{"id":290,"date":"2015-04-14T06:48:28","date_gmt":"2015-04-13T22:48:28","guid":{"rendered":"http:\/\/jinda.net.au\/perthmodernian\/?page_id=290"},"modified":"2022-01-26T12:46:22","modified_gmt":"2022-01-26T04:46:22","slug":"past-student-records","status":"publish","type":"page","link":"https:\/\/jinda.net.au\/pms\/index.php\/museum\/past-student-records\/","title":{"rendered":"Form: Past Student Records"},"content":{"rendered":"<h1>Application to Release Past Student Records<\/h1>\n<p><span style=\"font-family: Arial; font-size: medium;\"><b>Historical and Museum Committee<\/b><\/span><\/p>\n<p>Roberts Road Subiaco WA 6008<\/p>\n<p>I wish to apply for the release of Past Student records as shown below.<\/p>\n<p><i><span style=\"color: red;\">*<\/span> indicates required field<\/i><\/p>\n<div class=\"frm_forms  with_frm_style frm_style_perthmod\" id=\"frm_form_9_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_frmprocontact242\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"9\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_9\" id=\"frm_hide_fields_9\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"frmprocontact242\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_9\" name=\"frm_submit_entry_9\" value=\"72a948d38e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/pms\/index.php\/wp-json\/wp\/v2\/pages\/290\" \/><div id=\"frm_field_190_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Applicant<\/h3>\r\n\r\n\r\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_wwtp3052\" class=\"frm_primary_label\">Surname:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_wwtp3052\" name=\"item_meta[164]\" value=\"\"  data-sectionid=\"190\"  style=\"width:400px\" data-reqmsg=\"Family Name Now must be entered.\" aria-required=\"true\" data-invmsg=\"Surname: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_q535lw42\" class=\"frm_primary_label\">Given Name(s):\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q535lw42\" name=\"item_meta[166]\" value=\"\"  data-sectionid=\"190\"  style=\"width:400px\" data-reqmsg=\"Given Names must be entered.\" aria-required=\"true\" data-invmsg=\"Given Name(s): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_169_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_3l3cwp42\" class=\"frm_primary_label\">Postal Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_3l3cwp42\" name=\"item_meta[169]\" value=\"\"  data-sectionid=\"190\"  style=\"width:400px\" data-reqmsg=\"Postal Address Line 1 must be entered.\" aria-required=\"true\" data-invmsg=\"Postal Address: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_171_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_w8z3lb42\" class=\"frm_primary_label\">Town\/Suburb:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_w8z3lb42\" name=\"item_meta[171]\" value=\"\"  data-sectionid=\"190\"  style=\"width:300px\" data-reqmsg=\"Town\/Suburb must be entered.\" aria-required=\"true\" data-invmsg=\"Town\/Suburb: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_172_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_xk12lc42\" class=\"frm_primary_label\">Post Code:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_xk12lc42\" name=\"item_meta[172]\" value=\"\"  data-sectionid=\"190\"  style=\"width:200px\" data-invmsg=\"Post Code: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_173_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_ak0oxi32\" class=\"frm_primary_label\">Country (if not Australia):\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ak0oxi32\" name=\"item_meta[173]\" value=\"\"  data-sectionid=\"190\"  style=\"width:300px\" data-reqmsg=\"Post Code must be entered.\" aria-required=\"true\" data-invmsg=\"Country (if not Australia): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_174_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_9gs76q32\" class=\"frm_primary_label\">Home Phone:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_9gs76q32\" name=\"item_meta[174]\" value=\"\"  data-sectionid=\"190\"  style=\"width:200px\" data-invmsg=\"Home Phone: is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_175_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_3dfbsf32\" class=\"frm_primary_label\">Work Phone:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_3dfbsf32\" name=\"item_meta[175]\" value=\"\"  data-sectionid=\"190\"  style=\"width:200px\" data-invmsg=\"Home Phone: is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_176_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_aq31bw32\" class=\"frm_primary_label\">Fax Number:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_aq31bw32\" name=\"item_meta[176]\" value=\"\"  data-sectionid=\"190\"  style=\"width:200px\" data-invmsg=\"Home Phone: is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_177_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_80morf32\" class=\"frm_primary_label\">Mobile Phone:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_80morf32\" name=\"item_meta[177]\" value=\"\"  