{"id":9399,"date":"2021-10-07T10:09:08","date_gmt":"2021-10-07T08:09:08","guid":{"rendered":"https:\/\/dermoscent.com\/inscription-test\/"},"modified":"2026-02-19T09:05:04","modified_gmt":"2026-02-19T08:05:04","slug":"inscription","status":"publish","type":"page","link":"https:\/\/dermoscent.com\/en\/inscription\/","title":{"rendered":"Registration for the veterinary area"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9399\" class=\"elementor elementor-9399 elementor-9025\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-774c69e elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-eae-slider=\"13895\" data-id=\"774c69e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59861bbd\" data-eae-slider=\"35073\" data-id=\"59861bbd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-12381027 inscription_colonne elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-eae-slider=\"77620\" data-id=\"12381027\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d00ddd2 subscription-wrapper\" data-eae-slider=\"58643\" data-id=\"6d00ddd2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26501a12 elementor-widget elementor-widget-heading\" data-id=\"26501a12\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Registration for the veterinary area<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dcd6d04 elementor-widget elementor-widget-text-editor\" data-id=\"dcd6d04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Veterinarians and veterinary nurses, Dermoscent<sup>&reg;<\/sup> provides you with a range of technical and practical information compiled by specialists.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccfc814 elementor-widget elementor-widget-text-editor\" data-id=\"ccfc814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This data (practical work, studies, product sheets, web conferences, etc.) is updated frequently.<\/p><p>This space is secure and entirely dedicated to veterinary professionals.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c660b09 elementor-widget elementor-widget-shortcode\" data-id=\"c660b09\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">        <form enctype=\"multipart\/form-data\" method=\"post\" id=\"wppb-register-user\" class=\"wppb-user-forms wppb-register-user wppb-user-logged-out\" action=\"https:\/\/dermoscent.com\/en\/wp-json\/wp\/v2\/pages\/9399\">\n\t\t\t<ul><li class=\"wppb-form-field wppb-default-last-name\" id=\"wppb-form-element-4\">\n\t\t\t<label for=\"last_name\">Last name<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_lastname \" name=\"last_name\" maxlength=\"70\" type=\"text\" id=\"last_name\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-18\">\n\t\t\t\t<label for=\"custom_clinique\">Name of your clinic<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_clinique\" maxlength=\"250\" type=\"text\" id=\"custom_clinique\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-first-name\" id=\"wppb-form-element-3\">\n\t\t\t<label for=\"first_name\">First name<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_firstname \" name=\"first_name\" maxlength=\"70\" type=\"text\" id=\"first_name\" value=\"\"  \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-20\">\n\t\t\t\t<label for=\"custom_adress\">Address of your clinic<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_adress\" maxlength=\"250\" type=\"text\" id=\"custom_adress\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-32\">\n\t\t\t\t<label for=\"Code_postal1\">ZIP Code<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"Code_postal1\" maxlength=\"250\" type=\"text\" id=\"Code_postal1\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-21\">\n\t\t\t\t<label for=\"custom_codepostal\">Postal Code<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_codepostal\" maxlength=\"250\" type=\"text\" id=\"custom_codepostal\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-35\">\n\t\t\t\t<label for=\"tel_phone\">Phone number<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"tel_phone\" maxlength=\"250\" type=\"text\" id=\"tel_phone\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-23\">\n\t\t\t\t<label for=\"custom_tel\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_tel\" maxlength=\"250\" type=\"text\" id=\"custom_tel\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-33\">\n\t\t\t\t<label for=\"custom_vill\">City<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_vill\" maxlength=\"250\" type=\"text\" id=\"custom_vill\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-22\">\n\t\t\t\t<label for=\"custom_city\">Ville<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_city\" maxlength=\"250\" type=\"text\" id=\"custom_city\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-e-mail\" id=\"wppb-form-element-8\">\n\t\t\t<label for=\"email\">Email address<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_email \" name=\"email\" maxlength=\"70\" type=\"email\" id=\"email\" value=\"\"   \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-31\">\n\t\t\t\t<label for=\"country_custom\">Country<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"country_custom\" maxlength=\"250\" type=\"text\" id=\"country_custom\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-password\" id=\"wppb-form-element-15\"><div class=\"wppb-password-group\">\n\t\t\t\t<div class=\"wppb-password-subfield wppb-new-password-subfield\">\n\t\t\t\t\t<label for=\"passw1\">Password<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t            <span class=\"wppb-password-field-container\">\n\t\t\t\t\t    <input class=\"text-input \" name=\"passw1\" maxlength=\"70\" type=\"password\" id=\"passw1\" value=\"\" autocomplete=\"off\" \/>\n\t\t\t\t\t     <!