<meta http-equiv="Content-Type" content="text/html;charset=UTF-8"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><form name="Registrierung" action="http://crm.comcenter.eu/vtigercrm/modules/Webforms/capture.php" method="post" accept-charset="utf-8" enctype="multipart/form-data"><input type="hidden" name="__vtrftk" value="sid:118d4e4b131ad9b04403175a2d0235a8c96d23a7,1532073093"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="publicid" value="7fe5c116c5a0ad88f37f1556ee2c9545"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="name" value="Registrierung"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="VTIGER_RECAPTCHA_PUBLIC_KEY" value="RECAPTCHA PUBLIC KEY FOR THIS DOMAIN"><!-- [et_pb_line_break_holder] --> <table><!-- [et_pb_line_break_holder] --> <tbody><tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Anrede* اللقب/ عنوان مخاطب </label></td><td><!-- [et_pb_line_break_holder] --> <select name="label:Anrede" required=""><!-- [et_pb_line_break_holder] --> <option value="">Wert auswählen</option><!-- [et_pb_line_break_holder] --> <option value="Herr">Herr/ آقای</option><!-- [et_pb_line_break_holder] --> <option value="Frau">Frau/ خانم</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Vorname*الإسم / نام </label></td><td><!-- [et_pb_line_break_holder] --> <input type="text" name="firstname" value="" required=""> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Nachname*الكنية/ نام خانوادگی </label></td><td><!-- [et_pb_line_break_holder] --> <input type="text" name="lastname" value="" required=""> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Geburtsdatum*تاریخ تولد / تاريخ الميلاد </label></td><td><!-- [et_pb_line_break_holder] --> <input type="text" name="birthday" value="" required="">(yyyy-mm-dd) </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>primäre E-Mail*ایمیل اولیه / الإيميل </label></td><td><!-- [et_pb_line_break_holder] --> <input type="email" name="email" value="" required=""> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Passnummer* شماره گذر نامه/ رقم جواز السفر </label></td><td><!-- [et_pb_line_break_holder] --> <input type="text" name="label:Passnummer" value="" required=""> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Passwort* رمز عبور / كلمة المرور</label></td><td><!-- [et_pb_line_break_holder] --> <input type="text" name="label:Passwort" value="" required=""> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><label>Photo*(.jpg) عکس/ الصورة</label></td><td><!-- [et_pb_line_break_holder] --> <input type="file" name="imagename" required=""><!-- [et_pb_line_break_holder] --> </td></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><td><!-- [et_pb_line_break_holder] --> <input type="hidden" name="account_id" value="11x13640"><!-- [et_pb_line_break_holder] --> <input type="hidden" value="Prüfungskandidat" readonly="/"><!-- [et_pb_line_break_holder] --> </td></tr><!-- [et_pb_line_break_holder] --> </tbody></table><!-- [et_pb_line_break_holder] --> <input type="submit" value="Submit"><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --> <script type="text/javascript">window.onload = function() { var N=navigator.appName, ua=navigator.userAgent, tem;var M=ua.match(/(opera|chrome|safari|firefox|msie)\/?\s*(\.?\d+(\.\d+)*)/i);if(M && (tem= ua.match(/version\/([\.\d]+)/i))!= null) M[2]= tem[1];M=M? [M[1], M[2]]: [N, navigator.appVersion, "-?"];var browserName = M[0];var form = document.forms[0], inputs = form.elements; form.onsubmit = function() { var required = [], att, val; for (var i = 0; i < inputs.length; i++) { att = inputs[i].getAttribute("required"); val = inputs[i].value; type = inputs[i].type; if(type == "email") {if(val != "") {var elemLabel = inputs[i].getAttribute("label");var emailFilter = /^[_/a-zA-Z0-9]+([!"#$%&()*+,./:;<=>?\^_`{|}~-]?[a-zA-Z0-9/_/-])*@[a-zA-Z0-9]+([\_\-\.]?[a-zA-Z0-9]+)*\.([\-\_]?[a-zA-Z0-9])+(\.?[a-zA-Z0-9]+)?$/;var illegalChars= /[\(\)\<\>\,\;\:\"\[\]]/ ;if (!emailFilter.test(val)) {alert("For "+ elemLabel +" field please enter valid email address"); return false;} else if (val.match(illegalChars)) {alert(elemLabel +" field contains illegal characters");return false;}}}if (att != null) { if (val.replace(/^\s+|\s+$/g, "") == "") { required.push(inputs[i].getAttribute("label")); } } } if (required.length > 0) { alert("The following fields are required: " + required.join()); return false; } var numberTypeInputs = document.querySelectorAll("input[type=number]");for (var i = 0; i < numberTypeInputs.length; i++) { val = numberTypeInputs[i].value;var elemLabel = numberTypeInputs[i].getAttribute("label");if(val != "") {var intRegex = /^[+-]?\d+$/;if (!intRegex.test(val)) {alert("For "+ elemLabel +" field please enter valid number"); return false;}}}}; }</script>