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<p style="text-align: center;"><div style="display:none" class="fm-form-container fm-theme8"><div id="fm-pages9" class="fm-pages wdform_page_navigation " show_title="" show_numbers="1" type="none"></div><form name="form9" action="/co-op/wp-json/wp/v2/pages/2290" method="post" id="form9" class="fm-form form9  " enctype="multipart/form-data"><input type="hidden" id="counter9" value="24" name="counter9" /><input type="hidden" id="Itemid9" value="" name="Itemid9" /><input type="hidden" id="fm_shake9" value="1" name="fm_shake9" /><input type="text" class="fm-hide" id="fm_empty_field_validation9" value="" name="fm_empty_field_validation9" data-value="bd736efb144d599cf463541431fbf5c4" /><div class="fm-header-bg"><div class="fm-header image_left_right"><div class="fm-header-text">          <div class="fm-header-title">            Prijava na tečajeve Zdravstvenog veleučilišta          </div>          <div class="fm-header-description">            <p style="text-align: center;"><span style="font-family: 'Times New Roman', Times, serif;"> </span></p><span style="font-family: 'Times New Roman', Times, serif;"><strong>Grupa za radionicu ograničena je na 20 sudionika.</strong></span><span style="font-family: 'Times New Roman', Times, serif;"> </span><ul> 	<li style="font-family: 'Times New Roman', Times, serif;">Polaznici radionice dobivaju potvrdu o sudjelovanju na kraju zadnjeg dana i posjeduju uvjete prijaviti se za polaganje CO-OP certifikacije.</li></ul>&nbsp;          </div>        </div></div></div><div class="wdform-page-and-images fm-form-builder"><div id="9form_view1" class="wdform_page" page_title="Untitled page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="false" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="false"><div class="wdform_section fm-col-1"><div class="wdform_column"><div wdid="2" class="wdform_row"><div type="type_text" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text" ><div class="wdform-label-section wd-width-100  wd-flex-row wd-align-items-center">    <label  for="wdform_2_element9" class="wdform-label">Ime</label><span class="wdform-required">*</span></div><div class="wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100" ><input type="text"                           class="wd-width-100"                           id="wdform_2_element9"                           name="wdform_2_element9"                           value=""                           title=""                           placeholder=""                                                       /></div></div></div></div><div class="wdform_column"><div wdid="17" class="wdform_row" style="position: relative; left: 0px; top: 0px;"><div type="type_text" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text" ><div class="wdform-label-section wd-width-100  wd-flex-row wd-align-items-center">    <label  for="wdform_17_element9" class="wdform-label">Prezime</label><span class="wdform-required">*</span></div><div class="wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100" ><input type="text"                           class="wd-width-100"                           id="wdform_17_element9"                           name="wdform_17_element9"                           value=""                           title=""                           placeholder=""                                                       /></div></div></div></div><div class="wdform_column"><div wdid="16" class="wdform_row" style="position: relative; left: 0px; top: 0px;"><div type="type_text" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text" ><div class="wdform-label-section wd-width-100  wd-flex-row wd-align-items-center">    <label  for="wdform_16_element9" class="wdform-label">OIB</label><span class="wdform-required">*</span></div><div class="wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100" ><input type="text"                           class="wd-width-100"                           id="wdform_16_element9"                           name="wdform_16_element9"                           value=""                           title=""                           placeholder=""                                                       /></div></div></div></div><div class="wdform_column"><div wdid="4" class="wdform_row"><div type="type_submitter_mail" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail" ><div class="wdform-label-section wd-width-100  wd-flex-row">    <label  for="wdform_4_element9" class="wdform-label">Email</label><span class="wdform-required">*</span></div><div class="wdform-element-section wd-flex  wd-flex-row wd-width-100" ><input type="text" class="wd-width-100" id="wdform_4_element9" name="wdform_4_element9" value="" title="" placeholder=""   