-- add the HTML for the visibility toggle -->\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div><\/div><span class=\"wppb-description-delimiter\">Enter your password  <\/span><\/li><li class=\"wppb-form-field wppb-select\" id=\"wppb-form-element-29\">\n\t\t\t\t<label for=\"custom_profession\">I am<\/label>\n\t\t\t\t<select name=\"custom_profession\" id=\"custom_profession\" class=\"custom_field_select\" ><option value=\"V\u00e9t\u00e9rinaire\" class=\"custom_field_select_option \" >veterinarian<\/option><option value=\"ASV\" class=\"custom_field_select_option \" >vet nurse<\/option><option value=\"Autres\" class=\"custom_field_select_option \" >others<\/option>\n\t\t\t\t<\/select><\/li><li class=\"wppb-form-field wppb-default-repeat-password\" id=\"wppb-form-element-16\">\n\t\t\t<label for=\"passw2\">Repeat your password<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<span class=\"wppb-password-field-container\">\n\t\t\t    <input class=\"text-input \" name=\"passw2\" maxlength=\"70\" type=\"password\" id=\"passw2\" value=\"\" autocomplete=\"off\" \/>\n\t\t\t     <!-- add the HTML for the visibility toggle -->\n\t\t\t<\/span><span class=\"wppb-description-delimiter\">Retype your password<\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-26\">\n\t\t\t\t<label for=\"custom_num_ordinal\">Num\u00e9ro ordinal<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_num_ordinal\" maxlength=\"250\" type=\"text\" id=\"custom_num_ordinal\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-34\">\n\t\t\t\t<label for=\"numero_ordi\">License number<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"numero_ordi\" maxlength=\"250\" type=\"text\" id=\"numero_ordi\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-checkbox\" id=\"wppb-form-element-27\">\n\t\t\t\t<label for=\"custom_pasdenum\">I don\u2019t have a license number<\/label><ul class=\"wppb-checkboxes\"><li class=\"wppb-hidden\"><input type=\"hidden\" value=\"\" name=\"custom_pasdenum\"><\/li><li><input value=\"I don\u2019t have a license number\" class=\"custom_field_checkbox\" name=\"custom_pasdenum[]\" id=\"i-don\u2019t-have-a-license-number_27\" type=\"checkbox\"   \/><label for=\"i-don\u2019t-have-a-license-number_27\" class=\"wppb-rc-value\">I don\u2019t have a license number<\/label><\/li><\/ul><\/li><li class=\"wppb-form-field wppb-checkbox\" id=\"wppb-form-element-36\">\n\t\t\t\t<label for=\"custom_field_1\">Je n'ai pas de num\u00e9ro ordinal<\/label><ul class=\"wppb-checkboxes\"><li class=\"wppb-hidden\"><input type=\"hidden\" value=\"\" name=\"custom_field_1\"><\/li><\/ul><\/li><li class=\"wppb-form-field wppb-default-display-name-publicly-as\" id=\"wppb-form-element-6\"><\/li><li class=\"wppb-form-field wppb-html\" id=\"wppb-form-element-28\">\n\t\t\t\t<label>Mentions<\/label>\n\t\t\t\t<span class=\"custom_field_html \" ><p>For any questions regarding the personal data collected above, please refer to Section 8 of our Terms and Conditions.<\/p>\n<p>* Required fields<\/p>\n\n<\/span><\/li><\/ul><ul><input id=\"send_credentials_via_email\" type=\"hidden\" name=\"send_credentials_via_email\" value=\"sending\"\/><\/ul><\/ul>\t\t\t<p class=\"form-submit\"  >\n\t\t\t\t                \t\t\t\t<input name=\"register\" type=\"submit\" id=\"register\" class=\"submit button\" value=\"Register\" \/>\n                <input name=\"redirect_to\" type=\"hidden\" value=\"\/\" \/>\n                \t\t\t\t<input name=\"action\" type=\"hidden\" id=\"action\" value=\"register\" \/>\n\t\t\t\t<input name=\"form_name\" type=\"hidden\" id=\"form_name\" value=\"unspecified\" \/>\n\t\t\t\t<input name=\"form_id\" type=\"hidden\" id=\"form_id\" value=\"\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"wppb_referer_url\" value=\"\"\/>\t\t\t<\/p><!-- .form-submit -->\n\t\t\t<input type=\"hidden\" id=\"register_unspecified_nonce_field\" name=\"register_unspecified_nonce_field\" value=\"125bcc68fe\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/9399\" \/>\t\t<\/form>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da76f4e elementor-widget elementor-widget-html\" data-id=\"da76f4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\n    window.onload=num_checked;\r\n    \r\n    \r\n     var inputclick = document.querySelector('#i-dont-have-an-ordinal-number_25');\r\n    \r\n    inputclick.addEventListener('click',num_checked);\r\n    \r\n    function num_checked(){\r\n    \r\n    if (inputclick.checked == true ){\r\n        document.getElementById('Numero-ordinal').value = \"---\";\r\n        document.getElementById('Numero-ordinal').style.color = \"white\";\r\n        \r\n    }\r\n    else if (inputclick.checked == false){\r\n         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This data (practical work, studies, product sheets, web conferences, etc.) is updated frequently. 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