{"id":15806,"date":"2019-04-24T12:08:35","date_gmt":"2019-04-24T12:08:35","guid":{"rendered":"https:\/\/rac.cw\/radio-exams\/form\/"},"modified":"2021-12-14T05:15:00","modified_gmt":"2021-12-14T05:15:00","slug":"form","status":"publish","type":"page","link":"https:\/\/rac.cw\/nl\/registrations\/radio-examens\/form\/","title":{"rendered":"Inschrijfformulier Radio-examens"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_14' style='display:none'><div id='gf_14' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_14' id='gform_14'  action='\/nl\/wp-json\/wp\/v2\/pages\/15806#gf_14' data-formid='14' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_14_50\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_14_50' class='gfield_label gform-field-label' for='input_14_50'><span class='gform-field-label__text'>Name<\/span><\/label><div class='ginput_container'><input name='input_50' id='input_14_50' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_14_50'>Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.<\/div><\/li><li id=\"field_14_45\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a9028cd2\" data-field-span=\"12\"><div class=\"heading-2-section-title\">Inschrijfformulier Radio-examens<\/div><\/li><li id=\"field_14_2\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_left_half bold_label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"72a94469\" data-field-span=\"12\"><label id='gfield_label_14_2' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Inschrijving voor radio-examen*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_2'><li class='gchoice gchoice_14_2_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.1' type='checkbox'  value='VHF marifonie certificaat'  id='choice_14_2_1'    aria-labelledby=\"label_14_2_1 gfield_label_14_2\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_2_1' id='label_14_2_1' class='gform-field-label gform-field-label--type-inline'>VHF marifonie certificaat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_2_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.2' type='checkbox'  value='Beperkt certificaat Maritieme Radiocommunicatie - Marcom-B (ROC)'  id='choice_14_2_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_2_2' id='label_14_2_2' class='gform-field-label gform-field-label--type-inline'>Beperkt certificaat Maritieme Radiocommunicatie - Marcom-B (ROC)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_2_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.3' type='checkbox'  value='Algemeen certificaat Maritieme Radiocommunicatie - Marcom-A (GOC)'  id='choice_14_2_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_2_3' id='label_14_2_3' class='gform-field-label gform-field-label--type-inline'>Algemeen certificaat Maritieme Radiocommunicatie - Marcom-A (GOC)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_2_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.4' type='checkbox'  value='Amateurradiozendexamens voor de machtigingen C'  id='choice_14_2_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_2_4' id='label_14_2_4' class='gform-field-label gform-field-label--type-inline'>Amateurradiozendexamens voor de machtigingen C<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_2_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.5' type='checkbox'  value='Amateurradiozendexamens voor de machtigingen N'  id='choice_14_2_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_2_5' id='label_14_2_5' class='gform-field-label gform-field-label--type-inline'>Amateurradiozendexamens voor de machtigingen N<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_3\" class=\"gfield gfield--type-radio gfield--type-choice gf_left_half bold_label field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"1249e82a\" data-field-span=\"12\"><label id='gfield_label_14_3' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>VHF examentaal<\/span><\/label><div class='gfield_description' id='gfield_description_14_3'>((alleen invullen bij inschrijving voor het VHF examen))<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_3'>\n\t\t\t<li class='gchoice gchoice_14_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Nederlands'  id='choice_14_3_0'    \/>\n\t\t\t\t<label for='choice_14_3_0' id='label_14_3_0' class='gform-field-label gform-field-label--type-inline'>Nederlands<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='Engels'  id='choice_14_3_1'    \/>\n\t\t\t\t<label for='choice_14_3_1' id='label_14_3_1' class='gform-field-label gform-field-label--type-inline'>Engels<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='Papiaments' checked='checked' id='choice_14_3_2'    \/>\n\t\t\t\t<label for='choice_14_3_2' id='label_14_3_2' class='gform-field-label gform-field-label--type-inline'>Papiaments<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_4\" class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"61f3adb3\" data-field-span=\"12\"><label id='gfield_label_14_4' class='gfield_label gform-field-label' for='input_14_4'><span class='gform-field-label__text'>Examen eiland*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_14_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >---<\/option><option value='Selecteer' >Selecteer<\/option><option value='Curacao' >Curacao<\/option><option value='Bonaire' >Bonaire<\/option><option value='Sint Eustatius' >Sint Eustatius<\/option><option value='Saba' >Saba<\/option><\/select><\/div><\/li><li id=\"field_14_44\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6b4124cf\" data-field-span=\"12\"><h3>Persoonsgegevens<\/h3><\/li><li id=\"field_14_6\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"f2f46183\" data-field-span=\"12\"><label id='gfield_label_14_6' class='gfield_label gform-field-label' for='input_14_6'><span