{"id":2348,"date":"2020-10-21T17:07:56","date_gmt":"2020-10-21T17:07:56","guid":{"rendered":"https:\/\/cdafound.org\/?page_id=2348"},"modified":"2025-01-10T22:46:00","modified_gmt":"2025-01-10T22:46:00","slug":"collaborate","status":"publish","type":"page","link":"https:\/\/cdafound.org\/fr\/polaris\/collaborate\/","title":{"rendered":"Portail des collaborateurs"},"content":{"rendered":"<\/p>\n<h2 style=\"margin-block-start: 0\">Login<\/h2>\n<p>\n<div class=\"um um-login um-7378\">\n\t<div class=\"um-form\">\n\t\t<form method=\"post\" action=\"\" autocomplete=\"off\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_7378_username\" class=\"um-field um-field-text  um-field-username um-field-text um-field-type_text\" data-key=\"username\"><div class=\"um-field-label\"><label for=\"username-7378\">Identifiant ou e-mail<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"username-7378\" id=\"username-7378\" value=\"\" placeholder=\"\" data-validate=\"unique_username_or_email\" data-key=\"username\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7378_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-7378\">Mot de passe<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-7378\" id=\"user_password-7378\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_7378\" value=\"7378\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_7378\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_7378\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"65bf964c75\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2348\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\n\t\t\t<div class=\"um-field um-field-c\">\n\t\t\t\t<div class=\"um-field-area\">\n\t\t\t\t\t<label class=\"um-field-checkbox\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"rememberme\" value=\"1\"  \/>\n\t\t\t\t\t\t<span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span>\n\t\t\t\t\t\t<span class=\"um-field-checkbox-option\"> Se souvenir de moi<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"um-clear\"><\/div>\n\t\t\n\t\t\t<div class=\"um-center\">\n\t\t\t\t<input type=\"submit\" value=\"Connexion\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\n\t<div class=\"um-col-alt-b\">\n\t\t<a href=\"https:\/\/cdafound.org\/fr\/password-reset-page\/\" class=\"um-link-alt\">\n\t\t\tMot de passe oubli\u00e9\u00a0?\t\t<\/a>\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-7378.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n<\/p>\n<style>\n.um-7378 .um-field-c {\n  margin-block-end: var( --fluffle-para__spacing-v );\n}\n<\/style>\n<hr \/>\n<h2>Register<\/h2>\n<p class=\"has-text-align-center has-text-color has-background has-link-color\" style=\"margin-block-end: 1rem !important;color:#951b23;background-color:#d3d3d3\">Access to the Observatory is free-of-charge for certain groups, such as national hepatitis programs and Polaris collaborators. Upon registration, the CDA Foundation reviews all applications. Successful applicants will receive notification via email.<\/p>\n<p>\n<div class=\"um um-register um-7376\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-7376\">Identifiant<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_login-7376\" id=\"user_login-7376\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-7376\">Mot de passe<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-7376\" id=\"user_password-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-7376\">Confirmer le Mot de passe<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-7376\" id=\"confirm_user_password-7376\" value=\"\" placeholder=\"Confirmer le Mot de passe\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_7376_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-7376\">Adresse e-mail<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-7376\" id=\"user_email-7376\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_second_email\" class=\"um-field um-field-text  um-field-second_email um-field-text um-field-type_text\" data-key=\"second_email\"><div class=\"um-field-label\"><label for=\"second_email-7376\">Backup E-mail Address (Optional)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"second_email-7376\" id=\"second_email-7376\" value=\"\" placeholder=\"\" data-validate=\"is_email\" data-key=\"second_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-7376\">Nom<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-7376\" id=\"last_name-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-7376\">Pr\u00e9nom<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-7376\" id=\"first_name-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_middle_name\" class=\"um-field um-field-text  um-field-middle_name um-field-text um-field-type_text\" data-key=\"middle_name\"><div class=\"um-field-label\"><label for=\"middle_name-7376\">Middle Name or Initials<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"middle_name-7376\" id=\"middle_name-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"middle_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_degree\" class=\"um-field um-field-text  um-field-degree um-field-text um-field-type_text\" data-key=\"degree\"><div class=\"um-field-label\"><label for=\"degree-7376\">Degrees and Credentials<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"degree-7376\" id=\"degree-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"degree\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_salutation_title\" class=\"um-field um-field-text  um-field-salutation_title um-field-text um-field-type_text\" data-key=\"salutation_title\"><div class=\"um-field-label\"><label for=\"salutation_title-7376\">Titre<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"salutation_title-7376\" id=\"salutation_title-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"salutation_title\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #860a0a;\">Publication Information<\/div><div class=\"um-row _um_row_2 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_coauthor\" class=\"um-field um-field-radio  um-field-coauthor um-field-radio um-field-type_radio\" data-key=\"coauthor\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"coauthor-7376\">Would you like to collaborate on publications (if yes, please log into your account after your registration has been approved and click on the gear to update your profile and enter additional needed information)?