{"id":1021,"date":"2021-10-05T15:46:11","date_gmt":"2021-10-05T15:46:11","guid":{"rendered":"https:\/\/www.ukm.my\/csam\/?page_id=1021"},"modified":"2022-01-04T11:38:35","modified_gmt":"2022-01-04T11:38:35","slug":"register","status":"publish","type":"page","link":"https:\/\/www.ukm.my\/csam\/register\/","title":{"rendered":"User Registration"},"content":{"rendered":"<div id=\"um-admin-form-shortcode\" class=\"postbox \">\n<div class=\"inside\">\n<div class=\"um-admin-metabox\">\n<div id=\"um-admin-form-shortcode\" class=\"postbox \">\n<div class=\"inside\">\n<div class=\"um-admin-metabox\">\n\n<div class=\"um um-register um-536\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_536_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-536\">Name<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"As per IC\/Passport\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-536\" id=\"first_name-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-536\">E-mail Address<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"example@ipt.ede.my\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-536\" id=\"user_email-536\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-536\">Username<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_login-536\" id=\"user_login-536\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-536\">Password<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"Must contain at least 8 characters and a combination of one lowercase letter, one uppercase letter and one number.\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-536\" id=\"user_password-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-536\">Confirm Password<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-536\" id=\"confirm_user_password-536\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_536_title\" class=\"um-field um-field-select  um-field-title um-field-select um-field-type_select\" data-key=\"title\"><div class=\"um-field-label\"><label for=\"title-536\">Title<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"title\" id=\"title\" data-validate=\"\" data-key=\"title\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Brigidier Jeneral Dato&#039;\" >Brigidier Jeneral Dato&#039;<\/option><option value=\"Cik\" >Cik<\/option><option value=\"Datin\" >Datin<\/option><option value=\"Datin Amar\" >Datin Amar<\/option><option value=\"Datin Dr.\" >Datin Dr.<\/option><option value=\"Datin Paduka\" >Datin Paduka<\/option><option value=\"Datin Patinggi\" >Datin Patinggi<\/option><option value=\"Datin Professor\" >Datin Professor<\/option><option value=\"Datin Professor Dr.\" >Datin Professor Dr.<\/option><option value=\"Datin Seri\" >Datin Seri<\/option><option value=\"Datin Setia\" >Datin Setia<\/option><option value=\"Datin Sri\" >Datin Sri<\/option><option value=\"Datin Sri Cempaka\" >Datin Sri Cempaka<\/option><option value=\"Datin Sri Dr.\" >Datin Sri Dr.<\/option><option value=\"Dato&#039;\" >Dato&#039;<\/option><option value=\"Dato&#039; Dr.\" >Dato&#039; Dr.<\/option><option value=\"Dato&#039; Ir Dr.\" >Dato&#039; Ir Dr.<\/option><option value=\"Dato&#039; Ir\" >Dato&#039; Ir<\/option><option value=\"Dato&#039; Paduka Dr.\" >Dato&#039; Paduka Dr.<\/option><option value=\"Dato&#039; Professor Madya Dr.\" >Dato&#039; Professor Madya Dr.<\/option><option value=\"Dato&#039; Senara Muda\" >Dato&#039; Senara Muda<\/option><option value=\"Dato&#039; Seri\" >Dato&#039; Seri<\/option><option value=\"Dato&#039; Sri\" >Dato&#039; Sri<\/option><option value=\"Datu\" >Datu<\/option><option value=\"Datuk\" >Datuk<\/option><option value=\"Datuk Amar\" >Datuk Amar<\/option><option value=\"Datuk Bentara Luar\" >Datuk Bentara Luar<\/option><option value=\"Datuk Bentara Raja\" >Datuk Bentara Raja<\/option><option value=\"Datuk Dr.\" >Datuk Dr.<\/option><option value=\"Datuk Ir.\" >Datuk Ir.<\/option><option value=\"Datuk Patinggi\" >Datuk Patinggi<\/option><option value=\"Datuk Professor\" >Datuk Professor<\/option><option value=\"Datuk Professor Dr.\" >Datuk Professor Dr.<\/option><option value=\"Datuk Setia\" >Datuk Setia<\/option><option value=\"Datuk Setia Wangsa\" >Datuk Setia Wangsa<\/option><option value=\"Datuk Sri\" >Datuk Sri<\/option><option value=\"Datuk Sri Amar Diraja\" >Datuk Sri Amar Diraja<\/option><option value=\"Datuk Sri Dr.\" >Datuk Sri Dr.<\/option><option value=\"Datuk Wira\" >Datuk Wira<\/option><option value=\"Datuk Wira Jaya\" >Datuk Wira Jaya<\/option><option value=\"Doktor\" >Doktor<\/option><option value=\"Duli Yang Maha Mulia\" >Duli Yang Maha Mulia<\/option><option value=\"Encik\" >Encik<\/option><option value=\"Haji\" >Haji<\/option><option value=\"Hajjah\" >Hajjah<\/option><option value=\"Ir\" >Ir<\/option><option value=\"Ir Dr.\" >Ir Dr.