momentousasia.com Open in urlscan Pro
203.135.154.125  Public Scan

Form analysis
1 forms found in the DOM

POST /form/view.php

<form id="form_189154" class="appnitro top_label" enctype="multipart/form-data" method="post" data-highlightcolor="#FFF7C0" action="/form/view.php">
  <div class="form_description">
    <h2>eLFA 2024 Registration</h2>
    <p>Please complete the form below. Once you click 'Submit", it will be directed to OCBC Payment Gateway. All your credit card information will be captured by the bank direct, without going through any third parties.</p>
  </div>
  <ul>
    <li class="total_payment" data-basetotal="0">
      <span class="total_main">
        <h3>HK$<var>0.00</var></h3>
        <h5>Total</h5>
      </span>
    </li>
    <li id="li_1" class="simple_name">
      <fieldset>
        <legend style="display: none">Name (First &amp; Last Name)</legend>
        <span class="description">Name (First &amp; Last Name) <span id="required_1" class="required">*</span></span>
        <span class="simple_name_1">
          <input id="element_1_1" name="element_1_1" type="text" class="element text" maxlength="255" size="8" value="">
          <label for="element_1_1">First</label>
        </span>
        <span class="simple_name_2">
          <input id="element_1_2" name="element_1_2" type="text" class="element text" maxlength="255" size="14" value="">
          <label for="element_1_2">Last</label>
        </span>
      </fieldset>
    </li>
    <li id="li_2">
      <label class="description" for="element_2">Department / Office <span id="required_2" class="required">*</span></label>
      <div>
        <input id="element_2" name="element_2" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_17">
      <label class="description" for="element_17">Institution / Organisation <span id="required_17" class="required">*</span></label>
      <div>
        <input id="element_17" name="element_17" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_4">
      <label class="description" for="element_4">Email <span id="required_4" class="required">*</span></label>
      <div>
        <input id="element_4" name="element_4" class="element text medium" type="text" maxlength="255" value="">
      </div>
    </li>
    <li id="li_3">
      <label class="description" for="element_3">Country / Region <span id="required_3" class="required">*</span></label>
      <div>
        <input id="element_3" name="element_3" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_7" data-pricefield="checkbox" data-pricevalue="0" class="checkboxes">
      <span class="description">Group Early Bird Registration <span id="required_7" class="required">*</span></span>
      <div>
        <fieldset>
          <legend style="display: none">Group Early Bird Registration</legend>
          <span><input id="element_7_1" data-pricedef="1200.00" name="element_7_1" class="element checkbox" type="checkbox" value="1">
            <label class="choice" for="element_7_1">Registration fee at HK$1200 per person.</label>
          </span>
        </fieldset>
      </div>
    </li>
    <li id="li_8">
      <label class="description" for="element_8">Total number of persons in Early Bird Group Registration <span id="required_8" class="required">*</span></label>
      <div>
        <input id="element_8" name="element_8" class="element text medium" type="text" data-quantity_link="element_7_1" value="">
      </div>
    </li>
    <li id="li_23">
      <label for="element_23" class="description">Please upload an excel file with list of all your group member. The list should include: Title, First Name, Last Name, Email, attending conference dinner on 4 Dec (Yes/No) and vegetarian option.
        <a href="https://www.momentousasia.com/wp-content/uploads/2024/08/eLFA-2024-Group-Registration.xlsx">You can download a template from here</a> <span id="required_23" class="required">*</span></label>
      <div>
        <div id="uploadifive-element_23" class="uploadifive-button" style="height: 30px; line-height: 30px; overflow: hidden; position: relative; text-align: center; width: 150px;">Select Files<input id="element_23" name="element_23"
            class="element file" type="file" style="display: none;"><input id="uploadifive_upload_element_23" type="file" style="font-size: 30px; opacity: 0; position: absolute; right: -3px; top: -3px; z-index: 999;" multiple="multiple"><label
            style="display: none; font-size: 30px; opacity: 0; position: absolute; right: -3px; top: -3px; z-index: 999;" for="uploadifive_upload_element_23" multiple="multiple">Select Files</label></div>
        <div id="element_23_queue" class="file_queue"></div>
        <script type="text/javascript">
          $(function() {
            if (is_support_html5_uploader()) {
              $('#element_23').uploadifive({
                'uploadScript': 'upload.php',
                'buttonText': 'Select Files',
                'removeCompleted': false,
                'formData': {
                  'form_id': 189154,
                  'element_id': 23,
                  'file_token': '929634d7dd1cd472a70da906538fb2dc'
                },
                'auto': true,
                'multi': true,
                'queueSizeLimit': 5,
                'queueID': 'element_23_queue',
                'onAddQueueItem': function(file) {
                  var file_block_or_allow = 'b';
                  var file_type_limit_exts = 'php,php3,php4,php5,phtml,exe,pl,cgi,html,htm,js';
                  var file_type_limit_exts_array = file_type_limit_exts.split(',');
                  var uploaded_file_ext = file.name.split('.').pop().toLowerCase();
                  var file_exist_in_array = false;
                  $.each(file_type_limit_exts_array, function(index, value) {
                    if (value == uploaded_file_ext) {
                      file_exist_in_array = true;
                    }
                  });
                  if (file_type_limit_exts.trim().length > 0) {
                    if ((file_block_or_allow == 'b' && file_exist_in_array == true) || (file_block_or_allow == 'a' && file_exist_in_array == false)) {
                      $("#" + file.queueItem.attr('id')).addClass('error');
                      $("#" + file.queueItem.attr('id') + ' span.fileinfo').text(" - Error. This file type is not allowed.");
                    }
                  }
                  if ($("html").hasClass("embed")) {
                    $.postMessage({
                      mf_iframe_height: $('body').outerHeight(true)
                    }, '*', parent);
                  }
                },
                'onUploadComplete': function(file, response) {
                  var is_valid_response = false;
                  try {
                    var response_json = JSON.parse(response);
                    is_valid_response = true;
                  } catch (e) {
                    is_valid_response = false;
                    alert(response);
                  }
                  var queue_item_id = file.queueItem.attr('id');
                  if (is_valid_response == true && response_json.status == "ok") {
                    var remove_link = "<a class=\"close\" href=\"javascript:remove_attachment('" + response_json.message + "',189154,23,'" + queue_item_id +
                      "',0,'929634d7dd1cd472a70da906538fb2dc');\"><img border=\"0\" src=\"images/icons/delete.png\" /></a>";
                    $("#" + queue_item_id + " a.close").replaceWith(remove_link);
                    $("#" + queue_item_id + ' span.filename').prepend('<img align="absmiddle" class="file_attached" src="images/icons/attach.gif">');
                  } else {
                    $("#" + queue_item_id).addClass('error');
                    $("#" + queue_item_id + " a.close").replaceWith('<img style="float: right" border="0" src="images/icons/exclamation.png" />');
                    $("#" + queue_item_id + " span.fileinfo").text(" - Error! Unable to upload");
                  }
                  if ($("html").hasClass("embed")) {
                    $.postMessage({
                      mf_iframe_height: $('body').outerHeight(true)
                    }, '*', parent);
                  }
                  if ($("#form_189154").data('form_submitting') === true) {
                    upload_all_files();
                  }
                }
              });
              $("#element_23_upload_link").remove();
            } else {
              $("#element_23_token").remove();
            }
          });
        </script>
        <input type="hidden" id="element_23_token" name="element_23_token" value="929634d7dd1cd472a70da906538fb2dc">
        <a id="element_23_upload_link_uploadifive" style="display: none" href="javascript:$('#element_23').uploadifive('upload');">Attach Files</a>
      </div>
    </li>
    <li id="li_18" class="section_break">
      <h3></h3>
      <p>After agreeing to terms and conditions of participation, you will be directed to OBCB Bank payment gateway Cybersource's webpage to settle registration fee. Please note if your card is issued in USA/Canada, it is required to put in
        State/Province as well as Zip/Postal Code as your bank needs such information to verify your card. For other countries/regions if you do not have any Zip/Postal Code, you can type in "000".</p>
    </li>
    <li id="li_14" class="multiple_choice">
      <span class="description">I agree to terms and conditions of eLFA 2024. <span id="required_14" class="required">*</span></span>
      <div>
        <fieldset>
          <legend style="display: none">I agree to terms and conditions of eLFA 2024.</legend>
          <span><input id="element_14_1" name="element_14" class="element radio" type="radio" value="1">
            <label class="choice" for="element_14_1">Yes</label>
          </span>
        </fieldset>
      </div>
    </li>
    <li class="total_payment" data-basetotal="0">
      <span class="total_main">
        <h3>HK$<var>0.00</var></h3>
        <h5>Total</h5>
      </span>
    </li>
    <li id="li_buttons" class="buttons">
      <input type="hidden" name="form_id" value="189154">
      <input type="hidden" id="mfsid" name="mfsid" value="cvbfejhm5g8fof9ta5ihqg2d2f">
      <input type="hidden" name="submit_form" value="1">
      <input type="hidden" name="page_number" value="1">
      <input id="submit_form" class="button_text" type="submit" name="submit_form" value="Submit">
    </li>
  </ul>
</form>