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"coauthor[]\" value=\"Yes\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"coauthor[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"coauthor[]\" value=\"Not sure at this time\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Not sure at this time<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_7376_publication_professor\" class=\"um-field um-field-checkbox  um-field-publication_professor um-field-checkbox um-field-type_checkbox\" data-key=\"publication_professor\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"publication_professor-7376\">Are you a professor (used for journals which require Prof. in front of your name)?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"publication_professor[]\" value=\"Yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Oui<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_7376_Publication_Doctor\" class=\"um-field um-field-checkbox  um-field-Publication_Doctor um-field-checkbox um-field-type_checkbox\" data-key=\"Publication_Doctor\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"Publication_Doctor-7376\">Are you a Doctor (used for journals which require Dr. in front of your name)?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"Publication_Doctor[]\" value=\"Yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Oui<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_7376_expertise_areas\" class=\"um-field um-field-multiselect  um-field-expertise_areas um-field-multiselect um-field-type_multiselect\" data-key=\"expertise_areas\"><div class=\"um-field-label\"><label for=\"expertise_areas-7376\">Areas of Expertise<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select   multiple=\"multiple\" name=\"expertise_areas[]\" id=\"expertise_areas\" data-maxsize=\"0\" data-validate=\"\" data-key=\"expertise_areas\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"HCV\" >HCV<\/option><option value=\"HBV\" >HBV<\/option><option value=\"High Risk Populations\" >High Risk Populations<\/option><option value=\"NASH\" >NASH<\/option><option value=\"Economic Analyses\" >Economic Analyses<\/option><option value=\"Community Organization\" >Community Organization<\/option><option value=\"Global Health\" >Global Health<\/option><option value=\"Other\" >Autres<\/option><\/select><\/div><\/div><div  id=\"um_field_7376_CoI\" class=\"um-field um-field-radio  um-field-CoI um-field-radio um-field-type_radio\" data-key=\"CoI\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"CoI-7376\">Do you have any potential conflicts of interests to report?<\/label><span class=\"um-tip um-tip-w\" title=\"Conflicts of interests would include grants, speakers bureau, sponsored travel.\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"CoI[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"CoI[]\" value=\"Yes (see below)\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Yes (see below)<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_7376_publication_disclosure\" class=\"um-field um-field-text  um-is-conditional um-field-publication_disclosure um-field-text um-field-type_text\" data-key=\"publication_disclosure\" data-cond-0-action=\"hide\" data-cond-0-field=\"CoI\" data-cond-0-operator=\"not equals\" data-cond-0-value=\"Yes (see below)\"><div class=\"um-field-label\"><label for=\"publication_disclosure-7376\">Disclosure of any potential conflicts of interest (as it will appear in the manuscript)<\/label><span class=\"um-tip um-tip-w\" title=\"Ex: List of grants, speaker bureau and sponsored travel\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"publication_disclosure-7376\" id=\"publication_disclosure-7376\" value=\"\" placeholder=\"Disclosures\" data-validate=\"\" data-key=\"publication_disclosure\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #860a0a;\">First Affiliation Information<\/div><div class=\"um-row _um_row_3 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_department\" class=\"um-field um-field-text  um-field-department um-field-text um-field-type_text\" data-key=\"department\"><div class=\"um-field-label\"><label for=\"department-7376\">Department<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"department-7376\" id=\"department-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"department\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_organization\" class=\"um-field um-field-text  um-field-organization um-field-text um-field-type_text\" data-key=\"organization\"><div class=\"um-field-label\"><label for=\"organization-7376\">Organization<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"organization-7376\" id=\"organization-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"organization\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_city\" class=\"um-field um-field-text  um-field-city um-field-text um-field-type_text\" data-key=\"city\"><div class=\"um-field-label\"><label for=\"city-7376\">City<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"city-7376\" id=\"city-7376\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-7376\">Pays<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albanie<\/option><option value=\"Algeria\" >Alg\u00e9rie<\/option><option value=\"American Samoa\" >Samoa am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antigua and Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentina\" >Argentine<\/option><option value=\"Armenia\" >Arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australie<\/option><option value=\"Austria\" >Autriche<\/option><option value=\"Azerbaijan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Belarus\" >Bi\u00e9lorussie<\/option><option