Formulario inscripción en SMIRD – Sociedad de Medicina Interna de la Republica Dominicana

Formulario de inscripción

${ parent.decodeEntities(`Apellido`) } * { parent.activateValidation({"message":"Campo requerido.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> `} /> ${ parent.decodeEntities(`Ingrese su apellido`) }

${ parent.decodeEntities(`Cedula`) } * parent.activateValidation({"message":"Campo requerido.","minLength":11,"maxLength":11,"type":"by_character_length","required":true,"expression":"null"}, el)} /> `} /> ${ parent.decodeEntities(`Ejemplo: xxxxxxxxxxx (Sin guiones)`) }

${ parent.decodeEntities(`Especialidad`) } * { parent.activateValidation({"message":"Campo requerido.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> `} />

${ parent.decodeEntities(`Exequatur`) } * parent.activateValidation({"message":"Campo requerido.","minLength":11,"maxLength":11,"type":"by_character_length","required":true,"expression":"null"}, el)} /> `} />

${ parent.decodeEntities(`Fecha de graduación`) } * props.DateWidget( el, 'es', {"message":"Campo requerido.","required":true}, register, parent )} /> `} />

${ parent.decodeEntities(`Email`) } * parent.activateValidation({"message":"Campo requerido.","emailMessage":"Por favor, introduce una direcci\u00f3n de correo v\u00e1lida.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> `} /> ${ parent.decodeEntities(`Ejemplo: user@website.com`) }

${ parent.decodeEntities(`Teléfono`) } * parent.activateValidation({"message":"Campo requerido.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> `} /> ${ parent.decodeEntities(`Ejemplo: 809-123-4567`) }

${ parent.decodeEntities(`Fecha de inscripción`) } * props.DateWidget( el, 'es', {"message":"Campo requerido.","required":true}, register, parent )} /> `} />

${ parent.decodeEntities(`Subir fotografía`) } *

parent.activateValidation({"message":"Campo requerido.","required":true,"file_types":[".jpg",".jpeg",".gif",".png"],"type_message":"Extensi\u00f3n de archivo no v\u00e1lida","size_limit":-1,"limit_message":"Campo requerido."}, el) } /> ${ parent.decodeEntities(`Seleccionar`) }

${ (parent.state.formData['mf-resume'] || []).length > 0 ? parent.state.formData['mf-resume'].map((file, idx) => html` ${file.name} parent.removeUploadedFile('mf-resume', idx)} title="Remove" > × `) : html`${parent.getFileLabel('mf-resume', 'Aun no ha seleccionado ninguna foto.')}` }

`} />

Formulario de inscripción

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