{"id":3119,"date":"2026-06-24T10:45:34","date_gmt":"2026-06-24T08:45:34","guid":{"rendered":"https:\/\/slovhep.sk\/application"},"modified":"2026-07-09T13:19:24","modified_gmt":"2026-07-09T11:19:24","slug":"application","status":"publish","type":"page","link":"https:\/\/slovhep.sk\/en\/application","title":{"rendered":"APPLICATION"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\">\n<div class=\"et_pb_row_0 et_pb_row et_block_row\">\n<div class=\"et_pb_column_0 et_pb_column et_pb_column_3_5 et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module preset--module--divi-text--3d897de3-24b9-4864-9e32-28ceb508d1c6\"><div class=\"et_pb_text_inner\"><h1>Application<\/h1>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_1 et_pb_column et_pb_column_2_5 et-last-child et_block_column et_pb_column_empty et_pb_css_mix_blend_mode_passthrough\"><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_2 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n\n<div class=\"et_pb_module et_d4_element de_fb_form de_fb_form_0 clearfix  align-button_right align-module_left\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\t\t<form\n                method=\"POST\"\n                enctype=\"multipart\/form-data\"\n                action=\"\"\n                id=\"fb_form_null-0\"\n                class=\"et_pb_contact fb_form   hide_until_loaded \"\n                data-ajax-btn=\"Processing\"\n                data-ajax-hide-sub=\"off\"\n                data-reset-form-on-submit=\"true\"\n                style=\"display: none;\">\n\t\t\t\t<div class=\"preloader form_loading divi\">\n\t\t\t\t\t<div class=\"ajax-loading\">\n\t\t\t\t\t\t<div class=\"divi-style\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"lines\">\n\t\t\t\t\t\t\t<div class=\"line\"><\/div>\n\t\t\t\t\t\t\t<div class=\"line\"><\/div>\n\t\t\t\t\t\t\t<div class=\"line\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"spinner donut-cont\">\n\t\t\t\t\t\t\t<div class=\"donut\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"spinner donutmulti-cont\">\n\t\t\t\t\t\t\t<div class=\"donut multi\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"spinner ripple-cont\">\n\t\t\t\t\t\t\t<div class=\"ripple\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<h3 class=\"form-title\">Application for full (individual) membership of the Slovak Medical Society<\/h3>\n\t\t\t\t\t\t<div class=\"divi-form-wrapper\">\n                <div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_0 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_meno_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Meno\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_meno\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_meno\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_meno\" id=\"de_fb_meno\" data-calc_default=\"0\" placeholder=\"Meno\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_1 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_priezvisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Priezvisko\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_priezvisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_priezvisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_priezvisko\" id=\"de_fb_priezvisko\" data-calc_default=\"0\" placeholder=\"Priezvisko\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_2 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_datum_narodenia_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"D\u00e1tum narodenia\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_datum_narodenia\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_datum_narodenia\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_datum_narodenia\" id=\"de_fb_datum_narodenia\" data-calc_default=\"0\" placeholder=\"D\u00e1tum narodenia\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_3 dfb_radio_default clearfix  grid_et_pb_column_4_4_12 et_pb_column_4_4 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_tituly_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"100\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"checkbox\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Titles\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_tituly\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_tituly\"\/><span class=\"et_pb_contact_field_options_wrapper\">\r\n\t\t\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list \"  data-required_message=\"This field is required.\" data-required_position=\"bottom\"><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_0\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MUDr.\" data-id=\"MUDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_0\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MUDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_1\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MVDr.\" data-id=\"MVDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_1\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MVDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_2\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"PhDr.\" data-id=\"PhDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_2\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>PhDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_3\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MHA\" data-id=\"MHA\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_3\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MHA<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_4\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Bc.