{"id":563,"date":"2025-07-02T12:50:06","date_gmt":"2025-07-02T12:50:06","guid":{"rendered":"http:\/\/aeem.aau.edu.et\/?page_id=563"},"modified":"2025-07-02T12:50:06","modified_gmt":"2025-07-02T12:50:06","slug":"submission-form","status":"publish","type":"page","link":"http:\/\/aeem.aau.edu.et\/index.php\/submission-form\/","title":{"rendered":"Submission Form"},"content":{"rendered":"<div class=\"wrap pdb-signup pdb-instance-2\" >\n\n    <form method=\"post\" enctype=\"multipart\/form-data\"  autocomplete=\"off\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/563\" ><input name=\"action\" type=\"hidden\" value=\"signup\" \/>\n\n<input name=\"subsource\" type=\"hidden\" value=\"participants-database\" \/>\n\n<input name=\"shortcode_page\" type=\"hidden\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/563\" \/>\n\n<input name=\"thanks_page\" type=\"hidden\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/563\" \/>\n\n<input name=\"instance_index\" type=\"hidden\" value=\"2\" \/>\n\n<input name=\"pdb_data_keys\" type=\"hidden\" value=\"1.2.3.5.4.7.6.8.9.20.21.22.23\" \/>\n\n<input name=\"session_hash\" type=\"hidden\" value=\"35ff0aaf8b\" \/>\n\n    <table class=\"form-table pdb-signup\">\n\n      \n      <tbody class=\"field-group field-group-main\">\n        \n                \n        \n        <tr class=\"text-line first_name-input-group\">\n\n          <th for=\"pdb-first_name-2\">Full name<\/th>\n\n          <td>\n\n            <input name=\"first_name\" id=\"pdb-first_name-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line last_name-input-group\">\n\n          <th for=\"pdb-last_name-2\">Last Name<\/th>\n\n          <td>\n\n            <input name=\"last_name\" id=\"pdb-last_name-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown address-input-group\">\n\n          <th for=\"pdb-address-2\">Gender<\/th>\n\n          <td>\n\n            <select name=\"address\" id=\"pdb-address-2\" class=\"required-field\">\n<option value=\"\"><\/option>\n<option value=\"Female\">Female<\/option>\n<option value=\"Male\" selected=\"selected\">Male<\/option>\n<\/select>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"date state-input-group\">\n\n          <th for=\"pdb-state-2\">Date of Birth <\/th>\n\n          <td>\n\n            <input name=\"state\" id=\"pdb-state-2\" class=\"required-field regular-text date_field\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">mm-dd-yyyy<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line city-input-group\">\n\n          <th for=\"pdb-city-2\">Email<\/th>\n\n          <td>\n\n            <input name=\"city\" id=\"pdb-city-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line zip-input-group\">\n\n          <th for=\"pdb-zip-2\">Phone<\/th>\n\n          <td>\n\n            <input name=\"zip\" id=\"pdb-zip-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        <span class=\"helptext\">09********<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line country-input-group\">\n\n          <th for=\"pdb-country-2\">Undrgraduate CGPA<\/th>\n\n          <td>\n\n            <input name=\"country\" id=\"pdb-country-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line phone-input-group\">\n\n          <th for=\"pdb-phone-2\">BSc Studied University<\/th>\n\n          <td>\n\n            <input name=\"phone\" id=\"pdb-phone-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line email-input-group\">\n\n          <th for=\"pdb-email-2\">Graduation Year<\/th>\n\n          <td>\n\n            <input name=\"email\" id=\"pdb-email-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"text-line name_of_employer-input-group\">\n\n          <th for=\"pdb-name_of_employer-2\">Name of Employer<\/th>\n\n          <td>\n\n            <input name=\"name_of_employer\" id=\"pdb-name_of_employer-2\" class=\"required-field regular-text\" type=\"text\" value=\"\" \/>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"dropdown preferable_place_of_exam-input-group\">\n\n          <th for=\"pdb-preferable_place_of_exam-2\">preferable place of exam<\/th>\n\n          <td>\n\n            <select name=\"preferable_place_of_exam\" id=\"pdb-preferable_place_of_exam-2\" class=\"required-field\">\n<option value=\"\"><\/option>\n<option value=\"Addis Ababa\" selected=\"selected\">Addis Ababa<\/option>\n<option value=\"Bahirdar\">Bahirdar<\/option>\n<\/select>\n\n                        <span class=\"helptext\">Select Addis Ababa or Bahirdar<\/span>\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"file-upload submit_file-input-group\">\n\n          <th for=\"pdb-submit_file-2\">Submit file<\/th>\n\n          <td>\n\n            <div class=\"pdb-upload\">\n<input name=\"MAX_FILE_SIZE\" type=\"hidden\" value=\"104857600\" \/>\n\n<input name=\"submit_file\" type=\"hidden\" value=\"\" \/>\n\n<input name=\"submit_file\" id=\"pdb-submit_file-2\" class=\"required-field\" type=\"file\" value=\"\" \/>\n<\/div>\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n        \n        <tr class=\"captcha captcha-input-group\">\n\n          <th for=\"pdb-captcha-2\">captcha<\/th>\n\n          <td>\n\n            <input name=\"captcha[]\" type=\"hidden\" value=\"%7B%22type%22%3A%22math%22%2C%22nonce%22%3A%22u1x%7FUj%22%2C%22info%22%3A%7B%22a%22%3A9%2C%22o%22%3A%22%2B%22%2C%22b%22%3A4%7D%7D\" \/>\n\n<span class=\"math-captcha\">9 <span class=\"pdb-operator\">+<\/span> 4 <span class=\"pdb-operator\">=<\/span> ?<\/span><input name=\"captcha[]\" type=\"text\" value=\"\" \/>\n\n\n                        \n          <\/td>\n\n        <\/tr>\n  \n                \n        <\/tbody>\n\n            \n        <tbody class=\"field-group field-group-submit\">\n      \n        <tr>\n          <td class=\"submit-buttons\">\n            \n           <input name=\"submit_button\" class=\"button-primary pdb-submit\" type=\"submit\" value=\"Submit\" \/>\n            \n          <\/td>\n          <td class=\"submit-buttons\">\n            \n                      \n          <\/td>\n        <\/tr>\n        \n      <\/tbody>\n      \n    <\/table>\n    \n  <\/form>  \n<\/div>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><\/div>","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-563","page","type-page","status-publish"],"_links":{"self":[{"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/pages\/563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/comments?post=563"}],"version-history":[{"count":1,"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/pages\/563\/revisions"}],"predecessor-version":[{"id":564,"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/pages\/563\/revisions\/564"}],"wp:attachment":[{"href":"http:\/\/aeem.aau.edu.et\/index.php\/wp-json\/wp\/v2\/media?parent=563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}