value=\"Belgium\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bonaire Sint Eustatius and Saba\" >Bonaire Sint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"BVI\" >BVI<\/option><option value=\"Cabo Verde\" >Cabo Verde<\/option><option value=\"Cambodia\" >Cambodge<\/option><option value=\"Cameroon\" >Cameroun<\/option><option value=\"Canada\" >Canada<\/option><option value=\"CAR\" >CAR<\/option><option value=\"Cayman Islands\" >\u00celes Ca\u00efmans<\/option><option value=\"Chad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China\" >Chine<\/option><option value=\"Colombia\" >Colombie<\/option><option value=\"Comoros\" >Comores<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Cook Islands\" >Iles Cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cura\u00e7ao\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" >Chypre<\/option><option value=\"Czechia\" >Czechia<\/option><option value=\"Denmark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominican Republic\" >R\u00e9publique Dominicaine<\/option><option value=\"DPRK\" >DPRK<\/option><option value=\"DRC\" >DRC<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"Egypt\" >\u00c9gypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"Equatorial Guinea\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estonia\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >\u00c9thiopie<\/option><option value=\"Falkland Islands\" >Falkland Islands<\/option><option value=\"Faroe Islands\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"Fiji\" >Fidji<\/option><option value=\"Finland\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >Guyane<\/option><option value=\"French Polynesia\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"FSM\" >FSM<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Allemagne<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Gr\u00e8ce<\/option><option value=\"Greenland\" >Groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Holy See\" >Holy See<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hongrie<\/option><option value=\"Iceland\" >Islande<\/option><option value=\"India\" >Inde<\/option><option value=\"Indonesia\" >Indon\u00e9sie<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Irak<\/option><option value=\"Ireland\" >Irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italy\" >Italie<\/option><option value=\"Jamaica\" >Jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jordan\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Republic of\" >Cor\u00e9e\u00a0du\u00a0Sud<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kyrgyzstan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Lettonie<\/option><option value=\"Lebanon\" >Liban<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malte<\/option><option value=\"Marshall Islands\" >Iles Marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritanie<\/option><option value=\"Mauritius\" >\u00cele Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexique<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Maroc<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Netherlands\" >Pays-Bas<\/option><option value=\"New Caledonia\" >Nouvelle Cal\u00e9donie<\/option><option value=\"New Zealand\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nig\u00e9ria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"Northern Mariana Islands\" >\u00celes Mariannes du Nord<\/option><option value=\"Norway\" >Norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papouasie Nouvelle Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Roumanie<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Sainte H\u00e9l\u00e8ne<\/option><option value=\"Saint Kitts and Nevis\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Saint Lucia\" >Sainte-Lucie<\/option><option value=\"Saint Martin\" >Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"Sao Tome and Principe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi Arabia\" >Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbia\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapour<\/option><option value=\"Sint Maarten\" >Sint Maarten<\/option><option value=\"Slovakia\" >Slovaquie<\/option><option value=\"Slovenia\" >Slov\u00e9nie<\/option><option value=\"Solomon Islands\" >\u00celes Salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"South Africa\" >Afrique du Sud<\/option><option value=\"South Sudan\" >Soudan du Sud<\/option><option value=\"Spain\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Su\u00e8de<\/option><option value=\"Switzerland\" >Suisse<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tadjikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisia\" >Tunisie<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks and Caicos Islands\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"UAE\" >UAE<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >Royaume-Uni<\/option><option value=\"United States\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"USVI\" >USVI<\/option><option value=\"Uzbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wallis and Futuna\" >Wallis et Futuna<\/option><option value=\"Western Sahara\" >Sahara occidental<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #860a0a;\">Second Affiliation Information (Optional)<\/div><div class=\"um-row _um_row_4 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_second_department\" class=\"um-field um-field-text  um-field-second_department um-field-text um-field-type_text\" data-key=\"second_department\"><div class=\"um-field-label\"><label for=\"second_department-7376\">Department<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"second_department-7376\" id=\"second_department-7376\" value=\"-\" placeholder=\"Please enter department name\" data-validate=\"\" data-key=\"second_department\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_second_organization\" class=\"um-field um-field-text  um-field-second_organization um-field-text um-field-type_text\" data-key=\"second_organization\"><div