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2606:4700:3032::ac43:85d2  Public Scan

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Submitted URL: http://6i5.me/9U1MC0
Effective URL: https://silverplay.com/casino/home?MPC_3=CAoctcl&btag=d5a90a8379501844a44d5aeb6c28b5b8&affid=2958099
Submission: On November 18 via manual from CA — Scanned from CA

Form analysis 4 forms found in the DOM

<form autocomplete="off" class="">
  <fieldset class="form-group" email="" id="__BVID__50"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input type="text" placeholder="Email" class="form-control" id="__BVID__51">
      <div class="invalid-feedback"> Please enter valid Email </div><!----><!----><!---->
    </div>
  </fieldset>
  <fieldset class="form-group" id="__BVID__53"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input type="text" placeholder="Username" class="form-control" id="__BVID__54">
      <div class="invalid-feedback"> Please enter Username </div><!----><!----><!---->
    </div>
  </fieldset>
  <fieldset class="form-group" password="" id="__BVID__56"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input type="password" placeholder="Password" class="form-control" id="__BVID__57">
      <div class="invalid-feedback"> Your password should contain at least 3 characters. </div><!----><!----><!---->
    </div>
  </fieldset>
  <fieldset class="form-group" id="__BVID__58"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring">
      <div role="radiogroup" tabindex="-1" class="col bv-no-focus-ring" id="__BVID__59">
        <div class="custom-control custom-control-inline custom-radio"><input type="radio" name="gender" class="custom-control-input" value="male" id="__BVID__60"><label class="custom-control-label" for="__BVID__60">Male</label></div>
        <div class="custom-control custom-control-inline custom-radio"><input type="radio" name="gender" class="custom-control-input" value="female" id="__BVID__61"><label class="custom-control-label" for="__BVID__61">Female</label></div>
      </div><!----><!----><!---->
    </div>
  </fieldset>
  <fieldset class="form-group" firstname="" id="__BVID__63"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input type="text" placeholder="First Name" class="form-control" id="__BVID__64">
      <div class="invalid-feedback"> Please enter First Name </div><!----><!----><!---->
    </div>
  </fieldset>
  <fieldset class="form-group" lastname="" id="__BVID__66"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input type="text" placeholder="Last Name" class="form-control" id="__BVID__67">
      <div class="invalid-feedback"> Please enter Last Name </div><!----><!----><!---->
    </div>
  </fieldset> <!----> <!---->
  <div class="row"><!----> <!----></div>
  <div class="row">
    <fieldset class="form-group col" country="" id="__BVID__69"><!---->
      <div tabindex="-1" role="group" class="bv-no-focus-ring"><select class="custom-select" id="__BVID__70">
          <option disabled="disabled" value="">Country</option>
          <option value="4">Albania</option>
          <option value="5">Algeria</option>
          <option value="7">Andorra</option>
          <option value="8">Angola</option>
          <option value="9">Anguilla</option>
          <option value="12">Argentina</option>
          <option value="13">Armenia</option>
          <option value="15">Australia</option>
          <option value="16">Austria</option>
          <option value="17">Azerbaijan</option>
          <option value="18">Bahamas</option>
          <option value="19">Bahrain</option>
          <option value="20">Bangladesh</option>
          <option value="21">Barbados</option>
          <option value="22">Belarus</option>
          <option value="23">Belgium</option>
          <option value="24">Belize</option>
          <option value="25">Benin</option>
          <option value="26">Bermuda</option>
          <option value="27">Bhutan</option>
          <option value="28">Bolivia</option>
          <option value="29">Bosnia and Herzegovina</option>
          <option value="30">Botswana</option>
          <option value="31">Bouvet Island</option>
          <option value="32">Brazil</option>
          <option value="34">Brunei Darussalam</option>
          <option value="36">Burkina Faso</option>
          <option value="37">Burma (Myanmar)</option>
          <option value="38">Burundi</option>
          <option value="39">Cambodia</option>
          <option value="40">Cameroon</option>
          <option value="41">Canada</option>
          <option value="42">Cape Verde</option>
          <option value="43">Cayman Islands</option>
          <option value="44">Central African Republic</option>
          <option value="45">Chad</option>
          <option value="46">Chile</option>
          <option value="47">China</option>
          <option value="48">Isola di Natale</option>
          <option value="49">Cocos (Keeling) Islands</option>
          <option value="50">Colombia</option>
          <option value="51">Comoros</option>
          <option value="52">Congo</option>
          <option value="53">Cook Islands</option>
          <option value="54">Costa Rica</option>
          <option value="55">Croatia</option>
          <option value="56">Cuba</option>
          <option value="58">Czech Republic</option>
          <option value="59">Democratic Republic of the Congo</option>
          <option value="60">Denmark</option>
          <option value="61">Djibouti</option>
          <option value="62">Dominica</option>
          <option value="63">Dominican Republic</option>
          <option value="64">East Timor</option>
          <option value="65">Ecuador</option>
          <option value="66">Egypt</option>
          <option value="67">El Salvador</option>
          <option value="68">Equatorial Guinea</option>
          <option value="69">Eritrea</option>
          <option value="70">Estonia</option>
          <option value="71">Ethiopia</option>
          <option value="72">Falkland Islands (Malvinas)</option>
          <option value="73">Faroe Islands</option>
          <option value="74">Fiji</option>
          <option value="75">Finland</option>
          <option value="76">France</option>
          <option value="77">French Guiana</option>
          <option value="78">French Polynesia</option>
          <option value="79">French Southern Territories</option>
          <option value="80">Gabon</option>
          <option value="81">Gambia</option>
          <option value="82">Georgia</option>
          <option value="83">Germany</option>
          <option value="84">Ghana</option>
          <option value="87">Greenland</option>
          <option value="88">Grenada</option>
          <option value="89">Guadeloupe</option>
          <option value="90">Guam</option>
          <option value="91">Guatemala</option>
          <option value="92">Guinea</option>
          <option value="93">Guinea-Bissau</option>
          <option value="94">Guyana</option>
          <option value="95">Haiti</option>
          <option value="96">Heard and McDonald Islands</option>
          <option value="97">Honduras</option>
          <option value="98">Hong Kong</option>
          <option value="99">Hungary</option>
          <option value="100">Iceland</option>
          <option value="101">India</option>
          <option value="105">Ireland</option>
          <option value="107">Italy</option>
          <option value="108">Ivory Coast</option>
          <option value="109">Jamaica</option>
          <option value="110">Japan</option>
          <option value="111">Jordan</option>
          <option value="112">Kazakhstan</option>
          <option value="113">Kenya</option>
          <option value="114">Kiribati</option>
          <option value="116">Korea (South)</option>
          <option value="117">Kuwait</option>
          <option value="118">Kyrgyzstan</option>
          <option value="119">Laos</option>
          <option value="120">Latvia</option>
          <option value="122">Lesotho</option>
          <option value="123">Liberia</option>
          <option value="124">Libya</option>
          <option value="125">Liechtenstein</option>
          <option value="127">Luxembourg</option>
          <option value="128">Macau</option>
          <option value="129">Macedonia</option>
          <option value="130">Madagascar</option>
          <option value="131">Malawi</option>
          <option value="132">Malaysia</option>
          <option value="133">Maldives</option>
          <option value="134">Mali</option>
          <option value="135">Malta</option>
          <option value="136">Marshall Islands</option>