<\/option><option value=\"Jeneral\" >Jeneral<\/option><option value=\"Kadet\" >Kadet<\/option><option value=\"Kapten\" >Kapten<\/option><option value=\"Ke Bawah Duli Yang Teramat Mulia\" >Ke Bawah Duli Yang Teramat Mulia<\/option><option value=\"Kebawah Duli Yang Maha Mulia\" >Kebawah Duli Yang Maha Mulia<\/option><option value=\"Kolonel\" >Kolonel<\/option><option value=\"Komander\" >Komander<\/option><option value=\"Laksamana\" >Laksamana<\/option><option value=\"Laksamana Armada\" >Laksamana Armada<\/option><option value=\"Laksamana Madya\" >Laksamana Madya<\/option><option value=\"Laksamana Muda\" >Laksamana Muda<\/option><option value=\"Laksamana Pertama\" >Laksamana Pertama<\/option><option value=\"Leftenan\" >Leftenan<\/option><option value=\"Leftenan Komander\" >Leftenan Komander<\/option><option value=\"Leftenan Madya\" >Leftenan Madya<\/option><option value=\"Leftenan Muda\" >Leftenan Muda<\/option><option value=\"Lt. Kolonel\" >Lt. Kolonel<\/option><option value=\"Major\" >Major<\/option><option value=\"Pegawai Kadet Kanan\" >Pegawai Kadet Kanan<\/option><option value=\"Professor\" >Professor<\/option><option value=\"Professor Dato&#039; Dr.\" >Professor Dato&#039; Dr.<\/option><option value=\"Professor Diraja\" >Professor Diraja<\/option><option value=\"Professor Dr.\" >Professor Dr.<\/option><option value=\"Professor Madya\" >Professor Madya<\/option><option value=\"Professor Madya Dr.\" >Professor Madya Dr.<\/option><option value=\"Puan\" >Puan<\/option><option value=\"Puan Sri\" >Puan Sri<\/option><option value=\"Puan Sri Datin\" >Puan Sri Datin<\/option><option value=\"Puan Sri Datin Professor\" >Puan Sri Datin Professor<\/option><option value=\"Puan Sri Dr.\" >Puan Sri Dr.<\/option><option value=\"Puan Sri Utama\" >Puan Sri Utama<\/option><option value=\"Tan Sri\" >Tan Sri<\/option><option value=\"Tan Sri Dato&#039;\" >Tan Sri Dato&#039;<\/option><option value=\"Tan Sri Dato&#039; Dr.\" >Tan Sri Dato&#039; Dr.<\/option><option value=\"Tan Sri Dato&#039; Ir\" >Tan Sri Dato&#039; Ir<\/option><option value=\"Tan Sri Dato&#039; Seri\" >Tan Sri Dato&#039; Seri<\/option><option value=\"Tan Sri Datuk Professor\" >Tan Sri Datuk Professor<\/option><option value=\"Tan Sri Datuk Professor Dr.\" >Tan Sri Datuk Professor Dr.<\/option><option value=\"Tan Sri Datuk Seri\" >Tan Sri Datuk Seri<\/option><option value=\"Tan Sri Dr.\" >Tan Sri Dr.<\/option><option value=\"Tan Sri General\" >Tan Sri General<\/option><option value=\"Tan Sri Professor\" >Tan Sri Professor<\/option><option value=\"To&#039;Puan\" >To&#039;Puan<\/option><option value=\"To&#039;Puan Sri\" >To&#039;Puan Sri<\/option><option value=\"Toh Puan\" >Toh Puan<\/option><option value=\"Tuan\" >Tuan<\/option><option value=\"Tun\" >Tun<\/option><option value=\"Yang Amat Mulia\" >Yang Amat Mulia<\/option><option value=\"Yang Mulia\" >Yang Mulia<\/option><\/select><\/div><\/div><div  id=\"um_field_536_identification_type\" class=\"um-field um-field-radio  um-field-identification_type um-field-radio um-field-type_radio\" data-key=\"identification_type\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"identification_type-536\">Self Identification<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"identification_type[]\" value=\"MyKad\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">MyKad<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"identification_type[]\" value=\" Passport\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Passport<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"identification_type[]\" value=\" No. Tentera\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> No. Tentera<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"identification_type[]\" value=\" No. Polis\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> No. Polis<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_id_number\" class=\"um-field um-field-text  um-field-id_number um-field-text um-field-type_text\" data-key=\"id_number\"><div class=\"um-field-label\"><label for=\"id_number-536\">Self Identification Number (based on choice above)<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"id_number-536\" id=\"id_number-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"id_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_dob\" class=\"um-field um-field-date  um-field-dob um-field-date um-field-type_date\" data-key=\"dob\"><div class=\"um-field-label\"><label for=\"dob-536\">Date of Birth (dd-mm-yyyy)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid not-required um-datepicker \" type=\"date\" name=\"dob-536\" id=\"dob-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"dob\" data-disabled_weekdays=\"\" min=\"1926-09-02\" max=\"2026-09-02\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_nationality\" class=\"um-field um-field-radio  um-field-nationality um-field-radio um-field-type_radio\" data-key=\"nationality\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"nationality-536\">Nationality<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"nationality[]\" value=\"Malaysian\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Malaysian<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"nationality[]\" value=\"Non-Malaysian\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non-Malaysian<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-536\">Country<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/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=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia, Plurinational State of\" >Bolivia, Plurinational State of<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/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=\"Cayman Islands\" >Cayman Islands<\/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=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo, the