Extended Networking Experience registration for WISE 2021

        array (
  '#method' => 'POST',
  '#registration_state' => 
  array (
  ),
  '#registration_action' => 'quick_register',
  'getinvolved' => 
  array (
    '#title' => 'I want to connect with other delegates to make the most of my participation at the 2021 WISE Summit.*

 

', '#type' => 'radios', '#options' => array ( 1 => 'Yes', 2 => 'No', ), '#attributes' => array ( 'id' => 'extended_radio', ), '#required' => true, '#html_5_validation' => false, '#default_value' => 0, ), 'title' => array ( '#title' => 'Title', '#type' => 'select', '#options' => array ( '' => '', 'Mr.' => 'Mr.', 'Ms.' => 'Ms.', 'Dr.' => 'Dr.', 'Prof.' => 'Prof.', 'Other' => 'Other', ), '#attributes' => array ( 'placeholder' => 'Title', ), '#required' => true, '#html_5_validation' => false, ), 'title_other' => array ( '#title' => 'Title (other)', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'Title (other)', ), '#required' => false, '#html_5_validation' => false, ), 'firstname' => array ( '#title' => 'First name', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'First name', ), '#required' => true, '#html_5_validation' => false, ), 'lastname' => array ( '#title' => 'Last name', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'Last name', ), '#required' => true, '#html_5_validation' => false, ), 'email' => array ( '#title' => 'E-mail', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'E-mail', ), '#required' => true, '#html_5_validation' => false, ), 'company' => array ( '#title' => 'Company', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'Company', ), '#required' => true, '#html_5_validation' => false, ), 'position' => array ( '#title' => 'Position', '#type' => 'textfield', '#attributes' => array ( 'placeholder' => 'Position', ), '#required' => true, '#html_5_validation' => false, ), 'biography' => array ( '#title' => 'Biography or LinkedIn profile link', '#type' => 'textarea', '#options' => array ( ), '#required' => true, '#html_5_validation' => false, ), 'picture' => array ( '#title' => 'Profile picture', '#type' => 'file', '#required' => false, '#html_5_validation' => false, ), 'country' => array ( '#title' => 'Country of residence', '#type' => 'select', '#options' => array ( 0 => '', 'AF' => 'Afghanistan', 'AL' => 'Albania', 'DZ' => 'Algeria', 'AS' => 'American Samoa', 'AD' => 'Andorra', 'AO' => 'Angola', 'AQ' => 'Antarctica', 'AG' => 'Antigua and Barbuda', 'AR' => 'Argentina', 'AM' => 'Armenia', 'AU' => 'Australia', 'AT' => 'Austria', 'AZ' => 'Azerbaijan', 'BH' => 'Bahrain', 'BD' => 'Bangladesh', 'BB' => 'Barbados', 'BY' => 'Belarus', 'BE' => 'Belgium', 'BZ' => 'Belize', 'BJ' => 'Benin', 'BT' => 'Bhutan', 'BO' => 'Bolivia', 'BA' => 'Bosnia and Herzegovina', 'BW' => 'Botswana', 'BR' => 'Brazil', 'BN' => 'Brunei', 'BG' => 'Bulgaria', 'BF' => 'Burkina Faso', 'MM' => 'Burma', 'BI' => 'Burundi', 'KH' => 'Cambodia', 'CM' => 'Cameroon', 'CA' => 'Canada', 'CV' => 'Cape Verde', 'KY' => 'Cayman Islands', 'CF' => 'Central African Republic', 'TD' => 'Chad', 'CL' => 'Chile', 'CN' => 'China', 'CO' => 'Colombia', 'KM' => 'Comoros', 'CR' => 'Costa Rica', 'CI' => 'Côte d\'Ivoire', 'HR' => 'Croatia', 'CU' => 'Cuba', 'CY' => 'Cyprus', 'CZ' => 'Czech Republic', 'CD' => 'Democratic Republic of the Congo', 