{"id":14,"date":"2025-11-24T04:21:47","date_gmt":"2025-11-24T04:21:47","guid":{"rendered":"https:\/\/mjams.mojoomla.com\/?page_id=14"},"modified":"2025-11-24T04:21:47","modified_gmt":"2025-11-24T04:21:47","slug":"apartment-management-member-registration-page","status":"publish","type":"page","link":"https:\/\/mjams.mojoomla.com\/?page_id=14","title":{"rendered":"Apartment Management Member Registration Page"},"content":{"rendered":"\t\r\n\t\t<style>\r\n\r\n\t\t\t.amgt_registraion_form .form-group .form-control {\r\n\t\t\t\tfont-size: 16px;\r\n\t\t\t}\r\n\t\t\t\t\/\/ .amgt_registraion_form .form-group,.amgt_registraion_form .form-group .form-control{float:left;width:100%}\r\n\t\t\t\t.amgt_registraion_form .form-group .require-field{color:red;}\r\n\t\t\t\t.amgt_registraion_form select.form-control,.amgt_registraion_form input[type=\"file\"] {\r\n\t\t\t\tpadding: 0.5278em;\r\n\t\t\t\tmargin-bottom: -3px;\r\n\t\t\t\tborder: 0;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form .radio-inline {\r\n\t\t\t\tfloat: left;\r\n\t\t\t\t\/\/ margin-bottom: 10px;\r\n\t\t\t\t\/\/ margin-top: 10px;\r\n\t\t\t\tmargin-right: 15px;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form .form-control.checkbox-input {\r\n\t\t\t\tmargin-top: 15px;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form  .radio-inline .tog {\r\n\t\t\t\tmargin-right: 5px;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form .col-sm-2.control-label {\r\n\t\t\t\ttext-align: right;\r\n\t\t\t}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-2 {width: 32.667%;}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-8 {     width: 66.66666667%;}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-7{  width: 53.33333333%;}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-1{  width: 13.33333333%;}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-8, .amgt_registraion_form .form-group .col-sm-2,.amgt_registraion_form .form-group .col-sm-7,.amgt_registraion_form .form-group .col-sm-1{\r\n\t\t\t\tpadding-left: 15px;\r\n\t\t\t\tpadding-right: 15px;\r\n\t\t\t\tfloat:left;}\r\n\t\t\t\t.amgt_registraion_form .form-group .col-sm-8, .amgt_registraion_form .form-group .col-sm-2,.amgt_registraion_form .amgt_registraion_form .form-group .col-sm-7\r\n\t\t\t\t{\r\n\t\t\t\t\tposition: relative;\r\n\t\t\t\t\tmin-height: 1px;\r\n\t\t\t\t}\r\n\r\n\r\n\r\n\t\t\t\t.amgt_registraion_form .col-sm-offset-2.col-sm-8 {\r\n\t\t\t\tfloat: left;\r\n\t\t\t\tmargin-left: 35%;\r\n\t\t\t\tmargin-top: 15px;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form .form-control {\r\n\t\t\t\tline-height: 22px;\r\n\t\t\t}\r\n\t\t\t\t.student_reg_error .error{color:red;}\r\n\t\t\t.amgt_registraion_form .occupied_div\r\n\t\t\t{\r\n\t\t\t\tdisplay:none;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form .menu,.amgt_registraion_form .entry-title,.amgt_registraion_form .submit_btn\r\n\t\t\t{\r\n\t\t\t\tfont-size: 14px!important;\r\n\t\t\t}\r\n\t\t\t.amgt_registraion_form select\r\n\t\t\t{\r\n\t\t\t\theight: 48px;\r\n\t\t\t\tfont-size: 13px;\r\n\t\t\t\t\/\/ background: #F2F5FA!important;\r\n\t\t\t\tcolor: #818386;\r\n\t\t\t\tborder: 1px solid #ccc;\r\n\t\t\t}\r\n\t\t\t.width_auto\r\n\t\t\t{\r\n\t\t\t\twidth: auto !important;\r\n\t\t\t}\r\n\t\t\t.save_btn {\r\n\t\t\t\theight: 46px;\r\n\t\t\t\tbackground-color: #104B73 !important;\r\n\t\t\t\tcolor: #fff !important;\r\n\t\t\t\twidth: 100% !important;\r\n\t\t\t\tfont-weight: 500 !important;\r\n\t\t\t\tfont-size: 16px !important;\r\n\t\t\t\tline-height: 24px;\r\n\t\t\t\ttext-align: center;\r\n\t\t\t\tcolor: #FFFFFF;\r\n\t\t\t\ttext-transform: uppercase;\r\n\t\t\t\tborder: 0px solid #104B73 !important;\r\n\t\t\t}\r\n\t\t\t.width_48\r\n\t\t\t{\r\n\t\t\t\twidth: 48% !important;\r\n\t\t\t}\r\n\t\t\t.width_100px\r\n\t\t\t{\r\n\t\t\t\twidth:100px !important;\r\n\t\t\t}\r\n\r\n\t\t\t#member_form .control-label\r\n\t\t\t{\r\n\r\n\t\t\t\tfont-size: 14px!important;\r\n\t\t\t}\r\n\r\n\t\t\tinput[type=radio]:checked {\r\n\t\t\t\tborder: 1px solid !important;\r\n\t\t\t}\r\n\t\t\t\/* input[type=checkbox], input[type=radio] {\r\n\t\t\t\t-webkit-appearance: none;\r\n\t\t\t\t-moz-appearance: none;\r\n\t\t\t\tposition: relative;\r\n\t\t\t\twidth: 20px;\r\n\t\t\t\theight: 20px;\r\n\t\t\t\tborder: 1px solid;\r\n\t\t\t\tbackground: var(--global--color-white);\r\n\t\t\t} *\/\r\n\t\t\tinput[type=radio]:checked:after {\r\n\t\t\t\topacity: 1;\r\n\t\t\t}\r\n\t\t\t.width_100\r\n\t\t\t{\r\n\t\t\t\twidth:100%;\r\n\t\t\t}\r\n\t\t\t\/* input[type=radio]:after {\r\n\t\t\t\tcontent: \"\";\r\n\t\t\t\topacity: 0;\r\n\t\t\t\tdisplay: block;\r\n\t\t\t\tleft: 5px;\r\n\t\t\t\ttop: 5px;\r\n\t\t\t\tposition: absolute;\r\n\t\t\t\twidth: 8px;\r\n\t\t\t\theight: 8px;\r\n\t\t\t\tborder-radius: 50%;\r\n\t\t\t\tbackground: var(--form--color-text);\r\n\t\t\t} *\/\r\n\t\t<\/style><script id=\"amgt-popup-front\">\r\n\tvar amgt = {\r\n\t\t\"ajax\": \"https:\/\/mjams.mojoomla.com\/wp-admin\/admin-ajax.php\"\r\n\t};\r\n\tvar language_translate2 =\r\n\t{\r\n\t\t\"edit_record_alert\": \"Are you sure want to edit this record?