https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php?feed=atom&target=Kbond&title=Special%3AContributions Faculty of Medicine Online Museum and Archive - User contributions [en] 2026-04-05T01:51:37Z From Faculty of Medicine Online Museum and Archive MediaWiki 1.15.1 https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-30T23:16:51Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/mosaicadd.php&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;br /&gt;&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot;style=&quot;margin:10px; value=&quot;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Museum &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-24T00:38:51Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;br /&gt;&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot;style=&quot;margin:10px; value=&quot;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-24T00:33:29Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;br /&gt;&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-24T00:28:50Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-24T00:26:56Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-24T00:14:35Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;Relevant Field or Discipline:&lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt;&lt;/td&gt;<br /> &lt;em&gt;e.g. Public health, Pharmacology etc &lt;/em&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-23T23:49:39Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.caption.value)<br /> {<br /> alert(&quot;Please enter a caption for your image&quot;);<br /> document.forms.medicalmosaic.caption.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onSubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;10&quot; cellpadding=&quot;10&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Caption:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;caption&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td&gt;Photographer: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;td&gt;Date taken: (if known)&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;date&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;30&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> &lt;td&gt;Historical Information:&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;td&gt;Known Subjects:&lt;br /&gt;<br /> &lt;textarea name=&quot;knownsubjects&quot; id=&quot;knowsubjects&quot; cols=&quot;30&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; valign=&quot;top&quot;&gt;Relevant Field or Discipline:&lt;em&gt; e.g. Public health, Pharmacology etc&lt;/em&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;discipline&quot; maxlength=&quot;50&quot; size=&quot;30&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Help:Contents Help:Contents 2009-11-18T03:39:48Z <p>Kbond:&#32;/* Tasks to be actioned by Kate */</p> <hr /> <div>=Wiki features=<br /> ==Feature panes==<br /> *[[Two text references in a featurepane]]<br /> <br /> ==Images==<br /> *[[How to insert an image into a wiki page]]<br /> <br /> =Other actions=<br /> <br /> ==Medical Montage==<br /> *[[Copy of Image Gallery page for testing]]<br /> <br /> ==Material for upload==<br /> *[[Material for upload|Material for upload (Lise)]]<br /> *[[Material for upload2|Material for upload (Lise)]]<br /> <br /> ==Missing pages to be restored==<br /> *[[Medical School Celebrates its Jubilee in 1933]]<br /> <br /> ==Tasks to be actioned by Development Team==<br /> *List things from meeting with name of who will do it<br /> <br /> ==More requests or problems discovered by Lise==<br /> *When you scroll over images in the wiki, can the sticky say &quot;click once on this image to enlarge it&quot;? Suggestion: that we adapt the short captions so that everyone ends with &quot;Click once on image to enlarge&quot;<br /> *Search function on pages to be more visible - what's your thinking Dan?<br /> *Image upload problems<br /> *Input into help pages<br /> *Help for users. Where to put more clues. E.g. reading pdf's<br /> *Form for photo request<br /> *Go to image gallery. When you scroll over the thumbnails you get 'default caption'. Can we set it so that we scroll over thumbnails and get the short caption as we do in the heading banners and feature pane images? (add displaycaption=&quot;n&quot; to embedimage tag to hide the caption)<br /> <br /> ==Tasks to be actioned by Kate==<br /> *Add field to feedback form 'Enquiry relates to website:' with the option to choose 'Sydney Medical School' or 'Online Museum'??<br /> *[[Search field script]]<br /> *[[Medical Mosaic - Sydney Medical School Image Library]]<br /> <br /> ==Pages badly needing photos==<br /> <br /> *[Chapman, Henry George]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-18T03:38:45Z <p>Kbond:&#32;Medical Mosaic moved to Medical Mosaic - Sydney Medical School Image Library</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.title.value)<br /> {<br /> alert(&quot;Please enter a title for your image&quot;);<br /> document.forms.medicalmosaic.title.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onsubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;4&quot; cellpadding=&quot;6&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Title:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;title&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Photographer:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;50&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Additional Historical Information:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;50&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-11T02:59:41Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.title.value)<br /> {<br /> alert(&quot;Please enter a title for your image&quot;);<br /> document.forms.medicalmosaic.title.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onsubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;4&quot; cellpadding=&quot;6&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td rowspan=&quot;17&quot; align=&quot;right&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot;/&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Title:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;title&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Photographer:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;50&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Additional Historical Information:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;50&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-11T02:50:56Z <p>Kbond:&#32;</p> <hr /> <div>&lt;html&gt;<br /> &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.title.value)<br /> {<br /> alert(&quot;Please enter a title for your image&quot;);<br /> document.forms.medicalmosaic.title.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;Denotes mandatory fields<br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onsubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;4&quot; cellpadding=&quot;6&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td width=&quot;24%&quot; rowspan=&quot;17&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot; align=&quot;top&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Title:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;title&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Photographer:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;50&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Additional Historical Information:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;50&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;<br /> &lt;/html&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Medical_Mosaic_-_Sydney_Medical_School_Image_Library Medical Mosaic - Sydney Medical School Image Library 2009-11-09T04:31:02Z <p>Kbond:&#32;New page: &lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt; &lt;!