Form Metadata
- Select|""
- Dr|Dr
- Mr|Mr
- Miss|Miss
- Ms|Ms
- Mrs|Mrs
- Other|Other
- Select|""
- Doctor|Doctor
- Registrar|Registrar
- Retail Pharmacist|Retail Pharmacist
- Nurse|Nurse
- HCP Demonstration|HCP Demonstration
- Select|""
- Allergist|Allergist
- Anaesthetist|Anaesthetist
- Cardiologist|Cardiologist
- Community Nurse|Community Nurse
- Consultant Physician|Consultant Physician
- Dermatologist|Dermatologist
- Diabetologist|Diabetologist
- Ear Nose Throat Specialist|Ear Nose Throat Specialist
- Endocrinologist|Endocrinologist
- General Practitioner|General Practitioner
- General Surgeon|General Surgeon
- Geriatrician|Geriatrician
- Haematologist|Haematologist
- Hospital Pharmacist|Hospital Pharmacist
- Immunologist|Immunologist
- Infectious Diseases|Infectious Diseases
- Intensive Care Specialist|Intensive Care Specialist
- Medical Oncologist|Medical Oncologist
- Nurses|Nurses
- Other|Other
- medicalprovidernumber|A_PROF_GMCNO
{"data.TITLE":{"required":[{"value":"true","msg":"this field is required"}]},"data.academicTitle":{"required":[{"value":"true","msg":"this field is required"}]},"profile.firstName":{"required":[{"value":"true","msg":"this field is required"}]},"profile.lastName":{"required":[{"value":"true","msg":"this field is required"}]},"data.PROFESSION":{"required":[{"value":"true","msg":"this field is required"}]},"data.SPECIALITY":{"required":[{"value":"true","msg":"this field is required"}]},"data.PROFESSIONALID":{"required":[{"value":"false","msg":""}]},"data.CHANNEL.SMS.PHONE":{"required":[{"value":"false","msg":""}],"regex":[{"value":"^[\\(\\)/\\d\\w\\- \\+\\.]{8,18}$","msg":"field need to be in correct format"}]},"data.HOSPITALNAME":{"required":[{"value":"true","msg":"this field is required"}]},"data.ADDRESS.LINE1":{"required":[{"value":"true","msg":"this field is required"}]},"data.ADDRESS.CITY":{"required":[{"value":"true","msg":"this field is required"}]},"data.ADDRESS.DISTRICT":{"required":[{"value":"false","msg":""}]},"data.ADDRESS.ZIP":{"required":[{"value":"true","msg":"this field is required"}],"regex":[{"value":"^(([^\u0000-]|[a-zA-Z\\d]){5})$","msg":"field need to be in correct format"}]},"data.PHONE.WORK":{"required":[{"value":"true","msg":"this field is required"}],"regex":[{"value":"^[\\(\\)/\\d\\w\\- \\+\\.]{8,18}$","msg":"field need to be in correct format"}]},"email":{"required":[{"value":"true","msg":"this field is required"}],"regex":[{"value":"^[\\w_-]+(\\.[\\w_-]+)*@[\\w_-]+(\\.[\\w_-]+)*\\.\\w{2,4}$","msg":"field need to be in correct format"}]},"data.crmid":{"required":[{"value":"true","msg":"this field is required"}]},"password":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}]},"passwordRetype":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"must-match":[{"value":"password","msg":"password must match"}]},"data.email_validation":{"required":[{"value":"true","msg":"this field is required"}],"regex":[{"value":"^(?=(.{1,64}@.{1,255}))([!#$%\u0026'*+\\-\\/=?\\^_`{|}~a-zA-Z0-9}]{1,64}(\\.[!#$%\u0026'*+\\-\\/=?\\^_`{|}~a-zA-Z0-9]{0,}){0,})@((\\[(25[0-5]|2[0-4][0-9]|[01]?[0-9][0-9]?)(\\.(25[0-5]|2[0-4][0-9]|[01]?[0-9][0-9]?)){3}\\])|([a-zA-Z0-9-]{1,63}(\\.[a-zA-Z0-9-]{2,63}){1,}))$","msg":"field need to be in correct format"}]}}