data-sectionid=\"190\"  style=\"width:200px\" data-invmsg=\"Home Phone: is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_178_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_xnkv8k52\" class=\"frm_primary_label\">Email Address:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xnkv8k52\" name=\"item_meta[178]\" value=\"\"  data-sectionid=\"190\"  style=\"width:300px\" data-invmsg=\"Please enter a valid email address\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_188_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_1enr76\" class=\"frm_primary_label\">Relationship with Past Student:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[188]\" id=\"field_1enr76\"  data-sectionid=\"190\"  data-reqmsg=\"Relationship with Past Student: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Relationship with Past Student: is invalid\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Self\">Self<\/option><option  value=\"Parent\">Parent<\/option><option  value=\"Grandparent\">Grandparent<\/option><option  value=\"Child\">Child<\/option><option  value=\"Sibling\">Sibling<\/option><option  value=\"Other (details please)\">Other (details please)<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_179_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_bxjspd32\" class=\"frm_primary_label\">Other Relationship (if applicable):\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bxjspd32\" name=\"item_meta[179]\" value=\"\"  data-sectionid=\"190\"  style=\"width:300px\" data-invmsg=\"Other Relationship (if applicable): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_189_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_n8gcz1\" class=\"frm_primary_label\">Reason for Request (Family or Research Purposes):\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[189]\" id=\"field_n8gcz1\" rows=\"3\"  data-sectionid=\"190\"  style=\"width:400px\" cols=\"44\" data-invmsg=\"Reason for Request (Family or Research Purposes): is invalid\" class=\"auto_width\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_192_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Past Student<\/h3>\r\n\r\n\r\n<div id=\"frm_field_185_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_ty85mr42\" class=\"frm_primary_label\">Student's Family Name at School:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ty85mr42\" name=\"item_meta[185]\" value=\"\"  data-sectionid=\"192\"  style=\"width:400px\" data-reqmsg=\"Student&#039;s Family Name at School: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Student&#039;s Family Name at School: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_186_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_yyi5nr42\" class=\"frm_primary_label\">Student's Given Name(s):\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yyi5nr42\" name=\"item_meta[186]\" value=\"\"  data-sectionid=\"192\"  style=\"width:400px\" data-reqmsg=\"Student&#039;s Given Name(s): cannot be blank.\" aria-required=\"true\" data-invmsg=\"Student&#039;s Given Name(s): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_187_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_zegbsc42\" class=\"frm_primary_label\">Years Attended PMS (approximate if not sure):\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zegbsc42\" name=\"item_meta[187]\" value=\"\"  data-sectionid=\"192\"  style=\"width:130px\" data-reqmsg=\"Years Attended PMS (approximate if not sure): cannot be blank.\" aria-required=\"true\" data-invmsg=\"Years Attended PMS (approximate if not sure): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_486_container\">\n\t\t\t<label for=\"field_ts1ip\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_ts1ip\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[486]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"RUW5\/06KP1Y3RFrgxr2sBF0poL07k9O0tvzwkENK+57mjzJ3MUB8Y7k7KWW\/FXK0\" \/><div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/jinda.net.au\/pms\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Application to Release Past Student Records Historical and Museum Committee Roberts Road Subiaco WA 6008 I wish to apply for the release of Past Student records as shown below. * indicates required field<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":1100,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-290","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/pages\/290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/comments?post=290"}],"version-history":[{"count":2,"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/pages\/290\/revisions"}],"predecessor-version":[{"id":483,"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/pages\/290\/revisions\/483"}],"up":[{"embeddable":true,"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/pages\/1100"}],"wp:attachment":[{"href":"https:\/\/jinda.net.au\/pms\/index.php\/wp-json\/wp\/v2\/media?parent=290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}