-- function validateForm(medicalmosaic) { if(&quot;&quot;==document.forms.medicalmosaic.firstname.value) { alert(&quot;Please enter your first nam...</p> <hr /> <div>&lt;script language=&quot;javascript&quot; type=&quot;text/javascript&quot;&gt;<br /> &lt;!-- <br /> function validateForm(medicalmosaic)<br /> {<br /> if(&quot;&quot;==document.forms.medicalmosaic.firstname.value)<br /> {<br /> alert(&quot;Please enter your first name&quot;);<br /> document.forms.medicalmosaic.firstname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.lastname.value)<br /> {<br /> alert(&quot;Please enter your last name&quot;);<br /> document.forms.medicalmosaic.lastname.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.phone.value)<br /> {<br /> alert(&quot;Please enter your daytime phone number&quot;);<br /> document.forms.medicalmosaic.phone.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.mobile.value)<br /> {<br /> alert(&quot;Please enter your mobile&quot;);<br /> document.forms.medicalmosaic.mobile.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaic.email.value)<br /> {<br /> alert(&quot;Please enter your email&quot;);<br /> document.forms.medicalmosaic.email.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.address.value)<br /> {<br /> alert(&quot;Please enter your address details&quot;);<br /> document.forms.medicalmosaic.address.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.city.value)<br /> {<br /> alert(&quot;Please enter your city&quot;);<br /> document.forms.medicalmosaic.city.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.postcode.value)<br /> {<br /> alert(&quot;Please enter your postcode&quot;);<br /> document.forms.medicalmosaic.postcode.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.title.value)<br /> {<br /> alert(&quot;Please enter a title for your image&quot;);<br /> document.forms.medicalmosaic.title.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.photographer.value)<br /> {<br /> alert(&quot;Please enter name of photographer&quot;);<br /> document.forms.medicalmosaic.photographer.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.description.value)<br /> {<br /> alert(&quot;Please enter a description&quot;);<br /> document.forms.medicalmosaic.description.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.historicalinfo.value)<br /> {<br /> alert(&quot;Please enter historical information&quot;);<br /> document.forms.medicalmosaic.historicalinfo.focus();<br /> return false;<br /> }<br /> if(&quot;&quot;==document.forms.medicalmosaics.category.value)<br /> {<br /> alert(&quot;Please select a category&quot;);<br /> document.forms.medicalmosaic.category.focus();<br /> return false;<br /> }<br /> }<br /> --&gt;<br /> &lt;/script&gt;<br /> &lt;style type=&quot;text/css&quot;&gt;<br /> &lt;!--<br /> tr.response { padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.row { background-color: #F9F7F8; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> span.item { white-space: nowrap; padding: 0.1em 0.5em 0.1em 0.1em; }<br /> tr.response td.indentcell {border-left: 3em solid white;}<br /> span.asterisk {font-size: 120%; color: red; }<br /> form[name=medicalmosaic] select {width: 200px; font-weight: bold;}<br /> table.formtable em {display: block; padding-top: 0.5em; font-size: 90%;}<br /> <br /> --&gt;<br /> &lt;/style&gt; <br /> <br /> &lt;form name=&quot;medicalmosaic&quot; method=&quot;post&quot; action=&quot;/museum/&quot; onsubmit=&quot;return validateForm(medicalmosaic);&quot;&gt;<br /> <br /> <br /> &lt;table class=&quot;formtable&quot; width=&quot;668&quot; border=&quot;0&quot; cellspacing=&quot;0&quot; cellpadding=&quot;4&quot;&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Personal Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;td width=&quot;24%&quot; rowspan=&quot;17&quot; valign=&quot;top&quot;&gt;&lt;img src=&quot;http://www.medfac.usyd.edu.au/alumni/alumnibanner_vert.jpg&quot; align=&quot;top&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td width=&quot;30%&quot;&gt;First Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;firstname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Last Name:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;lastname&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> <br /> &lt;td&gt;Daytime Phone:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;phone&quot; maxlength=&quot;30&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;Mobile:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;mobile&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Email Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;email&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Street Address:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;address&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;City:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;city&quot; maxlength=&quot;50&quot; size=&quot;40&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Postcode:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;input type=&quot;text&quot; name=&quot;postcode&quot; maxlength=&quot;10&quot; size=&quot;10&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;State:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;<br /> &lt;select name=&quot;state&quot;&gt;<br /> &lt;option value=&quot;ACT&quot;&gt;ACT&lt;/option&gt;&lt;option value=&quot;NSW&quot;&gt;NSW&lt;/option&gt;&lt;option value=&quot;NT&quot;&gt;NT&lt;/option&gt;&lt;option value=&quot;QLD&quot;&gt;QLD&lt;/option&gt;&lt;option value=&quot;SA&quot;&gt;SA&lt;/option&gt;&lt;option value=&quot;TAS&quot;&gt;TAS&lt;/option&gt;&lt;option value=&quot;VIC&quot;&gt;VIC&lt;/option&gt;&lt;option value=&quot;WA&quot;&gt;WA&lt;/option&gt;&lt;option value=&quot;Other&quot;&gt;Other&lt;/option&gt;<br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td &gt;Country:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;/td&gt;<br /> &lt;td colspan=&quot;2&quot; &gt;&lt;select name=&quot;country&quot;&gt;<br /> &lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Albania&quot;&gt;Albania&lt;/option&gt;&lt;option value=&quot;Algeria&quot;&gt;Algeria&lt;/option&gt;&lt;option value=&quot;American Samoa&quot;&gt;American Samoa&lt;/option&gt;&lt;option value=&quot;Andorra&quot;&gt;Andorra&lt;/option&gt;&lt;option value=&quot;Angola&quot;&gt;Angola&lt;/option&gt;&lt;option value=&quot;Anguilla&quot;&gt;Anguilla&lt;/option&gt;&lt;option value=&quot;Antarctica&quot;&gt;Antarctica&lt;/option&gt;&lt;option value=&quot;Antigua and Barbuda&quot;&gt;Antigua and Barbuda&lt;/option&gt;&lt;option value=&quot;Argentina&quot;&gt;Argentina&lt;/option&gt;&lt;option value=&quot;Armenia&quot;&gt;Armenia&lt;/option&gt;&lt;option value=&quot;Aruba&quot;&gt;Aruba&lt;/option&gt;&lt;option value=&quot;Australia&quot;&gt;Australia&lt;/option&gt;&lt;option value=&quot;Austria&quot;&gt;Austria&lt;/option&gt;&lt;option value=&quot;Azerbaijan&quot;&gt;Azerbaijan&lt;/option&gt;&lt;option value=&quot;Bahamas&quot;&gt;Bahamas&lt;/option&gt;&lt;option value=&quot;Bahrain&quot;&gt;Bahrain&lt;/option&gt;&lt;option value=&quot;Bangladesh&quot;&gt;Bangladesh&lt;/option&gt;&lt;option value=&quot;Barbados&quot;&gt;Barbados&lt;/option&gt;&lt;option value=&quot;Belarus&quot;&gt;Belarus&lt;/option&gt;&lt;option value=&quot;Belgium&quot;&gt;Belgium&lt;/option&gt;&lt;option value=&quot;Belize&quot;&gt;Belize&lt;/option&gt;&lt;option value=&quot;Benin&quot;&gt;Benin&lt;/option&gt;&lt;option