onchange="wd_check_email('4', '9', 'To nije valjana adresa e-pošte.')" /></div></div></div></div><div class="wdform_column"><div wdid="5" class="wdform_row" style="position: relative; left: 0px; top: 0px;"><div type="type_text" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text" ><div class="wdform-label-section wd-width-100  wd-flex-row wd-align-items-center">    <label  for="wdform_5_element9" class="wdform-label">GSM</label></div><div class="wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100" ><input type="text"                           class="wd-width-100"                           id="wdform_5_element9"                           name="wdform_5_element9"                           value=""                           title=""                           placeholder=""                                                       /></div></div></div></div><div class="wdform_column"><div wdid="21" class="wdform_row"><div type="type_radio" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio" ><div class="wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column">    <label  class="wdform-label">Sudionik:</label><span class="wdform-required">*</span></div><div class="wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100" ><div class="wd-flex wd-flex-column"><input type="hidden" name="wdform_21_element9" value="" /><div class="radio-div wd-choice wd-flex wd-flex-row"><input type="radio"  id="wdform_21_element90" name="wdform_21_element9" value="Radni terapeut s dopusnicom za rad HKZR" onclick="set_default(&quot;wdform_21&quot;,&quot;0&quot;,&quot;9&quot;); "   /><label class="wd-align-items-center wd-flex wd-flex-row" for="wdform_21_element90"><span></span>Radni terapeut s dopusnicom za rad HKZR</label></div><div class="radio-div wd-choice wd-flex wd-flex-row"><input type="radio"  id="wdform_21_element91" name="wdform_21_element9" value="Praktičari (fizioterapeuti, rehabilitatori, psiholozi...)" onclick="set_default(&quot;wdform_21&quot;,&quot;1&quot;,&quot;9&quot;); "   /><label class="wd-align-items-center wd-flex wd-flex-row" for="wdform_21_element91"><span></span>Praktičari (fizioterapeuti, rehabilitatori, psiholozi...)</label></div><div class="radio-div wd-choice wd-flex wd-flex-row"><input type="radio"  id="wdform_21_element92" name="wdform_21_element9" value="Student" onclick="set_default(&quot;wdform_21&quot;,&quot;2&quot;,&quot;9&quot;); "   /><label class="wd-align-items-center wd-flex wd-flex-row" for="wdform_21_element92"><span></span>Student</label></div></div></div></div></div></div><div class="wdform_column"><div wdid="23" class="wdform_row" style="position: relative; left: 0px; top: 0px;"><div type="type_editor" class="wdform-field"><p><br data-mce-bogus="1"></p><p style="text-align: center;" data-mce-style="text-align: center;">Zdravstveno veleučilište zadržava pravo da otkaže i/ili odgodi tečaj (uz osigurani povrat uplaćenih sredstava) ukoliko se ne prijavi dovoljan broj sudionika.</p><p><br data-mce-bogus="1"></p></div></div></div><div class="wdform_column"><div wdid="1" class="wdform_row"><div type="type_gdpr_compliance_checkbox" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_gdpr_compliance_checkbox" ><div class="wdform-element-section wd-flex  wd-flex-row wd-justify-content-right wd-width-100" ><label for="fm_privacy_policy9" class="wdform-label">                                       <input id="fm_privacy_policy9" name="fm_privacy_policy9" class="wd-flex-row fm-gdpr-checkbox" onclick="fm_privacy_policy_check(this)" type="checkbox" value="1">Suglasan sam da Zdravstveno veleučilište obrađuje i koristi moje osobne podatke dane putem ovog formulara u svrhu prijave na Tečaj. Temeljem zakona o zaštiti osobnih podataka, stranka može u svakom trenutku tražiti ispravak ili brisanje podataka iz baze pismenim putem na: Zdravstveno veleučilište, Mlinarska cesta 38, 10000 Zagreb, P.P. 901.</label></div></div><div type="type_submit_reset" class="wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset" ><div class="wdform-element-section wd-flex  wd-flex-row wd-justify-content-right wd-width-100" ><button disabled="disabled" type="button" class="button-submit" onclick="fm_submit_form('9');"  data-ajax="0"><span class="fm-submit-loading spinner fm-ico-spinner"></span>POŠALJI</button><button  type="button" class="button-reset wd-hidden" onclick="fm_reset_form(9);" >Reset</button></div></div></div></div></div><div valign="top" class="wdform_footer wd-width-100"><div class="wd-width-100"><div class="wd-width-100 wd-table" style="padding-top:10px;"><div class="wd-table-group"><div id="9page_nav1" class="wd-table-row"></div></div></div></div></div></div></div><div class="wdform_preload"></div></form></div></p>
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