class=\"um-field-label\"><label for=\"second_organization-7376\">Organization<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"second_organization-7376\" id=\"second_organization-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"second_organization\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_second_city\" class=\"um-field um-field-text  um-field-second_city um-field-text um-field-type_text\" data-key=\"second_city\"><div class=\"um-field-label\"><label for=\"second_city-7376\">City<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"second_city-7376\" id=\"second_city-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"second_city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_second_country\" class=\"um-field um-field-select  um-field-second_country um-field-select um-field-type_select\" data-key=\"second_country\"><div class=\"um-field-label\"><label for=\"second_country-7376\">Country\/Region<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"-\"     name=\"second_country\" id=\"second_country\" data-validate=\"\" data-key=\"second_country\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"-\" selected>-<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albanie<\/option><option value=\"Algeria\" >Alg\u00e9rie<\/option><option value=\"American Samoa\" >Samoa am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antigua and Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentina\" >Argentine<\/option><option value=\"Armenia\" >Arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australie<\/option><option value=\"Austria\" >Autriche<\/option><option value=\"Azerbaijan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Belarus\" >Bi\u00e9lorussie<\/option><option value=\"Belgium\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bonaire Sint Eustatius and Saba\" >Bonaire Sint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"BVI\" >BVI<\/option><option value=\"Cabo Verde\" >Cabo Verde<\/option><option value=\"Cambodia\" >Cambodge<\/option><option value=\"Cameroon\" >Cameroun<\/option><option value=\"Canada\" >Canada<\/option><option value=\"CAR\" >CAR<\/option><option value=\"Cayman Islands\" >\u00celes Ca\u00efmans<\/option><option value=\"Chad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China, Mainland\" >China, Mainland<\/option><option value=\"Colombia\" >Colombie<\/option><option value=\"Comoros\" >Comores<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Cook Islands\" >Iles Cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cura\u00e7ao\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" >Chypre<\/option><option value=\"Czechia\" >Czechia<\/option><option value=\"Denmark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominican Republic\" >R\u00e9publique Dominicaine<\/option><option value=\"DPRK\" >DPRK<\/option><option value=\"DRC\" >DRC<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"Egypt\" >\u00c9gypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"Equatorial Guinea\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estonia\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >\u00c9thiopie<\/option><option value=\"Falkland Islands\" >Falkland Islands<\/option><option value=\"Faroe Islands\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"Fiji\" >Fidji<\/option><option value=\"Finland\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >Guyane<\/option><option value=\"French Polynesia\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"FSM\" >FSM<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Allemagne<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Gr\u00e8ce<\/option><option value=\"Greenland\" >Groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Holy See\" >Holy See<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hongrie<\/option><option value=\"Iceland\" >Islande<\/option><option value=\"India\" >Inde<\/option><option value=\"Indonesia\" >Indon\u00e9sie<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Irak<\/option><option value=\"Ireland\" >Irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italy\" >Italie<\/option><option value=\"Jamaica\" >Jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jordan\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Republic of\" >Cor\u00e9e\u00a0du\u00a0Sud<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kyrgyzstan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Lettonie<\/option><option value=\"Lebanon\" >Liban<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malte<\/option><option value=\"Marshall Islands\" >Iles Marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritanie<\/option><option value=\"Mauritius\" >\u00cele Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexique<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Maroc<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Netherlands\" >Pays-Bas<\/option><option value=\"New Caledonia\" >Nouvelle Cal\u00e9donie<\/option><option value=\"New Zealand\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nig\u00e9ria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"North Macedonia\" >Mac\u00e9doine du Nord<\/option><option value=\"Northern Mariana Islands\" >\u00celes Mariannes du Nord<\/option><option value=\"Norway\" >Norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papouasie Nouvelle Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Roumanie<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Sainte H\u00e9l\u00e8ne<\/option><option value=\"Saint Kitts and Nevis\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Saint Lucia\" >Sainte-Lucie<\/option><option value=\"Saint Martin\" >Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"Sao Tome and Principe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi Arabia\" >Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbia\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapour<\/option><option value=\"Sint Maarten\" >Sint Maarten<\/option><option value=\"Slovakia\" >Slovaquie<\/option><option value=\"Slovenia\" >Slov\u00e9nie<\/option><option