value=&quot;Bermuda&quot;&gt;Bermuda&lt;/option&gt;&lt;option value=&quot;Bhutan&quot;&gt;Bhutan&lt;/option&gt;&lt;option value=&quot;Bolivia&quot;&gt;Bolivia&lt;/option&gt;&lt;option value=&quot;Bosnia and Herzegovina&quot;&gt;Bosnia and Herzegovina&lt;/option&gt;&lt;option value=&quot;Botswana&quot;&gt;Botswana&lt;/option&gt;&lt;option value=&quot;Bouvet Island&quot;&gt;Bouvet Island&lt;/option&gt;&lt;option value=&quot;Brazil&quot;&gt;Brazil&lt;/option&gt;&lt;option value=&quot;British Indian Ocean Territory&quot;&gt;British Indian Ocean Territory&lt;/option&gt;&lt;option value=&quot;Brunei Darussalam&quot;&gt;Brunei Darussalam&lt;/option&gt;&lt;option value=&quot;Bulgaria&quot;&gt;Bulgaria&lt;/option&gt;&lt;option value=&quot;Burkina Faso&quot;&gt;Burkina Faso&lt;/option&gt;&lt;option value=&quot;Burundi&quot;&gt;Burundi&lt;/option&gt;&lt;option value=&quot;Cambodia&quot;&gt;Cambodia&lt;/option&gt;&lt;option value=&quot;Cameroon&quot;&gt;Cameroon&lt;/option&gt;&lt;option value=&quot;Canada&quot;&gt;Canada&lt;/option&gt;&lt;option value=&quot;Cape Verde&quot;&gt;Cape Verde&lt;/option&gt;&lt;option value=&quot;Cayman Islands&quot;&gt;Cayman Islands&lt;/option&gt;&lt;option value=&quot;Central African Republic&quot;&gt;Central African Republic&lt;/option&gt;&lt;option value=&quot;Chad&quot;&gt;Chad&lt;/option&gt;&lt;option value=&quot;Chile&quot;&gt;Chile&lt;/option&gt;&lt;option value=&quot;China&quot;&gt;China&lt;/option&gt;&lt;option value=&quot;Christmas Island (Australia)&quot;&gt;Christmas Island (Australia)&lt;/option&gt;&lt;option value=&quot;Cocos (Keeling) Islands&quot;&gt;Cocos (Keeling) Islands&lt;/option&gt;&lt;option value=&quot;Colombia&quot;&gt;Colombia&lt;/option&gt;&lt;option value=&quot;Comoros&quot;&gt;Comoros&lt;/option&gt;&lt;option value=&quot;Congo&quot;&gt;Congo&lt;/option&gt;&lt;option value=&quot;Cook Islands (New Zealand)&quot;&gt;Cook Islands (New Zealand)&lt;/option&gt;&lt;option value=&quot;Costa Rica&quot;&gt;Costa Rica&lt;/option&gt;&lt;option value=&quot;Cote d`Ivoire&quot;&gt;Cote d`Ivoire&lt;/option&gt;&lt;option value=&quot;Croatia (Hrvatska)&quot;&gt;Croatia (Hrvatska)&lt;/option&gt;&lt;option value=&quot;Cyprus&quot;&gt;Cyprus&lt;/option&gt;&lt;option value=&quot;Czech Republic&quot;&gt;Czech Republic&lt;/option&gt;&lt;option value=&quot;Democratic Republic of the Congo&quot;&gt;Democratic Republic of the Congo&lt;/option&gt;&lt;option value=&quot;Denmark&quot;&gt;Denmark&lt;/option&gt;&lt;option value=&quot;Djibouti&quot;&gt;Djibouti&lt;/option&gt;&lt;option value=&quot;Dominica&quot;&gt;Dominica&lt;/option&gt;&lt;option value=&quot;Dominican Republic&quot;&gt;Dominican Republic&lt;/option&gt;&lt;option value=&quot;East Timor&quot;&gt;East Timor&lt;/option&gt;&lt;option value=&quot;Ecuador&quot;&gt;Ecuador&lt;/option&gt;&lt;option value=&quot;Egypt&quot;&gt;Egypt&lt;/option&gt;&lt;option value=&quot;El Salvador&quot;&gt;El Salvador&lt;/option&gt;&lt;option value=&quot;Equatorial Guinea&quot;&gt;Equatorial Guinea&lt;/option&gt;&lt;option value=&quot;Eritrea&quot;&gt;Eritrea&lt;/option&gt;&lt;option value=&quot;Estonia&quot;&gt;Estonia&lt;/option&gt;&lt;option value=&quot;Ethiopia&quot;&gt;Ethiopia&lt;/option&gt;&lt;option value=&quot;Falkland Islands&quot;&gt;Falkland Islands&lt;/option&gt;&lt;option value=&quot;Faroe Islands&quot;&gt;Faroe Islands&lt;/option&gt;&lt;option value=&quot;Fiji&quot;&gt;Fiji&lt;/option&gt;&lt;option value=&quot;Finland&quot;&gt;Finland&lt;/option&gt;&lt;option value=&quot;France&quot;&gt;France&lt;/option&gt;&lt;option value=&quot;French Guiana&quot;&gt;French Guiana&lt;/option&gt;&lt;option value=&quot;French Polynesia&quot;&gt;French Polynesia&lt;/option&gt;&lt;option value=&quot;French Southern Territories&quot;&gt;French Southern Territories&lt;/option&gt;&lt;option value=&quot;Gabon&quot;&gt;Gabon&lt;/option&gt;&lt;option value=&quot;Gambia&quot;&gt;Gambia&lt;/option&gt;&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;&lt;option value=&quot;Germany&quot;&gt;Germany&lt;/option&gt;&lt;option value=&quot;Ghana&quot;&gt;Ghana&lt;/option&gt;&lt;option value=&quot;Gibraltar&quot;&gt;Gibraltar&lt;/option&gt;&lt;option value=&quot;Greece&quot;&gt;Greece&lt;/option&gt;&lt;option value=&quot;Greenland&quot;&gt;Greenland&lt;/option&gt;&lt;option value=&quot;Grenada&quot;&gt;Grenada&lt;/option&gt;&lt;option value=&quot;Guadeloupe&quot;&gt;Guadeloupe&lt;/option&gt;&lt;option value=&quot;Guam&quot;&gt;Guam&lt;/option&gt;&lt;option value=&quot;Guatemala&quot;&gt;Guatemala&lt;/option&gt;&lt;option value=&quot;Guinea&quot;&gt;Guinea&lt;/option&gt;&lt;option value=&quot;Guinea-Bissau&quot;&gt;Guinea-Bissau&lt;/option&gt;&lt;option value=&quot;Guyana&quot;&gt;Guyana&lt;/option&gt;&lt;option value=&quot;Haiti&quot;&gt;Haiti&lt;/option&gt;&lt;option value=&quot;Heard and Mcdonald Islands&quot;&gt;Heard and Mcdonald Islands&lt;/option&gt;&lt;option value=&quot;Honduras&quot;&gt;Honduras&lt;/option&gt;&lt;option value=&quot;Hong Kong&quot;&gt;Hong Kong&lt;/option&gt;&lt;option value=&quot;Hungary&quot;&gt;Hungary&lt;/option&gt;&lt;option value=&quot;Iceland&quot;&gt;Iceland&lt;/option&gt;&lt;option value=&quot;India&quot;&gt;India&lt;/option&gt;&lt;option value=&quot;Indonesia&quot;&gt;Indonesia&lt;/option&gt;&lt;option value=&quot;Ireland&quot;&gt;Ireland&lt;/option&gt;&lt;option value=&quot;Israel&quot;&gt;Israel&lt;/option&gt;&lt;option value=&quot;Italy&quot;&gt;Italy&lt;/option&gt;&lt;option value=&quot;Jamaica&quot;&gt;Jamaica&lt;/option&gt;&lt;option value=&quot;Japan&quot;&gt;Japan&lt;/option&gt;&lt;option value=&quot;Jordan&quot;&gt;Jordan&lt;/option&gt;&lt;option value=&quot;Kazakhstan&quot;&gt;Kazakhstan&lt;/option&gt;&lt;option value=&quot;Kenya&quot;&gt;Kenya&lt;/option&gt;&lt;option value=&quot;Kiribati&quot;&gt;Kiribati&lt;/option&gt;&lt;option value=&quot;Korea, South&quot;&gt;Korea, South&lt;/option&gt;&lt;option value=&quot;Kuwait&quot;&gt;Kuwait&lt;/option&gt;&lt;option value=&quot;Kyrgyzstan&quot;&gt;Kyrgyzstan&lt;/option&gt;&lt;option value=&quot;Laos, People`s Democratic Republic&quot;&gt;Laos, People`s Democratic Republic&lt;/option&gt;&lt;option value=&quot;Latvia&quot;&gt;Latvia&lt;/option&gt;&lt;option value=&quot;Lebanon&quot;&gt;Lebanon&lt;/option&gt;&lt;option value=&quot;Lesotho&quot;&gt;Lesotho&lt;/option&gt;&lt;option value=&quot;Liberia&quot;&gt;Liberia&lt;/option&gt;&lt;option value=&quot;Liechtenstein&quot;&gt;Liechtenstein&lt;/option&gt;&lt;option value=&quot;Lithuania&quot;&gt;Lithuania&lt;/option&gt;&lt;option value=&quot;Luxembourg&quot;&gt;Luxembourg&lt;/option&gt;&lt;option value=&quot;Macau&quot;&gt;Macau&lt;/option&gt;&lt;option value=&quot;Macedonia&quot;&gt;Macedonia&lt;/option&gt;&lt;option value=&quot;Madagascar&quot;&gt;Madagascar&lt;/option&gt;&lt;option value=&quot;Malawi&quot;&gt;Malawi&lt;/option&gt;&lt;option value=&quot;Malaysia&quot;&gt;Malaysia&lt;/option&gt;&lt;option value=&quot;Maldives&quot;&gt;Maldives&lt;/option&gt;&lt;option value=&quot;Mali&quot;&gt;Mali&lt;/option&gt;&lt;option value=&quot;Malta&quot;&gt;Malta&lt;/option&gt;&lt;option value=&quot;Marshall Islands&quot;&gt;Marshall Islands&lt;/option&gt;&lt;option value=&quot;Martinique&quot;&gt;Martinique&lt;/option&gt;&lt;option value=&quot;Mauritania&quot;&gt;Mauritania&lt;/option&gt;&lt;option value=&quot;Mauritius&quot;&gt;Mauritius&lt;/option&gt;&lt;option value=&quot;Mayotte&quot;&gt;Mayotte&lt;/option&gt;&lt;option value=&quot;Mexico&quot;&gt;Mexico&lt;/option&gt;&lt;option value=&quot;Micronesia&quot;&gt;Micronesia&lt;/option&gt;&lt;option value=&quot;Moldova&quot;&gt;Moldova&lt;/option&gt;&lt;option value=&quot;Monaco&quot;&gt;Monaco&lt;/option&gt;&lt;option value=&quot;Mongolia&quot;&gt;Mongolia&lt;/option&gt;&lt;option