{"id":5596,"date":"2025-10-15T22:57:09","date_gmt":"2025-10-15T12:27:09","guid":{"rendered":"https:\/\/primanota.org.au\/?page_id=5596"},"modified":"2025-10-15T22:57:10","modified_gmt":"2025-10-15T12:27:10","slug":"signature-consent","status":"publish","type":"page","link":"https:\/\/primanota.org.au\/ru\/signature-consent\/","title":{"rendered":"signature consent"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-b60d82a2 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\"><div class='fluentform ff-default fluentform_wrapper_39 ffs_default_wrap'><form data-form_id=\"39\" id=\"fluentform_39\" class=\"frm-fluent-form fluent_form_39 ff-el-form-top ff_form_instance_39_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_39_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Signature consent<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"17\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><input type='hidden' name='__fluent_form_embded_post_id' value='5596' \/><input type=\"hidden\" id=\"_fluentform_39_fluentformnonce\" name=\"_fluentform_39_fluentformnonce\" value=\"37f26a40bc\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ru\/wp-json\/wp\/v2\/pages\/5596\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-39_1\" ><p>I,<\/p><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_39_names_first_name_' id='label_ff_39_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_39_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_39_names_last_name_' id='label_ff_39_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_39_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_39_email' id='label_ff_39_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_39_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_39_input_text' id='label_ff_39_input_text' aria-label=\"Phone Number\">Phone Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_39_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-39_2\" ><p>authorise Prima Nota to sign the<\/p><\/div><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"Please copy or type the Document Name Here\" data-name=\"input_text_1\" id=\"ff_39_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-39_3\" ><p>dated<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_39_datetime' id='label_ff_39_datetime' aria-label=\"Date \/ Time\">Date \/ Time<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date \/ Time \u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u043a\u043b\u0430\u0432\u0438\u0448\u0438 \u0441\u043e \u0441\u0442\u0440\u0435\u043b\u043a\u0430\u043c\u0438 \u0434\u043b\u044f \u043d\u0430\u0432\u0438\u0433\u0430\u0446\u0438\u0438 \u043f\u043e \u0434\u0430\u0442\u0430\u043c. \u041d\u0430\u0436\u043c\u0438\u0442\u0435 Enter, \u0447\u0442\u043e\u0431\u044b \u0432\u044b\u0431\u0440\u0430\u0442\u044c \u0434\u0430\u0442\u0443.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_39_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-39_4\" ><p>on my behalf.<\/p><\/div><div class='ff-el-group'><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_cbdb85db7ab45c9a82341f37b86c8ecc'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I confirm that the above information is correct and I give my consent.\"  id='checkbox_cbdb85db7ab45c9a82341f37b86c8ecc' aria-label='I confirm that the above information is correct and I give my consent.' aria-invalid='false' aria-required=true> <span>I confirm that the above information is correct and I give my consent.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-39_5\" ><p><iframe style=\"width: 100%;height: 300px;border: none\" src=\"\/tools\/signature-pad-with-date-mobile.html\"><\/iframe><\/p><\/div><input type=\"hidden\" name=\"signature_data\" data-name=\"signature_data\" ><input type=\"hidden\" name=\"signature_date\" data-name=\"signature_date\" ><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_39_errors' class='ff-errors-in-stack ff_form_instance_39_1 ff-form-loading_errors ff_form_instance_39_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_39_1 = {\"id\":\"39\",\"ajaxUrl\":\"https:\\\/\\\/primanota.org.au\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_39_1\",\"form_id_selector\":\"fluentform_39\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\",\"global_message\":\"This field must contain a valid email\",\"global\":true}},\"input_text\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"input_text_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"datetime\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}}},\"debounce_time\":300};\n                            <\/script>\n            \n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-5596","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"thumblist":false,"thumbrelated":false,"meccarouselthumb":false,"gridsquare":false,"tileview":false,"1536x1536":false,"2048x2048":false,"trp-custom-language-flag":false},"uagb_author_info":{"display_name":"Admin Adminovich","author_link":"https:\/\/primanota.org.au\/ru\/author\/adminprimanota-org-au\/"},"uagb_comment_info":0,"uagb_excerpt":null,"_links":{"self":[{"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/pages\/5596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/comments?post=5596"}],"version-history":[{"count":1,"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/pages\/5596\/revisions"}],"predecessor-version":[{"id":5597,"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/pages\/5596\/revisions\/5597"}],"wp:attachment":[{"href":"https:\/\/primanota.org.au\/ru\/wp-json\/wp\/v2\/media?parent=5596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}