value=\"Solomon Islands\" >\u00celes Salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"South Africa\" >Afrique du Sud<\/option><option value=\"South Sudan\" >Soudan du Sud<\/option><option value=\"Spain\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Su\u00e8de<\/option><option value=\"Switzerland\" >Suisse<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tadjikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisia\" >Tunisie<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks and Caicos Islands\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"UAE\" >UAE<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >Royaume-Uni<\/option><option value=\"United States\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"USVI\" >USVI<\/option><option value=\"Uzbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wallis and Futuna\" >Wallis et Futuna<\/option><option value=\"Western Sahara\" >Sahara occidental<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_7376_use_affiliation_2\" class=\"um-field um-field-checkbox  um-field-use_affiliation_2 um-field-checkbox um-field-type_checkbox\" data-key=\"use_affiliation_2\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"use_affiliation_2-7376\">Use this affiliation in publications that I coauthor.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"use_affiliation_2[]\" value=\"Yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Oui<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #860a0a;\">Third Affiliation Information (Optional)<\/div><div class=\"um-row _um_row_5 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_third_department\" class=\"um-field um-field-text  um-field-third_department um-field-text um-field-type_text\" data-key=\"third_department\"><div class=\"um-field-label\"><label for=\"third_department-7376\">Department<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"third_department-7376\" id=\"third_department-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"third_department\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_third_organization\" class=\"um-field um-field-text  um-field-third_organization um-field-text um-field-type_text\" data-key=\"third_organization\"><div class=\"um-field-label\"><label for=\"third_organization-7376\">Organization<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"third_organization-7376\" id=\"third_organization-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"third_organization\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_third_city\" class=\"um-field um-field-text  um-field-third_city um-field-text um-field-type_text\" data-key=\"third_city\"><div class=\"um-field-label\"><label for=\"third_city-7376\">City<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"third_city-7376\" id=\"third_city-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"third_city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_third_country\" class=\"um-field um-field-select  um-field-third_country um-field-select um-field-type_select\" data-key=\"third_country\"><div class=\"um-field-label\"><label for=\"third_country-7376\">Country\/Region<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"-\"     name=\"third_country\" id=\"third_country\" data-validate=\"\" data-key=\"third_country\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"-\" selected>-<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albanie<\/option><option value=\"Algeria\" >Alg\u00e9rie<\/option><option value=\"American Samoa\" >Samoa am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antigua and Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentina\" >Argentine<\/option><option value=\"Armenia\" >Arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australie<\/option><option value=\"Austria\" >Autriche<\/option><option value=\"Azerbaijan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Belarus\" >Bi\u00e9lorussie<\/option><option value=\"Belgium\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bonaire Sint Eustatius and Saba\" >Bonaire Sint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"BVI\" >BVI<\/option><option value=\"Cabo Verde\" >Cabo Verde<\/option><option value=\"Cambodia\" >Cambodge<\/option><option value=\"Cameroon\" >Cameroun<\/option><option value=\"Canada\" >Canada<\/option><option value=\"CAR\" >CAR<\/option><option value=\"Cayman Islands\" >\u00celes Ca\u00efmans<\/option><option value=\"Chad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China, Mainland\" >China, Mainland<\/option><option value=\"Colombia\" >Colombie<\/option><option value=\"Comoros\" >Comores<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Cook Islands\" >Iles Cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cura\u00e7ao\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" >Chypre<\/option><option value=\"Czechia\" >Czechia<\/option><option value=\"Denmark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominican Republic\" >R\u00e9publique Dominicaine<\/option><option value=\"DPRK\" >DPRK<\/option><option value=\"DRC\" >DRC<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"Egypt\" >\u00c9gypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"Equatorial Guinea\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estonia\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >\u00c9thiopie<\/option><option value=\"Falkland Islands\" >Falkland Islands<\/option><option value=\"Faroe Islands\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"Fiji\" >Fidji<\/option><option value=\"Finland\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >Guyane<\/option><option value=\"French Polynesia\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"FSM\" >FSM<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Allemagne<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Gr\u00e8ce<\/option><option value=\"Greenland\" >Groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Holy See\" >Holy See<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hongrie<\/option><option