Text Content

ELFA 2024 REGISTRATION


ELFA 2024 REGISTRATION

Please complete the form below. Once you click 'Submit", it will be directed to
OCBC Payment Gateway. All your credit card information will be captured by the
bank direct, without going through any third parties.


 * HK$0.00
   
   TOTAL

 * Name (First & Last Name) Name (First & Last Name) * First Last
 * Department / Office *
   
 * Institution / Organisation *
   
 * Email *
   
 * Country / Region *
   
 * Group Early Bird Registration *
   Group Early Bird Registration Registration fee at HK$1200 per person.
 * Total number of persons in Early Bird Group Registration *
   
 * Please upload an excel file with list of all your group member. The list
   should include: Title, First Name, Last Name, Email, attending conference
   dinner on 4 Dec (Yes/No) and vegetarian option. You can download a template
   from here *
   Select FilesSelect Files
   
   Attach Files

 * After agreeing to terms and conditions of participation, you will be directed
   to OBCB Bank payment gateway Cybersource's webpage to settle registration
   fee. Please note if your card is issued in USA/Canada, it is required to put
   in State/Province as well as Zip/Postal Code as your bank needs such
   information to verify your card. For other countries/regions if you do not
   have any Zip/Postal Code, you can type in "000".

 * I agree to terms and conditions of eLFA 2024. *
   I agree to terms and conditions of eLFA 2024. Yes


 * HK$0.00
   
   TOTAL

 *