          <option value="137">Martinique</option>
          <option value="138">Mauritania</option>
          <option value="139">Mauritius</option>
          <option value="140">Mayotte</option>
          <option value="141">Mexico</option>
          <option value="142">Micronesia</option>
          <option value="143">Moldova</option>
          <option value="144">Monaco</option>
          <option value="145">Mongolia</option>
          <option value="146">Montenegro</option>
          <option value="147">Montserrat</option>
          <option value="148">Morocco</option>
          <option value="149">Mozambique</option>
          <option value="150">Namibia</option>
          <option value="151">Nauru</option>
          <option value="152">Nepal</option>
          <option value="157">New Zealand (Aotearoa)</option>
          <option value="159">Niger</option>
          <option value="160">Nigeria</option>
          <option value="161">Niue</option>
          <option value="162">Norfolk Island</option>
          <option value="163">Northern Mariana Islands</option>
          <option value="164">Norway</option>
          <option value="165">Oman</option>
          <option value="167">Palau</option>
          <option value="169">Panama</option>
          <option value="170">Papua New Guinea</option>
          <option value="171">Paraguay</option>
          <option value="172">Peru</option>
          <option value="173">Philippines</option>
          <option value="174">Pitcairn</option>
          <option value="175">Poland</option>
          <option value="176">Portugal</option>
          <option value="177">Puerto Rico</option>
          <option value="179">Serbia</option>
          <option value="180">Reunion</option>
          <option value="182">Russia</option>
          <option value="183">Rwanda</option>
          <option value="184">S. Georgia and S. Sandwich Isls.</option>
          <option value="185">Saint Kitts and Nevis</option>
          <option value="186">Saint Lucia</option>
          <option value="187">Saint Vincent and the Grenadines</option>
          <option value="188">Samoa</option>
          <option value="189">San Marino</option>
          <option value="190">Sao Tome and Principe</option>
          <option value="191">Saudi Arabia</option>
          <option value="192">Senegal</option>
          <option value="194">Seychelles</option>
          <option value="195">Sierra Leone</option>
          <option value="196">Singapore</option>
          <option value="197">Slovak Republic</option>
          <option value="198">Slovenia</option>
          <option value="199">Solomon Islands</option>
          <option value="200">Somalia</option>
          <option value="201">South Africa</option>
          <option value="202">Spain</option>
          <option value="203">Sri Lanka</option>
          <option value="204">St. Helena</option>
          <option value="205">St. Pierre and Miquelon</option>
          <option value="206">Sudan</option>
          <option value="207">Suriname</option>
          <option value="208">Svalbard and Jan Mayen Islands</option>
          <option value="209">Swaziland</option>
          <option value="210">Sweden</option>
          <option value="212">Syria</option>
          <option value="213">Taiwan</option>
          <option value="214">Tajikistan</option>
          <option value="215">Tanzania</option>
          <option value="216">Thailand</option>
          <option value="217">Togo</option>
          <option value="218">Tokelau</option>
          <option value="219">Tonga</option>
          <option value="220">Trinidad and Tobago</option>
          <option value="221">Tunisia</option>
          <option value="222">Turkey</option>
          <option value="223">Turkmenistan</option>
          <option value="224">Turks and Caicos Islands</option>
          <option value="225">Tuvalu</option>
          <option value="226">Uganda</option>
          <option value="227">Ukraine</option>
          <option value="228">United Arab Emirates</option>
          <option value="231">Uruguay</option>
          <option value="232">Uzbekistan</option>
          <option value="233">Vanuatu</option>
          <option value="235">Venezuela</option>
          <option value="236">Vietnam</option>
          <option value="239">Wallis and Futuna Islands</option>
          <option value="241">Yemen</option>
          <option value="243">Zambia</option>
          <option value="244">Zimbabwe</option>
          <option value="249">Scotland</option>
        </select>
        <div class="invalid-feedback"> Please select Country </div><!----><!----><!---->
      </div>
    </fieldset>
    <fieldset class="form-group col" currency="27" id="__BVID__72"><!---->
      <div tabindex="-1" role="group" class="bv-no-focus-ring"><select class="custom-select" id="__BVID__73">
          <option disabled="disabled" value="">Currency</option>
          <option value="32">Argentine peso</option>
          <option value="15">Australian Dollar</option>
          <option value="28">Brazil Real</option>
          <option value="3">British Pound Sterling</option>
          <option value="20">Brunei Dollar</option>
          <option value="27">Canadian dollar</option>
          <option value="55">Central African CFA Franc</option>
          <option value="31">Chilean Pesos</option>
          <option value="16">Chinese Yuan</option>
          <option value="34">Colombian Peso</option>
          <option value="12">Czech Republic Koruna</option>
          <option value="6">Danish Krone</option>
          <option value="1">Euro</option>
          <option value="4">Hong Kong Dollar</option>
          <option value="25">Hungarian Forint</option>
          <option value="29">Indian Rupees</option>
          <option value="17">Indonesian Rupiah</option>
          <option value="18">Japanese Yen</option>
          <option value="53">Kuwaiti Dinar</option>
          <option value="13">Malaysian Ringgit</option>
          <option value="22">Mexican Peso</option>
          <option value="44">Morrocan Dirham</option>
          <option value="42">New Zealand Dollar </option>
          <option value="46">Nigerian Naira</option>
          <option value="8">Norwegian Krone</option>
          <option value="47">Pakistani Rupee</option>
          <option value="33">Paraguayan peso</option>
          <option value="35">Peruvian Sol</option>
          <option value="41">Philippine Peso</option>
          <option value="11">Polish Zloty</option>
          <option value="21">Romanian Leu</option>
          <option value="10">Russian Ruble</option>
          <option value="54">Saudi Riyal</option>
          <option value="5">Singapore Dollar</option>
          <option value="43">South Africa Rand</option>
          <option value="19">South Korean Won</option>
          <option value="45">Swazi Lilangeni</option>
          <option value="9">Swiss Franc</option>
          <option value="30">Taiwan New Dollars</option>
          <option value="14">Thai Baht</option>
          <option value="48">Trinidadian Dollar</option>
          <option value="40">Tunisian Dinar</option>
          <option value="26">Turkish Lira</option>
          <option value="39">Turkmenistani Manats</option>
          <option value="38">Ukrainian Grivna</option>
          <option value="52">United Arab Emirates Dirham</option>
          <option value="2">United States Dollar</option>
          <option value="36">Uruguayan Peso</option>
          <option value="23">Vietnamese Dong</option>
          <option value="49">West African CFA Franc</option>
        </select>
        <div class="invalid-feedback"> Please select Currency </div><!----><!----><!---->
      </div>
    </fieldset>
  </div>
  <fieldset class="form-group" phone_prefix="" cell_phone=""><!---->
    <div class="phone-prefix-container d-flex align-items-center">
      <div class="phone-prefix-label d-none">Prefix</div> <select class="custom-select custom-select-md phone-prefix-select phone-validation-group">
        <option value="" disabled="disabled" selected="selected">Country</option>
        <option value="355">Albania</option>
        <option value="213">Algeria</option>
        <option value="376">Andorra</option>
        <option value="244">Angola</option>
        <option value="1-264">Anguilla</option>
        <option value="54">Argentina</option>
        <option value="374">Armenia</option>
        <option value="61">Australia</option>
        <option value="43">Austria</option>
        <option value="994">Azerbaijan</option>
        <option value="1-242">Bahamas</option>
