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ravilov |
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{if ($done)} |
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<p class="ptext">Va¹i podaci su primljeni na obradu. Uskoro bi vam trebala stiæi e-mail poruka sa korisnièkim detaljima. Kad stigne, kliknite <a href="?section=login&username={$username}">ovdje</a> i upi¹ite podatke iz e-mail poruke u odgovarajuæa polja. Hvala na povjerenju. </p> |
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<p align=right class="small">PLIVAmed.net </p> |
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{else} |
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{literal} |
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<script type="text/javascript" language="JavaScript"> |
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<!-- // begin |
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var form = null; |
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function NadjiSve(form) { |
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if (!form) return null; |
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var cnt = 0; |
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// "SVA PODRUÈJA" mora biti treæi checkbox na formi. |
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for (var i = 0; i < form.elements.length; i++) { |
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if (form.elements[i].type == 'checkbox') cnt += 1; |
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if (cnt == 3) return form.elements[i]; |
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} |
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return null; |
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} |
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function CheckSve(obj) { |
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if (!form) form = self.document.forms[1]; |
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if (!form) return; |
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if (!obj) return; |
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var sve = NadjiSve(form); |
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if (!sve) return; |
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if (obj.checked) sve.checked = false; |
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else { |
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var nesto = false; |
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var cnt = 0; |
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for (var i = 0; i < form.elements.length; i++) { |
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if (form.elements[i].type != 'checkbox') continue; |
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cnt += 1; |
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if (cnt < 4) continue; |
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if (form.elements[i].checked) nesto = true; |
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} |
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if (!nesto) sve.checked = true; |
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} |
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} |
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function CheckOstalo(obj) { |
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if (!form) form = self.document.forms[1]; |
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if (!form) return; |
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if (obj.checked) { |
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var cnt = 0; |
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for (var i = 0; i < form.elements.length; i++) { |
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if (form.elements[i].type != 'checkbox') continue; |
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cnt += 1; |
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if (cnt < 4) continue; |
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form.elements[i].checked = false; |
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} |
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} else { |
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var nesto = false; |
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var cnt = 0; |
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for (var i = 0; i < form.elements.length; i++) { |
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if (form.elements[i].type != 'checkbox') continue; |
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cnt += 1; |
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if (cnt < 4) continue; |
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if (form.elements[i].checked) nesto = true; |
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} |
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if (!nesto) obj.checked = true; |
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} |
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} |
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// end --> |
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</script> |
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{/literal} |
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<p class="ptext">PLIVAmed je specijalizirani medicinski web portal namijenjen zdravstvenim djelatnicima kao ¹to su lijeènici, stomatolozi i farmaceuti, zatim studentima biomedicinskih fakulteta, te svim ostalim struènjacima srodnih podruèja. </p> |
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<p class="ptext">Kako biste imali pristup svim ponuðenim sadr¾ajima, pozivamo Vas da se pri prvom posjetu <b>BESPLATNO</b> registrirate kao korisnik. Nakon ¹to ispunite prijavnicu, dobit æete e-mailom korisnièko ime i lozinku. Na prijavnici je potrebno popuniti sva polja oznaèena zvjezdicom, dok su ostala polja opcionalna. </p> |
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<form action="?section={$section}&section_menu={$section_menu}" method=post> |