\",\r\n\t\t\"category_alert\": \"You must fill out the field!\",\r\n\t\t\"class_limit_alert\": \"Class Limit Is Full.\",\r\n\t\t\"enter_room_alert\": \"Please Enter Room Category Name.\",\r\n\t\t\"enter_value_alert\": \"Please Enter Value.\",\r\n\t\t\"delete_record_alert\": \"Are you sure want to delete this record?\",\r\n\t\t\"select_hall_alert\": \"Please Select Exam Hall\",\r\n\t\t\"one_record_alert\": \"Please Checked Atleast One Student\"\r\n\t};\r\n<\/script>\r\n<!--- Validation Message Demo page registration end  --->\r\n\r\n<div class=\"amgt_registraion_form\">\r\n\r\n\t<script type=\"text\/javascript\">\r\n\t\tjQuery(document).ready(function ($) {\r\n\r\n\t\t\t\"use strict\";\r\n\t\t\t\t\t\t\t\tjQuery('#member_form ').validationEngine({ promptPosition: \" bottomLeft \", maxErrorsPerField: 1 });\r\n\t\t\t\t\t\t\r\n\t\t\t\tjQuery('#birth_date').datepicker({\r\n\t\t\t\t\tdateFormat: \"yy-mm-dd\",\r\n\t\t\t\t\tmaxDate: 0,\r\n\t\t\t\t\tchangeMonth: true,\r\n\t\t\t\t\tchangeYear: true,\r\n\t\t\t\t\tyearRange: '-120:+25',\r\n\t\t\t\t\tbeforeShow: function (textbox, instance) {\r\n\t\t\t\t\t\tinstance.dpDiv.css({\r\n\t\t\t\t\t\t\tmarginTop: (-textbox.offsetHeight) + 'px'\r\n\t\t\t\t\t\t});\r\n\t\t\t\t\t},\r\n\t\t\t\t\tonChangeMonthYear: function (year, month, inst) {\r\n\t\t\t\t\t\tjQuery(this).val(month + \"\/\" + year);\r\n\t\t\t\t\t}\r\n\t\t\t\t});\r\n\r\n\t\t\tjQuery('#occupied_date').datepicker({\r\n\t\t\t\t\/\/autoclose: true\r\n\t\t\t\tmaxDate: 0,\r\n\t\t\t\tchangeMonth: true,\r\n\t\t\t\tchangeYear: true\r\n\t\t\t});\r\n\t\t\tjQuery(\"body\").on(\"change\", \".file\", function () {\r\n\r\n\t\t\t\t\"use strict\";\r\n\t\t\t\tvar fileExtension = ['jpg', 'jpeg', 'png'];\r\n\t\t\t\t\/\/ var obj = jQuery(this).val();\r\n\t\t\t\tif (jQuery.inArray(jQuery(this).val().split('.').pop().toLowerCase(), fileExtension) == -1) {\r\n\t\t\t\t\talert(\"Only jpg,jpeg,png File allowed\");\r\n\t\t\t\t\tjQuery(this).val('');\r\n\t\t\t\t}\r\n\t\t\t});\r\n\t\t\t\/\/username not  allow space validation\r\n\t\t\tjQuery('#username').keypress(function (e) {\r\n\t\t\t\t\"use strict\";\r\n\t\t\t\tif (e.which === 32)\r\n\t\t\t\t\treturn false;\r\n\t\t\t});\r\n\r\n\t\t\tjQuery('#family_birth_date').datepicker({\r\n\t\t\t\tdateFormat: \"yy-mm-dd\",\r\n\t\t\t\tmaxDate: 0,\r\n\t\t\t\tchangeMonth: true,\r\n\t\t\t\tchangeYear: true,\r\n\t\t\t\tyearRange: '-120:+25',\r\n\t\t\t\tbeforeShow: function (textbox, instance) {\r\n\t\t\t\t\tinstance.dpDiv.css({\r\n\t\t\t\t\t\tmarginTop: (-textbox.offsetHeight) + 'px'\r\n\t\t\t\t\t});\r\n\t\t\t\t},\r\n\t\t\t\tonChangeMonthYear: function (year, month, inst) {\r\n\t\t\t\t\tjQuery(this).val(month + \"\/\" + year);\r\n\t\t\t\t}\r\n\t\t\t});\r\n            jQuery('.select_unit_name').multiselect(\r\n\t\t\t\t{\r\n\r\n\t\t\t\t\tincludeSelectAllOption: true,\r\n\t\t\t\t\tselectAllText: language_translate.select_all,\r\n\t\t\t\t\tallSelectedText: language_translate.all_selected,\r\n\t\t\t\t\ttemplates: {\r\n\t\t\t\t\t\tbutton: '<button class=\"multiselect btn btn-default dropdown-toggle\" type=\"button\" data-bs-toggle=\"dropdown\" aria-expanded=\"false\"><span class=\"multiselect-selected-text\"><\/span><b class=\"caret\"><\/b><\/button>',\r\n\t\t\t\t\t},\r\n\t\t\t\t\tbuttonContainer: '<div class=\"dropdown btn-group_multiselect\" \/>'\r\n\t\t\t\t});\r\n\r\n\r\n\t\t});\r\n\t\tfunction deleteformBodyElement(n) {\r\n\t\t\tif (confirm('Are you sure want to delete this record?')) {\r\n\t\t\t\tjQuery(n).closest('.form-body.user_form').remove();\r\n\t\t\t}\r\n\t\t}\r\n\t<\/script>\r\n\t\t<style>\r\n\t\t.dropdown-menu {\r\n\t\t\tmin-width: 265px !important;\r\n\t\t}\r\n\r\n\t\t.occupied_status_color {\r\n\t\t\tcolor: red;\r\n\t\t}\r\n\r\n\t\t.float_left {\r\n\t\t\tfloat: left !important;\r\n\t\t}\r\n\t<\/style>\r\n\r\n\t\r\n\t\t<input type=\"hidden\" name=\"action\" value=\"insert\">\r\n\t<input type=\"hidden\" name=\"role\" value=\"member\" \/>\r\n\t<div class=\"panel-body\">\r\n\t\t<form name=\"member_form\" action=\"\" method=\"post\" class=\"form-horizontal\" id=\"member_form\"\r\n\t\t\tenctype=\"multipart\/form-data\">\r\n\t\t\t\t\t\t<input id=\"action\" type=\"hidden\" name=\"action\" value=\"insert\">\r\n\t\t\t<input type=\"hidden\" name=\"user_id\" value=\"\" \/>\r\n\t\t\t<input type=\"hidden\" name=\"role\" value=\"member\" \/>\r\n\t\t\t\t\t\t<input type=\"hidden\" name=\"page_name\" class=\"page_name\" value=\"\">\r\n\t\t\t<div class=\" form-body user_form\"> <!-- user_form Strat-->\r\n\t\t\t\t\t<div class=\"row\"><!--Row Div Strat-->\r\n\t\t\t\t\t\t<div id=\"hello\"><\/div>\r\n\t\t\t\t\t\t<div class=\"header mb-3\">\r\n\t\t\t\t\t\t\t<h3 class=\"first_hed\">\r\n\t\t\t\t\t\t\t\tBuilding Information\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input\">\r\n\t\t\t\t\t\t<label class=\"ml-1 custom-top-label top\" for=\"role_type\">\r\n\t\t\t\t\t\t\tBuilding<span class=\"require-field\">*<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select class=\"form-select validate[required] building_category_0\" name=\"building_id[]\">\r\n\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\tSelect Building\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input\">\r\n\t\t\t\t\t\t<label class=\"ml-1 custom-top-label top\" for=\"role_type\">\r\n\t\t\t\t\t\t\tUnit Category<span class=\"require-field\">*<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select class=\"form-select validate[required] unit_category_for_member unit_category_for_member_0 unit_category\"\r\n\t\t\t\t\t\t\tname=\"unit_cat_id[]\" count=\"0\">\r\n\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\tSelect Unit Category\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t<option value=\"7\" >Office<\/option><option value=\"8\" >Residential<\/option>\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input\">\r\n\t\t\t\t\t\t\t<label class=\"ml-1 custom-top-label top\" for=\"role_type\">Unit<span class=\"require-field\">*<\/span><\/label>\r\n\t\t\t\t\t\t\t<select class=\"form-select validate[required] unit_name_0 select_unit_name unit_name\" multiple=\"multiple\"\r\n\t\t\t\t\t\t\t\tname=\"unit_name[0][]\">\r\n\t\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\t\tSelect Unit Name\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input\">\r\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"member_type\" value=\"Owner\">\r\n\r\n\t\t\t\t\t\t\t<select class=\"form-select validate[required] width_100\" name=\"member_type\" id=\"member_type\" disabled>\r\n\t\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\t\tSelect Member Type\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"Owner\"  selected='selected'>\r\n\t\t\t\t\t\t\t\t\tOwner\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t<option value=\"tenant\" >\r\n\t\t\t\t\t\t\t\t\tTenant\t\t\t\t\t\t\t\t<\/option>\r\n\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input occupied_div1\">\r\n\r\n\t\t\t\t\t\t\t<select class=\"form-select validate[required] allready_occupied_new width_100\"\r\n\t\t\t\t\t\t\t\tname=\"occupied_by\">\r\n\t\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\t\tSelect Occupied By\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"Owner\" >\r\n\t\t\t\t\t\t\t\t\tOwner\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t<option value=\"tenant\" >\r\n\t\t\t\t\t\t\t\t\tTenant\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"occupied_date\" class=\"form-control validate[required]\" autocomplete=\"off\"\r\n\t\t\t\t\t\t\t\t\t\ttype=\"text\" name=\"occupied_date\" value=\"2026-04-19\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tOccupied Date<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"header mb-3\">\r\n\t\t\t\t\t\t\t<h3 class=\"first_hed\">\r\n\t\t\t\t\t\t\t\tMember Information\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"first_name\"\r\n\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[required,custom[onlyLetter_specialcharacter]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" type=\"text\" value=\"\" name=\"first_name\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tFirst