Democratic Republic of the\" >Congo, the Democratic Republic of the<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;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=\"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=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/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=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\" >Holy See (Vatican City State)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic of\" >Korea, Democratic People&#039;s Republic of<\/option><option value=\"Korea, Republic of\" >Korea, Republic of<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libyan Arab Jamahiriya\" >Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Macedonia, the former Yugoslav Republic of\" >Macedonia, the former Yugoslav Republic of<\/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=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia, Federated States of\" >Micronesia, Federated States of<\/option><option value=\"Moldova, Republic of\" >Moldova, Republic of<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/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=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/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=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/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=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/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=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/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=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania, United Republic of\" >Tanzania, United Republic of<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/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=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/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\" >United States<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela, Bolivarian Republic of\" >Venezuela, Bolivarian Republic of<\/option><option value=\"Viet Nam\" >Viet Nam<\/option><option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" >Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_536_Home_Address\" class=\"um-field um-field-text  um-field-Home_Address um-field-text um-field-type_text\" data-key=\"Home_Address\"><div class=\"um-field-label\"><label for=\"Home_Address-536\">Home Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Home_Address-536\" id=\"Home_Address-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Home_Address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_state\" class=\"um-field um-field-text  um-field-state um-field-text um-field-type_text\" data-key=\"state\"><div class=\"um-field-label\"><label for=\"state-536\">State<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"state-536\" id=\"state-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"state\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_city\" class=\"um-field um-field-text  um-field-city um-field-text um-field-type_text\" data-key=\"city\"><div class=\"um-field-label\"><label for=\"city-536\">City\/Area<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"city-536\" id=\"city-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Postcode\" class=\"um-field um-field-number  um-field-Postcode um-field-number um-field-type_number\" data-key=\"Postcode\"><div class=\"um-field-label\"><label for=\"Postcode-536\">Postcode<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"Postcode-536\" id=\"Postcode-536\" value=\"\" placeholder=\"\" data-validate=\"0\" data-key=\"Postcode\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_ContactNo\" class=\"um-field um-field-number  um-field-ContactNo um-field-number um-field-type_number\" data-key=\"ContactNo\"><div class=\"um-field-label\"><label for=\"ContactNo-536\">Contact No:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"um-icon-android-call\"><\/i><\/div><input  class=\"um-form-field valid not-required um-iconed \" type=\"number\" name=\"ContactNo-536\" id=\"ContactNo-536\" value=\"\" placeholder=\"\" data-validate=\"numeric\" data-key=\"ContactNo\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_occupation\" class=\"um-field um-field-text  um-field-occupation um-field-text um-field-type_text\" data-key=\"occupation\"><div class=\"um-field-label\"><label for=\"occupation-536\">Occupation<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"occupation-536\" id=\"occupation-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"occupation\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Institution\" class=\"um-field um-field-select  um-field-Institution um-field-select um-field-type_select\" data-key=\"Institution\"><div class=\"um-field-label\"><label for=\"Institution-536\">Institution:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"Institution\" id=\"Institution\" data-validate=\"\" data-key=\"Institution\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"UM -\u00a0Universiti Malaya, KL\" >UM -\u00a0Universiti Malaya, KL<\/option><option value=\"UKM -\u00a0Universiti Kebangsaan Malaysia, Selangor\" >UKM -\u00a0Universiti Kebangsaan Malaysia, Selangor<\/option><option value=\"UPM -\u00a0Universiti Putra