'DK' => 'Denmark', 'DJ' => 'Djibouti', 'DM' => 'Dominica', 'DO' => 'Dominican Republic', 'EC' => 'Ecuador', 'EG' => 'Egypt', 'SV' => 'El Salvador', 'GQ' => 'Equatorial Guinea', 'ER' => 'Eritrea', 'EE' => 'Estonia', 'ET' => 'Ethiopia', 'FM' => 'Federated States of Micronesia', 'FJ' => 'Fiji Islands', 'FI' => 'Finland', 'FR' => 'France', 'GA' => 'Gabon', 'GE' => 'Georgia', 'DE' => 'Germany', 'GH' => 'Ghana', 'GR' => 'Greece', 'GD' => 'Grenada', 'GT' => 'Guatemala', 'GW' => 'Guinea-Bissau', 'GN' => 'Guinea-Conakry', 'GY' => 'Guyana', 'HT' => 'Haiti', 'HN' => 'Honduras', 'HU' => 'Hungary', 'IS' => 'Iceland', 'IN' => 'India', 'ID' => 'Indonesia', 'IR' => 'Iran', 'IQ' => 'Iraq', 'IE' => 'Ireland', 'IL' => 'Israel', 'IT' => 'Italy', 'JM' => 'Jamaica', 'JP' => 'Japan', 'JO' => 'Jordan', 'KZ' => 'Kazakhstan', 'KE' => 'Kenya', 'KI' => 'Kiribati', 'XK' => 'Kosovo', 'KW' => 'Kuwait', 'KG' => 'Kyrgyzstan', 'LA' => 'Laos', 'LV' => 'Latvia', 'LB' => 'Lebanon', 'LS' => 'Lesotho', 'LR' => 'Liberia', 'LY' => 'Libya', 'LI' => 'Liechtenstein', 'LT' => 'Lithuania', 'LU' => 'Luxembourg', 'MK' => 'Macedonia', 'MG' => 'Madagascar', 'MW' => 'Malawi', 'MY' => 'Malaysia', 'MV' => 'Maldives', 'ML' => 'Mali', 'MT' => 'Malta', 'MH' => 'Marshall Islands', 'MR' => 'Mauritania', 'MU' => 'Mauritius', 'MYT' => 'Mayotte', 'MX' => 'Mexico', 'MD' => 'Moldova', 'MC' => 'Monaco', 'MN' => 'Mongolia', 'ME' => 'Montenegro', 'MA' => 'Morocco', 'MZ' => 'Mozambique', 'NA' => 'Namibia', 'NR' => 'Nauru', 'NP' => 'Nepal', 'NZ' => 'New Zealand', 'NI' => 'Nicaragua', 'NE' => 'Niger', 'NG' => 'Nigeria', 'KP' => 'North Korea', 'NO' => 'Norway', 'OM' => 'Oman', 'PK' => 'Pakistan', 'PW' => 'Palau', 'PN' => 'Palestine', 'PA' => 'Panama', 'PG' => 'Papua New Guinea', 'PY' => 'Paraguay', 'PE' => 'Peru', 'PH' => 'Philippines', 'PL' => 'Poland', 'PT' => 'Portugal', 'PR' => 'Puerto Rico', 'QA' => 'Qatar', 'CG' => 'Republic of the Congo', 'RO' => 'Romania', 'RU' => 'Russia', 'RW' => 'Rwanda', 'KN' => 'Saint Kitts and Nevis', 'LC' => 'Saint Lucia', 'VC' => 'Saint Vincent and the Grenadines', 'WS' => 'Samoa', 'SM' => 'San Marino', 'ST' => 'Sao Tome and Principe', 'SA' => 'Saudi Arabia', 'SN' => 'Senegal', 'RS' => 'Serbia', 'SC' => 'Seychelles', 'SL' => 'Sierra Leone', 'SG' => 'Singapore', 'SK' => 'Slovakia', 'SI' => 'Slovenia', 'SB' => 'Solomon Islands', 'SO' => 'Somalia', 'ZA' => 'South Africa', 'KR' => 'South Korea', 'SS' => 'South Sudan', 'ES' => 'Spain', 'LK' => 'Sri Lanka', 'SD' => 'Sudan', 'SR' => 'Suriname', 'SZ' => 'Swaziland', 'SE' => 'Sweden', 'CH' => 'Switzerland', 'SY' => 'Syria', 'TW' => 'Taiwan', 'TJ' => 'Tajikistan', 'TZ' => 'Tanzania', 'TH' => 'Thailand', 'BS' => 'The Bahamas', 'GM' => 'The Gambia', 'NL' => 'The Netherlands', 'TP' => 'Timor-Leste', 'TG' => 'Togo', 'TO' => 'Tonga', 'TT' => 'Trinidad and Tobago', 'TN' => 'Tunisia', 'TR' => 'Turkey', 'TM' => 'Turkmenistan', 'TV' => 'Tuvalu', 'AE' => 'UAE', 'UG' => 'Uganda', 'UA' => 'Ukraine', 'UK' => 'United Kingdom', 'US' => 'United States of America', 'UY' => 'Uruguay', 'UZ' => 'Uzbekistan', 'VU' => 'Vanuatu', 'VA' => 'Vatican', 'VE' => 'Venezuela', 'VN' => 'Vietnam', 'YE' => 'Yemen', 'YU' => 'Yugoslavia', 'ZM' => 'Zambia', 'ZW' => 'Zimbabwe', ), '#attributes' => array ( 'placeholder' => 'Country', ), '#required' => true, '#html_5_validation' => false, ), 