value=&quot;Montserrat&quot;&gt;Montserrat&lt;/option&gt;&lt;option value=&quot;Morocco&quot;&gt;Morocco&lt;/option&gt;&lt;option value=&quot;Mozambique&quot;&gt;Mozambique&lt;/option&gt;&lt;option value=&quot;Myanmar&quot;&gt;Myanmar&lt;/option&gt;&lt;option value=&quot;Namibia&quot;&gt;Namibia&lt;/option&gt;&lt;option value=&quot;Nauru&quot;&gt;Nauru&lt;/option&gt;&lt;option value=&quot;Nepal&quot;&gt;Nepal&lt;/option&gt;&lt;option value=&quot;Netherlands&quot;&gt;Netherlands&lt;/option&gt;&lt;option value=&quot;Netherlands Antilles&quot;&gt;Netherlands Antilles&lt;/option&gt;&lt;option value=&quot;New Caledonia&quot;&gt;New Caledonia&lt;/option&gt;&lt;option value=&quot;New Zealand&quot;&gt;New Zealand&lt;/option&gt;&lt;option value=&quot;Nicaragua&quot;&gt;Nicaragua&lt;/option&gt;&lt;option value=&quot;Niger&quot;&gt;Niger&lt;/option&gt;&lt;option value=&quot;Nigeria&quot;&gt;Nigeria&lt;/option&gt;&lt;option value=&quot;Niue&quot;&gt;Niue&lt;/option&gt;&lt;option value=&quot;Norfolk Island&quot;&gt;Norfolk Island&lt;/option&gt;&lt;option value=&quot;Northern Mariana Islands&quot;&gt;Northern Mariana Islands&lt;/option&gt;&lt;option value=&quot;Norway&quot;&gt;Norway&lt;/option&gt;&lt;option value=&quot;Oman&quot;&gt;Oman&lt;/option&gt;&lt;option value=&quot;Pakistan&quot;&gt;Pakistan&lt;/option&gt;&lt;option value=&quot;Palau&quot;&gt;Palau&lt;/option&gt;&lt;option value=&quot;Palestinian Territory&quot;&gt;Palestinian Territory&lt;/option&gt;&lt;option value=&quot;Panama&quot;&gt;Panama&lt;/option&gt;&lt;option value=&quot;Papua New Guinea&quot;&gt;Papua New Guinea&lt;/option&gt;&lt;option value=&quot;Paraguay&quot;&gt;Paraguay&lt;/option&gt;&lt;option value=&quot;Peru&quot;&gt;Peru&lt;/option&gt;&lt;option value=&quot;Philippines&quot;&gt;Philippines&lt;/option&gt;&lt;option value=&quot;Pitcairn&quot;&gt;Pitcairn&lt;/option&gt;&lt;option value=&quot;Poland&quot;&gt;Poland&lt;/option&gt;&lt;option value=&quot;Portugal&quot;&gt;Portugal&lt;/option&gt;&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;&lt;option value=&quot;Qatar&quot;&gt;Qatar&lt;/option&gt;&lt;option value=&quot;Reunion&quot;&gt;Reunion&lt;/option&gt;&lt;option value=&quot;Romania&quot;&gt;Romania&lt;/option&gt;&lt;option value=&quot;Russian Federation&quot;&gt;Russian Federation&lt;/option&gt;&lt;option value=&quot;Rwanda&quot;&gt;Rwanda&lt;/option&gt;&lt;option value=&quot;Saint Kitts and Nevis&quot;&gt;Saint Kitts and Nevis&lt;/option&gt;&lt;option value=&quot;Saint Lucia&quot;&gt;Saint Lucia&lt;/option&gt;&lt;option value=&quot;Saint Vincent Islands&quot;&gt;Saint Vincent Islands&lt;/option&gt;&lt;option value=&quot;Samoa&quot;&gt;Samoa&lt;/option&gt;&lt;option value=&quot;San Marino&quot;&gt;San Marino&lt;/option&gt;&lt;option value=&quot;Sao Tome and Principe&quot;&gt;Sao Tome and Principe&lt;/option&gt;&lt;option value=&quot;Saudi Arabia&quot;&gt;Saudi Arabia&lt;/option&gt;&lt;option value=&quot;Senegal&quot;&gt;Senegal&lt;/option&gt;&lt;option value=&quot;Seychelles&quot;&gt;Seychelles&lt;/option&gt;&lt;option value=&quot;Sierra Leone&quot;&gt;Sierra Leone&lt;/option&gt;&lt;option value=&quot;Singapore&quot;&gt;Singapore&lt;/option&gt;&lt;option value=&quot;Slovak Republic&quot;&gt;Slovak Republic&lt;/option&gt;&lt;option value=&quot;Slovenia&quot;&gt;Slovenia&lt;/option&gt;&lt;option value=&quot;S. Georgia and S.Sandwich Is.&quot;&gt;S. Georgia and S.Sandwich Is.&lt;/option&gt;&lt;option value=&quot;Solomon Islands&quot;&gt;Solomon Islands&lt;/option&gt;&lt;option value=&quot;Somalia&quot;&gt;Somalia&lt;/option&gt;&lt;option value=&quot;South Africa&quot;&gt;South Africa&lt;/option&gt;&lt;option value=&quot;Spain&quot;&gt;Spain&lt;/option&gt;&lt;option value=&quot;Sri Lanka&quot;&gt;Sri Lanka&lt;/option&gt;&lt;option value=&quot;St Helena&quot;&gt;St Helena&lt;/option&gt;&lt;option value=&quot;St Pierre and Miquelon&quot;&gt;St Pierre and Miquelon&lt;/option&gt;&lt;option value=&quot;Suriname&quot;&gt;Suriname&lt;/option&gt;&lt;option value=&quot;Svalbard and Jan Mayen Islands&quot;&gt;Svalbard and Jan Mayen Islands&lt;/option&gt;&lt;option value=&quot;Swaziland&quot;&gt;Swaziland&lt;/option&gt;&lt;option value=&quot;Sweden&quot;&gt;Sweden&lt;/option&gt;&lt;option value=&quot;Switzerland&quot;&gt;Switzerland&lt;/option&gt;&lt;option value=&quot;Taiwan&quot;&gt;Taiwan&lt;/option&gt;&lt;option value=&quot;Tajikistan&quot;&gt;Tajikistan&lt;/option&gt;&lt;option value=&quot;Tanzania, United Republic of&quot;&gt;Tanzania, United Republic of&lt;/option&gt;&lt;option value=&quot;Thailand&quot;&gt;Thailand&lt;/option&gt;&lt;option value=&quot;Togo&quot;&gt;Togo&lt;/option&gt;&lt;option value=&quot;Tokelau&quot;&gt;Tokelau&lt;/option&gt;&lt;option value=&quot;Tonga&quot;&gt;Tonga&lt;/option&gt;&lt;option value=&quot;Trinidad and Tobago&quot;&gt;Trinidad and Tobago&lt;/option&gt;&lt;option value=&quot;Tunisia&quot;&gt;Tunisia&lt;/option&gt;&lt;option value=&quot;Turkey&quot;&gt;Turkey&lt;/option&gt;&lt;option value=&quot;Turkmenistan&quot;&gt;Turkmenistan&lt;/option&gt;&lt;option value=&quot;Turks and Caicos Islands&quot;&gt;Turks and Caicos Islands&lt;/option&gt;&lt;option value=&quot;Tuvalu&quot;&gt;Tuvalu&lt;/option&gt;&lt;option value=&quot;Uganda&quot;&gt;Uganda&lt;/option&gt;&lt;option value=&quot;Ukraine&quot;&gt;Ukraine&lt;/option&gt;&lt;option value=&quot;United Arab Emirates&quot;&gt;United Arab Emirates&lt;/option&gt;&lt;option value=&quot;United Kingdom&quot;&gt;United Kingdom&lt;/option&gt;&lt;option value=&quot;United States&quot;&gt;United States&lt;/option&gt;&lt;option value=&quot;Uruguay&quot;&gt;Uruguay&lt;/option&gt;&lt;option value=&quot;US Minor Outlying Islands&quot;&gt;US Minor Outlying Islands&lt;/option&gt;&lt;option value=&quot;Uzbekistan&quot;&gt;Uzbekistan&lt;/option&gt;&lt;option value=&quot;Vanuatu&quot;&gt;Vanuatu&lt;/option&gt;&lt;option value=&quot;Vatican City State&quot;&gt;Vatican City State&lt;/option&gt;&lt;option value=&quot;Venezuela&quot;&gt;Venezuela&lt;/option&gt;&lt;option value=&quot;Vietnam&quot;&gt;Vietnam&lt;/option&gt;&lt;option value=&quot;Virgin Islands (British)&quot;&gt;Virgin Islands (British)&lt;/option&gt;&lt;option value=&quot;Virgin Islands (US)&quot;&gt;Virgin Islands (US)&lt;/option&gt;&lt;option value=&quot;Wallis and Futuna Islands&quot;&gt;Wallis and Futuna Islands&lt;/option&gt;&lt;option value=&quot;Western Sahara&quot;&gt;Western Sahara&lt;/option&gt;&lt;option value=&quot;Yemen&quot;&gt;Yemen&lt;/option&gt;&lt;option value=&quot;Zambia&quot;&gt;Zambia&lt;/option&gt;&lt;option value=&quot;Zimbabwe&quot;&gt;Zimbabwe&lt;/option&gt;<br /> <br /> &lt;/select&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Image Details:&lt;/strong&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td&gt;Title:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt; &lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;title&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> <br /> &lt;td colspan=&quot;2&quot;&gt;Photographer:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;input type=&quot;text&quot; name=&quot;photographer&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Description of Image:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;description&quot; cols=&quot;50&quot; rows=&quot;5&quot; id=&quot;description&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot; &gt;Additional Historical Information:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;textarea name=&quot;historicalinfo&quot; id=&quot;historicalinfo&quot; cols=&quot;50&quot; rows=&quot;5&quot;&gt;&lt;/textarea&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td&gt;<br /> Category:&lt;span