Malaysia, Selangor\" >UPM -\u00a0Universiti Putra Malaysia, Selangor<\/option><option value=\"USM -\u00a0Universiti Sains Malaysia, Pulau Pinang\" >USM -\u00a0Universiti Sains Malaysia, Pulau Pinang<\/option><option value=\"UTM -\u00a0Universiti Teknologi Malaysia, Johor\" >UTM -\u00a0Universiti Teknologi Malaysia, Johor<\/option><option value=\"UMP -\u00a0Universiti Malaysia Pahang, Pahang\" >UMP -\u00a0Universiti Malaysia Pahang, Pahang<\/option><option value=\"UIAM -\u00a0Universiti Islam Antarabangsa Malaysia, Selangor\" >UIAM -\u00a0Universiti Islam Antarabangsa Malaysia, Selangor<\/option><option value=\"UUM -\u00a0Universiti Utara Malaysia, Kedah\" >UUM -\u00a0Universiti Utara Malaysia, Kedah<\/option><option value=\"UNIMAS -\u00a0Universiti Malaysia Sarawak, Sarawak\" >UNIMAS -\u00a0Universiti Malaysia Sarawak, Sarawak<\/option><option value=\"UMS -\u00a0Universiti Malaysia Sabah, Sabah\" >UMS -\u00a0Universiti Malaysia Sabah, Sabah<\/option><option value=\"UPSI -\u00a0Universiti Pendidikan Sultan Idris, Perak\" >UPSI -\u00a0Universiti Pendidikan Sultan Idris, Perak<\/option><option value=\"USIM -\u00a0Universiti Sains Islam Malaysia, Negeri Sembilan\" >USIM -\u00a0Universiti Sains Islam Malaysia, Negeri Sembilan<\/option><option value=\"USAS -\u00a0Universiti Sultan Azlan Shah Malaysia, Perak\" >USAS -\u00a0Universiti Sultan Azlan Shah Malaysia, Perak<\/option><option value=\"UITM -\u00a0Universiti Teknologi MARA, Selangor\" >UITM -\u00a0Universiti Teknologi MARA, Selangor<\/option><option value=\"UMT -\u00a0Universiti Malaysia Terengganu, Terengganu\" >UMT -\u00a0Universiti Malaysia Terengganu, Terengganu<\/option><option value=\"UTHM -\u00a0Universiti Tun Hussein Onn Malaysia, Johor\" >UTHM -\u00a0Universiti Tun Hussein Onn Malaysia, Johor<\/option><option value=\"UTeM -\u00a0Universiti Teknikal Malaysia Melaka, Melaka\" >UTeM -\u00a0Universiti Teknikal Malaysia Melaka, Melaka<\/option><option value=\"UniMAP -\u00a0Universiti Malaysia Perlis, Perlis\" >UniMAP -\u00a0Universiti Malaysia Perlis, Perlis<\/option><option value=\"UniSZA -\u00a0Universiti Sultan Zainal Abidin, Terengganu\" >UniSZA -\u00a0Universiti Sultan Zainal Abidin, Terengganu<\/option><option value=\"UMK -\u00a0Universiti Malaysia Kelantan, Kelantan\" >UMK -\u00a0Universiti Malaysia Kelantan, Kelantan<\/option><option value=\"UPNM -\u00a0Universiti Pertahanan Nasional Malaysia, KL\" >UPNM -\u00a0Universiti Pertahanan Nasional Malaysia, KL<\/option><option value=\"Al-Madinah International University (MEDIU), Selangor\" >Al-Madinah International University (MEDIU), Selangor<\/option><option value=\"Asia e University (AeU), K Lumpur\" >Asia e University (AeU), K Lumpur<\/option><option value=\"Asia Pacific University of Technology &amp; Innovation (Asia Pasific UTI), KL\/Selangor\" >Asia Pacific University of Technology &amp; Innovation (Asia Pasific UTI), KL\/Selangor<\/option><option value=\"Asia School Of Business (ASB), K Lumpur\" >Asia School Of Business (ASB), K Lumpur<\/option><option value=\"Binary University of Management &amp; Entrepreneurship (BUME)\" >Binary University of Management &amp; Entrepreneurship (BUME)<\/option><option value=\"City University, PJ Selangor\" >City University, PJ Selangor<\/option><option value=\"DRB-HICOM University Of Automotive Malaysia, Pahang\" >DRB-HICOM University Of Automotive Malaysia, Pahang<\/option><option value=\"GlobalNxt University, K Lumpur\" >GlobalNxt University, K Lumpur<\/option><option value=\"International Centre for Education in Islamic Finance (INCEIF)\" >International Centre for Education in Islamic Finance (INCEIF)<\/option><option value=\"International Medical University (IMU)\" >International Medical University (IMU)<\/option><option value=\"International Medical University, Kuala Lumpur\" >International Medical University, Kuala Lumpur<\/option><option value=\"International University of Malaya - Wales (IUMW)\" >International University of Malaya - Wales (IUMW)<\/option><option value=\"Kolej Universiti Antarabangsa Cosmopoint (CiUC)\" >Kolej Universiti Antarabangsa Cosmopoint (CiUC)<\/option><option value=\"Kolej Universiti Antarabangsa Kejururawatan, Selangor\" >Kolej Universiti Antarabangsa Kejururawatan, Selangor<\/option><option value=\"Kolej Universiti Binary, Selangor\" >Kolej Universiti Binary, Selangor<\/option><option value=\"Kolej Universiti Darul Quran Islamiah (KUDQI), Terengganu\" >Kolej Universiti Darul Quran Islamiah (KUDQI), Terengganu<\/option><option value=\"Kolej Universiti HELP, KL\" >Kolej Universiti HELP, KL<\/option><option value=\"Kolej Universiti Hospitaliti Berjaya, KL\" >Kolej Universiti Hospitaliti Berjaya, KL<\/option><option value=\"Kolej Universiti Infrastruktur Kuala Lumpur (KLIUC), Selangor\" >Kolej Universiti Infrastruktur Kuala Lumpur (KLIUC), Selangor<\/option><option value=\"Kolej Universiti Insaniah (KUIN), Kedah\" >Kolej Universiti Insaniah (KUIN), Kedah<\/option><option value=\"Kolej Universiti Islam Antarabangsa Selangor (KUIS), Selangor\" >Kolej Universiti Islam Antarabangsa Selangor (KUIS), Selangor<\/option><option value=\"Kolej Universiti Islam Melaka (Kuim), Melaka\" >Kolej Universiti Islam Melaka (Kuim), Melaka<\/option><option value=\"Kolej Universiti Islam Sultan Azlan Shah (KUISAS), Perak\" >Kolej Universiti Islam