ejitravelform.connect.tfasinternational.org
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34.192.164.164
Public Scan
URL:
https://ejitravelform.connect.tfasinternational.org/
Submission: On June 09 via api from US — Scanned from DE
Submission: On June 09 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="" class="form-root ng-untouched ng-pristine ng-invalid">
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<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
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<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-1 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-1 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-1"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-1"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-1 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-0" for="mat-input-0"><mat-label class="ng-tns-c3736059725-1"><span>* First Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-1 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="given-name"
aria-describedby="mat-mdc-hint-0" id="mat-input-0" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-1 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
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<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-1" id="mat-mdc-hint-0"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-1"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
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<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-2 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-2 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-2"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-2"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-2 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-2" for="mat-input-1"><mat-label class="ng-tns-c3736059725-2"><span>* Last Name</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-2 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="family-name"
aria-describedby="mat-mdc-hint-1" id="mat-input-1" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-2 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
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<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-2 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-2" id="mat-mdc-hint-1"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-2"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-datepicker class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-3 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-3 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-3 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-3"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-3"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-3 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-4" for="mat-input-2"><mat-label class="ng-tns-c3736059725-3"><span>* Date of Birth</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element mat-datepicker-input ng-tns-c3736059725-3 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored"
aria-describedby="mat-mdc-hint-2" id="mat-input-2" aria-invalid="false" aria-required="false" aria-haspopup="dialog" data-mat-calendar="mat-datepicker-0"><mat-datepicker class="ng-tns-c3736059725-3"></mat-datepicker><!---->
</div><!---->
<div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-3 ng-star-inserted"><mat-datepicker-toggle matsuffix="" class="mat-datepicker-toggle ng-tns-c3736059725-3" data-mat-calendar="mat-datepicker-0"><button mat-icon-button=""
type="button" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple" class="mdc-icon-button mat-mdc-icon-button mat-unthemed mat-mdc-button-base" mat-ripple-loader-centered=""
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focusable="false" aria-hidden="true" class="mat-datepicker-toggle-default-icon ng-star-inserted">
<path d="M19 3h-1V1h-2v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm0 16H5V8h14v11zM7 10h5v5H7z"></path>
</svg><!----><span class="mat-mdc-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button></mat-datepicker-toggle></div><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-3 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
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<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-3 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-3" id="mat-mdc-hint-2"><span><span>
<p>MM/DD/YYYY</p>
</span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-3"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-datepicker><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-email class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
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<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-4 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-4 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-4"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-4"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-4 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-6" for="mat-input-3"><mat-label class="ng-tns-c3736059725-4"><span>* Email</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="email"
class="mat-mdc-input-element ng-tns-c3736059725-4 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="email"
aria-describedby="mat-mdc-hint-3" id="mat-input-3" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-4 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
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<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-4 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-4" id="mat-mdc-hint-3"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-4"></div>
</div><!----><!---->
</div>
</mat-form-field><mat-form-field
class="mat-mdc-form-field lum-mat-component lum-df-form-email-confirmation-field ng-tns-c3736059725-5 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-5 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-5 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-5"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-5"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-5 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-8" for="mat-input-4"><mat-label class="ng-tns-c3736059725-5"> Confirm Email </mat-label><!----></label><!----><!----><!----><input matinput="" type="email"
class="mat-mdc-input-element ng-tns-c3736059725-5 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" autocomplete="none" id="mat-input-4"
aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-5 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-5 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-5"></div>
</div><!----><!---->
</div>
</mat-form-field><!----></div>
</lum-df-email><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-markdown class="lum-df-markdown ng-star-inserted">
<div class="lum-df-markdown-container">
<h2><strong>Going to Prague</strong></h2>
</div><!---->
</lum-df-markdown><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field ng-tns-c3736059725-6 mat-mdc-form-field-type-mat-select mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-6 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-6 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-6"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-6"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-6 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-10"><mat-label class="ng-tns-c3736059725-6"><span>* Arrival Transport</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
aria-haspopup="listbox" panelclass="lum-df-select-panel" class="mat-mdc-select lum-mat-component ng-tns-c1771602899-7 ng-tns-c3736059725-6 mat-mdc-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted"
