{"id":18392,"date":"2024-05-30T10:42:28","date_gmt":"2024-05-30T08:42:28","guid":{"rendered":"https:\/\/geskes.ch\/?page_id=18392"},"modified":"2024-06-21T09:12:23","modified_gmt":"2024-06-21T07:12:23","slug":"registration","status":"publish","type":"page","link":"https:\/\/geskes.ch\/en\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<div class=\"validation-messages\"><\/div>\n\n    <form method=\"post\" action=\"\" enctype=\"multipart\/form-data\" data-trp-original-action=\"\">\n        <div class=\"row geskes-registration-form\">\n    <div class=\"column geskes-form-data-block\">\n        <div class=\"geskes-form-data-accordians\">\n            <div class=\"accordion-item accordion accordion__active\">\n                <h2 class=\"accordion__intro\">\n                  <button class=\"accordion-button\" type=\"button\">\n                   Basic Data\n                  <\/button>\n                <\/h2>\n                <div class=\"accordion__content\">\n                  <div class=\"accordion-body\">\n                    <div class=\"user-title-block\">\n                        <label for=\"user_title\">Title<\/label>\n                        <select name=\"user_title\">\n                            <option value=\"\">Select Title<\/option>\n                            <option value=\"Dr.\">Dr.<\/option>\n                            <option value=\"Prof.\">Prof.<\/option>\n                            <option value=\"Prof. Dr.\">Prof. Dr.<\/option>\n                        <\/select>\n                    <\/div>\n                    <div class=\"user-gender-block\">\n                        <label for=\"user_gender\">Gender<span class=\"geskes-required\">*<\/span><\/label>\n                        <select name=\"user_gender\">\n                            <option value=\"\">Select Gender<\/option>\n                            <option value=\"female\">Female<\/option>\n                            <option value=\"male\">Male<\/option>\n                            <option value=\"other\">Other<\/option>\n                        <\/select>\n                    <\/div>\n                    <div class=\"first-name-block\">\n                        <label for=\"first_name\">First Name<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"first_name\" id=\"first_name\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"last-name-block\">\n                        <label for=\"last_name\">Last Name<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"last_name\" id=\"last_name\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"user-name-block\">\n                        <label for=\"user_name\">Username\/email<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"user_name\" id=\"user_name\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"user-birthday-block\">\n                        <label for=\"user_birthday\">Birthday<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"date\" name=\"user_birthday\" id=\"user_birthday\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"user-nationality-block\">\n                        <label for=\"user_nationality\">Nationality<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"user_nationality\" id=\"user_nationality\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-address-checkbox-block\">\n                        <label for=\"work_company\">Occupation<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"work_occupation\" id=\"work_occupation\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"password-block\">\n                        <label for=\"password\">Password<span class=\"geskes-required\">*<\/span>\n                        <div class=\"geskes_tooltip\">\n                            <svg width=\"15\" height=\"15\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                <g clip-path=\"url(#clip0_68_15)\">\n                                <path d=\"M10 0C15.514 0 20 4.48606 20 10.0001C20 15.5141 15.514 20 10 20C4.486 20 -5.96046e-07 15.5141 -5.96046e-07 10.0001C-5.96046e-07 4.48606 4.486 0 10 0ZM10 18.1818C14.5115 18.1818 18.1818 14.5115 18.1818 10.0001C18.1818 5.48861 14.5115 1.81818 10 1.81818C5.48848 1.81818 1.81818 5.48861 1.81818 10.0001C1.81818 14.5115 5.48854 18.1818 10 18.1818Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10 4.24219C10.6683 4.24219 11.2119 4.78619 11.2119 5.45485C11.2119 6.12291 10.6683 6.66643 10 6.66643C9.33179 6.66643 8.78816 6.12291 8.78816 5.45485C8.78816 4.78619 9.33179 4.24219 10 4.24219Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10.0001 8.48486C10.5021 8.48486 10.9092 8.89189 10.9092 9.39395V14.8485C10.9092 15.3506 