Sultan Azlan Shah (KUISAS), Perak<\/option><option value=\"Kolej Universiti Islam Sultan Azlan Shah\u00a0(KUISAS)\" >Kolej Universiti Islam Sultan Azlan Shah\u00a0(KUISAS)<\/option><option value=\"Kolej Universiti KDU, Selangor\" >Kolej Universiti KDU, Selangor<\/option><option value=\"Kolej Universiti Linton (KUL), Negeri Sembilan\" >Kolej Universiti Linton (KUL), Negeri Sembilan<\/option><option value=\"Kolej Universiti Mahsa (MAHSA), KL\" >Kolej Universiti Mahsa (MAHSA), KL<\/option><option value=\"Kolej Universiti Metropolitan Kuala Lumpur (KLMU), KL\" >Kolej Universiti Metropolitan Kuala Lumpur (KLMU), KL<\/option><option value=\"Kolej Universiti Nilai, Negeri Sembilan\" >Kolej Universiti Nilai, Negeri Sembilan<\/option><option value=\"Kolej Universiti Sains dan Teknologi City (CUCST), Selangor\" >Kolej Universiti Sains dan Teknologi City (CUCST), Selangor<\/option><option value=\"Kolej Universiti Sains Kesihatan Masterskill, Selangor\" >Kolej Universiti Sains Kesihatan Masterskill, Selangor<\/option><option value=\"Kolej Universiti Sains Perubatan Allianze (AUCMS), Pulau Pinang\" >Kolej Universiti Sains Perubatan Allianze (AUCMS), Pulau Pinang<\/option><option value=\"Kolej Universiti Sains Perubatan Cyberjaya (CUCMS), Selangor\" >Kolej Universiti Sains Perubatan Cyberjaya (CUCMS), Selangor<\/option><option value=\"Kolej Universiti SEGi, Kuala Lumpur\" >Kolej Universiti SEGi, Kuala Lumpur<\/option><option value=\"Kolej Universiti Selatan, Skudai, Johor\" >Kolej Universiti Selatan, Skudai, Johor<\/option><option value=\"Kolej Universiti Shahputra (SHAHPUTRA), Pahang\" >Kolej Universiti Shahputra (SHAHPUTRA), Pahang<\/option><option value=\"Kolej Universiti TATI (TATiUC), Terengganu (dulu TATI)\" >Kolej Universiti TATI (TATiUC), Terengganu (dulu TATI)<\/option><option value=\"Kolej Universiti Teknologi &amp; Inovasi Asia Tenggara (UCTI), KL\" >Kolej Universiti Teknologi &amp; Inovasi Asia Tenggara (UCTI), KL<\/option><option value=\"Kolej Universiti Teknologi Antarabangsa Twintech (IUCTT), KL\" >Kolej Universiti Teknologi Antarabangsa Twintech (IUCTT), KL<\/option><option value=\"Kolej Universiti Tunku Abdul Rahman, KL\" >Kolej Universiti Tunku Abdul Rahman, KL<\/option><option value=\"Malaysia Institute For Supply Chain Innovation (MISI)\" >Malaysia Institute For Supply Chain Innovation (MISI)<\/option><option value=\"Malaysia University of Science and Technology, Selangor\" >Malaysia University of Science and Technology, Selangor<\/option><option value=\"Management and Science University (MSU), Selangor\" >Management and Science University (MSU), Selangor<\/option><option value=\"Manipal International University\" >Manipal International University<\/option><option value=\"Meritus University\" >Meritus University<\/option><option value=\"Open University Malaysia (OUM)\" >Open University Malaysia (OUM)<\/option><option value=\"Perdana University -\u00a0Perdana University, Selangor\" >Perdana University -\u00a0Perdana University, Selangor<\/option><option value=\"Putra Business School (PBS)\" >Putra Business School (PBS)<\/option><option value=\"Quest International University Perak\" >Quest International University Perak<\/option><option value=\"Raffles University Iskandar\" >Raffles University Iskandar<\/option><option value=\"Universiti AIMST (AIMST University)\" >Universiti AIMST (AIMST University)<\/option><option value=\"Universiti Antarabangsa Albukhary, Kedah\" >Universiti Antarabangsa Albukhary, Kedah<\/option><option value=\"Universiti Antarabangsa Al-Madinah, Selangor\" >Universiti Antarabangsa Al-Madinah, Selangor<\/option><option value=\"Universiti Antarabangsa INTI (INTI International University), Negeri Sembilan\" >Universiti Antarabangsa INTI (INTI International University), Negeri Sembilan<\/option><option value=\"Universiti HELP\" >Universiti HELP<\/option><option value=\"Universiti Infrastruktur Kuala Lumpur\" >Universiti Infrastruktur Kuala Lumpur<\/option><option value=\"Universiti Islam Antarabangsa Sultan Abdul Halim Mu\u2019adzam Shah (UniSHAMS)\" >Universiti Islam Antarabangsa Sultan Abdul Halim Mu\u2019adzam Shah (UniSHAMS)<\/option><option value=\"Universiti Islam Malaysia\" >Universiti Islam Malaysia<\/option><option value=\"Universiti Kuala Lumpur (UniKL)\" >Universiti Kuala Lumpur (UniKL)<\/option><option value=\"Universiti MAHSA (MAHSA University)\" >Universiti MAHSA (MAHSA University)<\/option><option value=\"Universiti Metropolitan Asia (Asia Metropolitan University)\" >Universiti Metropolitan Asia (Asia Metropolitan University)<\/option><option value=\"Universiti Monash Malaysia, Selangor\" >Universiti Monash Malaysia, Selangor<\/option><option value=\"Universiti Multimedia (MMU), Kampus Cyberjaya\" >Universiti Multimedia (MMU), Kampus Cyberjaya<\/option><option value=\"Universiti Multimedia (MMU), Kampus Johor\" >Universiti Multimedia (MMU), Kampus Johor<\/option><option value=\"Universiti Multimedia (MMU), Kampus Melaka\" >Universiti Multimedia (MMU), Kampus Melaka<\/option><option value=\"Universiti Nilai\" >Universiti Nilai<\/option><option value=\"Universiti Nottingham Malaysia, Selangor\" >Universiti Nottingham Malaysia, Selangor<\/option><option value=\"Universiti Perubatan Newcastle Malaysia, Johor\" >Universiti Perubatan Newcastle Malaysia, Johor<\/option><option