{"id":153,"date":"2026-07-21T17:50:28","date_gmt":"2026-07-21T17:50:28","guid":{"rendered":"https:\/\/aheadfoundation.org.in\/?page_id=153"},"modified":"2026-07-23T06:25:05","modified_gmt":"2026-07-23T06:25:05","slug":"register","status":"publish","type":"page","link":"https:\/\/aheadfoundation.org.in\/?page_id=153","title":{"rendered":"Register"},"content":{"rendered":"\n<div class=\"um um-register um-147\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_147_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-147\">Username<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_login-147\" id=\"user_login-147\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-147\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-147\" id=\"first_name-147\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-147\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-147\" id=\"last_name-147\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-147\">E-mail Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-147\" id=\"user_email-147\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-147\">Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-147\" id=\"user_password-147\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-147\">Confirm Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-147\" id=\"confirm_user_password-147\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_147_college_name\" class=\"um-field um-field-text  um-field-college_name um-field-text um-field-type_text\" data-key=\"college_name\"><div class=\"um-field-label\"><label for=\"college_name-147\">College Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"college_name-147\" id=\"college_name-147\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"college_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_college_address\" class=\"um-field um-field-textarea  um-field-college_address um-field-textarea um-field-type_textarea\" data-key=\"college_address\"><div class=\"um-field-label\"><label for=\"college_address-147\">College Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid \" name=\"college_address\" id=\"college_address\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><div  id=\"um_field_147_type_institution\" class=\"um-field um-field-checkbox  um-field-type_institution um-field-checkbox um-field-type_checkbox\" data-key=\"type_institution\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"type_institution-147\">Type of Institution<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"type_institution[]\" value=\"Nursing College\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Nursing College<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"type_institution[]\" value=\"Paramedical College\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Paramedical College<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"type_institution[]\" value=\"Nursing &amp; Paramedical College\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Nursing &amp; Paramedical College<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"type_institution[]\" value=\"Allied Health Institution\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Allied Health Institution<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_147_year_esta\" class=\"um-field um-field-textarea  um-field-year_esta um-field-textarea um-field-type_textarea\" data-key=\"year_esta\"><div class=\"um-field-label\"><label for=\"year_esta-147\">Year of Establishment<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid not-required \" name=\"year_esta\" id=\"year_esta\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><div  id=\"um_field_147_ownership\" class=\"um-field um-field-checkbox  um-field-ownership um-field-checkbox um-field-type_checkbox\" data-key=\"ownership\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"ownership-147\">Ownership<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"ownership[]\" value=\"Society\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Society<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"ownership[]\" value=\"Trust\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Trust<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"ownership[]\" value=\"Section 8 Company\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Section 8 Company<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"ownership[]\" value=\"Other\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Other<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_147_secretary_chairman\" class=\"um-field um-field-textarea  um-field-secretary_chairman um-field-textarea um-field-type_textarea\" data-key=\"secretary_chairman\"><div class=\"um-field-label\"><label for=\"secretary_chairman-147\">Secretary\/Chairman Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid \" name=\"secretary_chairman\" id=\"secretary_chairman\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><div  id=\"um_field_147_phone_no\" class=\"um-field um-field-text  um-field-phone_no um-field-text um-field-type_text\" data-key=\"phone_no\"><div class=\"um-field-label\"><label for=\"phone_no-147\">Phone No.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"phone_no-147\" id=\"phone_no-147\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"phone_no\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_147_approved_courses\" class=\"um-field um-field-select  um-field-approved_courses um-field-select um-field-type_select\" data-key=\"approved_courses\"><div class=\"um-field-label\"><label for=\"approved_courses-147\">Approved Courses<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"approved_courses\" id=\"approved_courses\" data-validate=\"\" data-key=\"approved_courses\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"ANM\" >ANM<\/option><option value=\"GNM\" >GNM<\/option><option value=\"B.Sc. Nursing\" >B.Sc. Nursing<\/option><option value=\"Post Basic B.Sc. Nursing\" >Post Basic B.Sc. Nursing<\/option><option value=\"M.Sc. Nursing\" >M.Sc. Nursing<\/option><option value=\"DMLT\" >DMLT<\/option><option value=\"Operation Theatre Technology\" >Operation Theatre Technology<\/option><option value=\"Radiology &amp; Imaging Technology\" >Radiology &amp; Imaging Technology<\/option><option value=\"Physiotherapy\" >Physiotherapy<\/option><option value=\"Dialysis Technology\" >Dialysis Technology<\/option><option value=\"Other\" >Other<\/option><\/select><\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_147\" value=\"147\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_147\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_147\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"c6d2c8e22a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F153\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/aheadfoundation.org.in\/?page_id=152\" class=\"um-button um-alt\">\n\t\t\t\t\tLogin\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-147.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-fullwide.php","meta":{"_angie_page":false,"footnotes":""},"class_list":["post-153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/pages\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=153"}],"version-history":[{"count":2,"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/pages\/153\/revisions"}],"predecessor-version":[{"id":326,"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=\/wp\/v2\/pages\/153\/revisions\/326"}],"wp:attachment":[{"href":"https:\/\/aheadfoundation.org.in\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}