class=&quot;asterisk&quot;&gt;*&lt;/span&gt;&lt;br /&gt;<br /> &lt;select name=&quot;theme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;41%&quot;&gt;Additional Category:&lt;br /&gt;<br /> &lt;select name=&quot;additionaltheme&quot; size=&quot;1&quot;&gt;<br /> &lt;option value=&quot;&quot; selected&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;-- please select -- &lt;/option&gt;<br /> &lt;option value=&quot;Artifacts&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Artifacts&lt;/option&gt;<br /> &lt;option value=&quot;BuildingExterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings/Exterior&lt;/option&gt;<br /> &lt;option value=&quot;BuildingInterior&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Buildings Interior&lt;/option&gt;<br /> &lt;option value=&quot;Documents&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Documents&lt;/option&gt;<br /> &lt;option value=&quot;GroupPhoto&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Group Photo&lt;/option&gt;<br /> &lt;option value=&quot;HospitalLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Hospital Life&lt;/option&gt;<br /> &lt;option value=&quot;IndividualPortrait&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Individual Portrait&lt;/option&gt;<br /> &lt;option value=&quot;Military&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Military&lt;/option&gt;<br /> &lt;option value=&quot;Sport&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Sport&lt;/option&gt;<br /> &lt;option value=&quot;StudentLife&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Student Life&lt;/option&gt;<br /> &lt;option value=&quot;Other&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;Other&lt;/option&gt;<br /> &lt;/select&gt; &lt;/td&gt;<br /> &lt;td width=&quot;5%&quot;&gt;Other:&lt;input type=&quot;text&quot; name=&quot;other&quot; maxlength=&quot;50&quot; size=&quot;20&quot; /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;strong&gt;Upload Image:&lt;/strong&gt;<br /> &lt;input name=&quot;imageupload&quot; type=&quot;file&quot; id=&quot;imageupload&quot; style=&quot;margin:0px;&quot; value=&quot;&quot;&gt; &lt;br /&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;<br /> &lt;input name=&quot;agreed[]&quot; type=&quot;checkbox&quot;&gt;I have read, and agree, to the &lt;a href=&quot;https://www.sydney.edu.au/medicine/museum/&quot; title=&quot;Rules and Regulations&quot; target=&quot;_blank&quot;&gt;Copyright &amp; Usage terms &lt;/a&gt;of the Sydney Medical School Online Musuem &amp; Archive.&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td colspan=&quot;3&quot;&gt;&lt;input name=&quot;submit&quot; value=&quot;Submit ยป&quot; type=&quot;submit&quot; style=&quot;margin:0px;&quot;&gt; &lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> <br /> &lt;/form&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Help:Contents Help:Contents 2009-11-09T03:05:54Z <p>Kbond:&#32;</p> <hr /> <div>=Wiki features=<br /> ==Feature panes==<br /> *[[Two text references in a featurepane]]<br /> <br /> ==Images==<br /> *[[How to insert an image into a wiki page]]<br /> <br /> =Other actions=<br /> <br /> ==Medical Montage==<br /> *[[Copy of Image Gallery page for testing]]<br /> <br /> ==Material for upload==<br /> *[[Material for upload|Material for upload (Lise)]]<br /> *[[Material for upload2|Material for upload (Lise)]]<br /> <br /> ==Missing pages to be restored==<br /> *[[Medical School Celebrates its Jubilee in 1933]]<br /> <br /> ==Tasks to be actioned by Development Team==<br /> *List things from meeting with name of who will do it<br /> <br /> ==More requests or problems discovered by Lise==<br /> *When you scroll over images in the wiki, can the sticky say &quot;click once on this image to enlarge it&quot;? Suggestion: that we adapt the short captions so that everyone ends with &quot;Click once on image to enlarge&quot;<br /> *Search function on pages to be more visible - what's your thinking Dan?<br /> *Image upload problems<br /> *Input into help pages<br /> *Help for users. Where to put more clues. E.g. reading pdf's<br /> *Form for photo request<br /> *Go to image gallery. When you scroll over the thumbnails you get 'default caption'. Can we set it so that we scroll over thumbnails and get the short caption as we do in the heading banners and feature pane images? (add displaycaption=&quot;n&quot; to embedimage tag to hide the caption)<br /> <br /> ==Tasks to be actioned by Kate==<br /> *Add field to feedback form 'Enquiry relates to website:' with the option to choose 'Sydney Medical School' or 'Online Museum'??<br /> *[[Search field script]]<br /> *[[Medical Mosaic]]<br /> <br /> ==Pages badly needing photos==<br /> <br /> *[Chapman, Henry George]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Sydney_Medical_School_Online_Museum_and_Archive Sydney Medical School Online Museum and Archive 2009-10-27T03:58:05Z <p>Kbond:&#32;/* Special Features */</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS3389 FMMUS1321 FMMUS3364&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> <br /> <br /> <br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Our_Alumni| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/graduate_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Category:Biographies| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/biographies_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Comments_and_Feedback| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/feedback_banner.gif}}<br /> <br /> <br /> | title1=Look at...|text1= [[Photographs taken by the Faculty's first Dean, Professor John Smith|Photographs taken by Professor John Smith 1855 - 1870]]&lt;featureimage id=&quot;FMMUS3350&quot;<br /> &lt;featureimage id=&quot;FMMUS3350&quot; align=&quot;center&quot; caption=&quot;no&quot;/&gt; <br /> | title2=Download...|text2=[[Medical Heriatage Trail Brochure]]/&gt;}}<br /> =About the Online Museum and Archive=<br /> <br /> Welcome to the Sydney Medical School Online Museum and Archive. The Faculty of Medicine formally came into being on [[Foundation of the Faculty of Medicine in 1856|13 June 1856]], initially for the purpose of conducting examinations for award of the degrees of Bachelor and Doctor of Medicine. Twenty-five years later the [[Opening of the Medical School in 1883|Medical School was opened]] and began the task of training doctors for the growing colony of NSW. In 1883, when the Faculty took first enrolments there were only four students taught by the Dean, [[Stuart, Thomas Peter Anderson|Professor Thomas Anderson Stuart Kt]], in a tiny cottage located near the Footbridge entrance from Parramatta Road. Since these modest beginnings, over 24,000 students have graduated and have gone on to achieve a diversity of accomplishments that have impacted upon the lives of many in extraordinary ways, both in Australia and elsewhere in the world. Likewise, from our pioneers to our current staff, this medical school has been advanced by remarkable medical professionals, administrators and educators.<br /> <br /> =Special Features=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> * Search [[Our Alumni|Lists of Graduates]] since 1856<br /> * Read an [[History|Historical Overview]]<br /> * Read [[Biographies]] of staff, alumni and benefactors<br /> * Read [[Publications]]<br /> * See [[Virtual Exhibitions]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> * View photographs and paintings in our [[Image Library]]<br /> * Browse [[Senior Year Books]] from 1922 to 1970<br /> * Read examination papers from 1880s to 1950s [[Curriculum]]<br /> * Take [[Virtual_tours|Virtual Tours of Buildings]]<br /> * View and download the [https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf Medical Heritage Trail] brochure<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> <br /> This site has been developed in consultation with the [[Online Museum Advisory Committee]] and the [[Web Development Team]]. We welcome your feedback and contributions. Enquiries can be directed to the managing curator [http://www.usyd.edu.au/perl-bin/phlookup.cgi?type=people&amp;name=Lise+Mellor&amp;Submit+Query.x=0&amp;Submit+Query.y=0&amp;title=&amp;position=&amp;department=&amp;phone= '''Dr Lise Mellor'''].