\" data-id=\"Bc.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_4\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Bc.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_5\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"FRCP\" data-id=\"FRCP\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_5\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>FRCP<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_6\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Academician\" data-id=\"Academician\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_6\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Academician<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_7\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Associate Professor\" data-id=\"Associate Professor\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_7\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Associate Professor<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_8\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"PhD.\" data-id=\"PhD.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_8\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>PhD.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_9\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Ing.\" data-id=\"Ing.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_9\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Ing.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_10\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"PhMr.\" data-id=\"PhMr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_10\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>PhMr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_11\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Dr.h.c\" data-id=\"Dr.h.c\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_11\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Dr.h.c<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_12\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"No title\" data-id=\"No title\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_12\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>No title<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_13\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"FESC\" data-id=\"FESC\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_13\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>FESC<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_14\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Professor\" data-id=\"Professor\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_14\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Professor<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_15\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Extraordinary Associate Professor\" data-id=\"Extraordinary Associate Professor\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_15\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Extraordinary Associate Professor<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_16\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MPH\" data-id=\"MPH\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_16\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MPH<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_17\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"RNDr.\" data-id=\"RNDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_17\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>RNDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_18\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"PharmDr.\" data-id=\"PharmDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_18\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>PharmDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_19\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"PaedDr.\" data-id=\"PaedDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_19\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>PaedDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_20\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Student\" data-id=\"Student\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_20\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Student<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_21\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"FACC\" data-id=\"FACC\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_21\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>FACC<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_22\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Extraordinary Professor\" data-id=\"Extraordinary Professor\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_22\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Extraordinary Professor<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_23\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"DrSc.\" data-id=\"DrSc.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_23\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>DrSc.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_24\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Dr.\" data-id=\"Dr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_24\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Dr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_25\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"JUDr.