Name<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"middle_name\"\r\n\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[custom[onlyLetter_specialcharacter]]\" type=\"text\"\r\n\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" value=\"\" name=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tMiddle Name\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\" col-sm-6 col-md-6 col-lg-6 col-xl-6 avada_margin_bottom_15px\">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"last_name\"\r\n\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[required,custom[onlyLetter_specialcharacter]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" type=\"text\" value=\"\" name=\"last_name\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tLast Name<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"birth_date\" class=\"form-control validate[required]\" autocomplete=\"off\"\r\n\t\t\t\t\t\t\t\t\t\ttype=\"text\" name=\"birth_date\" value=\"2026-04-19\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"birthdate_label\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tDate of Birth<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div\r\n\t\t\t\t\t\t\tclass=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 res_margin_bottom_20px rtl_margin_top_15px radio_btn_margin_set\">\r\n\t\t\t\t\t\t\t<div class=\"form-group\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"row padding_radio\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"input-group\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"custom-top-label\" for=\"gender\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tGender<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"d-inline-block gender_line_height_24px\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"radio-inline custom_radio\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"radio\" value=\"male\" class=\"tog\" name=\"gender\"  checked='checked' style=\"margin-bottom: -4px;\" \/>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tMale\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"radio-inline custom_radio\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"radio\" value=\"female\" class=\"tog\" name=\"gender\"  style=\"margin-bottom: -4px;\" \/>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tFemale\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"email\"\r\n\t\t\t\t\t\t\t\t\t\tclass=\"amgt_email_id_validation form-control validate[required,custom[email]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" type=\"text\" name=\"email\" value=\"\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tEmail<span class=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"email_validation_div\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"formError\"\r\n\t\t\t\t\t\t\t\t\t\tstyle=\"opacity: 0.87; position: absolute; top: 33px; left: 482.5px; margin-top: 0px; display: block;\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"formErrorArrow formErrorArrowBottom\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line1\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line2\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line3\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line4\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line5\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line6\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line7\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line8\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line9\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"line10\"><!-- --><\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"formErrorContent\">\r\n\t\t\t\t\t\t\t\t\t\t\tEmail id Already Exist.<br>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 avada_margin_bottom_15px\">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"password\" class=\"form-control validate[required] password\" type=\"password\" minlength=\"8\" maxlength=\"12\" name=\"password\"\r\n\t\t\t\t\t\t\t\t\t\tvalue=\"\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tPassword<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\"require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"col-md-6\">\r\n\t\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-4 child_theme_padding_left_0\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group input