Register

NEW IRELAND REGISTRATION

{ "Fields" : { "policyNum" : { "validators" : { "notEmpty" : { "message" : "Please enter your Policy/Member number." }, "regexp" : { "message" : "That policy/member number doesn't seem to be correct. Please check your policy documentation and try again or contact Customer Service at +353 1 6172801 (Monday to Friday - 8am to 6pm).", "regexp" : "^[0-9A-Za-z]{8}$" } } }, "firstName" : { "validators" : { "notEmpty" : { "message" : "Please enter your First Name" }, "regexp" : { "message" : "Invalid character entered", "regexp" : "^$|^[0-9A-Za-z.,' -]+$" } } }, "lastName" : { "validators" : { "notEmpty" : { "message" : "Please enter your Last Name" }, "regexp" : { "message" : "Invalid character entered", "regexp" : "^$|^[0-9A-Za-z.,' -]+$" } } }, "dateOfBirth" : { "validators" : { "notEmpty" : { "message" : "Please enter your Date of Birth" }, "date" : { "message" : "Please enter a date DD/MM/YYYY", "format" : "DD/MM/YYYY", "max" : "27/10/2020" } } } }, "FormName" : "registration-form-one" }