\" data-id=\"JUDr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_25\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>JUDr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_26\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MBA\" data-id=\"MBA\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_26\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MBA<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_27\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Mgr.\" data-id=\"Mgr.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_27\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Mgr.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_28\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"MSc.\" data-id=\"MSc.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_28\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>MSc.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_29\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Corresponding Member of the SAS\" data-id=\"Corresponding Member of the SAS\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_29\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Corresponding Member of the SAS<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_30\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"Visiting Professor\" data-id=\"Visiting Professor\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_30\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Visiting Professor<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_31\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"CSc.\" data-id=\"CSc.\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_31\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>CSc.<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_tituly_3_32\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_tituly[]\" value=\"FESO\" data-id=\"FESO\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_tituly_3_32\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>FESO<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><\/span>\r\n\t\t\t\t\t\t\t<\/span>\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_4 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_adresa_trvale_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Adresa trval\u00e9ho bydliska\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_adresa_trvale\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_adresa_trvale\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_adresa_trvale\" id=\"de_fb_adresa_trvale\" data-calc_default=\"0\" placeholder=\"Adresa trval\u00e9ho bydliska\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_5 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_psc_trvale_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"PS\u010c (trval\u00e9 bydlisko)\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_psc_trvale\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_psc_trvale\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_psc_trvale\" id=\"de_fb_psc_trvale\" data-calc_default=\"0\" placeholder=\"PS\u010c (trval\u00e9 bydlisko)\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_6 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_telefon_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Telef\u00f3n\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_telefon\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_telefon\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_telefon\" id=\"de_fb_telefon\" data-calc_default=\"0\" placeholder=\"Telef\u00f3n\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_7 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_fax_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Fax\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_fax\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_fax\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_fax\" id=\"de_fb_fax\" data-calc_default=\"0\" placeholder=\"Fax\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_8 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_mobil_trvale_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Mobil\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_mobil_trvale\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_mobil_trvale\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_mobil_trvale\" id=\"de_fb_mobil_trvale\" data-calc_default=\"0\" placeholder=\"Mobil\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_9 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_email_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"email\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"E-mail\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_email\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_email\"\/>\t\t\t\t\t\t\t<input type=\"email\" name=\"de_fb_email\" id=\"de_fb_email\"  placeholder=\"E-mail\"   class=\"divi-form-builder-field input-field \"  value=\"\"  data-msg-email=\"Please input correct email address.\" autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_10 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_adresa_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Adresa pracoviska\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_adresa_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_adresa_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_adresa_pracovisko\" id=\"de_fb_adresa_pracovisko\" data-calc_default=\"0\" placeholder=\"Adresa pracoviska\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_11 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_psc_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"PS\u010c (pracovisko)\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_psc_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_psc_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_psc_pracovisko\" id=\"de_fb_psc_pracovisko\" data-calc_default=\"0\" placeholder=\"PS\u010c (pracovisko)\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_12 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_tel_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Tel. pracovisko\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_tel_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_tel_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_tel_pracovisko\" id=\"de_fb_tel_pracovisko\" data-calc_default=\"0\" placeholder=\"Tel. pracovisko\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_13 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_mobil_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Mobil pracovisko\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_mobil_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_mobil_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_mobil_pracovisko\" id=\"de_fb_mobil_pracovisko\" data-calc_default=\"0\" placeholder=\"Mobil pracovisko\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_14 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_email_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"email\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"E-mail pracovisko\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_email_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_email_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"email\" name=\"de_fb_email_pracovisko\" id=\"de_fb_email_pracovisko\"  placeholder=\"E-mail pracovisko\"   class=\"divi-form-builder-field input-field \"  value=\"\"  data-msg-email=\"Please input correct email address.\" autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_15 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_fax_pracovisko_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Fax pracovisko\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_fax_pracovisko\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_fax_pracovisko\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_fax_pracovisko\" id=\"de_fb_fax_pracovisko\" data-calc_default=\"0\" placeholder=\"Fax pracovisko\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_16 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_funkcia_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Funkcia na pracovisku\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_funkcia\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_funkcia\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_funkcia\" id=\"de_fb_funkcia\" data-calc_default=\"0\" placeholder=\"Funkcia na pracovisku\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_17 clearfix  grid_et_pb_column_1_2_12 et_pb_column_1_2 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_odborne_zameranie_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"50\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Odborn\u00e9 zameranie\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_odborne_zameranie\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_odborne_zameranie\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_odborne_zameranie\" id=\"de_fb_odborne_zameranie\" data-calc_default=\"0\" placeholder=\"Odborn\u00e9 zameranie\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_18 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_promozia_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Rok a miesto prom\u00f3cie\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_promozia\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_promozia\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_promozia\" id=\"de_fb_promozia\" data-calc_default=\"0\" placeholder=\"Rok a miesto prom\u00f3cie\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_19 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_komora_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Registrovan\u00fd v komore\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_komora\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_komora\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_komora\" id=\"de_fb_komora\" data-calc_default=\"0\" placeholder=\"Registrovan\u00fd v komore\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_20 clearfix  grid_et_pb_column_1_3_12 et_pb_column_1_3 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_cislo_komora_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"40\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"input\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"Registra\u010dn\u00e9 \u010d\u00edslo z registra komory\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_cislo_komora\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_cislo_komora\"\/>\t\t\t\t\t\t\t<input type=\"text\" name=\"de_fb_cislo_komora\" id=\"de_fb_cislo_komora\" data-calc_default=\"0\" placeholder=\"Registra\u010dn\u00e9 \u010d\u00edslo z registra komory\"   class=\"divi-form-builder-field input-field \"  value=\"\"  autocomplete=\"on\" \/>\r\n\t\t\t\t\t\t\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_21 dfb_radio_default clearfix  grid_et_pb_column_4_4_12 et_pb_column_4_4 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_suhlas_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"100\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"checkbox\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"S\u00fahlas\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_suhlas\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_suhlas\"\/><span