margin_bottom_0\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" readonly\r\n\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"+\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control\" name=\"phonecode\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"phonecode\" class=\"pl-2 popup_countery_code_css\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tCode<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"required red\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-8 child_theme_padding_right_0\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group input margin_bottom_0\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<input id=\"mobile\" style=\"height:34px;\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[required,custom[phone]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\t\t\ttype=\"number\" min=\"0\" onKeyPress=\"if(this.value.length==15) return false;\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tname=\"mobile\" value=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"mobile\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tMobile Number<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\">*<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\r\n\r\n\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 avada_margin_bottom_15px\">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t<input id=\"address\" class=\"form-control\" type=\"text\" maxlength=\"150\" name=\"address\"\r\n\t\t\t\t\t\t\t\t\t\tvalue=\"\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<div class=\" col-sm-6 col-md-6 col-lg-6 col-xl-6\">\r\n\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control upload-profile-image-patient\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"ustom-control-label custom-top-label ml-2\" for=\"photo\">\r\n\t\t\t\t\t\t\t\t\t\tImage\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\r\n\t\t\t\t\t\t\t\t\t\t<input type=\"file\" class=\"form-control file height_45\" name=\"amgt_user_avatar\">\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<div class=\"row mb-1\"  style=\"padding :0px;\">\r\n\t\t\t\t\t\t\t<div class=\"header col-5 col-md-4\">\r\n\t\t\t\t\t\t\t\t<h3 class=\"first_hed\">\r\n\t\t\t\t\t\t\t\t\tFamily Information\t\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<div class=\"col-1 col-md-2 symptoms_deopdown_div mb-3 rtl_margin_top_15px\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/mjams.mojoomla.com\/wp-content\/plugins\/mjams\/assets\/images\/listpage_icon\/mjams_Add_new_Button.png\" id=\"add_new_family_member\" name=\"add_new_entry\" alt=\"\" class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div class=\"form-body user_form\"  style=\"padding :0px;\">\r\n\t\t\t\t\t\t\t<div class=\"row\"><!--Row Div Strat-->\r\n\t\t\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<input id=\"first_name\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[custom[onlyLetter_specialcharacter]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" type=\"text\" value=\"\" name=\"family_first_name[]\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tFirst Name<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<input id=\"last_name\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[custom[onlyLetter_specialcharacter]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tmaxlength=\"50\" type=\"text\" value=\"\" name=\"family_last_name[]\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tLast Name<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 \">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group input\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<input id=\"family_birth_date\" class=\"form-control label_overlp\"\r\n\t\t\t\t\t\t\t\t\t\t\t\tautocomplete=\"off\" type=\"text\" name=\"family_birth_date[]\" value=\"\" readonly>\r\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"birthdate_label active\" id=\"my_label_add\" for=\"middle_name\">\r\n\t\t\t\t\t\t\t\t\t\t\t\tDate of Birth<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"col-sm-6 col-md-6 col-lg-6 col-xl-6 res_margin_bottom_20px rtl_margin_top_15px\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"form-group\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"row padding_radio\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"input-group\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"custom-top-label\" for=\"gender\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tGender<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"d-inline-block