aria-labelledby="mat-mdc-form-field-label-10 mat-select-value-1" aria-describedby="mat-mdc-hint-4" id="mat-select-0" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-7">
<div class="mat-mdc-select-value ng-tns-c1771602899-7" id="mat-select-value-1"><span class="mat-mdc-select-placeholder mat-mdc-select-min-line ng-tns-c1771602899-7 ng-star-inserted"></span><!----><!----></div>
<div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-7">
<div class="mat-mdc-select-arrow ng-tns-c1771602899-7"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-7">
<path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-7"></path>
</svg></div>
</div>
</div><!---->
</mat-select></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-6 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-6 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-6 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align ng-tns-c3736059725-6" id="mat-mdc-hint-4"><span class="lum-df-hint-wrapper"><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-6"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-select><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-8 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-8 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-8 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-8"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-8"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-8 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-12" for="mat-input-5"><mat-label class="ng-tns-c3736059725-8"><span>* Traveling From City</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-8 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="off" aria-describedby="mat-mdc-hint-5"
id="mat-input-5" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-8 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-8 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-8 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-8" id="mat-mdc-hint-5"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-8"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-datetime class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-9 mat-mdc-form-field-type-elm-datetime-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-9 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-9 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-9"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-9"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-9 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-14" for="elm-datetime-input-0"><mat-label class="ng-tns-c3736059725-9"><span>* Arrival Date and Time</span></mat-label><!----></label><!----><!----><!----><elm-datetime-input
class="elm-datetime-input ng-tns-c3736059725-9 ng-untouched ng-pristine ng-invalid" _nghost-page451-c284422783="" id="elm-datetime-input-0"><input _ngcontent-page451-c284422783="" type="datetime-local"
class="datetime-input-element"></elm-datetime-input></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-9 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-9 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-9 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-9" id="mat-mdc-hint-6"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-9"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-datetime><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-markdown class="lum-df-markdown ng-star-inserted">
<div class="lum-df-markdown-container">
<p>Please write the name of your airline, train, or bus company and the number if applicable.</p>
</div><!---->
</lum-df-markdown><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-10 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-10 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-10 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-10"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-10"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-10 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-16" for="mat-input-6"><mat-label class="ng-tns-c3736059725-10"><span>Arrival Transport Company</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-10 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" autocomplete="off" aria-describedby="mat-mdc-hint-7"
id="mat-input-6" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-10 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-10 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-10 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-10" id="mat-mdc-hint-7"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-10"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-11 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-11 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-11 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-11"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-11"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-11 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-18" for="mat-input-7"><mat-label class="ng-tns-c3736059725-11"><span>Arrival Number</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-11 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" autocomplete="off" aria-describedby="mat-mdc-hint-8"
id="mat-input-7" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-11 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-11 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-11 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-11" id="mat-mdc-hint-8"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-11"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-markdown class="lum-df-markdown ng-star-inserted">
<div class="lum-df-markdown-container">
<h2><strong>Leaving Prague</strong></h2>
</div><!---->
</lum-df-markdown><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-select class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field ng-tns-c3736059725-12 mat-mdc-form-field-type-mat-select mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-12 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-12 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-12"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-12"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-12 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-20"><mat-label class="ng-tns-c3736059725-12"><span>* Departure Transport</span></mat-label><!----></label><!----><!----><!----><mat-select role="combobox" aria-autocomplete="none"
aria-haspopup="listbox" panelclass="lum-df-select-panel" class="mat-mdc-select lum-mat-component ng-tns-c1771602899-13 ng-tns-c3736059725-12 mat-mdc-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted"
aria-labelledby="mat-mdc-form-field-label-20 mat-select-value-3" aria-describedby="mat-mdc-hint-9" id="mat-select-2" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-mdc-select-trigger ng-tns-c1771602899-13">
<div class="mat-mdc-select-value ng-tns-c1771602899-13" id="mat-select-value-3"><span class="mat-mdc-select-placeholder mat-mdc-select-min-line ng-tns-c1771602899-13 ng-star-inserted"></span><!----><!----></div>
<div class="mat-mdc-select-arrow-wrapper ng-tns-c1771602899-13">
<div class="mat-mdc-select-arrow ng-tns-c1771602899-13"><svg viewBox="0 0 24 24" width="24px" height="24px" focusable="false" aria-hidden="true" class="ng-tns-c1771602899-13">
<path d="M7 10l5 5 5-5z" class="ng-tns-c1771602899-13"></path>
</svg></div>
</div>
</div><!---->