class='gform-field-label__text'>Voornaam*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_14_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_36\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"72ccaa3d\" data-field-span=\"12\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_14_7\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cc26ebe2\" data-field-span=\"12\"><label id='gfield_label_14_7' class='gfield_label gform-field-label' for='input_14_7'><span class='gform-field-label__text'>Achternaam*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_14_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_8\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"bb41d7d8\" data-field-span=\"12\"><label id='gfield_label_14_8' class='gfield_label gform-field-label' for='input_14_8'><span class='gform-field-label__text'>Adres*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_14_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_10\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"71e90fc5\" data-field-span=\"12\"><label id='gfield_label_14_10' class='gfield_label gform-field-label' for='input_14_10'><span class='gform-field-label__text'>Land*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_14_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_12\" class=\"gfield gfield--type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"19141be2\" data-field-span=\"12\"><label id='gfield_label_14_12' class='gfield_label gform-field-label' for='input_14_12'><span class='gform-field-label__text'>E-mail*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_14_12' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_13\" class=\"gfield gfield--type-phone gfield--phone-format-international gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"052e3f18\" data-field-span=\"12\"><label id='gfield_label_14_13' class='gfield_label gform-field-label' for='input_14_13'><span class='gform-field-label__text'>Telefoon*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_14_13' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_14_17\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e5da828f\" data-field-span=\"12\"><label id='gfield_label_14_17' class='gfield_label gform-field-label' for='input_14_17'><span class='gform-field-label__text'>Geboortedatum*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_14_17'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_17'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_14_17' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_14_17' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_14_17' aria-label='Geboortedatum*: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_14_18\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c2be6769\" data-field-span=\"12\"><label id='gfield_label_14_18' class='gfield_label gform-field-label' for='input_14_18'><span class='gform-field-label__text'>Geboortestad*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_14_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_19\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8c15dec8\" data-field-span=\"12\"><label id='gfield_label_14_19' class='gfield_label gform-field-label' for='input_14_19'><span class='gform-field-label__text'>Geboorteland*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_14_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_20\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"03b64ec0\" data-field-span=\"12\"><label id='gfield_label_14_20' class='gfield_label gform-field-label' for='input_14_20'><span class='gform-field-label__text'>Identificatienummer<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_14_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_21\" class=\"gfield gfield--type-select gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6b56e9a1\" data-field-span=\"12\"><label id='gfield_label_14_21' class='gfield_label gform-field-label' for='input_14_21'><span class='gform-field-label__text'>Soort identificatie<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_14_21' class='large gfield_select'     aria-invalid=\"false\" ><option value='Selecteer' >Selecteer<\/option><option value='Sedula' >Sedula<\/option><option value='Paspoort' >Paspoort<\/option><option value='Rijbewijs' >Rijbewijs<\/option><option value='Ander' >Ander<\/option><\/select><\/div><\/li><li id=\"field_14_42\" class=\"gfield gfield--type-radio gfield--type-choice gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5b008996\" data-field-span=\"12\"><label id='gfield_label_14_42' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Heb je een boot?*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_42'>\n\t\t\t<li class='gchoice gchoice_14_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='Ja'  id='choice_14_42_0'    \/>\n\t\t\t\t<label for='choice_14_42_0' id='label_14_42_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='Nee'  id='choice_14_42_1'    \/>\n\t\t\t\t<label for='choice_14_42_1' id='label_14_42_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_43\" class=\"gfield gfield--type-radio gfield--type-choice gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"14cd99ac\" data-field-span=\"12\"><label id='gfield_label_14_43' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Heeft de boot een PJ-nummer?*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_43'>\n\t\t\t<li class='gchoice gchoice_14_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='Ja'  id='choice_14_43_0'    \/>\n\t\t\t\t<label for='choice_14_43_0' id='label_14_43_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='Nee'  id='choice_14_43_1'    \/>\n\t\t\t\t<label for='choice_14_43_1' id='label_14_43_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd528bac\" data-field-span=\"12\"><h2 class=\"gsection_title\"><\/h2><\/li><li 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