'age_range' => array ( '#title' => 'Age range', '#type' => 'select', '#options' => array ( '' => '', 'under 25' => 'under 25', '25-35' => '25-35', '35-45' => '35-45', '45 +' => '45 +', ), '#attributes' => array ( 'placeholder' => 'Age range', ), '#required' => true, '#html_5_validation' => false, ), 'nationality' => array ( '#title' => 'Nationality', '#type' => 'select', '#options' => array ( '' => '', 'AF' => 'Afghan', 'AL' => 'Albanian', 'DZ' => 'Algerian', 'AS' => 'American Samoan', 'AD' => 'Andorran', 'AO' => 'Angolan', 'AQ' => 'Antartica', 'AG' => 'Antiguans', 'AR' => 'Argentinean', 'AM' => 'Armenian', 'AU' => 'Australian', 'AT' => 'Austrian', 'AZ' => 'Azerbaijani', 'BH' => 'Bahraini', 'BD' => 'Bangladeshi', 'BB' => 'Barbadian', 'BY' => 'Belarusian', 'BE' => 'Belgian', 'BZ' => 'Belizean', 'BJ' => 'Beninese', 'BT' => 'Bhutanese', 'BO' => 'Bolivian', 'BA' => 'Bosnian', 'BW' => 'Motswana', 'BR' => 'Brazilian', 'BN' => 'Bruneian', 'BG' => 'Bulgarian', 'BF' => 'Burkinabe', 'MM' => 'Burmese', 'BI' => 'Burundian', 'KH' => 'Cambodian', 'CM' => 'Cameroonian', 'CA' => 'Canadian', 'CV' => 'Cape Verdian', 'KY' => 'Caymanian', 'CF' => 'Central African', 'TD' => 'Chadian', 'CL' => 'Chilean', 'CN' => 'Chinese', 'CO' => 'Colombian', 'KM' => 'Comoran', 'CR' => 'Costa Rican', 'CI' => 'Ivorian', 'HR' => 'Croatian', 'CU' => 'Cuban', 'CY' => 'Cypriot', 'CZ' => 'Czech', 'CD' => 'Democratic Republic of the Congo', 'DK' => 'Danish', 'DJ' => 'Djibouti', 'DM' => 'Dominica', 'DO' => 'Dominican', 'EC' => 'Ecuadorean', 'EG' => 'Egyptian', 'SV' => 'Salvadoran', 'GQ' => 'Equatorial Guinean', 'ER' => 'Eritrean', 'EE' => 'Estonian', 'ET' => 'Ethiopian', 'FM' => 'Micronesian', 'FJ' => 'Fijian', 'FI' => 'Finnish', 'FR' => 'French', 'GA' => 'Gabonese', 'GE' => 'Georgian', 'DE' => 'German', 'GH' => 'Ghanaian', 'GR' => 'Greek', 'GD' => 'Grenadian', 'GT' => 'Guatemalan', 'GW' => 'Guinea-Bissauan', 'GN' => 'Guinean', 'GY' => 'Guyanese', 'HT' => 'Haitian', 'HN' => 'Honduran', 'HU' => 'Hungarian', 'IS' => 'Icelander', 'IN' => 'Indian', 'ID' => 'Indonesian', 'IR' => 'Iranian', 'IQ' => 'Iraqi', 'IE' => 'Irish', 'IL' => 'Israeli', 'IT' => 'Italian', 'JM' => 'Jamaican', 'JP' => 'Japanese', 'JO' => 'Jordanian', 'KZ' => 'Kazakhstani', 'KE' => 'Kenyan', 'KI' => 'I-Kiribati', 'XK' => 'Kosovar', 'KW' => 'Kuwaiti', 'KG' => 'Kyrgyz', 'LA' => 'Laotian', 'LV' => 'Latvian', 'LB' => 'Lebanese', 'LS' => 'Mosotho', 'LR' => 'Liberian', 'LY' => 'Libyan', 'LI' => 'Liechtensteiner', 'LT' => 'Lithuanian', 'LU' => 'Luxembourger', 'MK' => 'Macedonian', 'MG' => 'Malagasy', 'MW' => 'Malawian', 'MY' => 'Malaysian', 'MV' => 'Maldivan', 'ML' => 'Malian', 'MT' => 'Maltese', 'MH' => 'Marshallese', 'MR' => 'Mauritanian', 'MU' => 'Mauritian', 'MYT' => 'Mayotte', 'MX' => 'Mexican', 'MD' => 'Moldovan', 'MC' => 'Monegasque', 'MN' => 'Mongolian', 'ME' => 'Montenegrin', 'MA' => 'Moroccan', 'MZ' => 'Mozambican', 'NA' => 'Namibian', 'NR' => 'Nauruan', 'NP' => 'Nepalese', 'NZ' => 'New Zealander', 'NI' => 'Nicaraguan', 'NE' => 'Nigerien', 'NG' => 'Nigerian', 'KP' => 'North Korean', 'NO' => 'Norwegian', 'OM' => 'Omani', 'PK' => 'Pakistani', 'PW' => 'Palauan', 'PN' => 'Palestinian', 'PA' => 'Panamanian', 'PG' => 'Papua New Guinean', 'PY' => 'Paraguayan', 'PE' => 'Peruvian', 'PH' => 'Filipino', 'PL' => 'Polish', 'PT' => 