class=\"et_pb_contact_field_options_wrapper\">\r\n\t\t\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list required\"  data-required_message=\"Toto pole je povinn&eacute;\" data-required_position=\"bottom\"><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_suhlas_21_0\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_suhlas[]\" value=\"S\u00fahlas\u00edm s poslan\u00edm a cie\u013emi Slovenskej lek\u00e1rskej spolo\u010dnosti\" data-id=\"S\u00fahlas\u00edm s poslan\u00edm a cie\u013emi Slovenskej lek\u00e1rskej spolo\u010dnosti\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_suhlas_21_0\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>S\u00fahlas\u00edm s poslan\u00edm a cie\u013emi Slovenskej lek\u00e1rskej spolo\u010dnosti<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><\/span>\r\n\t\t\t\t\t\t\t<\/span>\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_22 dfb_radio_default clearfix  grid_et_pb_column_4_4_12 et_pb_column_4_4 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_suhlas2_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"100\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"checkbox\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"S\u00fahlas2\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_suhlas2\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_suhlas2\"\/><span class=\"et_pb_contact_field_options_wrapper\">\r\n\t\t\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list required\"  data-required_message=\"Toto pole je povinn&eacute;\" data-required_position=\"bottom\"><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_suhlas2_22_0\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_suhlas2[]\" value=\"V zmysle \u00a76, p\u00edsm. b Z\u00e1k. \u010d. 428\/2002 Z. z., (v znen\u00ed neskor\u0161\u00edch predpisov) s\u00fahlas\u00edm s uchov\u00e1van\u00edm a \u010fal\u0161\u00edm spracov\u00e1van\u00edm mojich osobn\u00fdch \u00fadajov uveden\u00fdch v tejto prihl\u00e1\u0161ke, ktor\u00e9 m\u00f4\u017eu by\u0165 pou\u017eit\u00e9 len na \u00fa\u010dely vypl\u00fdvaj\u00face z poslania a cie\u013eov Slovenskej lek\u00e1rskej spolo\u010dnosti po dobu m\u00f4jho \u010dlenstva v nej\" data-id=\"V zmysle \u00a76, p\u00edsm. b Z\u00e1k. \u010d. 428\/2002 Z. z., (v znen\u00ed neskor\u0161\u00edch predpisov) s\u00fahlas\u00edm s uchov\u00e1van\u00edm a \u010fal\u0161\u00edm spracov\u00e1van\u00edm mojich osobn\u00fdch \u00fadajov uveden\u00fdch v tejto prihl\u00e1\u0161ke, ktor\u00e9 m\u00f4\u017eu by\u0165 pou\u017eit\u00e9 len na \u00fa\u010dely vypl\u00fdvaj\u00face z poslania a cie\u013eov Slovenskej lek\u00e1rskej spolo\u010dnosti po dobu m\u00f4jho \u010dlenstva v nej\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_suhlas2_22_0\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>V zmysle \u00a76, p\u00edsm. b Z\u00e1k. \u010d. 428\/2002 Z. z., (v znen\u00ed neskor\u0161\u00edch predpisov) s\u00fahlas\u00edm s uchov\u00e1van\u00edm a \u010fal\u0161\u00edm spracov\u00e1van\u00edm mojich osobn\u00fdch \u00fadajov uveden\u00fdch v tejto prihl\u00e1\u0161ke, ktor\u00e9 m\u00f4\u017eu by\u0165 pou\u017eit\u00e9 len na \u00fa\u010dely vypl\u00fdvaj\u00face z poslania a cie\u013eov Slovenskej lek\u00e1rskej spolo\u010dnosti po dobu m\u00f4jho \u010dlenstva v nej<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><\/span>\r\n\t\t\t\t\t\t\t<\/span>\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_23 dfb_radio_default clearfix  grid_et_pb_column_4_4_12 et_pb_column_4_4 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_suhlas3_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"100\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"checkbox\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"S\u00fahlas3\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_suhlas3\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_suhlas3\"\/><span class=\"et_pb_contact_field_options_wrapper\">\r\n\t\t\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list required\"  data-required_message=\"Toto pole je povinn&eacute;\" data-required_position=\"bottom\"><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_suhlas3_23_0\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_suhlas3[]\" value=\"Vyhlasujem, \u017ee inform\u00e1cie, ktor\u00e9 som v prihl\u00e1\u0161ke uviedol\/la s\u00fa pravdiv\u00e9 a zav\u00e4zujem sa v zmysle Z\u00e1k. \u010d. 428\/2002 Z.z., \u00a711 (v znen\u00ed neskor\u0161\u00edch predpisov), \u010dlenskej evidencii SLS nahlasova\u0165 v\u0161etky zmeny, aby mohla by\u0165 zaru\u010den\u00e1 ich pravdivos\u0165 a aktu\u00e1lnos\u0165\" data-id=\"Vyhlasujem, \u017ee inform\u00e1cie, ktor\u00e9 som v prihl\u00e1\u0161ke uviedol\/la s\u00fa pravdiv\u00e9 a zav\u00e4zujem sa v zmysle Z\u00e1k. \u010d. 428\/2002 Z.z., \u00a711 (v znen\u00ed neskor\u0161\u00edch predpisov), \u010dlenskej evidencii SLS nahlasova\u0165 v\u0161etky zmeny, aby mohla by\u0165 zaru\u010den\u00e1 ich pravdivos\u0165 a aktu\u00e1lnos\u0165\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_suhlas3_23_0\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Vyhlasujem, \u017ee inform\u00e1cie, ktor\u00e9 som v prihl\u00e1\u0161ke uviedol\/la s\u00fa pravdiv\u00e9 a zav\u00e4zujem sa v zmysle Z\u00e1k. \u010d. 428\/2002 Z.z., \u00a711 (v znen\u00ed neskor\u0161\u00edch predpisov), \u010dlenskej evidencii SLS nahlasova\u0165 v\u0161etky zmeny, aby mohla by\u0165 zaru\u010den\u00e1 ich pravdivos\u0165 a