        <option value="973">Bahrain</option>
        <option value="880">Bangladesh</option>
        <option value="1-246">Barbados</option>
        <option value="375">Belarus</option>
        <option value="32">Belgium</option>
        <option value="501">Belize</option>
        <option value="229">Benin</option>
        <option value="1-441">Bermuda</option>
        <option value="975">Bhutan</option>
        <option value="591">Bolivia</option>
        <option value="387">Bosnia and Herzegovina</option>
        <option value="267">Botswana</option>
        <option value="">Bouvet Island</option>
        <option value="55">Brazil</option>
        <option value="673">Brunei Darussalam</option>
        <option value="226">Burkina Faso</option>
        <option value="95">Burma (Myanmar)</option>
        <option value="257">Burundi</option>
        <option value="855">Cambodia</option>
        <option value="237">Cameroon</option>
        <option value="1">Canada</option>
        <option value="238">Cape Verde</option>
        <option value="1-345">Cayman Islands</option>
        <option value="236">Central African Republic</option>
        <option value="235">Chad</option>
        <option value="56">Chile</option>
        <option value="86">China</option>
        <option value="61">Isola di Natale</option>
        <option value="61">Cocos (Keeling) Islands</option>
        <option value="57">Colombia</option>
        <option value="269">Comoros</option>
        <option value="242">Congo</option>
        <option value="682">Cook Islands</option>
        <option value="506">Costa Rica</option>
        <option value="385">Croatia</option>
        <option value="53">Cuba</option>
        <option value="420">Czech Republic</option>
        <option value="243">Democratic Republic of the Congo</option>
        <option value="45">Denmark</option>
        <option value="253">Djibouti</option>
        <option value="1-767">Dominica</option>
        <option value="1-809 ">Dominican Republic</option>
        <option value="670">East Timor</option>
        <option value="593">Ecuador</option>
        <option value="20">Egypt</option>
        <option value="503">El Salvador</option>
        <option value="240">Equatorial Guinea</option>
        <option value="291">Eritrea</option>
        <option value="372">Estonia</option>
        <option value="251">Ethiopia</option>
        <option value="500">Falkland Islands (Malvinas)</option>
        <option value="298">Faroe Islands</option>
        <option value="679">Fiji</option>
        <option value="358">Finland</option>
        <option value="33">France</option>
        <option value="594">French Guiana</option>
        <option value="689">French Polynesia</option>
        <option value="">French Southern Territories</option>
        <option value="241">Gabon</option>
        <option value="220">Gambia</option>
        <option value="995">Georgia</option>
        <option value="49">Germany</option>
        <option value="233">Ghana</option>
        <option value="299">Greenland</option>
        <option value="1-473">Grenada</option>
        <option value="590">Guadeloupe</option>
        <option value="1-671">Guam</option>
        <option value="502">Guatemala</option>
        <option value="224">Guinea</option>
        <option value="245">Guinea-Bissau</option>
        <option value="592">Guyana</option>
        <option value="509">Haiti</option>
        <option value=" ">Heard and McDonald Islands</option>
        <option value="504">Honduras</option>
        <option value="852">Hong Kong</option>
        <option value="36">Hungary</option>
        <option value="354">Iceland</option>
        <option value="91">India</option>
        <option value="353">Ireland</option>
        <option value="39">Italy</option>
        <option value="225">Ivory Coast</option>
        <option value="1-876">Jamaica</option>
        <option value="81">Japan</option>
        <option value="962">Jordan</option>
        <option value="7">Kazakhstan</option>
        <option value="254">Kenya</option>
        <option value="686">Kiribati</option>
        <option value="82">Korea (South)</option>
        <option value="965">Kuwait</option>
        <option value="996">Kyrgyzstan</option>
        <option value="856">Laos</option>
        <option value="371">Latvia</option>
        <option value="266">Lesotho</option>
        <option value="231">Liberia</option>
        <option value="218">Libya</option>
        <option value="423">Liechtenstein</option>
        <option value="352">Luxembourg</option>
        <option value="853">Macau</option>
        <option value="389">Macedonia</option>
        <option value="261">Madagascar</option>
        <option value="265">Malawi</option>
        <option value="60">Malaysia</option>
        <option value="960">Maldives</option>
        <option value="223">Mali</option>
        <option value="356">Malta</option>
        <option value="692">Marshall Islands</option>
        <option value="596">Martinique</option>
        <option value="222">Mauritania</option>
        <option value="230">Mauritius</option>
        <option value="262">Mayotte</option>
        <option value="52">Mexico</option>
        <option value="691">Micronesia</option>
        <option value="373">Moldova</option>
        <option value="377">Monaco</option>
        <option value="976">Mongolia</option>
        <option value="382">Montenegro</option>
        <option value="1-664">Montserrat</option>
        <option value="212">Morocco</option>
        <option value="258">Mozambique</option>
        <option value="264">Namibia</option>
        <option value="674">Nauru</option>
        <option value="977">Nepal</option>
        <option value="64">New Zealand (Aotearoa)</option>
        <option value="227">Niger</option>
        <option value="234">Nigeria</option>
        <option value="683">Niue</option>
        <option value="672">Norfolk Island</option>
        <option value="1-670">Northern Mariana Islands</option>
        <option value="47">Norway</option>
        <option value="968">Oman</option>
        <option value="680">Palau</option>
        <option value="507">Panama</option>
        <option value="675">Papua New Guinea</option>
        <option value="595">Paraguay</option>
        <option value="51">Peru</option>
        <option value="63">Philippines</option>
        <option value="870">Pitcairn</option>
        <option value="48">Poland</option>
        <option value="351">Portugal</option>
        <option value="1-787 ">Puerto Rico</option>
        <option value="381">Serbia</option>
        <option value="262">Reunion</option>
        <option value="7">Russia</option>
        <option value="250">Rwanda</option>
        <option value="">S. Georgia and S. Sandwich Isls.</option>
        <option value="1-869">Saint Kitts and Nevis</option>
        <option value="1-758">Saint Lucia</option>
        <option value="1-784">Saint Vincent and the Grenadines</option>
        <option value="685">Samoa</option>
        <option value="378">San Marino</option>
        <option value="239">Sao Tome and Principe</option>
        <option value="966">Saudi Arabia</option>
        <option value="221">Senegal</option>
        <option value="44">Seychelles</option>
        <option value="232">Sierra Leone</option>
        <option value="65">Singapore</option>
        <option value="421">Slovak Republic</option>
        <option value="386">Slovenia</option>
        <option value="677">Solomon Islands</option>
        <option value="252">Somalia</option>
        <option value="27">South Africa</option>
        <option value="34">Spain</option>
        <option value="94">Sri Lanka</option>
        <option value="290">St. Helena</option>
        <option value="508">St. Pierre and Miquelon</option>
        <option value="249">Sudan</option>
        <option value="597">Suriname</option>
        <option value="47">Svalbard and Jan Mayen Islands</option>
        <option value="268">Swaziland</option>
        <option value="46">Sweden</option>
        <option value="963">Syria</option>
        <option value="886">Taiwan</option>
        <option value="992">Tajikistan</option>
        <option value="255">Tanzania</option>
        <option value="66">Thailand</option>
        <option value="228">Togo</option>
        <option value="690">Tokelau</option>
        <option value="676">Tonga</option>
        <option value="1-868">Trinidad and Tobago</option>
        <option value="216">Tunisia</option>
        <option value="90">Turkey</option>
        <option value="993">Turkmenistan</option>
        <option value="1-649">Turks and Caicos Islands</option>
