"swpm-475[address]\" id=\"swpm-475-address\" maxlength=\"150\" class=\"swpm-text swpm-medium  \" \/><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-address\">Street Address<\/label><\/span><\/span><span class=\"swpm-full\"><input type=\"text\" value=\"\" name=\"swpm-475[address-2]\" id=\"swpm-475-address-2\" maxlength=\"150\" class=\"swpm-text swpm-medium  \" \/><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><\/span><span class=\"swpm-left\"><input type=\"text\" value=\"\" name=\"swpm-475[city]\" id=\"swpm-475-city\" maxlength=\"150\" class=\"swpm-text swpm-medium  \" \/><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-city\">City<\/label><\/span><\/span><span class=\"swpm-right\"><input type=\"text\" value=\"\" name=\"swpm-475[state]\" id=\"swpm-475-state\" maxlength=\"150\" class=\"swpm-text swpm-medium  \" \/><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-state\">State \/ Province \/ Region<\/label><\/span><\/span><span class=\"swpm-left\"><input type=\"text\" value=\"\" name=\"swpm-475[zip]\" id=\"swpm-475-zip\" maxlength=\"150\" class=\"swpm-text swpm-medium  \" \/><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-zip\">Postal \/ Zip Code<\/label><\/span><\/span><span class=\"swpm-right\"><select name=\"swpm-475[country]\" class=\"swpm-select  \" id=\"swpm-475-country\"><option value=\"\" selected='selected'><\/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 Barbuda\">Antigua and Barbuda<\/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 and Herzegovina\">Bosnia and 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 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=\"Cape Verde\">Cape Verde<\/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=\"Colombi\">Colombi<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/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 (Timor Timur)\">East Timor (Timor Timur)<\/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=\"Eswatini\">Eswatini<\/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, The\">Gambia, The<\/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=\"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=\"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=\"Nepa\">Nepa<\/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=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/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=\"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=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/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 of America\">United States of America<\/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><span class=\"swpm-form-builder-address-label-bottom\"><label for=\"swpm-475-country\">Country<\/label><\/span><\/span><\/div><\/li><li class=\"swpm-item swpm-item-radio  \" id=\"item-swpm-477\"><label class=\"swpm-desc\">Title  <span class=\"swpm-required-asterisk\">*<\/span><\/label><div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-477\" id=\"swpm-477-0\" value=\"Prof.\" class=\"swpm-radio  required \" \/><label for=\"swpm-477-0\" class=\"swpm-choice\">Prof.<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-477\" id=\"swpm-477-1\" value=\"Dr.\" class=\"swpm-radio  required \" \/><label for=\"swpm-477-1\" class=\"swpm-choice\">Dr.<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-477\" id=\"swpm-477-2\" value=\"Mr.\" class=\"swpm-radio  required \" \/><label for=\"swpm-477-2\" class=\"swpm-choice\">Mr.<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-477\" id=\"swpm-477-3\" value=\"Ms.\" class=\"swpm-radio  required \" \/><label for=\"swpm-477-3\" class=\"swpm-choice\">Ms.<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-477\" id=\"swpm-477-4\" value=\"Mrs.\" class=\"swpm-radio  required \" \/><label for=\"swpm-477-4\" class=\"swpm-choice\">Mrs.<\/label><\/div><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"swpm-item swpm-item-phone  \" id=\"item-swpm-479\"><label for=\"swpm-479\" class=\"swpm-desc\">Contact Number <\/label><input type=\"tel\"  name=\"swpm-479\" id=\"swpm-479\" value=\"\" class=\"swpm-text  swpm-medium   phone \"  \/><\/li><li class=\"swpm-item swpm-item-phone  \" id=\"item-swpm-481\"><label for=\"swpm-481\" class=\"swpm-desc\">Fax Number <\/label><input type=\"tel\"  name=\"swpm-481\" id=\"swpm-481\" value=\"\" class=\"swpm-text  swpm-medium   phone \"  \/><\/li><li class=\"swpm-item swpm-item-radio  \" id=\"item-swpm-483\"><label class=\"swpm-desc\">Membership category  <span class=\"swpm-required-asterisk\">*<\/span><\/label><div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-483\" id=\"swpm-483-0\" value=\"Medical member\" class=\"swpm-radio  required \" \/><label for=\"swpm-483-0\" class=\"swpm-choice\">Medical member<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-483\" id=\"swpm-483-1\" value=\"Non-medical member\" class=\"swpm-radio  required \" \/><label for=\"swpm-483-1\" class=\"swpm-choice\">Non-medical member<\/label><\/div><span><p><div>Medical member: Registered medical practitioners interested in neuromuscular diseases.<\/div><br \/><div>\r\nNon-medical member: healthcare workers interested in neuromuscular diseases.