'Portuguese', 'PR' => 'Puerto Rican', 'QA' => 'Qatari', 'CG' => 'Republic of the Congo', 'RO' => 'Romanian', 'RU' => 'Russian', 'RW' => 'Rwandan', 'KN' => 'Kittian', 'LC' => 'Saint Lucian', 'VC' => 'Saint Vincentian', 'WS' => 'Samoan', 'SM' => 'Sammarinese ', 'ST' => 'Sao Tomean', 'SA' => 'Saudi Arabian', 'SN' => 'Senegalese', 'RS' => 'Serbian', 'SC' => 'Seychellois', 'SL' => 'Sierra Leonean', 'SG' => 'Singaporean', 'SK' => 'Slovakian', 'SI' => 'Slovenian', 'SB' => 'Solomon Islander', 'SO' => 'Somali', 'ZA' => 'South African', 'KR' => 'South Korean', 'SS' => 'South Sudanese', 'ES' => 'Spanish', 'LK' => 'Sri Lankan', 'SD' => 'Sudanese', 'SR' => 'Surinamer', 'SZ' => 'Swazi', 'SE' => 'Swedish', 'CH' => 'Swiss', 'SY' => 'Syrian', 'TW' => 'Taiwanese', 'TJ' => 'Tajik', 'TZ' => 'Tanzanian', 'TH' => 'Thai', 'BS' => 'Bahamian', 'GM' => 'Gambian', 'NL' => 'Dutch', 'TP' => 'Timorese', 'TG' => 'Togolese', 'TO' => 'Tongan', 'TT' => 'Trinidadian', 'TN' => 'Tunisian', 'TR' => 'Turkish', 'TM' => 'Turkmen', 'TV' => 'Tuvaluan', 'AE' => 'Emirati', 'UG' => 'Ugandan', 'UA' => 'Ukrainian', 'UK' => 'British', 'UN' => 'United Nations', 'US' => 'American', 'UY' => 'Uruguayan', 'UZ' => 'Uzbek', 'VU' => 'Vanuatan', 'VA' => 'Vatican', 'VE' => 'Venezuelan', 'VN' => 'Vietnamese', 'EH' => 'Western Sahara', 'YE' => 'Yemenite', 'YU' => 'Yugoslavian', 'ZM' => 'Zambian', 'ZW' => 'Zimbabwean', ), '#attributes' => array ( 'placeholder' => 'Nationality', ), '#required' => false, '#html_5_validation' => false, ), 'sector' => array ( '#title' => 'Sector', '#type' => 'select', '#options' => array ( ), '#attributes' => array ( 'placeholder' => 'Sector', ), '#required' => true, '#html_5_validation' => false, ), 'expertise' => array ( '#title' => 'Expertise', '#type' => 'select', '#options' => array ( ), '#attributes' => array ( 'placeholder' => 'Select up to 3 items', ), '#required' => true, '#multiple' => true, '#html_5_validation' => false, ), 'interests' => array ( '#title' => 'Interest', '#type' => 'select', '#options' => array ( ), '#attributes' => array ( 'placeholder' => 'Select up to 3 items', ), '#required' => true, '#multiple' => true, '#html_5_validation' => false, ), 'display_who_section' => array ( '#title' => 'Be visible for other participants in the WISE 2021 digital platform', '#type' => 'checkbox', '#required' => false, '#html_5_validation' => false, ), 'display_photo_who_section' => array ( '#title' => 'Show my picture on my profile for other participants', '#type' => 'checkbox', '#required' => false, '#html_5_validation' => false, ), 'consent' => array ( '#title' => 'I consent to the use of my data in accordance with the Privacy Policy *', '#type' => 'checkbox', '#required' => true, '#html_5_validation' => false, ), 'registration2021_online_form_nonce' => array ( '#type' => 'nonce', '#referer' => true, '#echo' => false, ), 'wp_form_id' => array ( '#type' => 'hidden', '#default_value' => 'registration2021_online_form', ), '#action' => '#', )
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This field is mandatory You can upload only JPG and PNG files Please use files that are smaller than 2Mo
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This field is mandatory You cannot select more than 3 options
This field is mandatory You cannot select more than 3 options