{"id":13027,"date":"2016-01-06T23:30:17","date_gmt":"2016-01-06T22:30:17","guid":{"rendered":"https:\/\/cursotenenciaresponsable.com\/?page_id=13027&#038;lang=en"},"modified":"2022-09-17T21:49:09","modified_gmt":"2022-09-17T20:49:09","slug":"application-form-for-admission-to-aepromo","status":"publish","type":"page","link":"https:\/\/cursotenenciaresponsable.com\/en\/application-form-for-admission-to-aepromo\/","title":{"rendered":"Application form to enter AEPROMO for physicians, dentists and veterinarians \u2013 Ordinary Members: With the right to speak and to vote"},"content":{"rendered":"<p><strong>Please take into account the following:<\/strong><\/p>\n<p><strong>(1) Fill in all the data in the following application form and click &#8220;Send&#8221;. After &#8220;sending&#8221; it pay the membership fee using the methods of payment that will appear once you have sent the request. AEPROMO will contact you once the Board of Directors has decided on your request.<\/strong><\/p>\n<p><strong>(2) The following data from the application form will be publicly used to be posted on the AEPROMO website, &#8220;find a professional&#8221; tab: Names and surnames, professional address, city, province, community (Spain), postal code, country, professional telephone, profession, specialty. By submitting the application form dully filled out you are accepting that the indicated above-mentioned data is public.<\/strong><\/p>\n<p><strong>(3) The other data will be for the exclusive use of AEPROMO.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>[fusion_builder_container hundred_percent=&#8221;yes&#8221; overflow=&#8221;visible&#8221;][fusion_builder_row][fusion_builder_column type=&#8221;1_1&#8243; background_position=&#8221;left top&#8221; background_color=&#8221;&#8221; border_size=&#8221;&#8221; border_color=&#8221;&#8221; border_style=&#8221;solid&#8221; spacing=&#8221;yes&#8221; background_image=&#8221;&#8221; background_repeat=&#8221;no-repeat&#8221; padding=&#8221;&#8221; margin_top=&#8221;0px&#8221; margin_bottom=&#8221;0px&#8221; class=&#8221;&#8221; id=&#8221;&#8221; animation_type=&#8221;&#8221; animation_speed=&#8221;0.3&#8243; animation_direction=&#8221;left&#8221; hide_on_mobile=&#8221;no&#8221; center_content=&#8221;no&#8221; min_height=&#8221;none&#8221;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f13029-o1\" lang=\"es-ES\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/13027#wpcf7-f13029-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"13029\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f13029-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Name (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Surname (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"apellidos\"><input type=\"text\" name=\"apellidos\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Professional address (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"direccion\"><input type=\"text\" name=\"direccion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>City (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"ciudad\"><input type=\"text\" name=\"ciudad\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Province (state, department) (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"provincia\"><input type=\"text\" name=\"provincia\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Community (mandatory only for persons in Spain)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"comunidad\"><input type=\"text\" name=\"comunidad\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Zip code (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"cp\"><input type=\"text\" name=\"cp\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Country (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"pais\"><input type=\"text\" name=\"pais\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Business Phone(s) (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"telefono\"><input type=\"text\" name=\"telefono\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Personal Phone(s) (not required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"telefonopers\"><input type=\"text\" name=\"telefonopers\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Email (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Profession (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"profesion\"><input type=\"text\" name=\"profesion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Speciality (If you have it) (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"especialidad\"><input type=\"text\" name=\"especialidad\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Twitter (if available)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"twitter\"><input type=\"text\" name=\"twitter\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Web (if available)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"web\"><input type=\"text\" name=\"web\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Birth Date (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"fecha_nac\"><input type=\"text\" name=\"fecha_nac\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>NID (National Identity Document or similar) (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"dni\"><input type=\"text\" name=\"dni\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>The number of your Professional Identity Card  (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"numcolegiado\"><input type=\"text\" name=\"numcolegiado\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Name of the entity that issued your professional card (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"nombrecolegio\"><input type=\"text\" name=\"nombrecolegio\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p><strong>Only if you have a bank account in any country of the European Union  <\/strong><\/p>\n<p>Order payment by direct debit:<\/p>\n<p>Company bank account<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"bankaccount\"><input type=\"text\" name=\"bankaccount\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"privacidad\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"privacidad\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I accept <a href=\"https:\/\/cursotenenciaresponsable.com\/politica-de-privacidad\/\" target=\"_blank\">Privacy Police<\/a> de AEPROMO (obligatorio)<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"comercial\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"comercial\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I accept <a href=\"https:\/\/cursotenenciaresponsable.com\/comunicaciones-comerciales-o-promocionales\/\" target=\"_blank\">the sending of commercial communications<\/a><\/p>\n<p>To avoid spam, please answer this security question<\/p>\n<p>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"quiz-600\"><label><span class=\"wpcf7-quiz-label\">What is the capital of Spain?<\/span> <input type=\"text\" name=\"quiz-600\" size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-600\" value=\"999fc1b668decc96d945c44cead953b8\" \/><\/span><\/p>\n<p><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"95\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/p>\n<p>Persons not resident in Spain must submit the following scanned documents by email to &#8221; <a href=\"mailto:info@cursotenenciaresponsable.com\">info@cursotenenciaresponsable.com<\/a> &#8221;<\/p>\n<ul>\n<li>NID (National Identity Document or similar)<\/li>\n<li>Medical College of Physicians or Professional Identity Card<\/li>\n<\/ul>\n<p>[\/fusion_builder_column][\/fusion_builder_row][\/fusion_builder_container]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please take into account the following: (1) Fill in all the data in the following application form and click &#8220;Send&#8221;. After &#8220;sending&#8221; it pay the membership fee using the methods of payment that will appear once you have sent the request. AEPROMO will contact you once the Board of Directors has decided on your request. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/pages\/13027"}],"collection":[{"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/comments?post=13027"}],"version-history":[{"count":5,"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/pages\/13027\/revisions"}],"predecessor-version":[{"id":26408,"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/pages\/13027\/revisions\/26408"}],"wp:attachment":[{"href":"https:\/\/cursotenenciaresponsable.com\/en\/wp-json\/wp\/v2\/media?parent=13027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}