<\/div><\/p><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"swpm-fieldset swpm-fieldset-2 fieldset \" id=\"item-swpm-485\"><div class=\"swpm-legend\"><h3>Professional<\/h3><\/div><ul class=\"swpm-section swpm-section-2\"><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-487\"><label for=\"swpm-487\" class=\"swpm-desc\">Qualification(s)  <span class=\"swpm-required-asterisk\">*<\/span><\/label><span class=\"swpm-span\"><input type=\"text\"  name=\"swpm-487\" id=\"swpm-487\" value=\"\" class=\"swpm-text  swpm-medium  required  \"  \/><p>(Example: FHKCP, FHKAM, PT)<\/p><\/span><\/li><li class=\"swpm-item swpm-item-radio  \" id=\"item-swpm-489\"><label class=\"swpm-desc\">Serving Organization  <span class=\"swpm-required-asterisk\">*<\/span><\/label><div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-489\" id=\"swpm-489-0\" value=\"Hospital Authority\" class=\"swpm-radio  required \" \/><label for=\"swpm-489-0\" class=\"swpm-choice\">Hospital Authority<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-489\" id=\"swpm-489-1\" value=\"Private Practice\" class=\"swpm-radio  required \" \/><label for=\"swpm-489-1\" class=\"swpm-choice\">Private Practice<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-489\" id=\"swpm-489-2\" value=\"Academics (University)\" class=\"swpm-radio  required \" \/><label for=\"swpm-489-2\" class=\"swpm-choice\">Academics (University)<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-489\" id=\"swpm-489-3\" value=\"NGO\" class=\"swpm-radio  required \" \/><label for=\"swpm-489-3\" class=\"swpm-choice\">NGO<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-489\" id=\"swpm-489-4\" value=\"Others (Please specify in the field below)\" class=\"swpm-radio  required \" \/><label for=\"swpm-489-4\" class=\"swpm-choice\">Others (Please specify in the field below)<\/label><\/div><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-491\"><label for=\"swpm-491\" class=\"swpm-desc\">Serving Organization: Others <\/label><input type=\"text\"  name=\"swpm-491\" id=\"swpm-491\" value=\"\" class=\"swpm-text  swpm-medium   \"  \/><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-493\"><label for=\"swpm-493\" class=\"swpm-desc\">Name of Serving Organization  <span class=\"swpm-required-asterisk\">*<\/span><\/label><span class=\"swpm-span\"><input type=\"text\"  name=\"swpm-493\" id=\"swpm-493\" value=\"\" class=\"swpm-text  swpm-medium  required  \"  \/><p>(Examples: PYNEH, QEH, SAHK)<\/p><\/span><\/li><li class=\"swpm-item swpm-item-radio  \" id=\"item-swpm-495\"><label class=\"swpm-desc\">Serving Unit  <span class=\"swpm-required-asterisk\">*<\/span><\/label><div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-0\" value=\"Medical (Neuro)\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-0\" class=\"swpm-choice\">Medical (Neuro)<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-1\" value=\"Pathology\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-1\" class=\"swpm-choice\">Pathology<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-2\" value=\"Pediatrics (Neuro)\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-2\" class=\"swpm-choice\">Pediatrics (Neuro)<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-3\" value=\"Physiotherapist\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-3\" class=\"swpm-choice\">Physiotherapist<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-4\" value=\"Occupation Therapist\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-4\" class=\"swpm-choice\">Occupation Therapist<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-5\" value=\"Registered Nurse\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-5\" class=\"swpm-choice\">Registered Nurse<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-6\" value=\"Palliative Care Nurse\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-6\" class=\"swpm-choice\">Palliative Care Nurse<\/label><\/div><div class=\"swpm-span\"><input type=\"radio\" name=\"swpm-495\" id=\"swpm-495-7\" value=\"Others (Please specify in the field below)\" class=\"swpm-radio  required \" \/><label for=\"swpm-495-7\" class=\"swpm-choice\">Others (Please specify in the field below)<\/label><\/div><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-497\"><label for=\"swpm-497\" class=\"swpm-desc\">Serving Unit: Others <\/label><input type=\"text\"  name=\"swpm-497\" id=\"swpm-497\" value=\"\" class=\"swpm-text  swpm-medium   \"  \/><\/li><li class=\"swpm-item swpm-item-text  \" id=\"item-swpm-499\"><label for=\"swpm-499\" class=\"swpm-desc\">Position <\/label><span class=\"swpm-span\"><input type=\"text\"  name=\"swpm-499\" id=\"swpm-499\" value=\"\" class=\"swpm-text  swpm-medium   \"  \/><p>(Example: AC, SMO, PT II, Consultant)<\/p><\/span><\/li><li class=\"swpm-item swpm-item-textarea  \" id=\"item-swpm-503\"><label for=\"swpm-503\" class=\"swpm-desc\">Field of interest and experience in neuromuscular diseases <\/label><div><textarea name=\"swpm-503\" id=\"swpm-503\" class=\"swpm-textarea  swpm-medium  \"><\/textarea><\/div><\/li><li class=\"swpm-item swpm-item-instructions  \" id=\"item-swpm-507\"><label class=\"swpm-desc\">Important Note <\/label><strong style=\"color:blue\">By submitting this form, you are understanding that the personal data so provided are mainly for use within the society but they may also be disclosed to other relevant parties for the purposes mentioned in the objectives above. Apart from this, the data disclosure shall follow the Personal Data (privacy) Ordinance.<\/strong><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"swpm-fieldset swpm-verification\" style=\"display:block\">\n                <div class=\"swpm-legend\"><h3>Prove you are not robot!<\/h3><\/div>\n                <ul class=\"swpm-section swpm-section-24\">\n                <li class=\"swpm-item swpm-item-text\" style=\"display:block\">\n                <div align=\"center\"> <div class=\"swpm-recaptcha-section\" style=\"margin-bottom: 15px;\"><style type=\"text\/css\">@media screen and (max-width: 375px) {\n            .swpm_g_captcha{transform:scale(0.77);transform-origin:0;-webkit-transform:scale(0.77);-webkit-transform-origin:0 0;}\n        }<\/style><script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script><div class=\"swpm_g_captcha\"><div class=\"g-recaptcha\" data-sitekey=\"6LdKsvApAAAAACNs2FslZPQqX5CgMkvl8dPorg38\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div><\/div><\/div>\n                <\/li><li style=\"display:none;\"><label>This box is for spam protection - 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