gender_line_height_24px\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"radio-inline custom_radio admin_radio\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"radio\" value=\"male\" class=\"tog\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"family_gender_0\"  checked='checked' \/>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tMale\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"radio-inline custom_radio admin_radio\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"radio\" value=\"female\" class=\"tog\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"family_gender_0\"  \/>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tFemale\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t\t<div class=\"col-md-6\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-4\" style=\"padding :0px;\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-group input margin_bottom_0\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" readonly\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"+\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control\" name=\"phonecode\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"family_phonecode\" class=\"pl-2\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tpopup_countery_code_css\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tCode<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"required red\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-8 child_theme_padding_right_0\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-group input margin_bottom_0\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-md-12 form-control\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input id=\"family_mobile\" style=\"height:34px;\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"form-control validate[custom[phone]] text-input\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\ttype=\"number\" min=\"0\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tonKeyPress=\"if(this.value.length==15) return false;\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"family_mobile[]\" value=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<label class=\"\" for=\"family_mobile\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tMobile Number<span\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\" require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"col-sm-12 col-md-6 col-lg-6 col-xl-6 input\">\r\n\t\t\t\t\t\t\t\t\t<label class=\"ml-1 custom-top-label top\" for=\"role_type\">\r\n\t\t\t\t\t\t\t\t\t\tFamily Type<span\r\n\t\t\t\t\t\t\t\t\t\t\tclass=\"require-field\"><\/span>\r\n\t\t\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t<select class=\"form-select\" name=\"family_type[]\" id=\"family_type\">\r\n\t\t\t\t\t\t\t\t\t\t<option value=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\tSelect Family Type\t\t\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"owner_family\" >\r\n\t\t\t\t\t\t\t\t\t\t\tOwner Family\t\t\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t<option value=\"tenant_family\" >\r\n\t\t\t\t\t\t\t\t\t\t\tTenant Family\t\t\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t\t<option value=\"care_taker\" >\r\n\t\t\t\t\t\t\t\t\t\t\tCare Taker\t\t\t\t\t\t\t\t\t\t<\/option>\r\n\t\t\t\t\t\t\t\t\t<\/select>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"family_member_entry\"><\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"7703267e6b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F14\" \/>\t\t\t\t<div class=\"form-body user_form\"> <!-- user_form Strat-->\r\n\t\t\t\t\t<div class=\"row\"><!--Row Div Strat-->\r\n\t\t\t\t\t\t<div class=\"col-lg-6 col-md-6 col-sm-6 col-xs-12 float_left\">\r\n\t\t\t\t\t\t\t<input type=\"submit\" value=\"Member Registration\"\r\n\t\t\t\t\t\t\t\tname=\"registration_front_member\" class=\"save_btn btn btn-success\" \/>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/form>\r\n\t\t<\/div>\r\n\t\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-14","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=\/wp\/v2\/pages\/14","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14"}],"version-history":[{"count":0,"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=\/wp\/v2\/pages\/14\/revisions"}],"wp:attachment":[{"href":"https:\/\/mjams.mojoomla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}