{"id":16466,"date":"2021-11-22T10:14:31","date_gmt":"2021-11-22T03:14:31","guid":{"rendered":"https:\/\/www.radiologythailand.org\/register\/"},"modified":"2021-11-28T16:44:12","modified_gmt":"2021-11-28T09:44:12","slug":"register","status":"publish","type":"page","link":"https:\/\/www.radiologythailand.org\/th\/register\/","title":{"rendered":"\u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01"},"content":{"rendered":"\n<div class=\"um um-register um-16460\">\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  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_16460_7\"><h3 style=\"text-align: center\"><strong>\u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01<\/strong><\/h3><\/div><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_16460_role_radio\" class=\"um-field um-field-radio  um-field-role_radio um-field-radio um-field-type_radio\" data-key=\"role_radio\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"role_radio-16460\">\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half  um-field-radio-state-disabled\"><input  type=\"radio\" name=\"role\" value=\"um_custom_role_2\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e2a\u0e32\u0e21\u0e31\u0e0d<\/span><\/label><label class=\"um-field-radio  um-field-half  right  um-field-radio-state-disabled\"><input  type=\"radio\" name=\"role\" value=\"um_custom_role_3\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e2a\u0e21\u0e17\u0e1a<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_16460_images_profile\" class=\"um-field um-field-image  um-field-images_profile um-field-image um-field-type_image\" data-key=\"images_profile\" data-mode=\"register\" data-upload-label=\"Upload\"><input type=\"hidden\" name=\"images_profile-16460\" id=\"images_profile-16460\" value=\"\"  aria-invalid=\"false\" \/><div class=\"um-field-label\"><label for=\"images_profile-16460\">\u0e23\u0e39\u0e1b\u0e41\u0e1a\u0e1a\u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\" style=\"text-align: center;\"><div class=\"um-single-image-preview \" data-crop=\"0\" data-key=\"images_profile\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" class=\"fusion-lazyload-ignore\" src=\"\" alt=\"\"><div class=\"um-clear\"><\/div><\/div><a href=\"javascript:void(0);\" data-modal=\"um_upload_single\" data-modal-size=\"normal\" data-modal-copy=\"1\" class=\"um-button um-btn-auto-width\">Upload<\/a><\/div><div class=\"um-modal-hidden-content\"><div class=\"um-modal-header\"> \u0e23\u0e39\u0e1b\u0e41\u0e1a\u0e1a\u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23<\/div><div class=\"um-modal-body\"><div class=\"um-single-image-preview \"  data-crop=\"0\" data-ratio=\"1\" data-min_width=\"\" data-min_height=\"\" data-coord=\"\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" class=\"fusion-lazyload-ignore\" src=\"\" alt=\"\"><div class=\"um-clear\"><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-single-image-upload\" data-user_id=\"\" data-nonce=\"9305d61bef\" data-timestamp=\"1781215594\"  data-set_id=\"16460\" data-set_mode=\"register\" data-type=\"image\" data-key=\"images_profile\" data-max_size=\"999999999\" data-max_size_error=\"This image is too large!\" data-min_size_error=\"This image is too small!\" data-extension_error=\"Sorry this is not a valid image.\"  data-allowed_types=\"png,jpeg,jpg,gif\" data-upload_text=\"Drag &amp; Drop Photo\" data-max_files_error=\"You can only upload one image\" data-upload_help_text=\"\">Upload<\/div><div class=\"um-modal-footer\">\n\t\t\t\t\t\t\t\t\t<div class=\"um-modal-right\">\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn um-finish-upload image disabled\" data-key=\"images_profile\" data-change=\"Change photo\" data-processing=\"Processing...