        <option value="688">Tuvalu</option>
        <option value="256">Uganda</option>
        <option value="380">Ukraine</option>
        <option value="971">United Arab Emirates</option>
        <option value="598">Uruguay</option>
        <option value="998">Uzbekistan</option>
        <option value="678">Vanuatu</option>
        <option value="58">Venezuela</option>
        <option value="84">Vietnam</option>
        <option value="681">Wallis and Futuna Islands</option>
        <option value="967">Yemen</option>
        <option value="260">Zambia</option>
        <option value="263">Zimbabwe</option>
        <option value="44">Scotland</option>
        <option data-phone-prefix="355" data-iso="AL" value="355">Albania</option>
        <option data-phone-prefix="213" data-iso="DZ" value="213">Algeria</option>
        <option data-phone-prefix="376" data-iso="AD" value="376">Andorra</option>
        <option data-phone-prefix="244" data-iso="AO" value="244">Angola</option>
        <option data-phone-prefix="1-264" data-iso="AI" value="1-264">Anguilla</option>
        <option data-phone-prefix="54" data-iso="AR" value="54">Argentina</option>
        <option data-phone-prefix="374" data-iso="AM" value="374">Armenia</option>
        <option data-phone-prefix="61" data-iso="AU" value="61">Australia</option>
        <option data-phone-prefix="43" data-iso="AT" value="43">Austria</option>
        <option data-phone-prefix="994" data-iso="AZ" value="994">Azerbaijan</option>
        <option data-phone-prefix="1-242" data-iso="BS" value="1-242">Bahamas</option>
        <option data-phone-prefix="973" data-iso="BH" value="973">Bahrain</option>
        <option data-phone-prefix="880" data-iso="BD" value="880">Bangladesh</option>
        <option data-phone-prefix="1-246" data-iso="BB" value="1-246">Barbados</option>
        <option data-phone-prefix="375" data-iso="BY" value="375">Belarus</option>
        <option data-phone-prefix="32" data-iso="BE" value="32">Belgium</option>
        <option data-phone-prefix="501" data-iso="BZ" value="501">Belize</option>
        <option data-phone-prefix="229" data-iso="BJ" value="229">Benin</option>
        <option data-phone-prefix="1-441" data-iso="BM" value="1-441">Bermuda</option>
        <option data-phone-prefix="975" data-iso="BT" value="975">Bhutan</option>
        <option data-phone-prefix="591" data-iso="BO" value="591">Bolivia</option>
        <option data-phone-prefix="387" data-iso="BA" value="387">Bosnia and Herzegovina</option>
        <option data-phone-prefix="267" data-iso="BW" value="267">Botswana</option>
        <option data-phone-prefix="55" data-iso="BR" value="55">Brazil</option>
        <option data-phone-prefix="673" data-iso="BN" value="673">Brunei Darussalam</option>
        <option data-phone-prefix="226" data-iso="BF" value="226">Burkina Faso</option>
        <option data-phone-prefix="95" data-iso="MM" value="95">Burma (Myanmar)</option>
        <option data-phone-prefix="257" data-iso="BI" value="257">Burundi</option>
        <option data-phone-prefix="855" data-iso="KH" value="855">Cambodia</option>
        <option data-phone-prefix="237" data-iso="CM" value="237">Cameroon</option>
        <option data-phone-prefix="1" data-iso="CA" value="1" selected="">Canada</option>
        <option data-phone-prefix="238" data-iso="CV" value="238">Cape Verde</option>
        <option data-phone-prefix="1-345" data-iso="KY" value="1-345">Cayman Islands</option>
        <option data-phone-prefix="236" data-iso="CF" value="236">Central African Republic</option>
        <option data-phone-prefix="235" data-iso="TD" value="235">Chad</option>
        <option data-phone-prefix="56" data-iso="CL" value="56">Chile</option>
        <option data-phone-prefix="86" data-iso="CN" value="86">China</option>
        <option data-phone-prefix="61" data-iso="CX" value="61">Isola di Natale</option>
        <option data-phone-prefix="61" data-iso="CC" value="61">Cocos (Keeling) Islands</option>
        <option data-phone-prefix="57" data-iso="CO" value="57">Colombia</option>
        <option data-phone-prefix="269" data-iso="KM" value="269">Comoros</option>
        <option data-phone-prefix="242" data-iso="CG" value="242">Congo</option>
        <option data-phone-prefix="682" data-iso="CK" value="682">Cook Islands</option>
        <option data-phone-prefix="506" data-iso="CR" value="506">Costa Rica</option>
        <option data-phone-prefix="385" data-iso="HR" value="385">Croatia</option>
        <option data-phone-prefix="53" data-iso="CU" value="53">Cuba</option>
        <option data-phone-prefix="420" data-iso="CZ" value="420">Czech Republic</option>
        <option data-phone-prefix="243" data-iso="CD" value="243">Democratic Republic of the Congo</option>
        <option data-phone-prefix="45" data-iso="DK" value="45">Denmark</option>
        <option data-phone-prefix="253" data-iso="DJ" value="253">Djibouti</option>
        <option data-phone-prefix="1-767" data-iso="DM" value="1-767">Dominica</option>
        <option data-phone-prefix="1-809 " data-iso="DO" value="1-809 ">Dominican Republic</option>
        <option data-phone-prefix="670" data-iso="TL" value="670">East Timor</option>
        <option data-phone-prefix="593" data-iso="EC" value="593">Ecuador</option>
        <option data-phone-prefix="20" data-iso="EG" value="20">Egypt</option>
        <option data-phone-prefix="503" data-iso="SV" value="503">El Salvador</option>
        <option data-phone-prefix="240" data-iso="GQ" value="240">Equatorial Guinea</option>
        <option data-phone-prefix="291" data-iso="ER" value="291">Eritrea</option>
        <option data-phone-prefix="372" data-iso="EE" value="372">Estonia</option>
        <option data-phone-prefix="251" data-iso="ET" value="251">Ethiopia</option>
        <option data-phone-prefix="500" data-iso="FK" value="500">Falkland Islands (Malvinas)</option>
        <option data-phone-prefix="298" data-iso="FO" value="298">Faroe Islands</option>
        <option data-phone-prefix="679" data-iso="FJ" value="679">Fiji</option>
        <option data-phone-prefix="358" data-iso="FI" value="358">Finland</option>
        <option data-phone-prefix="33" data-iso="FR" value="33">France</option>
        <option data-phone-prefix="594" data-iso="GF" value="594">French Guiana</option>
        <option data-phone-prefix="689" data-iso="PF" value="689">French Polynesia</option>
        <option data-phone-prefix="241" data-iso="GA" value="241">Gabon</option>
        <option data-phone-prefix="220" data-iso="GM" value="220">Gambia</option>
        <option data-phone-prefix="995" data-iso="GE" value="995">Georgia</option>
        <option data-phone-prefix="49" data-iso="DE" value="49">Germany</option>
        <option data-phone-prefix="233" data-iso="GH" value="233">Ghana</option>
        <option data-phone-prefix="299" data-iso="GL" value="299">Greenland</option>
        <option data-phone-prefix="1-473" data-iso="GD" value="1-473">Grenada</option>
        <option data-phone-prefix="590" data-iso="GP" value="590">Guadeloupe</option>
        <option data-phone-prefix="1-671" data-iso="GU" value="1-671">Guam</option>
        <option data-phone-prefix="502" data-iso="GT" value="502">Guatemala</option>
        <option data-phone-prefix="224" data-iso="GN" value="224">Guinea</option>
        <option data-phone-prefix="245" data-iso="GW" value="245">Guinea-Bissau</option>
        <option data-phone-prefix="592" data-iso="GY" value="592">Guyana</option>
        <option data-phone-prefix="509" data-iso="HT" value="509">Haiti</option>
        <option data-phone-prefix=" " data-iso="HM" value=" ">Heard and McDonald Islands</option>
        <option data-phone-prefix="504" data-iso="HN" value="504">Honduras</option>
        <option data-phone-prefix="852" data-iso="HK" value="852">Hong Kong</option>
        <option data-phone-prefix="36" data-iso="HU" value="36">Hungary</option>
        <option data-phone-prefix="354" data-iso="IS" value="354">Iceland</option>
        <option data-phone-prefix="91" data-iso="IN" value="91">India</option>
        <option data-phone-prefix="353" data-iso="IE" value="353">Ireland</option>
        <option data-phone-prefix="39" data-iso="IT" value="39">Italy</option>
        <option data-phone-prefix="225" data-iso="CI" value="225">Ivory Coast</option>
        <option data-phone-prefix="1-876" data-iso="JM" value="1-876">Jamaica</option>
        <option data-phone-prefix="81" data-iso="JP" value="81">Japan</option>
        <option data-phone-prefix="962" data-iso="JO" value="962">Jordan</option>
        <option data-phone-prefix="7" data-iso="KZ" value="7">Kazakhstan</option>