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<center><table border=0 cellspacing=0 cellpadding=4 bgcolor="#D0E7F4" width="100%"> |
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<tr><td align=left valign=middle height=10> </td></tr> |
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<tr><td align=center><table border=0 cellspacing=0 cellpadding=10> |
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<tr><td align=left valign=middle><b>Titula:</b></td><td align=left valign=middle><input type="text" size="20" name="titula" value="{$titula}" size=5></td><td class="small3"> </td></tr> |
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<tr><td align=left valign=middle><b>Ime:</b></td><td align=left valign=middle><input type="text" size="20" name="ime" value="{$ime}">{if ($error & 1)}<br><span class="small3">Morate unijeti Va¹e ime.</span>{/if}</td><td class="small3">*</td></tr> |
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<tr><td align=left valign=middle><b>Prezime:</b></td><td align=left valign=middle><input type="text" size="20" name="prezime" value="{$prezime}">{if ($error & 2)}<br><span class="small3">Morate unijeti Va¹e prezime.</span>{/if}</td><td class="small3">*</td></tr> |
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<tr><td align=left valign=middle><b>Godina roðenja:</b></td><td align=left valign=middle><input type="text" size="5" name="godrod" value="{$godrod}">{if ($error & 4)}<br><span class="small3">{if ($godrodok)}Morate unijeti godinu Va¹eg roðenja.{else}Nepravilna godina roðenja. Molimo, unesite samo znamenke.{/if}</span>{/if}</td><td class="small3">*</td></tr> |
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<tr><td align=left valign=middle><b>E-mail adresa:</b></td><td align=left valign=middle><input type="text" size="20" name="email" value="{$email}">{if ($error & 8)}<br><span class="small3">{if ($emailok)}Morate unijeti Va¹u e-mail adresu.{else}Nepravilna e-mail adresa.{/if}</span>{/if}</td><td class="small3">*</td></tr> |
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<tr><td align=left valign=middle colspan=3><input type="hidden" name="newsletter" value="0"><input type="checkbox" name="newsletter" value="1"{if ($newsletter)} checked{/if} id="nl"> <label for="nl"><b>®elim primati newsletter.</b></label></td></tr> |
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<tr><td align=left valign=middle colspan=3><input type="hidden" name="promo" value="0"><input type="checkbox" name="promo" value="1"{if ($promo)} checked{/if} id="pr"> <label for="pr"><b>®elim primati promotivne informacije.</b></label></td></tr> |
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<tr><td align=left valign=middle><b>Zanimanje:</b></td><td align=left valign=middle><select name="zanimanje"><option value=0> </option>{section name=i loop=$zanimanja}<option value="{$i/zanimanja.id}"{if ($zanimanje == $i/zanimanja.id)} selected{/if}>{$i/zanimanja.caption}</option>{/section}</select>{if ($error & 16)}<br><span class="small3">Morate unijeti Va¹e zanimanje.</span>{/if}</td><td class="small3">*</td></tr> |
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<tr><td align=left valign=middle><b>Ustanova:</b></td><td align=left valign=middle><input type="text" size="20" name="ustanova" value="{$ustanova}"></td><td class="small3"> </td></tr> |
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<tr><td align=left valign=middle><b>Adresa ustanove:</b></td><td align=left valign=middle><input type="text" size="20" name="uaddr" value="{$uaddr}"></td><td class="small3"> </td></tr> |
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<tr><td align=left valign=middle><b>Mjesto:</b></td><td align=left valign=middle><input type="text" size="20" name="mjesto" value="{$mjesto}"></td><td class="small3"> </td></tr> |
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<tr><td align=left valign=middle colspan=3><b>Podruèja interesa:</b>{if ($error & 32)}<br><span class="small3">Morate odabrati barem jedno podruèje interesa.</span>{/if}<br><table border=0 cellspacing=0 cellpadding=3 width="100%"> |
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<tr><td> </td><td align=left valign=middle width="1%"><input type="hidden" name="spec_0" value="0"><input type="checkbox" name="spec_0" value="1" id="spec_0" onclick="CheckOstalo(this);"{if ($sve)} checked{/if}></td><td width="50%" align=left valign=middle><label for="spec_0"><b>SVA PODRUÈJA</b></label></td> |
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{section name=i loop=$specs} |
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{if (%i.rownum% % 2 != 1)}<tr><td> </td>{/if}<td align=left valign=middle width="1%"><input type="hidden" name="spec_{$i/specs.id}" value="0"><input type="checkbox" name="spec_{$i/specs.id}" value="1" id="spec_{$i/specs.id}"{if ($i/specs.checked)} checked{/if} onclick="CheckSve(this);"></td><td width="50%" align=left valign=middle><label for="spec_{$i/specs.id}">{$i/specs.caption}</label></td>{if (%i.rownum% % 2 == 1)}</tr>{/if} |
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{/section} |
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</table></td></tr> |
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<tr><td align=center valign=middle colspan=3><hr width="100%" noshade size="2" color="#000000"></td></tr> |
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</td></tr></table> |
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<tr><td align=right valign=middle><input type=submit name="salji" value="Po¹alji" class="bsmall"> </td></tr> |
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<tr><td align=left valign=middle height=10> </td></tr> |
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</table></center><br> |
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</form> |
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<p class="ptext">Blah, blah... Neki disclaimer. </p> |
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{/if} |
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