10.5021 15.7576 10.0001 15.7576C9.49803 15.7576 9.091 15.3506 9.091 14.8485V9.39395C9.091 8.89189 9.49803 8.48486 10.0001 8.48486Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <\/g>\n                                <defs>\n                                <clippath id=\"clip0_68_15\">\n                                <rect width=\"20\" height=\"20\" fill=\"white\" transform=\"matrix(-1 0 0 1 20 0)\"\/>\n                                <\/clippath>\n                                <\/defs>\n                                <\/svg>\n                          <span class=\"tooltiptext\">Minimum 8 characters,<br> 1 special character,<br> 1 capital letter,<br> 1 number<\/span>\n                        <\/div>\n                        <\/label>\n                        <input type=\"password\" name=\"password\" id=\"password\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"password-block\">\n                        <label for=\"password\">Confirm Password<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"password\" name=\"confirm_password\" id=\"confirm_password\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-address-checkbox-block checkbox-list\">\n                        <label for=\"profile_image\">Profile Image<\/label>\n                        <input type=\"file\" name=\"profile_image\" id=\"profile_image\" accept=\"image\/*\">\n                    <\/div>\n                    <h5 class=\"sub-title private-address-title\">Private Address<\/h5>\n                    <div class=\"private-address-checkbox-block\">\n                        <input type=\"checkbox\" name=\"private_address_checkbox\" id=\"private_address_checkbox\" autocomplete=\"off\" value=\"true\" checked>\n                        <label for=\"private_address_checkbox\">Use Private Address &amp; Email for Correspondece and Billing<\/label>\n                    <\/div>\n                    <div class=\"private-street-block\">\n                        <label for=\"private_street\">Street<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"private_street\" id=\"private_street\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-house-number\">\n                        <label for=\"private_house_number\">House Number<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"private_house_number\" id=\"private_house_number\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-zip-block\">\n                        <label for=\"private_zip\">ZIP<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"private_zip\" id=\"private_zip\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-location-block\">\n                        <label for=\"private_location\">Location<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"private_location\" id=\"private_location\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-country-block\">\n                        <label for=\"private_country\">Country<span class=\"geskes-required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"private_country\" id=\"private_country\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-phone-block\">\n                        <label for=\"private_phone\">Phone<span class=\"geskes-required\">*<\/span>\n                        <div class=\"geskes_tooltip\">\n                            <svg width=\"15\" height=\"15\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                <g clip-path=\"url(#clip0_68_15)\">\n                                <path d=\"M10 0C15.514 0 20 4.48606 20 10.0001C20 15.5141 15.514 20 10 20C4.486 20 -5.96046e-07 15.5141 -5.96046e-07 10.0001C-5.96046e-07 4.48606 4.486 0 10 0ZM10 18.1818C14.5115 18.1818 18.1818 14.5115 18.1818 10.0001C18.1818 5.48861 14.5115 1.81818 10 1.81818C5.48848 1.81818 1.81818 5.48861 1.81818 10.0001C1.81818 14.5115 5.48854 18.1818 10 18.1818Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10 4.24219C10.6683 4.24219 11.2119 4.78619 11.2119 5.45485C11.2119 6.12291 10.6683 6.66643 10 6.66643C9.33179 6.66643 8.78816 6.12291 8.78816 5.45485C8.78816 4.78619 9.33179 4.24219 10 4.24219Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10.0001 8.48486C10.5021 8.48486 10.9092 8.89189 10.9092 9.39395V14.8485C10.9092 15.3506 10.5021 15.7576 10.0001 15.7576C9.49803 15.7576 9.091 15.3506 9.091 14.8485V9.39395C9.091 8.89189 9.49803 8.48486 10.0001 8.48486Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <\/g>\n                                <defs>\n                                <clippath id=\"clip0_68_15\">\n                                <rect width=\"20\" height=\"20\" fill=\"white\" transform=\"matrix(-1 0 0 1 20 0)\"\/>\n                                <\/clippath>\n                                <\/defs>\n                                <\/svg>\n                          <span class=\"tooltiptext\">Please enter the number including the country code.example: +41 33 444 33 22<\/span>\n                        <\/div>\n                        <\/label>\n                        <input type=\"text\" name=\"private_phone\" id=\"private_phone\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-mobile-block\">\n                        <label for=\"private_mobile\">Mobile <div class=\"geskes_tooltip\">\n                            <svg width=\"15\" height=\"15\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                <g clip-path=\"url(#clip0_68_15)\">\n                                <path d=\"M10 0C15.514 0 20 4.48606 20 10.0001C20 15.5141 15.514 20 10 20C4.486 20 -5.96046e-07 15.5141 -5.96046e-07 10.0001C-5.96046e-07 4.48606 4.486 0 10 0ZM10 18.1818C14.5115 18.1818 18.1818 14.5115 18.1818 10.0001C18.1818 5.48861 14.5115 1.81818 10 1.81818C5.48848 1.81818 1.81818 5.48861 1.81818 10.0001C1.81818 14.5115 5.48854 18.1818 10 18.1818Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10 4.24219C10.6683 4.24219 11.2119 4.78619 11.2119 5.45485C11.2119 6.12291 10.6683 6.66643 10 6.66643C9.33179 6.66643 8.78816 6.12291 8.78816 5.45485C8.78816 4.78619 9.33179 4.24219 10 4.24219Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10.0001 8.48486C10.5021 8.48486 10.9092 8.89189 10.9092 9.39395V14.8485C10.9092 15.3506 10.5021 15.7576 10.0001 15.7576C9.49803 15.7576 9.091 15.3506 9.091 14.8485V9.39395C9.091 8.89189 9.49803 8.48486 10.0001 8.48486Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <\/g>\n                                <defs>\n                                <clippath id=\"clip0_68_15\">\n                                <rect width=\"20\" height=\"20\" fill=\"white\" transform=\"matrix(-1 0 0 1 20 0)\"\/>\n                                <\/clippath>\n                                <\/defs>\n                                <\/svg>\n                          <span class=\"tooltiptext\">Please enter the number including the country code.example: +41 33 444 33 22<\/span>\n                        <\/div><\/label>\n                        <input type=\"text\" name=\"private_mobile\" id=\"private_mobile\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-email-block\">\n                        <label for=\"private_email\">Email 2<\/label>\n                        <input type=\"email\" name=\"private_email\" id=\"private_email\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-language-block\">\n                        <label for=\"work_language\">Language<\/label>\n                        <select name=\"work_language\" id=\"work_language\"><option value=\"de_DE\" lang=\"de\" data-installed=\"1\">German<\/option>\n<option value=\"en_GB\" lang=\"en\" selected='selected' data-installed=\"1\">English (UK)<\/option>\n<option value=\"fr_FR\" lang=\"fr\" data-installed=\"1\">Fran\u00e7ais<\/option><\/select>\n                    <\/div>\n                  <\/div>\n                <\/div>\n            <\/div>\n            \n            <div class=\"accordion-item accordion\">\n                <h2 class=\"accordion__intro\">\n                  <button class=\"accordion-button\" type=\"button\">\n                   Work Address\n                  <\/button>\n                <\/h2>\n                <div class=\"accordion__content\">\n                  <div class=\"accordion-body\">\n                    <div class=\"private-address-checkbox-block\">\n                        <label for=\"work_company\">Company<\/label>\n                        <input type=\"text\" name=\"work_company\" id=\"work_company\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"private-address-checkbox-block\">\n                        <label for=\"work_company\">Department<\/label>\n                        <input type=\"text\" name=\"work_department\" id=\"work_department\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-street-block\">\n                        <label for=\"work_street\">Street<\/label>\n                        <input type=\"text\" name=\"work_street\" id=\"work_street\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-house-number\">\n                        <label for=\"work_house_number\">House Number<\/label>\n                        <input type=\"text\" name=\"work_house_number\" id=\"work_house_number\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-zip-block\">\n                        <label for=\"work_zip\">ZIP<\/label>\n                        <input