value=\"Universiti SEGi (SEGi University)\" >Universiti SEGi (SEGi University)<\/option><option value=\"Universiti Selangor (UNISEL)\" >Universiti Selangor (UNISEL)<\/option><option value=\"Universiti Sultan Azlan Shah (USAS)\" >Universiti Sultan Azlan Shah (USAS)<\/option><option value=\"Universiti Sunway, Selangor\" >Universiti Sunway, Selangor<\/option><option value=\"Universiti Taylor\u2019s (Taylor\u2019s University)\" >Universiti Taylor\u2019s (Taylor\u2019s University)<\/option><option value=\"Universiti Teknologi Curtin, Sarawak\" >Universiti Teknologi Curtin, Sarawak<\/option><option value=\"Universiti Teknologi Kreatif Limkokwing (LUCT)\" >Universiti Teknologi Kreatif Limkokwing (LUCT)<\/option><option value=\"Universiti Teknologi Petronas (UTP)\" >Universiti Teknologi Petronas (UTP)<\/option><option value=\"Universiti Teknologi Petronas, Kampus Perak\" >Universiti Teknologi Petronas, Kampus Perak<\/option><option value=\"Universiti Teknologi Swinburne Malaysia, Sarawak\" >Universiti Teknologi Swinburne Malaysia, Sarawak<\/option><option value=\"Universiti Tenaga Nasional  (UNITEN), Kampus Putrajaya\" >Universiti Tenaga Nasional  (UNITEN), Kampus Putrajaya<\/option><option value=\"Universiti Tenaga Nasional (UNITEN), Kampus Sultan Haji Ahmad Shah\" >Universiti Tenaga Nasional (UNITEN), Kampus Sultan Haji Ahmad Shah<\/option><option value=\"Universiti Terbuka Wawasan (WOU)\" >Universiti Terbuka Wawasan (WOU)<\/option><option value=\"Universiti Tun Abdul Razak (UniRazak), Kuala Lumpur\" >Universiti Tun Abdul Razak (UniRazak), Kuala Lumpur<\/option><option value=\"Universiti Tunku Abdul Rahman (UTAR)\" >Universiti Tunku Abdul Rahman (UTAR)<\/option><option value=\"Universiti UCSI, Kuala Lumpur\" >Universiti UCSI, Kuala Lumpur<\/option><option value=\"Universiti Terbuka Wawasan (WOU), Pulau Pinang\" >Universiti Terbuka Wawasan (WOU), Pulau Pinang<\/option><option value=\"Other : Please Specify in Department\/Center\/Unit:\" >Other : Please Specify in Department\/Center\/Unit:<\/option><\/select><\/div><\/div><div  id=\"um_field_536_csam_recommender\" class=\"um-field um-field-select  um-field-csam_recommender um-field-select um-field-type_select\" data-key=\"csam_recommender\"><div class=\"um-field-label\"><label for=\"csam_recommender-536\">CSAM Recommender Name<\/label><span class=\"um-tip um-tip-w\" title=\"Please refer to your institution&#039;s representative or CSAM&#039;s website at https:\/\/www.ukm.my\/csam\/csam-secretariat\/\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"csam_recommender\" id=\"csam_recommender\" data-validate=\"\" data-key=\"csam_recommender\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Dahlia Asyiqin Ahmad Zainaddin (GMI)\" >Dahlia Asyiqin Ahmad Zainaddin (GMI)<\/option><option value=\"Dr. Azah Anir Norman (UM)\" >Dr. Azah Anir Norman (UM)<\/option><option value=\"Dr. Cik Feresa Mohd Foozy (UTHM)\" >Dr. Cik Feresa Mohd Foozy (UTHM)<\/option><option value=\"Dr. Fakariah Hani Hj Mohd Ali (UiTM)\" >Dr. Fakariah Hani Hj Mohd Ali (UiTM)<\/option><option value=\"Dr. Farizah Binti Yunos (UMT)\" >Dr. Farizah Binti Yunos (UMT)<\/option><option value=\"Dr. Fiza Abdul Rahim (UNITEN)\" >Dr. Fiza Abdul Rahim (UNITEN)<\/option><option value=\"Dr. Julia Juremi (APU)\" >Dr. Julia Juremi (APU)<\/option><option value=\"Dr. Mohamad Fadli Zolkipli (UUM)\" >Dr. Mohamad Fadli Zolkipli (UUM)<\/option><option value=\"Dr. Mohammed Hazim Alkawaz (MSU)\" >Dr. Mohammed Hazim Alkawaz (MSU)<\/option><option value=\"Dr. Mohd Fadzli Marhusin (USIM)\" >Dr. Mohd Fadzli Marhusin (USIM)<\/option><option value=\"Dr. Mohd Taufik Abdullah (UPM)\" >Dr. Mohd Taufik Abdullah (UPM)<\/option><option value=\"Dr. Muhammad Reza Z&#039;aba (UM)\" >Dr. Muhammad Reza Z&#039;aba (UM)<\/option><option value=\"Dr. Nadia Natra Musa (UNIMAS)\" >Dr. Nadia Natra Musa (UNIMAS)<\/option><option value=\"Dr. Noor Hayani Abd Rahim (UIA)\" >Dr. Noor Hayani Abd Rahim (UIA)<\/option><option value=\"Dr. Nur Haryani Zakaria (UUM)\" >Dr. Nur Haryani Zakaria (UUM)<\/option><option value=\"Dr. Shamsul Kamal Bin Ahmad Khalid (UTHM)\" >Dr. Shamsul Kamal Bin Ahmad Khalid (UTHM)<\/option><option value=\"Dr. Shuhaili Talib (UIA)\" >Dr. Shuhaili Talib (UIA)<\/option><option value=\"Dr.\u00a0Hanifah Abdul Hamid (USIM)\" >Dr.\u00a0Hanifah Abdul Hamid (USIM)<\/option><option value=\"En Ahmad Faisal Amri Bin Abidin (UNISZA)\" >En Ahmad Faisal Amri Bin Abidin (UNISZA)<\/option><option value=\"En. Mohd Saufy Rohmad (UiTM)\" >En. Mohd Saufy Rohmad (UiTM)<\/option><option value=\"Hazni Yati Mohd Ghadzi (GMI)\" >Hazni Yati Mohd Ghadzi (GMI)<\/option><option value=\"PM Dr Normaziah Abdul Aziz (UIA)\" >PM Dr Normaziah Abdul Aziz (UIA)<\/option><option value=\"PM Dr Roshidi Din (UUM)\" >PM Dr Roshidi Din (UUM)<\/option><option value=\"PM Dr Wan Su Emi Yusnita binti Wan Yusof (GEOMATIKA)\" >PM Dr Wan Su Emi Yusnita binti Wan Yusof (GEOMATIKA)<\/option><option value=\"PM Dr.  Ahmad Kamil Mahmood (UTP)\" >PM Dr.  