aktu\u00e1lnos\u0165<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><\/span>\r\n\t\t\t\t\t\t\t<\/span>\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element de_fb_form_field de_fb_form_field_24 dfb_radio_default clearfix  grid_et_pb_column_4_4_12 et_pb_column_4_4 et_pb_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t<div id=\"de_fb_suhlas4_wrapper\" class=\"field_wrapper search_filter_cont \" data-count=\"100\" >\r\n\t\t\t\t\t\t\t\t<p class=\"et_pb_contact_field\" data-type=\"checkbox\">\r\n\t\t\t<input type=\"hidden\" name=\"field_title[]\" value=\"S\u00fahlas4\"\/><input type=\"hidden\" name=\"field_name[]\" value=\"de_fb_suhlas4\"\/><input type=\"hidden\" name=\"field_id[]\" value=\"de_fb_suhlas4\"\/><span class=\"et_pb_contact_field_options_wrapper\">\r\n\t\t\t\t\t\t\t\t<span class=\"et_pb_contact_field_options_list required\"  data-required_message=\"Toto pole je povinn&eacute;\" data-required_position=\"bottom\"><span class=\"et_pb_contact_field_checkbox\">\r\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" id=\"et_pb_contact_de_fb_suhlas4_24_0\" class=\"divi-form-builder-field checkbox-field\" name=\"de_fb_suhlas4[]\" value=\"Vyhlasujem, \u017ee ako \u010dlen\/ka Slovenskej lek\u00e1rskej spolo\u010dnosti budem dodr\u017eiava\u0165 Stanovy SLS a ich vykon\u00e1vacie predpisy\" data-id=\"Vyhlasujem, \u017ee ako \u010dlen\/ka Slovenskej lek\u00e1rskej spolo\u010dnosti budem dodr\u017eiava\u0165 Stanovy SLS a ich vykon\u00e1vacie predpisy\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"et_pb_contact_de_fb_suhlas4_24_0\">\r\n\t\t\t\t\t\t\t\t\t\t<i><\/i>\r\n\t\t\t\t\t\t\t\t\t\t<span class=\"label_wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span>Vyhlasujem, \u017ee ako \u010dlen\/ka Slovenskej lek\u00e1rskej spolo\u010dnosti budem dodr\u017eiava\u0165 Stanovy SLS a ich vykon\u00e1vacie predpisy<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"de_fb_required\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/span><\/span>\r\n\t\t\t\t\t\t\t<\/span>\t\t\t<\/p>\r\n\r\n\t\t\t\t\t<\/div>\r\n\n\t\t\t\t<\/div>\n\t\t\t<\/div>\t\t\t<\/div>\n<input type=\"hidden\" value=\"null-0\" name=\"form_key\"><input type=\"hidden\" value=\"null-0\" name=\"unique_id\"><input type=\"hidden\" value=\"off\" name=\"enable_payment\">\t\t<div class=\"et_contact_bottom_container\">\n\t\t\t<div class=\"submit-container\">\n\t\t\t<script>\n\t\t\tjQuery(document).ready(function($){\n\t\t\t\tjQuery(\"#fb_form_null-0\").submit(function(e){\n\t\t\t\t\te.preventDefault();\n\t\t\t\t\t\n\t\t\t\t\t$(this).find('.divi-form-submit').prop('disabled', true);\n\t\t\t\t\tvar required_check = true;\n\t\t\t\t\tvar form = jQuery(this);\n                    let required_fields = $('.required',form);\n\t\t\t\t\tvar stripeEnabled = $(this).hasClass('de_fb_gateway_stripe_form');\n\t\t\t\t\tlet paymentField = $(this).find('input[name=\"de_fb_payment_amount\"]');\n\t\t\t\t\tlet paymentInput = $(this).find('input[name=\"custom_price\"]');\n\t\t\t\t\tlet paymentErrors = $(this).find('.payment-errors').length > 0;\n\t\t\t\t\tvar paymentEnabled = $(this).find('input[name=\"enable_payment\"]').val();\n\t\t\t\t\tvar showTc = $(this).find('input[name=\"show_tc\"]').val();\n\t\t\t\t\tlet stripeErrorMessages = {};\n\n\t\t\t\t\t\/\/ set acf date field format as per ACF standards\n\t\t\t\t\t$(this).find('.datepicker-field').each(function() {\n\t\t\t\t\t\tvar $field = $(this);\n\t\t\t\t\t\tvar isAcfField = $field.attr(\"acf-date\");\n\t\t\t\t\t\tvar selectedDate = $field.datepicker('getDate');\n\t\t\t\t\t\tif (selectedDate && isAcfField == true) {\n\t\t\t\t\t\t\tvar formatted = $.datepicker.formatDate('yymmdd', selectedDate);\n\t\t\t\t\t\t\t$field.val(formatted);\n\t\t\t\t\t\t}\n\t\t\t\t\t});\t\n\n                    if ( required_fields.length > 0 ) {\n\t\t\t\t\t\t\n                        $.each(required_fields, function (index, element) {\n                            $(this).closest('.et_pb_contact_field').parent().find('.error').remove();\n                            if ( !$(this).closest('.de_fb_form_field').hasClass('condition-hide') ) {\n                                var field_type = $(this).closest('.et_pb_contact_field').data('type');\n\t\t\t\t\t\t\t\t\n                                if ( field_type == 'checkbox' || field_type == 'radio' ) {\n                                    if ( jQuery(this).find('input:checked').length == 0 ) {\n                                        required_check = false;\n                                    }\n                                } else if ( field_type == 'file' || field_type == 'image' ) {\n                                    var value_field_id = jQuery(this).find('input.upload_field').attr('id') + '_value';\n                                    if ( jQuery(this).find('.files .template-upload').length == 0 && jQuery(this).find('#' + value_field_id).val() == \"\") {\n                                        required_check = false;\n                                    }\n                                } else {\n                                    if ( jQuery(this).val() == '' ) {\n                                        required_check = false;\n                                    }\n                                }\n                                if ( !required_check ) {\n                                    var required_message = $(this).attr('data-required_message');\n                                    var required_message_pos = $(this).attr('data-required_position');\n\n                                    if ( required_message_pos == 