\">Apply<\/a>\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn alt\" data-action=\"um_remove_modal\"> Cancel<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"um-clear\"><\/div>\n\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_3 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_16460_idcard\" class=\"um-field um-field-text  um-field-idcard um-field-text um-field-type_text\" data-key=\"idcard\"><div class=\"um-field-label\"><label for=\"idcard-16460\">\u0e40\u0e25\u0e02\u0e1a\u0e31\u0e15\u0e23\u0e1b\u0e23\u0e30\u0e0a\u0e32\u0e0a\u0e19<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"idcard-16460\" id=\"idcard-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"idcard\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"um-row _um_row_4 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_16460_title_name_th\" class=\"um-field um-field-text  um-field-title_name_th um-field-text um-field-type_text\" data-key=\"title_name_th\"><div class=\"um-field-label\"><label 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\" type=\"text\" name=\"first_name-16460\" id=\"first_name-16460\" 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_16460_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-16460\">\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25 (\u0e20\u0e32\u0e29\u0e32\u0e44\u0e17\u0e22)<\/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-16460\" id=\"last_name-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_16460_title_name_en\" class=\"um-field um-field-text  um-field-title_name_en um-field-text um-field-type_text\" data-key=\"title_name_en\"><div class=\"um-field-label\"><label for=\"title_name_en-16460\">\u0e04\u0e33\u0e19\u0e33\u0e2b\u0e19\u0e49\u0e32\u0e0a\u0e37\u0e48\u0e2d (\u0e20\u0e32\u0e29\u0e32\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"title_name_en-16460\" id=\"title_name_en-16460\" value=\"\" placeholder=\"Mr.\/Mrs.\/Miss\" data-validate=\"\" data-key=\"title_name_en\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_first_name_en\" class=\"um-field um-field-text  um-field-first_name_en um-field-text um-field-type_text\" data-key=\"first_name_en\"><div class=\"um-field-label\"><label for=\"first_name_en-16460\">\u0e0a\u0e37\u0e48\u0e2d (\u0e20\u0e32\u0e29\u0e32\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"first_name_en-16460\" id=\"first_name_en-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name_en\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_last_name_en\" class=\"um-field um-field-text  um-field-last_name_en um-field-text um-field-type_text\" data-key=\"last_name_en\"><div class=\"um-field-label\"><label for=\"last_name_en-16460\">\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25 (\u0e20\u0e32\u0e29\u0e32\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"last_name_en-16460\" id=\"last_name_en-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name_en\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_5 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_16460_profile_type\" class=\"um-field um-field-radio  um-field-profile_type um-field-radio um-field-type_radio\" data-key=\"profile_type\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"profile_type-16460\">\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"profile_type[]\" value=\"\u0e41\u0e1e\u0e17\u0e22\u0e4c\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"profile_type[]\" value=\"\u0e1f\u0e34\u0e2a\u0e34\u0e01\u0e2a\u0e4c\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e1f\u0e34\u0e2a\u0e34\u0e01\u0e2a\u0e4c\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"profile_type[]\" value=\"\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"profile_type[]\" value=\"\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"profile_type[]\" value=\"\u0e2d\u0e37\u0e48\u0e19\u0e46\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e2d\u0e37\u0e48\u0e19\u0e46<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_16460_profile_type_other\" class=\"um-field um-field-text  um-is-conditional um-field-profile_type_other um-field-text um-field-type_text\" data-key=\"profile_type_other\"><div class=\"um-field-label\"><label for=\"profile_type_other-16460\">\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17 \u0e2d\u0e37\u0e48\u0e19\u0e46<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"profile_type_other-16460\" id=\"profile_type_other-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"profile_type_other\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_16460_id_of_profile\" class=\"um-field um-field-text  um-field-id_of_profile um-field-text um-field-type_text\" data-key=\"id_of_profile\"><div