</mat-select></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-12 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-12 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-12 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align ng-tns-c3736059725-12" id="mat-mdc-hint-9"><span class="lum-df-hint-wrapper"><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-12"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-select><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-14 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-14 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-14 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-14"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-14"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-14 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-22" for="mat-input-8"><mat-label class="ng-tns-c3736059725-14"><span>* Destination City</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-14 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" autocomplete="off"
aria-describedby="mat-mdc-hint-10" id="mat-input-8" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-14 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-14 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-14 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-14" id="mat-mdc-hint-10"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-14"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-datetime class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-15 mat-mdc-form-field-type-elm-datetime-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-invalid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-15 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-15 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-15"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-15"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-15 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-24" for="elm-datetime-input-1"><mat-label class="ng-tns-c3736059725-15"><span>* Departure Date and Time</span></mat-label><!----></label><!----><!----><!----><elm-datetime-input
class="elm-datetime-input ng-tns-c3736059725-15 ng-untouched ng-pristine ng-invalid" _nghost-page451-c284422783="" id="elm-datetime-input-1"><input _ngcontent-page451-c284422783="" type="datetime-local"
class="datetime-input-element"></elm-datetime-input></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-15 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-15 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-15 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-15" id="mat-mdc-hint-11"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-15"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-datetime><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-full ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-markdown class="lum-df-markdown ng-star-inserted">
<div class="lum-df-markdown-container">
<p>Please write the name of your airline, train, or bus company and the number if applicable.</p>
</div><!---->
</lum-df-markdown><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-16 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-16 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-16 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-16"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-16"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-16 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-26" for="mat-input-9"><mat-label class="ng-tns-c3736059725-16"><span>Departure Transport Company</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-16 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" autocomplete="off" aria-describedby="mat-mdc-hint-12"
id="mat-input-9" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-16 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-16 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-16 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-16" id="mat-mdc-hint-12"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-16"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!---->
<div class="lum-df-grid-item lum-df-field-half ng-star-inserted" _nghost-page451-c1119639063="">
<div _ngcontent-page451-c1119639063="" class="grid-content"><lum-df-input class="ng-star-inserted">
<div class="ng-untouched ng-pristine ng-invalid"><mat-form-field
class="mat-mdc-form-field lum-mat-component ng-tns-c3736059725-17 mat-mdc-form-field-type-mat-input mat-mdc-form-field-label-always-float mat-form-field-appearance-fill mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-17 mdc-text-field--filled">
<div class="mat-mdc-form-field-focus-overlay ng-tns-c3736059725-17 ng-star-inserted"></div><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-17"><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-17"><label matformfieldfloatinglabel="" class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-17 mdc-floating-label--float-above ng-star-inserted"
id="mat-mdc-form-field-label-28" for="mat-input-10"><mat-label class="ng-tns-c3736059725-17"><span>Departure Number</span></mat-label><!----></label><!----><!----><!----><input matinput="" type="text"
class="mat-mdc-input-element ng-tns-c3736059725-17 mat-mdc-form-field-input-control mdc-text-field__input ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" autocomplete="off" aria-describedby="mat-mdc-hint-13"
id="mat-input-10" aria-invalid="false" aria-required="false"></div><!----><!---->
</div>
<div matformfieldlineripple="" class="mdc-line-ripple ng-tns-c3736059725-17 mdc-line-ripple--deactivating ng-star-inserted"></div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-17 mat-mdc-form-field-subscript-dynamic-size">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-17 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint
class="mat-mdc-form-field-hint mat-mdc-form-field-bottom-align lum-df-hint-wrapper ng-tns-c3736059725-17" id="mat-mdc-hint-13"><span><span></span></span><!----></mat-hint>
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-17"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</lum-df-input><!----></div>
</div><!----><!----><!---->
</div>
<div class="lum-df-after-fields-wrapper">
<div _ngcontent-page451-c1601022266=""><button _ngcontent-page451-c1601022266="" tabindex="0" role="button" editable="formButton" elmpgbtn="" type="submit" elmrecaptchatrigger=""
class="form-submit-btn elm-pg-solid elm-pg-small elm-pg-soft-rounded elm-pg-editable ng-star-inserted" _nghost-page451-c3446733664="" aria-label="Submit"
style="background-color: rgb(250, 74, 74); color: white; border-color: rgb(250, 74, 74);"><span _ngcontent-page451-c3446733664="" class="label"> Submit <!----></span></button><elm-recaptcha class="ng-star-inserted">
<div class="grecaptcha-badge" data-style="bottomright"
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<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-nfexogt3hc8" frameborder="0" scrolling="no"
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PLEASE SUBMIT BY JUNE 30 TFAS INTERNATIONAL TRAVEL FORM Within this form, you can submit your EJI travel arrangements to TFAS International staff once you have booked your itinerary. You are responsible for your own transportation to and from the dormitory; the name of the dormitory is Zeitraum located at U Průhonu 1099/56, 170 00 Praha 7-Holešovice. ***Use the same name and email address as in your application.*** * First Name * Last Name * Date of Birth MM/DD/YYYY * Email Confirm Email GOING TO PRAGUE * Arrival Transport * Traveling From City * Arrival Date and Time Please write the name of your airline, train, or bus company and the number if applicable. Arrival Transport Company Arrival Number LEAVING PRAGUE * Departure Transport * Destination City * Departure Date and Time Please write the name of your airline, train, or bus company and the number if applicable. Departure Transport Company Departure Number Submit This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. TFAS International Programs 1706 New Hampshire Avenue NW Washington, DC 20009 202.986.0384 TFASinternational.org international@TFAS.org Connect With Us Copyright @ 2024 TFAS International Programs We use cookies to understand how you use our site and to improve your experience. By continuing to use our site, you accept our use of cookies and our Privacy Policy. I AGREE