'top' ) {\n                                        $(this).closest('.et_pb_contact_field').before('<p class=\"error\">' + required_message + '<\/p>');\n                                    } else {\n                                        $(this).closest('.et_pb_contact_field').after('<p class=\"error\">' + required_message + '<\/p>');\n                                    }\n                                }\n                            }\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n                        });\n                    }\n\t\t\t\t\t\n                    if ( form.find('.bloom_subscribe').find('input[required]').length > 0 ) {\n                \t\tform.find('.bloom_subscribe').find('.error').remove();\n                \t\tif ( !form.find('.bloom_subscribe').find('input[required]').is(\":checked\") ) {\n                \t\t\trequired_check = false;\n                \t\t\tvar required_message = \"This field is required.\";\n                            var required_message_pos = \"bottom\";\n\n                            if ( required_message_pos == 'top' ) {\n                                form.find('.bloom_subscribe').prepend('<p class=\"error\">' + required_message + '<\/p>');\n                            } else {\n                                form.find('.bloom_subscribe').append('<p class=\"error\">' + required_message + '<\/p>');\n                            }\n                \t\t}\n                \t}\n\t\t\t\t\t\n                \tif ( !required_check ) {\n                        $('html, body').animate({\n                            scrollTop: form.offset().top - 10\n                        }, 300);\n\n                        form.find('.divi-form-submit').removeProp('disabled');\n                        form.find('.divi-form-submit').removeAttr('disabled');\n                    }\n\n\t\t\t\t    var validation_result = form.valid();\n\n\t\t\t\t    if ( !validation_result ) {\n\t\t\t\t    \te.preventDefault();\n                        \/\/Here we check for an icon related to this input and we retrieve it to move it to correct place\n                        \/\/since validate function places the label before the icon -\n                        let inputs_error= $('.input-field.error',form);\n                        inputs_error.each(function (){\n                            let input=$(this);\n                            let parent=input.parent();\n                            let label = $('label.error',parent).first();\n                            let icon = $('.dfb_input_icon',parent).first();\n                            if(icon.length){\n                                if(input.next().is(label)){\n                                    label.detach().appendTo(parent.parent());\n                                }\n                            }\n                        });\n\t\t\t\t    \t$(this).find('.divi-form-submit').removeProp('disabled');\n\t\t\t\t    \t$(this).find('.divi-form-submit').removeAttr('disabled');\n\t\t\t\t    \treturn false;\n\t\t\t\t    }\n\n\t\t\t\t\tif (paymentField.hasClass('error')) {\n\t\t\t\t\t\te.preventDefault();\n\t\t\t\t\t\treturn false;\n\t\t\t\t\t}\t\t\t\t\t\n\n\t\t\t\t\tif(parseFloat(paymentField.val()) <= 0){\n\t\t\t\t\t\tform.find('.plan-price').find('.payment-error').remove();\n\t\t\t\t\t\tif(form.find('.plan-price .payment-error').length === 0){\n\t\t\t\t\t\t\tform.find('.plan-price').append('<div class=\"payment-error et_pb_contact_error_text\">Please add a valid value for payment<\/div>');\n\t\t\t\t\t\t}\n\t\t\t\t\t\trequired_check = false;\n\t\t\t\t\t\tpaymentField.addClass('input-error');\n\t\t\t\t\t\tform.find('.divi-form-submit').removeProp('disabled');\n\t\t\t\t\t\tform.find('.divi-form-submit').removeAttr('disabled');\n\t\t\t\t\t} else {\n\t\t\t\t\t\t\/\/ paymentField.removeClass('input-error'); \/\/ \u2705 Remove error class when valid\n\t\t\t\t\t\t\/\/ form.find('.plan-price').find('.payment-error').remove(); \/\/ \u2705 Remove error message\n\t\t\t\t\t}\n\n\t\t\t\t\tif(showTc){\t\n\t\t\t\t\t\tlet activeTab = form.find(\".gateway-form:visible\"); \/\/ Finds the visible payment gateway tab\n\t\t\t\t\t\tlet tcCheck = activeTab.find(\"input[type='checkbox']\");\n\n\t\t\t\t\t\tform.find('.tcerror').remove();\n\t\t\t\t\t\tif (!tcCheck.is(\":checked\")) {\n\t\t\t\t\t\t\ttcCheck.closest(\".tc_wrap\").after('<p class=\"tcerror\">You must accept the Terms & Conditions.<\/p>');\n\t\t\t\t\t\t\tform.find('.divi-form-submit').prop('disabled', false);\n\t\t\t\t\t\t\treturn false;\n\t\t\t\t\t\t}\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\n\t\t\t\t\tif (stripeEnabled) {\n\t\t\t\t\t\tform.find('.divi-form-submit').prop('disabled', true);\n\n\t\t\t\t\t\tlet stripeKey = $('#card-element').data('consumer-key');\n\t\t\t\t\t\tif (stripeKey) {\n\t\t\t\t\t\t\tStripe.setPublishableKey(stripeKey);\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tlet cvcField = $(this).find('.card-cvc');\n\t\t\t\t\t\tcvcField.on('input', function () {\n\t\t\t\t\t\t\tform.find('.cvcerror').remove();\n\t\t\t\t\t\t});\n\t\t\t\t\t\tlet cvcValid = cvcField.val().trim() !== \"\";\n\t\t\t\t\t\tform.find('.cvcerror').remove();\n\t\t\t\t\t\tif (!cvcValid) {\n\t\t\t\t\t\t\tcvcField.after('<p class=\"cvcerror\">CVC is required.<\/p>');\n\t\t\t\t\t\t\tform.find('.divi-form-submit').prop('disabled', false);\n\t\t\t\t\t\t\treturn false;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t$.ajax({\n\t\t\t\t\t\t\turl: 'https:\/\/slovhep.sk\/wp-admin\/admin-ajax.php', \/\/ WordPress AJAX URL\n\t\t\t\t\t\t\ttype: \"POST\",\n\t\t\t\t\t\t\tdata: { action: \"get_stripe_error_messages\" },\n\t\t\t\t\t\t\tsuccess: function (response) {\n\t\t\t\t\t\t\t\tstripeErrorMessages = response; \/\/ Store messages globally\n\t\t\t\t\t\t\t},\n\t\t\t\t\t\t\terror: function () {\n\t\t\t\t\t\t\t\tconsole.error(\"Failed to load Stripe error messages.