class=\"um-field-label\"><label for=\"id_of_profile-16460\">\u0e40\u0e25\u0e02\u0e17\u0e35\u0e48\u0e43\u0e1a\u0e1b\u0e23\u0e30\u0e01\u0e2d\u0e1a\u0e42\u0e23\u0e04\u0e28\u0e34\u0e25\u0e1b\u0e30<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"id_of_profile-16460\" id=\"id_of_profile-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"id_of_profile\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_6 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-131\"><div  id=\"um_field_16460_bachelor_degree\" class=\"um-field um-field-text  um-field-bachelor_degree um-field-text um-field-type_text\" data-key=\"bachelor_degree\"><div class=\"um-field-label\"><label for=\"bachelor_degree-16460\">\u0e04\u0e38\u0e13\u0e27\u0e38\u0e12\u0e34\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e15\u0e23\u0e35)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"bachelor_degree-16460\" id=\"bachelor_degree-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"bachelor_degree\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_institute_bachelor\" class=\"um-field um-field-text  um-field-institute_bachelor um-field-text um-field-type_text\" data-key=\"institute_bachelor\"><div class=\"um-field-label\"><label for=\"institute_bachelor-16460\">\u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e15\u0e23\u0e35)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"institute_bachelor-16460\" id=\"institute_bachelor-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"institute_bachelor\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-132\"><div  id=\"um_field_16460_master_degree\" class=\"um-field um-field-text  um-field-master_degree um-field-text um-field-type_text\" data-key=\"master_degree\"><div class=\"um-field-label\"><label for=\"master_degree-16460\">\u0e04\u0e38\u0e13\u0e27\u0e38\u0e12\u0e34\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e42\u0e17)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"master_degree-16460\" id=\"master_degree-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"master_degree\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_master_Institute\" class=\"um-field um-field-text  um-field-master_Institute um-field-text um-field-type_text\" data-key=\"master_Institute\"><div class=\"um-field-label\"><label for=\"master_Institute-16460\">\u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e42\u0e17)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"master_Institute-16460\" id=\"master_Institute-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"master_Institute\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-133\"><div  id=\"um_field_16460_institutions_PhD\" class=\"um-field um-field-text  um-field-institutions_PhD um-field-text um-field-type_text\" data-key=\"institutions_PhD\"><div class=\"um-field-label\"><label for=\"institutions_PhD-16460\">\u0e2a\u0e16\u0e32\u0e1a\u0e31\u0e19\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e40\u0e2d\u0e01)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"institutions_PhD-16460\" id=\"institutions_PhD-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"institutions_PhD\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_Ph.D.\" class=\"um-field um-field-text  um-field-Ph.D. um-field-text um-field-type_text\" data-key=\"Ph.D.\"><div class=\"um-field-label\"><label for=\"Ph.D.-16460\">\u0e04\u0e38\u0e13\u0e27\u0e38\u0e12\u0e34\u0e01\u0e32\u0e23\u0e28\u0e36\u0e01\u0e29\u0e32 (\u0e1b\u0e23\u0e34\u0e0d\u0e0d\u0e32\u0e40\u0e2d\u0e01)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Ph.D.-16460\" id=\"Ph.D.-16460\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Ph.D.