{"id":778,"date":"2023-11-09T11:26:52","date_gmt":"2023-11-09T11:26:52","guid":{"rendered":"https:\/\/www.mitraalumni.in\/?page_id=778"},"modified":"2023-11-09T13:40:22","modified_gmt":"2023-11-09T13:40:22","slug":"application-for-membership-ofmitra-institution-main-alumni-association","status":"publish","type":"page","link":"https:\/\/www.mitraalumni.in\/index.php\/application-for-membership-ofmitra-institution-main-alumni-association\/","title":{"rendered":"Application for Membership"},"content":{"rendered":"\n<p><\/p>\n\n\n\n\n<div class=\"um um-register um-777\">\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=\"padding: 0px 0px 0px 0px;background-color: #efefef;margin: 0px 0px 30px 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_777_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-777\">First Name<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=\"first_name-777\" id=\"first_name-777\" 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_777_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-777\">Last Name<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=\"last_name-777\" id=\"last_name-777\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_Addesss\" class=\"um-field um-field-text  um-field-Addesss um-field-text um-field-type_text\" data-key=\"Addesss\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-pin\" aria-label=\"Address\"><\/i><\/div><label for=\"Addesss-777\">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=\"Addesss-777\" id=\"Addesss-777\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Addesss\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_mobile_number\" class=\"um-field um-field-tel  um-field-mobile_number um-field-tel um-field-type_tel\" data-key=\"mobile_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-mobile\" aria-label=\"Mobile Number\"><\/i><\/div><label for=\"mobile_number-777\">Mobile Number<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=\"tel\" name=\"mobile_number-777\" id=\"mobile_number-777\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"mobile_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_whatsapp\" class=\"um-field um-field-text  um-field-whatsapp um-field-text um-field-type_text\" data-key=\"whatsapp\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-social-whatsapp\" aria-label=\"WhatsApp number\"><\/i><\/div><label for=\"whatsapp-777\">WhatsApp number<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"whatsapp-777\" id=\"whatsapp-777\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"whatsapp\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-at\" aria-label=\"E-mail Address\"><\/i><\/div><label for=\"user_email-777\">E-mail 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=\"user_email-777\" id=\"user_email-777\" 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_777_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-photos\" aria-label=\"Occupation\"><\/i><\/div><label for=\"Occupation-777\">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-777\" id=\"Occupation-777\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Occupation\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_secondary\" class=\"um-field um-field-number  um-field-secondary um-field-number um-field-type_number\" data-key=\"secondary\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-contact\" aria-label=\"Passing Secondary Exm Year\"><\/i><\/div><label for=\"secondary-777\">Passing Secondary Exm Year<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"secondary-777\" id=\"secondary-777\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"secondary\"  max=\"2050\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_secondary_13\" class=\"um-field um-field-number  um-field-secondary_13 um-field-number um-field-type_number\" data-key=\"secondary_13\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-contact\" aria-label=\"Passing Hr. Secondary Exm Year\"><\/i><\/div><label for=\"secondary_13-777\">Passing Hr. Secondary Exm Year<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"secondary_13-777\" id=\"secondary_13-777\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"secondary_13\"  max=\"2050\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_777_MembershipTypeR\" class=\"um-field um-field-radio  um-field-MembershipTypeR um-field-radio um-field-type_radio\" data-key=\"MembershipTypeR\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-add-circle\" aria-label=\"Membership Type\"><\/i><\/div><label for=\"MembershipTypeR-777\">Membership Type<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=\"MembershipTypeR[]\" value=\"General Member (Rs50 Yearly)\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">General Member (Rs50 Yearly)<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"MembershipTypeR[]\" value=\"Life Member (Rs 500 Lifetime)\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Life Member (Rs 500 Lifetime)<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_777_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-lock\" aria-label=\"Username\"><\/i><\/div><label for=\"user_login-777\">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-777\" id=\"user_login-777\" 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_777_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-textsms\" aria-label=\"Password\"><\/i><\/div><label for=\"user_password-777\">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=\"user_password-777\" id=\"user_password-777\" 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_777_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-textsms\" aria-label=\"Confirm Password\"><\/i><\/div><label for=\"confirm_user_password-777\">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-777\" id=\"confirm_user_password-777\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><\/div><\/div>\t\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_777\" value=\"777\" \/>\n\t\n\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_777\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_777\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"b7d65c9295\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/778\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/www.mitraalumni.in\/index.php\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tLogin\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-777.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","footnotes":""},"class_list":["post-778","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/pages\/778","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/comments?post=778"}],"version-history":[{"count":2,"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/pages\/778\/revisions"}],"predecessor-version":[{"id":780,"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/pages\/778\/revisions\/780"}],"wp:attachment":[{"href":"https:\/\/www.mitraalumni.in\/index.php\/wp-json\/wp\/v2\/media?parent=778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}