        <option data-phone-prefix="254" data-iso="KE" value="254">Kenya</option>
        <option data-phone-prefix="686" data-iso="KI" value="686">Kiribati</option>
        <option data-phone-prefix="82" data-iso="KR" value="82">Korea (South)</option>
        <option data-phone-prefix="965" data-iso="KW" value="965">Kuwait</option>
        <option data-phone-prefix="996" data-iso="KG" value="996">Kyrgyzstan</option>
        <option data-phone-prefix="856" data-iso="LA" value="856">Laos</option>
        <option data-phone-prefix="371" data-iso="LV" value="371">Latvia</option>
        <option data-phone-prefix="266" data-iso="LS" value="266">Lesotho</option>
        <option data-phone-prefix="231" data-iso="LR" value="231">Liberia</option>
        <option data-phone-prefix="218" data-iso="LY" value="218">Libya</option>
        <option data-phone-prefix="423" data-iso="LI" value="423">Liechtenstein</option>
        <option data-phone-prefix="352" data-iso="LU" value="352">Luxembourg</option>
        <option data-phone-prefix="853" data-iso="MO" value="853">Macau</option>
        <option data-phone-prefix="389" data-iso="MK" value="389">Macedonia</option>
        <option data-phone-prefix="261" data-iso="MG" value="261">Madagascar</option>
        <option data-phone-prefix="265" data-iso="MW" value="265">Malawi</option>
        <option data-phone-prefix="60" data-iso="MY" value="60">Malaysia</option>
        <option data-phone-prefix="960" data-iso="MV" value="960">Maldives</option>
        <option data-phone-prefix="223" data-iso="ML" value="223">Mali</option>
        <option data-phone-prefix="356" data-iso="MT" value="356">Malta</option>
        <option data-phone-prefix="692" data-iso="MH" value="692">Marshall Islands</option>
        <option data-phone-prefix="596" data-iso="MQ" value="596">Martinique</option>
        <option data-phone-prefix="222" data-iso="MR" value="222">Mauritania</option>
        <option data-phone-prefix="230" data-iso="MU" value="230">Mauritius</option>
        <option data-phone-prefix="262" data-iso="YT" value="262">Mayotte</option>
        <option data-phone-prefix="52" data-iso="MX" value="52">Mexico</option>
        <option data-phone-prefix="691" data-iso="FM" value="691">Micronesia</option>
        <option data-phone-prefix="373" data-iso="MD" value="373">Moldova</option>
        <option data-phone-prefix="377" data-iso="MC" value="377">Monaco</option>
        <option data-phone-prefix="976" data-iso="MN" value="976">Mongolia</option>
        <option data-phone-prefix="382" data-iso="ME" value="382">Montenegro</option>
        <option data-phone-prefix="1-664" data-iso="MS" value="1-664">Montserrat</option>
        <option data-phone-prefix="212" data-iso="MA" value="212">Morocco</option>
        <option data-phone-prefix="258" data-iso="MZ" value="258">Mozambique</option>
        <option data-phone-prefix="264" data-iso="NA" value="264">Namibia</option>
        <option data-phone-prefix="674" data-iso="NR" value="674">Nauru</option>
        <option data-phone-prefix="977" data-iso="NP" value="977">Nepal</option>
        <option data-phone-prefix="64" data-iso="NZ" value="64">New Zealand (Aotearoa)</option>
        <option data-phone-prefix="227" data-iso="NE" value="227">Niger</option>
        <option data-phone-prefix="234" data-iso="NG" value="234">Nigeria</option>
        <option data-phone-prefix="683" data-iso="NU" value="683">Niue</option>
        <option data-phone-prefix="672" data-iso="NF" value="672">Norfolk Island</option>
        <option data-phone-prefix="1-670" data-iso="MP" value="1-670">Northern Mariana Islands</option>
        <option data-phone-prefix="47" data-iso="NO" value="47">Norway</option>
        <option data-phone-prefix="968" data-iso="OM" value="968">Oman</option>
        <option data-phone-prefix="680" data-iso="PW" value="680">Palau</option>
        <option data-phone-prefix="507" data-iso="PA" value="507">Panama</option>
        <option data-phone-prefix="675" data-iso="PG" value="675">Papua New Guinea</option>
        <option data-phone-prefix="595" data-iso="PY" value="595">Paraguay</option>
        <option data-phone-prefix="51" data-iso="PE" value="51">Peru</option>
        <option data-phone-prefix="63" data-iso="PH" value="63">Philippines</option>
        <option data-phone-prefix="870" data-iso="PN" value="870">Pitcairn</option>
        <option data-phone-prefix="48" data-iso="PL" value="48">Poland</option>
        <option data-phone-prefix="351" data-iso="PT" value="351">Portugal</option>
        <option data-phone-prefix="1-787 " data-iso="PR" value="1-787 ">Puerto Rico</option>
        <option data-phone-prefix="381" data-iso="RS" value="381">Serbia</option>
        <option data-phone-prefix="262" data-iso="RE" value="262">Reunion</option>
        <option data-phone-prefix="7" data-iso="RU" value="7">Russia</option>
        <option data-phone-prefix="250" data-iso="RW" value="250">Rwanda</option>
        <option data-phone-prefix="1-869" data-iso="KN" value="1-869">Saint Kitts and Nevis</option>
        <option data-phone-prefix="1-758" data-iso="LC" value="1-758">Saint Lucia</option>
        <option data-phone-prefix="1-784" data-iso="VC" value="1-784">Saint Vincent and the Grenadines</option>
        <option data-phone-prefix="685" data-iso="WS" value="685">Samoa</option>
        <option data-phone-prefix="378" data-iso="SM" value="378">San Marino</option>
        <option data-phone-prefix="239" data-iso="ST" value="239">Sao Tome and Principe</option>
        <option data-phone-prefix="966" data-iso="SA" value="966">Saudi Arabia</option>
        <option data-phone-prefix="221" data-iso="SN" value="221">Senegal</option>
        <option data-phone-prefix="44" data-iso="SC" value="44">Seychelles</option>
        <option data-phone-prefix="232" data-iso="SL" value="232">Sierra Leone</option>
        <option data-phone-prefix="65" data-iso="SG" value="65">Singapore</option>
        <option data-phone-prefix="421" data-iso="SK" value="421">Slovak Republic</option>
        <option data-phone-prefix="386" data-iso="SI" value="386">Slovenia</option>
        <option data-phone-prefix="677" data-iso="SB" value="677">Solomon Islands</option>
        <option data-phone-prefix="252" data-iso="SO" value="252">Somalia</option>
        <option data-phone-prefix="27" data-iso="ZA" value="27">South Africa</option>
        <option data-phone-prefix="34" data-iso="ES" value="34">Spain</option>
        <option data-phone-prefix="94" data-iso="LK" value="94">Sri Lanka</option>
        <option data-phone-prefix="290" data-iso="SH" value="290">St. Helena</option>
        <option data-phone-prefix="508" data-iso="PM" value="508">St. Pierre and Miquelon</option>
        <option data-phone-prefix="249" data-iso="SD" value="249">Sudan</option>
        <option data-phone-prefix="597" data-iso="SR" value="597">Suriname</option>
        <option data-phone-prefix="47" data-iso="SJ" value="47">Svalbard and Jan Mayen Islands</option>
        <option data-phone-prefix="268" data-iso="SZ" value="268">Swaziland</option>
        <option data-phone-prefix="46" data-iso="SE" value="46">Sweden</option>
        <option data-phone-prefix="963" data-iso="SY" value="963">Syria</option>
        <option data-phone-prefix="886" data-iso="TW" value="886">Taiwan</option>
        <option data-phone-prefix="992" data-iso="TJ" value="992">Tajikistan</option>
        <option data-phone-prefix="255" data-iso="TZ" value="255">Tanzania</option>
        <option data-phone-prefix="66" data-iso="TH" value="66">Thailand</option>
        <option data-phone-prefix="228" data-iso="TG" value="228">Togo</option>
        <option data-phone-prefix="690" data-iso="TK" value="690">Tokelau</option>
        <option data-phone-prefix="676" data-iso="TO" value="676">Tonga</option>
        <option data-phone-prefix="1-868" data-iso="TT" value="1-868">Trinidad and Tobago</option>
        <option data-phone-prefix="216" data-iso="TN" value="216">Tunisia</option>
        <option data-phone-prefix="90" data-iso="TR" value="90">Turkey</option>
        <option data-phone-prefix="993" data-iso="TM" value="993">Turkmenistan</option>
        <option data-phone-prefix="1-649" data-iso="TC" value="1-649">Turks and Caicos Islands</option>
        <option data-phone-prefix="688" data-iso="TV" value="688">Tuvalu</option>
        <option data-phone-prefix="256" data-iso="UG" value="256">Uganda</option>
        <option data-phone-prefix="380" data-iso="UA" value="380">Ukraine</option>
        <option data-phone-prefix="971" data-iso="AE" value="971">United Arab Emirates</option>