value=\"Iceland\" >Islande<\/option><option value=\"India\" >Inde<\/option><option value=\"Indonesia\" >Indon\u00e9sie<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Irak<\/option><option value=\"Ireland\" >Irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italy\" >Italie<\/option><option value=\"Jamaica\" >Jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jordan\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Republic of\" >Cor\u00e9e\u00a0du\u00a0Sud<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kyrgyzstan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Lettonie<\/option><option value=\"Lebanon\" >Liban<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malte<\/option><option value=\"Marshall Islands\" >Iles Marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritanie<\/option><option value=\"Mauritius\" >\u00cele Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexique<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Maroc<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Netherlands\" >Pays-Bas<\/option><option value=\"New Caledonia\" >Nouvelle Cal\u00e9donie<\/option><option value=\"New Zealand\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nig\u00e9ria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"North Macedonia\" >Mac\u00e9doine du Nord<\/option><option value=\"Northern Mariana Islands\" >\u00celes Mariannes du Nord<\/option><option value=\"Norway\" >Norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papouasie Nouvelle Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Roumanie<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Sainte H\u00e9l\u00e8ne<\/option><option value=\"Saint Kitts and Nevis\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Saint Lucia\" >Sainte-Lucie<\/option><option value=\"Saint Martin\" >Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"Sao Tome and Principe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi Arabia\" >Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbia\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapour<\/option><option value=\"Sint Maarten\" >Sint Maarten<\/option><option value=\"Slovakia\" >Slovaquie<\/option><option value=\"Slovenia\" >Slov\u00e9nie<\/option><option value=\"Solomon Islands\" >\u00celes Salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"South Africa\" >Afrique du Sud<\/option><option value=\"South Sudan\" >Soudan du Sud<\/option><option value=\"Spain\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Su\u00e8de<\/option><option value=\"Switzerland\" >Suisse<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tadjikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisia\" >Tunisie<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks and Caicos Islands\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"UAE\" >UAE<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >Royaume-Uni<\/option><option value=\"United States\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"USVI\" >USVI<\/option><option value=\"Uzbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wallis and Futuna\" >Wallis et Futuna<\/option><option value=\"Western Sahara\" >Sahara occidental<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_7376_use_affiliation_3\" class=\"um-field um-field-checkbox  um-field-use_affiliation_3 um-field-checkbox um-field-type_checkbox\" data-key=\"use_affiliation_3\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"use_affiliation_3-7376\">Use this affiliation in publications that I coauthor.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"use_affiliation_3[]\" value=\"Yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Oui<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #860a0a;\">Fourth Affiliation Information (Optional)<\/div><div class=\"um-row _um_row_6 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_7376_fourth_department\" class=\"um-field um-field-text  um-field-fourth_department um-field-text um-field-type_text\" data-key=\"fourth_department\"><div class=\"um-field-label\"><label for=\"fourth_department-7376\">Department<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"fourth_department-7376\" id=\"fourth_department-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"fourth_department\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_fourth_organization\" class=\"um-field um-field-text  um-field-fourth_organization um-field-text um-field-type_text\" data-key=\"fourth_organization\"><div class=\"um-field-label\"><label for=\"fourth_organization-7376\">Organization<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"fourth_organization-7376\" id=\"fourth_organization-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"fourth_organization\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_fourth_city\" class=\"um-field um-field-text  um-field-fourth_city um-field-text um-field-type_text\" data-key=\"fourth_city\"><div class=\"um-field-label\"><label for=\"fourth_city-7376\">City<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"fourth_city-7376\" id=\"fourth_city-7376\" value=\"-\" placeholder=\"\" data-validate=\"\" data-key=\"fourth_city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_7376_fourth_country\" class=\"um-field um-field-select  um-field-fourth_country um-field-select um-field-type_select\" data-key=\"fourth_country\"><div class=\"um-field-label\"><label for=\"fourth_country-7376\">Country\/Region<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"-\"     name=\"fourth_country\" id=\"fourth_country\" data-validate=\"\" data-key=\"fourth_country\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"-\" selected>-<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albanie<\/option><option value=\"Algeria\" >Alg\u00e9rie<\/option><option value=\"American Samoa\" >Samoa am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antigua and Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentina\" >Argentine<\/option><option