</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Comments_and_Feedback Comments and Feedback 2009-09-29T07:18:38Z <p>Kbond:&#32;</p> <hr /> <div>This site is in development and we welcome your feedback and contributions. Enquiries can also be directed to the managing curator [http://www.usyd.edu.au/perl-bin/phlookup.cgi?type=people&amp;name=Lise+Mellor&amp;Submit+Query.x=0&amp;Submit+Query.y=0&amp;title=&amp;position=&amp;department=&amp;phone= '''Dr Lise Mellor'''].<br /> <br /> <br /> <br /> &lt;div&gt;&lt;form name=&quot;alumnifeedback&quot; method=&quot;post&quot; action=&quot;/museum/feedback_dbform.php&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name =&quot;db_enqtype&quot; value =&quot;feedback&quot;&gt;<br /> &lt;table&gt;&lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;First name&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_firstname&quot; value=&quot;&quot; tabindex=&quot;1&quot; &gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Surname&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_surname&quot; value=&quot;&quot; tabindex=&quot;2&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Email &lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_email&quot; tabindex=&quot;3&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Phone&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_phone&quot; tabindex=&quot;6&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Comment&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;textarea name=&quot;db_comment&quot; cols=&quot;60&quot; rows=&quot;5&quot; tabindex=&quot;10&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;submit&quot; name=&quot;Submit&quot; value=&quot;Submit&quot; tabindex=&quot;100&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> &lt;/form&gt;&lt;/div&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Comments_and_Feedback Comments and Feedback 2009-09-29T07:16:21Z <p>Kbond:&#32;</p> <hr /> <div>This site is in development and we welcome your feedback and contributions. Enquiries can also be directed to the managing curator [http://www.usyd.edu.au/perl-bin/phlookup.cgi?type=people&amp;name=Lise+Mellor&amp;Submit+Query.x=0&amp;Submit+Query.y=0&amp;title=&amp;position=&amp;department=&amp;phone= '''Dr Lise Mellor'''].<br /> <br /> <br /> <br /> &lt;div&gt;&lt;form name=&quot;alumnifeedback&quot; method=&quot;post&quot; action=&quot;/museum/feedback_dbform.php&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name =&quot;db_enqtype&quot; value =&quot;feedback&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;db_time&quot; value=&quot;&lt;?=date(&quot;d/m/Y G:i&quot;)?&gt;&quot; /&gt;<br /> &lt;table&gt;&lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;First name&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_firstname&quot; value=&quot;&quot; tabindex=&quot;1&quot; &gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Surname&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_surname&quot; value=&quot;&quot; tabindex=&quot;2&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Email &lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_email&quot; tabindex=&quot;3&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> <br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Phone&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;db_phone&quot; tabindex=&quot;6&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;div align=&quot;right&quot;&gt;Comment&lt;/div&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;textarea name=&quot;db_comment&quot; cols=&quot;60&quot; rows=&quot;5&quot; tabindex=&quot;10&quot;&gt;&lt;/textarea&gt;&lt;/td&gt;<br /> <br /> &lt;/tr&gt;<br /> &lt;tr&gt;<br /> &lt;td valign=&quot;top&quot;&gt;&lt;/td&gt;<br /> &lt;td&gt;&lt;input type=&quot;submit&quot; name=&quot;Submit&quot; value=&quot;Submit&quot; tabindex=&quot;100&quot;&gt;&lt;/td&gt;<br /> &lt;/tr&gt;<br /> &lt;/table&gt;<br /> &lt;/form&gt;&lt;/div&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-09-29T06:04:29Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane2|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> |title1=Search Museum|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> <br /> <br /> | title2=Read...|text2= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_History_Page Copy of History Page 2009-09-29T06:00:57Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane2|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> |title1=Search Museum|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> <br /> <br /> | title2=Read...|text2= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-29T01:35:41Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane1| title1=Search Museum|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-29T01:34:09Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane1| title1=Search Museum|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-29T01:33:29Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane1| title1=Search Museum|text1=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-29T01:32:13Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot;class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Search Museum|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-29T01:31:34Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot;class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Search Museum|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter Search Terms&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-09-25T05:03:09Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot;class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Find...|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_Image_Gallery_page_for_testing Copy of Image Gallery page for testing 2009-09-25T05:01:25Z <p>Kbond:&#32;New page: &lt;randomimages ids=&quot;FMMUS2784 FMMUS1300 FMMUS3492&quot; h=&quot;180&quot;/&gt; __NOTOC__ {{featurepane2| title1=NEW!|text1= Portraits of key faculty members by artist Simon Fieldhouse&lt;featureimage id=&quot;F...</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS2784 FMMUS1300 FMMUS3492&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> {{featurepane2| title1=NEW!|text1= [[Portraits of key faculty members by artist Simon Fieldhouse]]&lt;featureimage id=&quot;FMMUS3393&quot;<br /> &lt;featureimage id=&quot;FMMUS3497&quot; align=&quot;center&quot; caption=&quot;short&quot;/&gt;|title2=Look at...|text2=[[Photographs taken by the Faculty's first Dean, Professor John Smith]]&lt;featureimage id=&quot;FMMUS352&quot;<br /> &lt;featureimage id=&quot;FMMUS3352&quot; align=&quot;center&quot; caption=&quot;short&quot; /&gt;}}<br /> <br /> =About Image Gallery=<br /> This online musuem and archive holds over three thousand copies of photographs, paintings and building plans. These images date back to the foundation of the faculty in 1856 and have been collected from archives, staff and alumni. If you have a photograph you would be happy to let us digitise for our collection, please contact the managing editor, [http://www.usyd.edu.au/perl-bin/phlookup.cgi?type=people&amp;name=Lise+Mellor&amp;Submit+Query.x=0&amp;Submit+Query.y=0&amp;title=&amp;position=&amp;department=&amp;phone= '''Dr Lise Mellor''']. <br /> <br /> Click on the links below to view images from this month's featured albums. In addition, you can search the museum by entering your search criteria in the box at the top left of this page.