        <option data-phone-prefix="598" data-iso="UY" value="598">Uruguay</option>
        <option data-phone-prefix="998" data-iso="UZ" value="998">Uzbekistan</option>
        <option data-phone-prefix="678" data-iso="VU" value="678">Vanuatu</option>
        <option data-phone-prefix="58" data-iso="VE" value="58">Venezuela</option>
        <option data-phone-prefix="84" data-iso="VN" value="84">Vietnam</option>
        <option data-phone-prefix="681" data-iso="WF" value="681">Wallis and Futuna Islands</option>
        <option data-phone-prefix="967" data-iso="YE" value="967">Yemen</option>
        <option data-phone-prefix="260" data-iso="ZM" value="260">Zambia</option>
        <option data-phone-prefix="263" data-iso="ZW" value="263">Zimbabwe</option>
      </select>
    </div> <input id="form-phone-number" type="text" minlength="5" maxlength="50" placeholder="Cell Phone" autocomplete="off" aria-autocomplete="off" class="form-control form-control-md data-hj-whitelist reg-form-cell-phone phone-validation-group">
    <div class="help-message phone-help-message form-label-gray form-label-sm">Phone number example: +1 XXX XXX XXXX</div>
  </fieldset>
  <div class="row">
    <fieldset class="form-group col" day="" id="__BVID__76"><!---->
      <div tabindex="-1" role="group" class="bv-no-focus-ring"><select class="custom-select" id="__BVID__77">
          <option disabled="disabled" value="">Day</option>
          <option value="1">01</option>
          <option value="2">02</option>
          <option value="3">03</option>
          <option value="4">04</option>
          <option value="5">05</option>
          <option value="6">06</option>
          <option value="7">07</option>
          <option value="8">08</option>
          <option value="9">09</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
          <option value="13">13</option>
          <option value="14">14</option>
          <option value="15">15</option>
          <option value="16">16</option>
          <option value="17">17</option>
          <option value="18">18</option>
          <option value="19">19</option>
          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
          <option value="26">26</option>
          <option value="27">27</option>
          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
        </select> <!----><!----><!----><!----></div>
    </fieldset>
    <fieldset class="form-group col" month="" id="__BVID__79"><!---->
      <div tabindex="-1" role="group" class="bv-no-focus-ring"><select class="custom-select" id="__BVID__80">
          <option disabled="disabled" value="">Month</option>
          <option value="1">January</option>
          <option value="2">February</option>
          <option value="3">March</option>
          <option value="4">April</option>
          <option value="5">May</option>
          <option value="6">June</option>
          <option value="7">July</option>
          <option value="8">August</option>
          <option value="9">September</option>
          <option value="10">October</option>
          <option value="11">November</option>
          <option value="12">December</option>
        </select> <!----><!----><!----><!----></div>
    </fieldset>
    <fieldset class="form-group col" year="" id="__BVID__82"><!---->
      <div tabindex="-1" role="group" class="bv-no-focus-ring"><select class="custom-select" id="__BVID__83">
          <option disabled="disabled" value="">Year</option>
          <option value="2003">2003</option>
          <option value="2002">2002</option>
          <option value="2001">2001</option>
          <option value="2000">2000</option>
          <option value="1999">1999</option>
          <option value="1998">1998</option>
          <option value="1997">1997</option>
          <option value="1996">1996</option>
          <option value="1995">1995</option>
          <option value="1994">1994</option>
          <option value="1993">1993</option>
          <option value="1992">1992</option>
          <option value="1991">1991</option>
          <option value="1990">1990</option>
          <option value="1989">1989</option>
          <option value="1988">1988</option>
          <option value="1987">1987</option>
          <option value="1986">1986</option>
          <option value="1985">1985</option>
          <option value="1984">1984</option>
          <option value="1983">1983</option>
          <option value="1982">1982</option>
          <option value="1981">1981</option>
          <option value="1980">1980</option>
          <option value="1979">1979</option>
          <option value="1978">1978</option>
          <option value="1977">1977</option>
          <option value="1976">1976</option>
          <option value="1975">1975</option>
          <option value="1974">1974</option>
          <option value="1973">1973</option>
          <option value="1972">1972</option>
          <option value="1971">1971</option>
          <option value="1970">1970</option>
          <option value="1969">1969</option>
          <option value="1968">1968</option>
          <option value="1967">1967</option>
          <option value="1966">1966</option>
          <option value="1965">1965</option>
          <option value="1964">1964</option>
          <option value="1963">1963</option>
          <option value="1962">1962</option>
          <option value="1961">1961</option>
          <option value="1960">1960</option>
          <option value="1959">1959</option>
          <option value="1958">1958</option>
          <option value="1957">1957</option>
          <option value="1956">1956</option>
          <option value="1955">1955</option>
          <option value="1954">1954</option>
          <option value="1953">1953</option>
          <option value="1952">1952</option>
          <option value="1951">1951</option>
          <option value="1950">1950</option>
          <option value="1949">1949</option>
          <option value="1948">1948</option>
          <option value="1947">1947</option>
          <option value="1946">1946</option>
          <option value="1945">1945</option>
          <option value="1944">1944</option>
          <option value="1943">1943</option>
          <option value="1942">1942</option>
          <option value="1941">1941</option>
          <option value="1940">1940</option>
          <option value="1939">1939</option>
          <option value="1938">1938</option>
          <option value="1937">1937</option>
          <option value="1936">1936</option>
          <option value="1935">1935</option>
          <option value="1934">1934</option>
          <option value="1933">1933</option>
          <option value="1932">1932</option>
          <option value="1931">1931</option>
        </select> <!----><!----><!----><!----></div>
    </fieldset> <!---->
  </div> <!----> <!----> <!----> <!----> <!---->
  <div class="form-group text-center"> I accept the <a href="/terms-and-conditions" class="info-link help-popup">Terms &amp; Conditions</a> and <a href="/privacy-policy" class="info-link help-popup">Privacy Policy</a></div> <!----> <button
    type="submit" class="btn btn-cta-register btn-action btn-block"> Create new account </button>
  <fieldset class="form-group col mt-2 mb-0" receiveemails="true" id="__BVID__85"><!---->
    <div tabindex="-1" role="group" class="bv-no-focus-ring">
      <div class="custom-control custom-checkbox"><input type="checkbox" class="custom-control-input" value="true" id="__BVID__86"><label class="custom-control-label" for="__BVID__86"> Send me Newsletters and SMS </label></div>
      <!----><!----><!----><!---->
    </div>
  </fieldset>
</form>

POST /auth/login

<form autofill="off" ismxfilled="0" autocomplete="off" method="post" class="needs-validation" id="login-modal-form" action="/auth/login" novalidate="">
  <div class="form-group row">
    <div class="col">
      <label for="login_form[username]" class="form-label form-label-sm align-top form-label-gray">Username</label>
      <input id="login_form[username]" type="text" required="" name="login_form[username]" value="" minlength="2" maxlength="50" placeholder="Enter your username" autocomplete="off" aria-autocomplete="off" required-message="Enter your username"
        class="form-control form-control-md data-hj-whitelist">
      <div class="invalid-feedback">Enter your username</div>
    </div>
  </div>
  <div class="form-group row">
    <div class="col">
      <label for="login-modal-password-input" class="form-label form-label-sm align-top form-label-gray">Password</label>
      <input id="login-modal-password-input" type="text" required="" value="" minlength="2" maxlength="50" placeholder="Enter your password" autocomplete="off" aria-autocomplete="off" required-message="Enter your password"