Ahmad Kamil Mahmood (UTP)<\/option><option value=\"PM Dr. Ainuddin Wahid Abdul Wahab (UM)\" >PM Dr. Ainuddin Wahid Abdul Wahab (UM)<\/option><option value=\"PM Dr. Anazida Zainal (UTM)\" >PM Dr. Anazida Zainal (UTM)<\/option><option value=\"PM Dr. Ghassan Saleh Hussein (GEOMATIKA)\" >PM Dr. Ghassan Saleh Hussein (GEOMATIKA)<\/option><option value=\"PM Dr. Masnizah Mohd - Setiausaha (UKM)\" >PM Dr. Masnizah Mohd - Setiausaha (UKM)<\/option><option value=\"PM Dr. Mohamad Afendee Bin Mohamed (UNISZA)\" >PM Dr. Mohamad Afendee Bin Mohamed (UNISZA)<\/option><option value=\"PM Dr. Nor Badrul Anuar Juma&#039;at (UM)\" >PM Dr. Nor Badrul Anuar Juma&#039;at (UM)<\/option><option value=\"PM Dr. Nur Izura Udzir (UPM)\" >PM Dr. Nur Izura Udzir (UPM)<\/option><option value=\"PM Dr. Roslan Ismail (UNITEN)\" >PM Dr. Roslan Ismail (UNITEN)<\/option><option value=\"PM Dr. Sapi\u2019ee Jamel (UTHM)\" >PM Dr. Sapi\u2019ee Jamel (UTHM)<\/option><option value=\"PM Dr. Siti Norul Huda Sheikh Abdullah - Pengerusi (UKM)\" >PM Dr. Siti Norul Huda Sheikh Abdullah - Pengerusi (UKM)<\/option><option value=\"PM Dr. Ts Shukor Bin Abd Razak (UTM)\" >PM Dr. Ts Shukor Bin Abd Razak (UTM)<\/option><option value=\"PM Dr. Azizol Hj Abdullah (UPM)\" >PM Dr. Azizol Hj Abdullah (UPM)<\/option><option value=\"PM Mohd Hazali Bin Mohamed Halip (UPNM)\" >PM Mohd Hazali Bin Mohamed Halip (UPNM)<\/option><option value=\"PM Ts Dr. Norziana Jamil (UNITEN)\" >PM Ts Dr. Norziana Jamil (UNITEN)<\/option><option value=\"PM Ts. Dr. Madihah Mohd Saudi (USIM)\" >PM Ts. Dr. Madihah Mohd Saudi (USIM)<\/option><option value=\"Pn Nor Azlina Abd Rahman (APU)\" >Pn Nor Azlina Abd Rahman (APU)<\/option><option value=\"Pn. Norhaiza Ya Abdullah (UNIKL)\" >Pn. Norhaiza Ya Abdullah (UNIKL)<\/option><option value=\"Pn. Shafiza Mohd Shariff (UNIKL)\" >Pn. Shafiza Mohd Shariff (UNIKL)<\/option><option value=\"Prof Dr Azman Samsudin (USM)\" >Prof Dr Azman Samsudin (USM)<\/option><option value=\"Prof Dr. Rabiah Ahmad (UTEM)\" >Prof Dr. Rabiah Ahmad (UTEM)<\/option><option value=\"Prof. Dr Mohd Aizaini Bin Maarof (UTM)\" >Prof. Dr Mohd Aizaini Bin Maarof (UTM)<\/option><option value=\"Prof. Dr. Jasni Mohamad Zain (UiTM)\" >Prof. Dr. Jasni Mohamad Zain (UiTM)<\/option><option value=\"Prof. Dr. Zarina Shukur - Penasihat (UKM)\" >Prof. Dr. Zarina Shukur - Penasihat (UKM)<\/option><option value=\"Prof. Ts. Dr. Miss Laiha Mat Kiah (UM)\" >Prof. Ts. Dr. Miss Laiha Mat Kiah (UM)<\/option><option value=\"Raphael Phan Chung Wei (MMU)\" >Raphael Phan Chung Wei (MMU)<\/option><option value=\"Ts Dr. Sundresan A\/L Perumal (USIM)\" >Ts Dr. Sundresan A\/L Perumal (USIM)<\/option><option value=\"Ts. Dr. Ahmad Shukri Bin Mohd Noor (UMT)\" >Ts. Dr. Ahmad Shukri Bin Mohd Noor (UMT)<\/option><option value=\"Ts. Dr. Khairul Azmi Abu Bakar - Bendahari (UKM)\" >Ts. Dr. Khairul Azmi Abu Bakar - Bendahari (UKM)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_536_status\" class=\"um-field um-field-radio  um-field-status um-field-radio um-field-type_radio\" data-key=\"status\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"status-536\">Working Status<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"status[]\" value=\"Working\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Working<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"status[]\" value=\" Not working\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Not working<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"status[]\" value=\" Retired\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Retired<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_category\" class=\"um-field um-field-radio  um-field-category um-field-radio um-field-type_radio\" data-key=\"category\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"category-536\">Working Category<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"category[]\" value=\"Academic\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Academic<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"category[]\" value=\"Non-academic\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non-academic<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_536_23\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>Please answer this section if you are working.<\/span><\/div><\/div><div  id=\"um_field_536_EmployerName\" class=\"um-field um-field-text  um-field-EmployerName um-field-text um-field-type_text\" data-key=\"EmployerName\"><div class=\"um-field-label\"><label for=\"EmployerName-536\">Employer Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"EmployerName-536\" id=\"EmployerName-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"EmployerName\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_country_25\" class=\"um-field um-field-select  um-field-country_25 um-field-select um-field-type_select\" data-key=\"country_25\"><div class=\"um-field-label\"><label for=\"country_25-536\">Country<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country_25\" id=\"country_25\" data-validate=\"\" data-key=\"country_25\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/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=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia, Plurinational State of\" >Bolivia, Plurinational State of<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/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=\"Cayman Islands\" >Cayman Islands<\/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=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo, the Democratic Republic of the\" >Congo, the Democratic Republic of