<br /> <br /> =Featured albums=<br /> ''''The Cottage', Original 1882 Medical School'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS3553&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||Photographs of the interior and exterior of the original medical school built for Professor Anderson Stuart's arrival in October 1882. Click on the link below to view individual photographs or view the collection as a slideshow. <br /> *[[The Cottage', Original 1882 Medical School]]<br /> |}<br /> '''Early Royal Prince Alfred Hospital Photographs'''<br /> '''Portraits of key faculty members by artist Simon Fieldhouse'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS3500&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||Portraits commissioned in 2006 to celebrate the 150th anniversary of the foundation of the Faculty. Click on the link below to view individual portraits or view the collection as a slideshow. <br /> *[[Portraits of key faculty members by artist Simon Fieldhouse]]<br /> |}<br /> '''Early Royal Prince Alfred Hospital Photographs'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS32&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||Photographs from the collection of Royal Prince Alfred Hospital. Click on the link below to view individual photographs or view the set as a slideshow. <br /> *[[Early Royal Prince Alfred Hospital Photographs]]<br /> |}<br /> <br /> <br /> '''Photographs taken by the Faculty's first Dean, Professor John Smith'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS3470&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||Photographs taken by the first Dean, Professor John Smith, between 1855 and 1870. Professor Smith preceded Professor Anderson Stuart and the formation of the Medical School in 1883. He was an exceptional photographer for the time and experimented with form and subject. Click on the link below to view individual photographs or view the set as a slideshow. <br /> *[[Photographs taken by the Faculty's first Dean, Professor John Smith]]<br /> |}<br /> <br /> <br /> '''Caricatures of Medical School staff by Lionel Lindsay, 1916'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS3408&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||In 1916, in the middle of a war, Medsoc commissioned fledgling artist and cartoonist Lionel Lindsay to produce a series of caricatures of Medical School lecturers and professors to illustrate the pages of their medical journal and other publications. These quirky portraits have been restored and represented here. Click on the link below to view individual portraits or view the set as a slideshow. <br /> *[[Caricatures of Faculty by Lionel Lindsay, 1916]]<br /> |}<br /> <br /> <br /> '''Medical Exam Papers'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS5&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||Read Medical Examination Papers from the early decades of the Medical School. Click on the link below to view individual papers or view the set as a slideshow. <br /> *[[Medical Exam Papers]]<br /> |}<br /> <br /> <br /> '''Prosectors'''<br /> <br /> {|class=&quot;topaligned&quot;<br /> |&lt;embedimage id=&quot;FMMUS2224&quot; align=&quot;left&quot; w=&quot;100&quot; displaycaption=&quot;n&quot;/&gt;||The Department of Anatomy hold original photographs of our Prosectors as early as 1903. Click on the link below to view individual photographs or view the set as a slideshow. Please be warned that these photographs may show human remains and that you are not permitted to reproduce the image in any manner without written permission from the University. <br /> *[[Prosectors]]<br /> |}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Help:Contents Help:Contents 2009-09-25T05:01:02Z <p>Kbond:&#32;</p> <hr /> <div>=Wiki features=<br /> ==Feature panes==<br /> *[[Two text references in a featurepane]]<br /> <br /> ==Images==<br /> *[[How to insert an image into a wiki page]]<br /> <br /> =Other actions=<br /> <br /> ==Medical Montage==<br /> *[[Copy of Image Gallery page for testing]]<br /> <br /> ==Material for upload==<br /> *[[Material for upload|Material for upload (Lise)]]<br /> *[[Material for upload2|Material for upload (Lise)]]<br /> <br /> ==Missing pages to be restored==<br /> *[[Medical School Celebrates its Jubilee in 1933]]<br /> <br /> ==Tasks to be actioned by Development Team==<br /> *List things from meeting with name of who will do it<br /> <br /> ==More requests or problems discovered by Lise==<br /> *When you scroll over images in the wiki, can the sticky say &quot;click once on this image to enlarge it&quot;? Suggestion: that we adapt the short captions so that everyone ends with &quot;Click once on image to enlarge&quot;<br /> *Search function on pages to be more visible - what's your thinking Dan?<br /> *Image upload problems<br /> *Input into help pages<br /> *Help for users. Where to put more clues. E.g. reading pdf's<br /> *Form for photo request<br /> *Go to image gallery. When you scroll over the thumbnails you get 'default caption'. Can we set it so that we scroll over thumbnails and get the short caption as we do in the heading banners and feature pane images? (add displaycaption=&quot;n&quot; to embedimage tag to hide the caption)<br /> <br /> ==Tasks to be actioned by Kate==<br /> *Add field to feedback form 'Enquiry relates to website:' with the option to choose 'Sydney Medical School' or 'Online Museum'??<br /> *[[Search field script]]<br /> <br /> ==Pages badly needing photos==<br /> <br /> *[Chapman, Henry George]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_History_Page Copy of History Page 2009-08-28T04:59:20Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}&lt;div align=&quot;center&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_History_Page Copy of History Page 2009-08-28T04:10:23Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}&lt;div align=&quot;top&quot;&gt;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_History_Page Copy of History Page 2009-08-28T03:43:32Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;19&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;<br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Copy_of_History_Page Copy of History Page 2009-08-28T03:35:52Z <p>Kbond:&#32;New page: &lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt; __NOTOC__ =About History= {{Featurepane1|BannersPod={{Podlink|url=http://www.medfac.usyd.edu.au/museum/mediabank/reposito...</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-08-28T03:35:05Z <p>Kbond:&#32;/* Testing Page */</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot;class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Find...