        class="form-control form-control-md disable-autocomplete">
      <div class="invalid-feedback">Enter your password</div>
    </div>
    <input type="hidden" class="hidden-password-field" name="login_form[password]">
  </div>
  <div class="form-group row">
    <div class="col">
      <div class="custom-control custom-checkbox">
        <input type="checkbox" class="custom-control-input" id="is_remember_me_enabled" name="login_form[is_remember_me_enabled]" checked="checked" value="1">
        <label class="custom-control-label form-label form-label-sm " for="is_remember_me_enabled">Remember me</label>
      </div>
    </div>
  </div>
  <div class="modal-action-bar">
    <button type="submit" class="btn btn-primary btn-block modal-submit-button">Log In</button>
  </div>
  <div class="row">
    <div class="col">
      <div class="d-flex justify-content-center">
        <a href="/recovery/forgotten-password" data-dismiss="modal" data-toggle="modal" data-target="#forgot-password-modal" class="forgotten-psw-link">Forgotten Password</a>
      </div>
    </div>
  </div>
</form>

<form method="" class="validate-form" id="register-user-form" novalidate="" clear-fields="false" data-step="1">
  <div class="steps-section row justify-content-center">
    <div class="error-container col-lg-10"></div>
    <!-- begin step 1 -->
    <div class="step-section step-section-1 col-lg-10">
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_email" class="form-label form-label-sm align-top form-label-gray">Email</label>
          <input id="reg_form_email" type="email" required="" name="reg_form[email]" value="" minlength="2" maxlength="50" placeholder="Email" autocomplete="off" aria-autocomplete="off" required-message="Please enter valid Email"
            class="form-control form-control-md data-hj-whitelist">
          <div class="invalid-feedback">Please enter valid Email</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_username" class="form-label form-label-sm align-top form-label-gray">Username</label>
          <input id="reg_form_username" type="text" required="" name="reg_form[username]" value="" minlength="2" maxlength="50" placeholder="Username" autocomplete="off" aria-autocomplete="off" required-message="Please enter Username"
            class="form-control form-control-md data-hj-whitelist">
          <div class="invalid-feedback">Please enter Username</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_password" class="form-label form-label-sm align-top form-label-gray form-label-input-text">Password </label>
          <div class="form-relative-group-holder">
            <input id="reg_form_password" type="password" name="reg_form[password]" required="" minlength="2" maxlength="50" placeholder="Password" autocomplete="off" aria-autocomplete="off"
              required-message="Your password should contain at least 3 characters." class="form-control form-control-md" aria-describedby="passwordHelpBlock">
            <div class="invalid-feedback">Your password should contain at least 3 characters.</div>
            <span class="icon-toggle ds-icon-material">remove_red_eye</span>
          </div>
          <span id="passwordHelpBlock" class="form-help form-text" style="display: none">
            <span class="icon ds-icon-material help-el">info_outline</span> <span class="help-el">Your password should contain at least 3 characters.</span>
          </span>
        </div>
      </div>
      <input type="hidden" id="register-form-confirm-password" class="hidden-password-field" name="reg_form[confirm_password]">
      <input type="hidden" id="register-form-coupon-code" class="hidden-password-field" name="reg_form[coupon_code]">
      <button id="next-registration-step" type="button" class="btn btn-primary btn-block modal-submit-button">Next</button>
    </div>
    <!-- end of step 1 -->
    <!-- begin step 2 -->
    <div class="step-section step-section-2 col-lg-10 d-none">
      <div class="form-group row">
        <div class="col">
          <div class="custom-control custom-radio custom-control-inline">
            <input type="radio" id="reg_form_gender_male" name="reg_form[gender]" value="male" class="custom-control-input grouped-input" checked="checked" required="">
            <label class="custom-control-label form-label-sm align-self-center form-label form-label-gray" for="reg_form_gender_male">Male</label>
          </div>
          <div class="custom-control custom-radio custom-control-inline">
            <input type="radio" id="reg_form_gender_female" name="reg_form[gender]" value="female" class="custom-control-input grouped-input" required="">
            <label class="custom-control-label form-label-sm align-self-center form-label form-label-gray" for="reg_form_gender_female">Female</label>
          </div>
        </div>
        <div class="invalid-feedback col-12">Please select your gender</div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_fname" class="form-label form-label-sm align-top form-label-gray">First Name</label>
          <input id="reg_form_fname" type="text" required="" name="reg_form[fname]" value="" minlength="2" maxlength="50" placeholder="First Name" autocomplete="off" aria-autocomplete="off" required-message="Please enter First Name"
            class="form-control form-control-md data-hj-whitelist">
          <div class="invalid-feedback">Please enter First Name</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_lname" class="form-label form-label-sm align-top form-label-gray">Last Name</label>
          <input id="reg_form_lname" type="text" required="" name="reg_form[lname]" value="" minlength="2" maxlength="50" placeholder="Last Name" autocomplete="off" aria-autocomplete="off" required-message="Please enter Last Name"
            class="form-control form-control-md data-hj-whitelist">
          <div class="invalid-feedback">Please enter Last Name</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_country_id" class="form-label form-label-sm align-top form-label-gray">Country</label>
          <select id="reg_form_country_id" name="reg_form[country_id]" class="custom-select custom-select-md reg-form-country-id" required="">
            <option value="" disabled="" selected="">Country</option>
            <option data-iso="AL" value="4">Albania</option>
            <option data-iso="DZ" value="5">Algeria</option>
            <option data-iso="AD" value="7">Andorra</option>
            <option data-iso="AO" value="8">Angola</option>
            <option data-iso="AI" value="9">Anguilla</option>
            <option data-iso="AR" value="12">Argentina</option>
            <option data-iso="AM" value="13">Armenia</option>
            <option data-iso="AU" value="15">Australia</option>
            <option data-iso="AT" value="16">Austria</option>
            <option data-iso="AZ" value="17">Azerbaijan</option>
            <option data-iso="BS" value="18">Bahamas</option>
            <option data-iso="BH" value="19">Bahrain</option>
            <option data-iso="BD" value="20">Bangladesh</option>
            <option data-iso="BB" value="21">Barbados</option>
            <option data-iso="BY" value="22">Belarus</option>
            <option data-iso="BE" value="23">Belgium</option>
            <option data-iso="BZ" value="24">Belize</option>
            <option data-iso="BJ" value="25">Benin</option>
            <option data-iso="BM" value="26">Bermuda</option>
            <option data-iso="BT" value="27">Bhutan</option>
            <option data-iso="BO" value="28">Bolivia</option>
            <option data-iso="BA" value="29">Bosnia and Herzegovina</option>
            <option data-iso="BW" value="30">Botswana</option>
            <option data-iso="BV" value="31">Bouvet Island</option>
            <option data-iso="BR" value="32">Brazil</option>
            <option data-iso="BN" value="34">Brunei Darussalam</option>
            <option data-iso="BF" value="36">Burkina Faso</option>
            <option data-iso="MM" value="37">Burma (Myanmar)</option>
            <option data-iso="BI" value="38">Burundi</option>
            <option data-iso="KH" value="39">Cambodia</option>
            <option data-iso="CM" value="40">Cameroon</option>
            <option data-iso="CA" value="41" selected="">Canada</option>
            <option data-iso="CV" value="42">Cape Verde</option>
            <option data-iso="KY" value="43">Cayman Islands</option>
            <option data-iso="CF" value="44">Central African Republic</option>
            <option data-iso="TD" value="45">Chad</option>