the<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;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=\"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=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/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=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\" >Holy See (Vatican City State)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic of\" >Korea, Democratic People&#039;s Republic of<\/option><option value=\"Korea, Republic of\" >Korea, Republic of<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libyan Arab Jamahiriya\" >Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Macedonia, the former Yugoslav Republic of\" >Macedonia, the former Yugoslav Republic of<\/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=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia, Federated States of\" >Micronesia, Federated States of<\/option><option value=\"Moldova, Republic of\" >Moldova, Republic of<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/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=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/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=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/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=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/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=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/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=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania, United Republic of\" >Tanzania, United Republic of<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/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=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/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\" >United States<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela, Bolivarian Republic of\" >Venezuela, Bolivarian Republic of<\/option><option value=\"Viet Nam\" >Viet Nam<\/option><option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" >Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_536_Home_Address_26\" class=\"um-field um-field-text  um-field-Home_Address_26 um-field-text um-field-type_text\" data-key=\"Home_Address_26\"><div class=\"um-field-label\"><label for=\"Home_Address_26-536\">Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Home_Address_26-536\" id=\"Home_Address_26-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Home_Address_26\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_state_28\" class=\"um-field um-field-text  um-field-state_28 um-field-text um-field-type_text\" data-key=\"state_28\"><div class=\"um-field-label\"><label for=\"state_28-536\">State<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"state_28-536\" id=\"state_28-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"state_28\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_city_29\" class=\"um-field um-field-text  um-field-city_29 um-field-text um-field-type_text\" data-key=\"city_29\"><div class=\"um-field-label\"><label for=\"city_29-536\">City\/Area<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"city_29-536\" id=\"city_29-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"city_29\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Postcode_30\" class=\"um-field um-field-number  um-field-Postcode_30 um-field-number um-field-type_number\" data-key=\"Postcode_30\"><div class=\"um-field-label\"><label for=\"Postcode_30-536\">Postcode<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"Postcode_30-536\" id=\"Postcode_30-536\" value=\"\" placeholder=\"\" data-validate=\"0\" data-key=\"Postcode_30\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\n<!-- This file should primarily consist of HTML with a little bit of PHP. -->\n<div class=\"um-field um-field-type_terms_conditions\" data-key=\"use_terms_conditions_agreement\" style=\"display:block;padding:0;\">\n\t<div class=\"um-field-area\">\n\t\t<div class=\"um-gdpr-content\" style=\"display:none;\">\n\t\t\t\t\t<\/div>\n\t\t<a href=\"javascript:void(0);\" class=\"um-toggle-gdpr\" data-toggle-state=\"hidden\"\n\t\t\tdata-toggle-show=\"Show privacy policy\"\n\t\t\tdata-toggle-hide=\"Hide privacy policy\">\n\t\t\tShow privacy policy\t\t<\/a>\n\t<\/div>\n\t<div class=\"um-field-area\">\n\t\t<label class=\"um-field-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"use_gdpr_agreement\" value=\"1\">\n\t\t\t<span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span>\n\t\t\t<span class=\"um-field-checkbox-option\">Please confirm that you agree to our privacy policy<\/span>\n\t\t<\/label>\n\t\t<div class=\"um-clear\"><\/div>\n\t\t\t\t<div class=\"um-clear\"><\/div>\n\t<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_536\" value=\"536\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_536\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_536\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"f5412d63a1\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/csam\/wp-json\/wp\/v2\/pages\/1021\" \/>\n<div class=\"um-field\">\n\t<div class=\"g-recaptcha\" id=\"um-536\" data-type=\"image\" data-size=\"normal\" data-theme=\"light\" 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