type=\"text\" name=\"work_zip\" id=\"work_zip\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-location-block\">\n                        <label for=\"work_location\">Location<\/label>\n                        <input type=\"text\" name=\"work_location\" id=\"work_location\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-country-block\">\n                        <label for=\"work_country\">Country<\/label>\n                        <input type=\"text\" name=\"work_country\" id=\"work_country\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-phone-block\">\n                        <label for=\"work_phone\">Phone <div class=\"geskes_tooltip\">\n                            <svg width=\"15\" height=\"15\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                <g clip-path=\"url(#clip0_68_15)\">\n                                <path d=\"M10 0C15.514 0 20 4.48606 20 10.0001C20 15.5141 15.514 20 10 20C4.486 20 -5.96046e-07 15.5141 -5.96046e-07 10.0001C-5.96046e-07 4.48606 4.486 0 10 0ZM10 18.1818C14.5115 18.1818 18.1818 14.5115 18.1818 10.0001C18.1818 5.48861 14.5115 1.81818 10 1.81818C5.48848 1.81818 1.81818 5.48861 1.81818 10.0001C1.81818 14.5115 5.48854 18.1818 10 18.1818Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10 4.24219C10.6683 4.24219 11.2119 4.78619 11.2119 5.45485C11.2119 6.12291 10.6683 6.66643 10 6.66643C9.33179 6.66643 8.78816 6.12291 8.78816 5.45485C8.78816 4.78619 9.33179 4.24219 10 4.24219Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10.0001 8.48486C10.5021 8.48486 10.9092 8.89189 10.9092 9.39395V14.8485C10.9092 15.3506 10.5021 15.7576 10.0001 15.7576C9.49803 15.7576 9.091 15.3506 9.091 14.8485V9.39395C9.091 8.89189 9.49803 8.48486 10.0001 8.48486Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <\/g>\n                                <defs>\n                                <clippath id=\"clip0_68_15\">\n                                <rect width=\"20\" height=\"20\" fill=\"white\" transform=\"matrix(-1 0 0 1 20 0)\"\/>\n                                <\/clippath>\n                                <\/defs>\n                                <\/svg>\n                          <span class=\"tooltiptext\">Please enter the number including the country code.example: +41 33 444 33 22<\/span>\n                        <\/div><\/label>\n                        <input type=\"text\" name=\"work_phone\" id=\"work_phone\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-mobile-block\">\n                        <label for=\"work_mobile\">Mobile <div class=\"geskes_tooltip\">\n                            <svg width=\"15\" height=\"15\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                <g clip-path=\"url(#clip0_68_15)\">\n                                <path d=\"M10 0C15.514 0 20 4.48606 20 10.0001C20 15.5141 15.514 20 10 20C4.486 20 -5.96046e-07 15.5141 -5.96046e-07 10.0001C-5.96046e-07 4.48606 4.486 0 10 0ZM10 18.1818C14.5115 18.1818 18.1818 14.5115 18.1818 10.0001C18.1818 5.48861 14.5115 1.81818 10 1.81818C5.48848 1.81818 1.81818 5.48861 1.81818 10.0001C1.81818 14.5115 5.48854 18.1818 10 18.1818Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10 4.24219C10.6683 4.24219 11.2119 4.78619 11.2119 5.45485C11.2119 6.12291 10.6683 6.66643 10 6.66643C9.33179 6.66643 8.78816 6.12291 8.78816 5.45485C8.78816 4.78619 9.33179 4.24219 10 4.24219Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <path d=\"M10.0001 8.48486C10.5021 8.48486 10.9092 8.89189 10.9092 9.39395V14.8485C10.9092 15.3506 10.5021 15.7576 10.0001 15.7576C9.49803 15.7576 9.091 15.3506 9.091 14.8485V9.39395C9.091 8.89189 9.49803 8.48486 10.0001 8.48486Z\" fill=\"#323232\" fill-opacity=\"0.76\"\/>\n                                <\/g>\n                                <defs>\n                                <clippath id=\"clip0_68_15\">\n                                <rect width=\"20\" height=\"20\" fill=\"white\" transform=\"matrix(-1 0 0 1 20 0)\"\/>\n                                <\/clippath>\n                                <\/defs>\n                                <\/svg>\n                          <span class=\"tooltiptext\">Please enter the number including the country code.example: +41 33 444 33 22<\/span>\n                        <\/div><\/label>\n                        <input type=\"text\" name=\"work_mobile\" id=\"work_mobile\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-email-block\">\n                        <label for=\"work_email\">email<\/label>\n                        <input type=\"email\" name=\"work_email\" id=\"work_email\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                    <div