\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_7 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_16460_current_address\" class=\"um-field um-field-textarea  um-field-current_address um-field-textarea um-field-type_textarea\" data-key=\"current_address\"><div class=\"um-field-label\"><label for=\"current_address-16460\">\u0e17\u0e35\u0e48\u0e2d\u0e22\u0e39\u0e48\u0e1b\u0e31\u0e08\u0e08\u0e38\u0e1a\u0e31\u0e19<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid not-required \" name=\"current_address\" id=\"current_address\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><div  id=\"um_field_16460_workplace\" class=\"um-field um-field-textarea  um-field-workplace um-field-textarea um-field-type_textarea\" data-key=\"workplace\"><div class=\"um-field-label\"><label for=\"workplace-16460\">\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e17\u0e33\u0e07\u0e32\u0e19<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid not-required \" name=\"workplace\" id=\"workplace\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_16460_email_address\" class=\"um-field um-field-text  um-field-email_address um-field-text um-field-type_text\" data-key=\"email_address\"><div class=\"um-field-label\"><label for=\"email_address-16460\">E-mail address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"email_address-16460\" id=\"email_address-16460\" value=\"\" placeholder=\"\" data-validate=\"is_email\" data-key=\"email_address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_mobile_number\" class=\"um-field um-field-tel  um-field-mobile_number um-field-tel um-field-type_tel\" data-key=\"mobile_number\"><div class=\"um-field-label\"><label for=\"mobile_number-16460\">\u0e42\u0e17\u0e23\u0e28\u0e31\u0e1e\u0e17\u0e4c\u0e21\u0e37\u0e2d\u0e16\u0e37\u0e2d<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"tel\" name=\"mobile_number-16460\" id=\"mobile_number-16460\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"mobile_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_8 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_16460_32_33\" style=\"border-bottom:4px solid #eeeeee;\"><\/div><div  id=\"um_field_16460_contact_place\" class=\"um-field um-field-radio  um-field-contact_place um-field-radio um-field-type_radio\" data-key=\"contact_place\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"contact_place-16460\">\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e17\u0e35\u0e48\u0e15\u0e34\u0e14\u0e15\u0e48\u0e2d\u0e2a\u0e30\u0e14\u0e27\u0e01<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"contact_place[]\" value=\"\u0e17\u0e35\u0e48\u0e2d\u0e22\u0e39\u0e48\u0e1b\u0e31\u0e08\u0e08\u0e38\u0e1a\u0e31\u0e19\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e17\u0e35\u0e48\u0e2d\u0e22\u0e39\u0e48\u0e1b\u0e31\u0e08\u0e08\u0e38\u0e1a\u0e31\u0e19<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"contact_place[]\" value=\"\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e17\u0e33\u0e07\u0e32\u0e19\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e17\u0e33\u0e07\u0e32\u0e19<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_16460_check_marketing\" class=\"um-field um-field-radio  um-field-check_marketing um-field-radio um-field-type_radio\" data-key=\"check_marketing\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"check_marketing-16460\">\u0e22\u0e34\u0e19\u0e22\u0e2d\u0e21\u0e43\u0e2b\u0e49\u0e0a\u0e37\u0e48\u0e2d\u0e20\u0e32\u0e29\u0e32\u0e44\u0e17\u0e22 \u0e41\u0e25\u0e30\u0e0a\u0e37\u0e48\u0e2d\u0e20\u0e32\u0e29\u0e32\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29 \u0e23\u0e27\u0e21\u0e16\u0e36\u0e07 E-mail address \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e43\u0e2b\u0e49\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e02\u0e48\u0e32\u0e27\u0e2a\u0e32\u0e23 \u0e17\u0e35\u0e48\u0e40\u0e1b\u0e47\u0e19 \u0e1b\u0e23\u0e30\u0e42\u0e22\u0e0a\u0e19\u0e08\u0e4c\u0e32\u0e01\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e17\u0e35\u0e48\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e02\u0e49\u0e2d\u0e07\u0e17\u0e32\u0e07\u0e14\u0e49\u0e32\u0e19\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e17\u0e31\u0e49\u0e07\u0e43\u0e19\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28 \u0e41\u0e25\u0e30\u0e15\u0e48\u0e32\u0e07\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"check_marketing[]\" value=\"\u0e22\u0e34\u0e19\u0e22\u0e2d\u0e21\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e22\u0e34\u0e19\u0e22\u0e2d\u0e21<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"check_marketing[]\" value=\"\u0e44\u0e21\u0e48\u0e22\u0e34\u0e19\u0e22\u0e2d\u0e21\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">\u0e44\u0e21\u0e48\u0e22\u0e34\u0e19\u0e22\u0e2d\u0e21<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_16460_30\"><p