value=\"Armenia\" >Arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australie<\/option><option value=\"Austria\" >Autriche<\/option><option value=\"Azerbaijan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Belarus\" >Bi\u00e9lorussie<\/option><option value=\"Belgium\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bonaire Sint Eustatius and Saba\" >Bonaire Sint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"BVI\" >BVI<\/option><option value=\"Cabo Verde\" >Cabo Verde<\/option><option value=\"Cambodia\" >Cambodge<\/option><option value=\"Cameroon\" >Cameroun<\/option><option value=\"Canada\" >Canada<\/option><option value=\"CAR\" >CAR<\/option><option value=\"Cayman Islands\" >\u00celes Ca\u00efmans<\/option><option value=\"Chad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China, Mainland\" >China, Mainland<\/option><option value=\"Colombia\" >Colombie<\/option><option value=\"Comoros\" >Comores<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Cook Islands\" >Iles Cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cura\u00e7ao\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" >Chypre<\/option><option value=\"Czechia\" >Czechia<\/option><option value=\"Denmark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominican Republic\" >R\u00e9publique Dominicaine<\/option><option value=\"DPRK\" >DPRK<\/option><option value=\"DRC\" >DRC<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"Egypt\" >\u00c9gypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"Equatorial Guinea\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estonia\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >\u00c9thiopie<\/option><option value=\"Falkland Islands\" >Falkland Islands<\/option><option value=\"Faroe Islands\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"Fiji\" >Fidji<\/option><option value=\"Finland\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >Guyane<\/option><option value=\"French Polynesia\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"FSM\" >FSM<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Allemagne<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Gr\u00e8ce<\/option><option value=\"Greenland\" >Groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Holy See\" >Holy See<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hongrie<\/option><option value=\"Iceland\" >Islande<\/option><option value=\"India\" >Inde<\/option><option value=\"Indonesia\" >Indon\u00e9sie<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Irak<\/option><option value=\"Ireland\" >Irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italy\" >Italie<\/option><option value=\"Jamaica\" >Jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jordan\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Republic of\" >Cor\u00e9e\u00a0du\u00a0Sud<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kyrgyzstan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Lettonie<\/option><option value=\"Lebanon\" >Liban<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malte<\/option><option value=\"Marshall Islands\" >Iles Marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritanie<\/option><option value=\"Mauritius\" >\u00cele Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexique<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Maroc<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Netherlands\" >Pays-Bas<\/option><option value=\"New Caledonia\" >Nouvelle Cal\u00e9donie<\/option><option value=\"New Zealand\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nig\u00e9ria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"North Macedonia\" >Mac\u00e9doine du Nord<\/option><option value=\"Northern Mariana Islands\" >\u00celes Mariannes du Nord<\/option><option value=\"Norway\" >Norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papouasie Nouvelle Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Roumanie<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Sainte H\u00e9l\u00e8ne<\/option><option value=\"Saint Kitts and Nevis\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Saint Lucia\" >Sainte-Lucie<\/option><option value=\"Saint Martin\" >Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"Sao Tome and Principe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi Arabia\" >Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbia\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapour<\/option><option value=\"Sint Maarten\" >Sint Maarten<\/option><option value=\"Slovakia\" >Slovaquie<\/option><option value=\"Slovenia\" >Slov\u00e9nie<\/option><option value=\"Solomon Islands\" >\u00celes Salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"South Africa\" >Afrique du Sud<\/option><option value=\"South Sudan\" >Soudan du Sud<\/option><option value=\"Spain\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Su\u00e8de<\/option><option value=\"Switzerland\" >Suisse<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tadjikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisia\" >Tunisie<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks and Caicos Islands\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"UAE\" >UAE<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Kingdom\" >Royaume-Uni<\/option><option value=\"United States\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"USVI\" >USVI<\/option><option value=\"Uzbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wallis and Futuna\" >Wallis et Futuna<\/option><option value=\"Western Sahara\" >Sahara occidental<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_7376_use_affiliation_4\" class=\"um-field um-field-checkbox  um-field-use_affiliation_4 um-field-checkbox um-field-type_checkbox\" data-key=\"use_affiliation_4\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"use_affiliation_4-7376\">Use this affiliation in publications that I coauthor.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"use_affiliation_4[]\" value=\"Yes\"  \/><span class=\"um-field-checkbox-state\"><i 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