class=\"work-website-block\">\n                        <label for=\"work_website\">Website<\/label>\n                        <input type=\"text\" name=\"work_website\" id=\"work_website\" autocomplete=\"off\" value=\"\">\n                    <\/div>\n                  <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"column geskes-membership-block\">\n        <div class=\"geskes-membership-list\">\n            <div class=\"geskes-membership-list-label\">\n                <p>Membership Level Selection<span class=\"geskes-required geskes-required-white\">*<\/span><\/p>\n            <\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"mitglied-geskes\" class=\"membership-selection\" name=\"membership_selection\" value=\"20037\" data-id=\"mitglied-geskes\" >\n                    <label for=\"mitglied-geskes\">Full member GESKES (individual) (CHF 120.-\/yearly)<\/label>\n                    \n                <\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"mitglied-geskes-espen\" class=\"membership-selection\" name=\"membership_selection\" value=\"20039\" data-id=\"mitglied-geskes-espen\" >\n                    <label for=\"mitglied-geskes-espen\">Block membership GESKES\/ESPEN (individual) (CHF 200.-\/yearly)<\/label>\n                    \n                <\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"student\" class=\"membership-selection\" name=\"membership_selection\" value=\"20038\" data-id=\"student\" >\n                    <label for=\"student\">Young GESKES member (individual) (CHF 50.-\/yearly)<\/label>\n                    \n                <\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"geskes-homecare-mitglied-teammitgliedschaft-copy\" class=\"membership-selection\" name=\"membership_selection\" value=\"26409\" data-id=\"geskes-homecare-mitglied-teammitgliedschaft-copy\" >\n                    <label for=\"geskes-homecare-mitglied-teammitgliedschaft-copy\">GESKES HomeCare member (team membership) (CHF 800.-\/yearly)<\/label>\n                    \n                <\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"mitglied-homecare\" class=\"membership-selection\" name=\"membership_selection\" value=\"20051\" data-id=\"mitglied-homecare\" >\n                    <label for=\"mitglied-homecare\">GESKES ERB member (team membership) (CHF 490.-\/yearly)<\/label>\n                    \n                <\/div><\/div>\n            <div class=\"geskes-student-id-proof\" style=\"display: none\">\n                <label for=\"student_id_proof\">Your identity card (age <33 years)<span class=\"geskes-required geskes-required-white\">*<\/span><\/label>\n                <div class=\"student-id-proof-input\">\n                    <input type=\"file\" name=\"student_id_proof\" id=\"student_id_proof\" accept=\"image\/*,application\/pdf\">\n                <\/div>\n            <\/div>\n            <div class=\"geskes-membership-list geskes-free-membership-list\">\n            <div class=\"geskes-membership-list-label\">\n                <p>Create a GESKES profile without annual membership<\/p>\n            <\/div>\n            <div class=\"geskes-free-membership-message\"><p>Authorised to register for the courses as well as for the CAS Clinical Nutrition and the title Interdisciplinary Focus in Nutritional Medicine<\/p><\/div><div class=\"geskes-membership-selection\">\n                <input type=\"radio\" id=\"non-member\" class=\"membership-selection\" name=\"membership_selection\" value=\"18705\" data-id=\"non-member\" >\n                    <label for=\"non-member\">GESKES profile without membership<\/label>\n                    \n                <\/div><\/div>\n            <div class=\"register-consent-block\">\n                <label for=\"register_consent_block\">Consent<span class=\"geskes-required\">*<\/span><\/label>\n               <div class=\"register-consent-group\">\n               <input type=\"checkbox\" name=\"register_consent\" id=\"register_consent\" autocomplete=\"off\"  value=\"1\">\n               <label class=\"register_consent_text\" for=\"register_consent_block\">Yes, I agree to the <a href=\"\/en\/data-protection-declaration\/\" target=\"_blank\">privacy policy<\/a> and the <a href=\"\/en\/specialised-literature-4\/\" target=\"_blank\">general terms and conditions<\/a><\/label>\n               <\/div>\n            <\/div>\n           <div class=\"geskes-register-button\">\n               <input type=\"submit\" name=\"geskes_registration_submit\" id=\"geskes_registration_submit\" value=\"Register\">\n           <\/div>\n        <\/div>\n    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