style=\"text-align: center\"><strong>\u0e04\u0e48\u0e32\u0e18\u0e23\u0e23\u0e21\u0e40\u0e19\u0e35\u0e22\u0e21\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01<\/strong><\/p>\r\n\u0e43\u0e19\u0e02\u0e31\u0e49\u0e19\u0e15\u0e2d\u0e19\u0e19\u0e35\u0e49\u0e17\u0e48\u0e32\u0e19\u0e22\u0e31\u0e07\u0e44\u0e21\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e0a\u0e33\u0e23\u0e30\u0e40\u0e07\u0e34\u0e19\u0e04\u0e48\u0e32\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01 \u0e42\u0e14\u0e22\u0e17\u0e32\u0e07\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e2f \u0e08\u0e30\u0e19\u0e33\u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e40\u0e2a\u0e19\u0e2d\u0e15\u0e48\u0e2d\u0e04\u0e13\u0e30\u0e01\u0e23\u0e23\u0e21\u0e01\u0e32\u0e23\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e1e\u0e34\u0e08\u0e32\u0e23\u0e13\u0e32\u0e23 (\u0e20\u0e32\u0e22\u0e43\u0e19 60 \u0e27\u0e31\u0e19) \u0e41\u0e25\u0e30\u0e08\u0e30\u0e41\u0e08\u0e49\u0e07\u0e23\u0e32\u0e22\u0e25\u0e30\u0e40\u0e2d\u0e35\u0e22\u0e14\u0e01\u0e32\u0e23\u0e0a\u0e33\u0e23\u0e30\u0e40\u0e07\u0e34\u0e19\u0e43\u0e2b\u0e49\u0e17\u0e48\u0e32\u0e19\u0e17\u0e23\u0e32\u0e1a\u0e43\u0e19\u0e25\u0e33\u0e14\u0e31\u0e1a\u0e16\u0e31\u0e14\u0e44\u0e1b\u0e40\u0e21\u0e37\u0e48\u0e2d\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e2d\u0e19\u0e38\u0e21\u0e31\u0e15\u0e34\u0e41\u0e25\u0e49\u0e27<\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_16460_32_33_31\" style=\"border-bottom:4px solid #eeeeee;\"><\/div><\/div><\/div><div class=\"um-row _um_row_9 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_16460_29\"><strong>\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e40\u0e02\u0e49\u0e32\u0e2a\u0e39\u0e48\u0e23\u0e30\u0e1a\u0e1a\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e41\u0e2b\u0e48\u0e07\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28\u0e44\u0e17\u0e22<\/strong><\/div><div  id=\"um_field_16460_username\" class=\"um-field um-field-text  um-field-username um-field-text um-field-type_text\" data-key=\"username\"><div class=\"um-field-label\"><label for=\"username-16460\">Username or E-mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"username-16460\" id=\"username-16460\" value=\"\" placeholder=\"\" data-validate=\"unique_username_or_email\" data-key=\"username\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_16460_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-16460\">Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-16460\" id=\"user_password-16460\" 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_16460_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-16460\">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-16460\" id=\"confirm_user_password-16460\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><\/div><\/div>\n<!-- This file should primarily consist of HTML with a little bit of PHP. -->\n<div class=\"um-field um-field-type_terms_conditions\" data-key=\"use_terms_conditions_agreement\" style=\"display:block;padding:0;\">\n\t<div class=\"um-field-area\">\n\t\t<div class=\"um-gdpr-content\" style=\"display:none;\">\n\t\t\t<h2>\u0e02\u0e49\u0e2d\u0e1a\u0e31\u0e07\u0e04\u0e31\u0e1a<\/h2>\n<p style=\"text-align: center\">\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e41\u0e2b\u0e48\u0e07\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28\u0e44\u0e17\u0e22<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.radiologythailand.org\/wp-content\/uploads\/2026\/02\/\u0e02\u0e49\u0e2d\u0e1a\u0e31\u0e07\u0e04\u0e31\u0e1a-\u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e41\u0e2b\u0e48\u0e07\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28\u0e44\u0e17\u0e22.pdf\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t\t\t\tDownload<br \/>\n\t\t\t\t\t<\/a><\/p>\n\n\t\t\t\t<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"65b7cf0\" data-elementor-lightbox-title=\"\u0e02\u0e49\u0e2d\u0e1a\u0e31\u0e07\u0e04\u0e31\u0e1a \u0e23\u0e31\u0e07\u0e2a\u0e35\u0e27\u0e34\u0e17\u0e22\u0e32\u0e2a\u0e21\u0e32\u0e04\u0e21\u0e41\u0e2b\u0e48\u0e07\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28\u0e44\u0e17\u0e22_page-0001\" 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