\");\n\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\n\n\t\t\t\t\t\tStripe.createToken({\n\t\t\t\t\t\t\tnumber: $(this).find('.card-number').val(),\n\t\t\t\t\t\t\tcvc: $(this).find('.card-cvc').val(),\n\t\t\t\t\t\t\texp_month: $(this).find('.card-expiry-month').val(),\n\t\t\t\t\t\t\texp_year: $(this).find('.card-expiry-year').val(),\n\t\t\t\t\t\t}, function (status, response) {\n\t\t\t\t\t\t\tif (response.error) {\n\t\t\t\t\t\t\t\tlet errorType = response.error.code;\n\t\t\t\t\t\t\t\tlet errorMessage = stripeErrorMessages[errorType] || response.error.message;\n\t\t\t\t\t\t\t\tform.find(\".payment-errors\").html(errorMessage);\n\t\t\t\t\t\t\t\tform.find('.divi-form-submit').prop('disabled', false);\n\t\t\t\t\t\t\t\treturn false;\n\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\tform.append(\"<input type='hidden' name='stripeToken' value='\" + response['id'] + \"'\/>\");\n\t\t\t\t\t\t\t\tif ( ( ! paymentInput.length || ! paymentInput.hasClass('input-error') ) ) {\n\t\t\t\t\t\t\t\t\t\/\/ Final Submission After Stripe Token is Generated\n\t\t\t\t\t\t\t\t\tif (form.find('.divi-form-submit').hasClass('de_fb_ajax_submit')) {\n\t\t\t\t\t\t\t\t\t\t\/\/ Ensure the token is in the serialized form data\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\te.preventDefault();\n\t\t\t\t\t\t\t\t\t\tlet formElement = form[0];  \n\t\t\t\t\t\t\t\t\t\tif (formElement instanceof HTMLFormElement) {\n\t\t\t\t\t\t\t\t\t\t\tde_fb_ajax_form_submit(formElement);  \/\/ Pass the actual form element\n\t\t\t\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\t\t\tconsole.error(\"Form is not a valid HTMLFormElement\");\n\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\t\tjQuery(\"#fb_form_null-0\").find('.fb_nonce').remove();\n\t\t\t\t\t\t\t\t\t\tjQuery(\"#fb_form_null-0\").append('<input type=\"hidden\" name=\"fb_nonce\" class=\"fb_nonce\" value=\"d97c280d7e\">');\n\t\t\t\t\t\t\t\t\t\tform.unbind('submit').submit();\n\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\tform.find('.divi-form-submit').prop('disabled', false);\n\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\n\n\t\t\t\t\t\t\/\/ return false; \/\/ Prevent default submission while Stripe processes\n\t\t\t\t\t}\n\n\t\t\t\t\t\t\t\t\t    if ( $(this).find('.signature-field').length > 0 ) {\n\t\t\t\t    \t$.each( $(this).find('.signature-field'), function(i) {\n\t\t\t\t    \t\tvar field_id = $(this).find('input').attr('id');\n\t\t\t\t    \t\t$(\"#\" + field_id).val( fb_signature.signature_objs['signaturePad_' + field_id].toDataURL() );\n\t\t\t\t    \t});\n\t\t\t\t    }\n\t\t\t\t    if ( required_check ) {\n\t\t\t\t    \tif ( form.find('.file_preview_container .template-upload').length > 0 ) {\n\t\t\t\t    \t\te.preventDefault();\n\t\t\t\t\t\t\t$(this).addClass('submitting');\n\t\t                \tde_fb_ajax_files_upload( form );\n\t\t                } else {\n\t\t\t\t\t\t\tif ( form.find('.calculate_field').length > 0 ) {\n\t\t\t\t\t\t\t\t$('.calculation').hide();\n\t\t\t\t\t\t\t\t$.each(form.find('.calculate_field'), function() {\n\t\t\t\t\t\t\t\t\tvar calc_field_wrapper = $(this);\n\t\t\t\t\t\t\t\t\tvar field_id = calc_field_wrapper.attr('id');\n\t\t\t\t\t\t\t\t\t\/\/ replace de_fb_ and _wrapper with empty string\n\t\t\t\t\t\t\t\t\tfield_id = field_id.replace('de_fb_', '').replace('_wrapper', '');\n\t\t\t\t\t\t\t\t\tvar field_type = calc_field_wrapper.find('.et_pb_contact_field').attr('data-type');\n\t\t\t\t\t\t\t\t\tvar check_values = 0;\n\t\t\t\t\t\t\t\t\tif ( field_type == 'checkbox' || field_type == 'radio' ) {\n\t\t\t\t\t\t\t\t\t\t$.each( calc_field_wrapper.find('input:checked'), function() {\n\t\t\t\t\t\t\t\t\t\t\tcheck_values =  check_values + parseFloat( $(this).attr('data-calc_value') );\n\t\t\t\t\t\t\t\t\t\t});\n\t\t\t\t\t\t\t\t\t\tcalc_field_wrapper.append('<input type=\"hidden\" name=\"' + field_id + '_calc_value\" value=\"' + check_values + '\">');\n\t\t\t\t\t\t\t\t\t} else if ( field_type == 'select' ) {\n\t\t\t\t\t\t\t\t\t\tif ( calc_field_wrapper.find('select option:selected').length > 0 ) {\n\t\t\t\t\t\t\t\t\t\t\tcheck_values = parseFloat(calc_field_wrapper.find('select option:selected').attr('data-calc_value'));\n\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\tcalc_field_wrapper.append('<input type=\"hidden\" name=\"' + field_id + '_calc_value\" value=\"' + check_values + '\">');\n\t\t\t\t\t\t\t\t\t}  else {\n\t\t\t\t\t\t\t\t\t\tif ( calc_field_wrapper.find('input:not([type=\"hidden\"])').val() == '' ) {\n\t\t\t\t\t\t\t\t\t\t\tvar calc_default_value = calc_field_wrapper.find('input:not([type=\"hidden\"])').attr('data-calc_default');\n\t\t\t\t\t\t\t\t\t\t\tcalc_field_wrapper.append('<input type=\"hidden\" name=\"' + field_id + '_calc_value\" value=\"' + calc_default_value + '\">');\n\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t\t\t\t});\n\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tif ( form.find('.divi-form-submit').hasClass('de_fb_ajax_submit') && paymentEnabled !== 'on' ) {\n\t\t\t\t\t\t\t\t$(this).addClass('submitting');\n\t\t\t\t\t\t\t\tde_fb_ajax_form_submit( form[0] );\n\t\t\t\t\t\t\t\te.preventDefault();\n\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tif( paymentEnabled == 'off' || (paymentEnabled == 'on' && 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