|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> Lise likes top right. Can we call it Search Museum and have 'enter search terms'<br /> <br /> ==Testing Page==<br /> <br /> [[Another Test Page]]<br /> &lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;<br /> <br /> [[Copy of History Page]]</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-12T06:50:18Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-12T06:48:48Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> &lt;div align=&quot;right&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/div&gt;&lt;/form&gt;<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-12T06:45:06Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Search Museum&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T23:30:11Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> =About History=<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;SEARCH Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T05:35:09Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T05:04:06Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;{{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T05:01:12Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;{{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T05:00:00Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T04:59:32Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;<br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:54:39Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> <br /> <br /> <br /> <br /> <br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:54:03Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:52:53Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> &lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:51:37Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;&lt;/form&gt;&lt;/div&gt;<br /> &lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T04:19:09Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;<br /> <br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Another_Test_Page Another Test Page 2009-08-11T04:18:51Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;<br /> <br /> {{Featurepane1|BannersPod={{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Virtual_tours| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/virtualtours_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> <br /> <br /> | title1=Read...|text1= [[Anderson Stuart's Medical School by James Semple Kerr]]&lt;featureimage id=&quot;FMMUS1321&quot;<br /> &lt;featureimage id=&quot;FMMUS1321&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;<br /> |title2=Read...|text2=}}</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-08-11T04:18:32Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot;class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Find...|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> <br /> <br /> ==Testing Page==<br /> <br /> [[Another Test Page]]<br /> &lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:13:36Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> &lt;div align=&quot;right&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/History History 2009-08-11T04:13:02Z <p>Kbond:&#32;</p> <hr /> <div>&lt;randomimages ids=&quot;FMMUS32 FMMUS1103 FMMUS1131&quot; use=&quot;3&quot; h=&quot;180&quot;/&gt;<br /> __NOTOC__<br /> &lt;div align=&quot;right&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;&lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;<br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;18&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> {{Featurepane1|BannersPod= <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mediabank/repository/pdfs/heritagetrail_brochure.pdf| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/trail_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Senior_Year_Books| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/yearbooks_banner.gif}}<br /> <br /> {{Podlink|url=https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Can_you_help%3F| imagesrc=https://www.sydney.edu.au/medicine/museum/mwmuseum/images/featurebanners/canyouhelp_banner.gif}}<br /> <br /> | title1=Read...|text1= [[Centenary Book of the University of Sydney Faculty of Medicine (1984) by J Young, A Sefton and N Webb]]&lt;featureimage id=&quot;FMMUS3391&quot;<br /> &lt;featureimage id=&quot;FMMUS3391&quot; align=&quot;center&quot; displaycaption=&quot;n&quot; /&gt;|title2=Read...|text2=}}<br /> =About History=<br /> In this section you will find an overview of the Faculty of Medicine from its inception in 1856 until 1980. Information relating to the later period will be added as the site develops. [[Key dates]] provides a quick snapshot of the chronology of events and developments in the Faculty's history. The historical overview provides more information about each era and what occurred. The additional links will take you to longer articles about the history of the Faculty of Medicine, show you images and photographs relating to that period, and suggest places on campus for you to visit today.<br /> <br /> =Historical Overview=<br /> &lt;table&gt;&lt;tr style=&quot;vertical-align:top&quot;&gt;&lt;td style=&quot;padding-right:50px&quot;&gt;<br /> *[[Faculty of Medicine from 1856 to 1900|Faculty of Medicine from 1856 to 1900]]<br /> *[[Faculty of Medicine from 1900 to 1920|Faculty of Medicine from 1900 to 1920]]<br /> *[[Faculty of Medicine from 1920 to 1940|Faculty of Medicine from 1920 to 1940]]<br /> &lt;/td&gt;&lt;td&gt;<br /> <br /> *[[Faculty of Medicine from 1940 to 1960|Faculty of Medicine from 1940 to 1960]]<br /> *[[Faculty of Medicine from 1960 to 1980|Faculty of Medicine from 1960 to 1980]]<br /> &lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;<br /> =Key Dates=<br /> *Click on [[Key dates]] for a brief chronology of the Faculty from 1856 to today<br /> <br /> =Coming Soon=<br /> *Information about the Faculty from 1980 to 2000</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-08-11T04:08:03Z <p>Kbond:&#32;</p> <hr /> <div>{{featurepane2| title1=Find...|text1=&lt;div align=&quot;left&quot;&gt;&lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> |title2=Find...|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> <br /> <br /> ==Testing Page==<br /> <br /> [[Another Test Page]]<br /> &lt;div align=&quot;right&quot;&gt; <br /> <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> <br /> <br /> &lt;/form&gt;&lt;/div&gt;</div> Kbond https://www.sydney.edu.au/medicine/museum/mwmuseum/index.php/Search_field_script Search field script 2009-08-11T02:41:05Z <p>Kbond:&#32;</p> <hr /> <div>&lt;div align=&quot;right&quot;&gt; <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt; <br /> &lt;/form&gt;&lt;/div&gt;<br /> {{featurepane2| title1=NEW!|text1= [[Portraits of key faculty members by artist Simon Fieldhouse]]&lt;featureimage id=&quot;FMMUS3393&quot;<br /> &lt;featureimage id=&quot;FMMUS3497&quot; align=&quot;center&quot; caption=&quot;short&quot;/&gt;|title2=Find...|text2=&lt;div align=&quot;left&quot;&gt;<br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt;&lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Search Museum&quot; size=&quot;14&quot;/&gt;&lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot;onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;&lt;input type=&quot;hidden&quot; name=&quot;scope&quot;value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> &lt;/form&gt;&lt;/div&gt;<br /> }}<br /> <br /> <br /> <br /> ==Testing Page==<br /> <br /> [[Another Test Page]]<br /> &lt;div align=&quot;right&quot;&gt; <br /> <br /> &lt;form id=&quot;search&quot; action=&quot;/museum/search.php&quot; onsubmit=&quot;&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;collection&quot; value=&quot;Usyd&quot; /&gt; <br /> &lt;input type=&quot;fulltext&quot; name=&quot;search&quot; class=&quot;field&quot; title=&quot;Enter search terms&quot; value=&quot;Enter search terms&quot; size=&quot;15&quot;/&gt;<br /> &lt;input name=&quot;Submit&quot; type=&quot;submit&quot; class=&quot;button&quot; onclick=&quot;document.search.action='/museum/search.php'&quot; value=&quot;Go&quot;/&gt;<br /> &lt;input type=&quot;hidden&quot; name=&quot;scope&quot; value=&quot;www.medfac.usyd.edu.au&quot; /&gt;<br /> <br /> <br /> &lt;/form&gt;&lt;/div&gt;</div> Kbond