            <option data-iso="CL" value="46">Chile</option>
            <option data-iso="CN" value="47">China</option>
            <option data-iso="CX" value="48">Isola di Natale</option>
            <option data-iso="CC" value="49">Cocos (Keeling) Islands</option>
            <option data-iso="CO" value="50">Colombia</option>
            <option data-iso="KM" value="51">Comoros</option>
            <option data-iso="CG" value="52">Congo</option>
            <option data-iso="CK" value="53">Cook Islands</option>
            <option data-iso="CR" value="54">Costa Rica</option>
            <option data-iso="HR" value="55">Croatia</option>
            <option data-iso="CU" value="56">Cuba</option>
            <option data-iso="CZ" value="58">Czech Republic</option>
            <option data-iso="CD" value="59">Democratic Republic of the Congo</option>
            <option data-iso="DK" value="60">Denmark</option>
            <option data-iso="DJ" value="61">Djibouti</option>
            <option data-iso="DM" value="62">Dominica</option>
            <option data-iso="DO" value="63">Dominican Republic</option>
            <option data-iso="TL" value="64">East Timor</option>
            <option data-iso="EC" value="65">Ecuador</option>
            <option data-iso="EG" value="66">Egypt</option>
            <option data-iso="SV" value="67">El Salvador</option>
            <option data-iso="GQ" value="68">Equatorial Guinea</option>
            <option data-iso="ER" value="69">Eritrea</option>
            <option data-iso="EE" value="70">Estonia</option>
            <option data-iso="ET" value="71">Ethiopia</option>
            <option data-iso="FK" value="72">Falkland Islands (Malvinas)</option>
            <option data-iso="FO" value="73">Faroe Islands</option>
            <option data-iso="FJ" value="74">Fiji</option>
            <option data-iso="FI" value="75">Finland</option>
            <option data-iso="FR" value="76">France</option>
            <option data-iso="GF" value="77">French Guiana</option>
            <option data-iso="PF" value="78">French Polynesia</option>
            <option data-iso="TF" value="79">French Southern Territories</option>
            <option data-iso="GA" value="80">Gabon</option>
            <option data-iso="GM" value="81">Gambia</option>
            <option data-iso="GE" value="82">Georgia</option>
            <option data-iso="DE" value="83">Germany</option>
            <option data-iso="GH" value="84">Ghana</option>
            <option data-iso="GL" value="87">Greenland</option>
            <option data-iso="GD" value="88">Grenada</option>
            <option data-iso="GP" value="89">Guadeloupe</option>
            <option data-iso="GU" value="90">Guam</option>
            <option data-iso="GT" value="91">Guatemala</option>
            <option data-iso="GN" value="92">Guinea</option>
            <option data-iso="GW" value="93">Guinea-Bissau</option>
            <option data-iso="GY" value="94">Guyana</option>
            <option data-iso="HT" value="95">Haiti</option>
            <option data-iso="HM" value="96">Heard and McDonald Islands</option>
            <option data-iso="HN" value="97">Honduras</option>
            <option data-iso="HK" value="98">Hong Kong</option>
            <option data-iso="HU" value="99">Hungary</option>
            <option data-iso="IS" value="100">Iceland</option>
            <option data-iso="IN" value="101">India</option>
            <option data-iso="IE" value="105">Ireland</option>
            <option data-iso="IT" value="107">Italy</option>
            <option data-iso="CI" value="108">Ivory Coast</option>
            <option data-iso="JM" value="109">Jamaica</option>
            <option data-iso="JP" value="110">Japan</option>
            <option data-iso="JO" value="111">Jordan</option>
            <option data-iso="KZ" value="112">Kazakhstan</option>
            <option data-iso="KE" value="113">Kenya</option>
            <option data-iso="KI" value="114">Kiribati</option>
            <option data-iso="KR" value="116">Korea (South)</option>
            <option data-iso="KW" value="117">Kuwait</option>
            <option data-iso="KG" value="118">Kyrgyzstan</option>
            <option data-iso="LA" value="119">Laos</option>
            <option data-iso="LV" value="120">Latvia</option>
            <option data-iso="LS" value="122">Lesotho</option>
            <option data-iso="LR" value="123">Liberia</option>
            <option data-iso="LY" value="124">Libya</option>
            <option data-iso="LI" value="125">Liechtenstein</option>
            <option data-iso="LU" value="127">Luxembourg</option>
            <option data-iso="MO" value="128">Macau</option>
            <option data-iso="MK" value="129">Macedonia</option>
            <option data-iso="MG" value="130">Madagascar</option>
            <option data-iso="MW" value="131">Malawi</option>
            <option data-iso="MY" value="132">Malaysia</option>
            <option data-iso="MV" value="133">Maldives</option>
            <option data-iso="ML" value="134">Mali</option>
            <option data-iso="MT" value="135">Malta</option>
            <option data-iso="MH" value="136">Marshall Islands</option>
            <option data-iso="MQ" value="137">Martinique</option>
            <option data-iso="MR" value="138">Mauritania</option>
            <option data-iso="MU" value="139">Mauritius</option>
            <option data-iso="YT" value="140">Mayotte</option>
            <option data-iso="MX" value="141">Mexico</option>
            <option data-iso="FM" value="142">Micronesia</option>
            <option data-iso="MD" value="143">Moldova</option>
            <option data-iso="MC" value="144">Monaco</option>
            <option data-iso="MN" value="145">Mongolia</option>
            <option data-iso="ME" value="146">Montenegro</option>
            <option data-iso="MS" value="147">Montserrat</option>
            <option data-iso="MA" value="148">Morocco</option>
            <option data-iso="MZ" value="149">Mozambique</option>
            <option data-iso="NA" value="150">Namibia</option>
            <option data-iso="NR" value="151">Nauru</option>
            <option data-iso="NP" value="152">Nepal</option>
            <option data-iso="NZ" value="157">New Zealand (Aotearoa)</option>
            <option data-iso="NE" value="159">Niger</option>
            <option data-iso="NG" value="160">Nigeria</option>
            <option data-iso="NU" value="161">Niue</option>
            <option data-iso="NF" value="162">Norfolk Island</option>
            <option data-iso="MP" value="163">Northern Mariana Islands</option>
            <option data-iso="NO" value="164">Norway</option>
            <option data-iso="OM" value="165">Oman</option>
            <option data-iso="PW" value="167">Palau</option>
            <option data-iso="PA" value="169">Panama</option>
            <option data-iso="PG" value="170">Papua New Guinea</option>
            <option data-iso="PY" value="171">Paraguay</option>
            <option data-iso="PE" value="172">Peru</option>
            <option data-iso="PH" value="173">Philippines</option>
            <option data-iso="PN" value="174">Pitcairn</option>
            <option data-iso="PL" value="175">Poland</option>
            <option data-iso="PT" value="176">Portugal</option>
            <option data-iso="PR" value="177">Puerto Rico</option>
            <option data-iso="RS" value="179">Serbia</option>
            <option data-iso="RE" value="180">Reunion</option>
            <option data-iso="RU" value="182">Russia</option>
            <option data-iso="RW" value="183">Rwanda</option>
            <option data-iso="GS" value="184">S. Georgia and S. Sandwich Isls.</option>
            <option data-iso="KN" value="185">Saint Kitts and Nevis</option>
            <option data-iso="LC" value="186">Saint Lucia</option>
            <option data-iso="VC" value="187">Saint Vincent and the Grenadines</option>
            <option data-iso="WS" value="188">Samoa</option>
            <option data-iso="SM" value="189">San Marino</option>
            <option data-iso="ST" value="190">Sao Tome and Principe</option>
            <option data-iso="SA" value="191">Saudi Arabia</option>
            <option data-iso="SN" value="192">Senegal</option>
            <option data-iso="SC" value="194">Seychelles</option>
            <option data-iso="SL" value="195">Sierra Leone</option>
            <option data-iso="SG" value="196">Singapore</option>
            <option data-iso="SK" value="197">Slovak Republic</option>
            <option data-iso="SI" value="198">Slovenia</option>
            <option data-iso="SB" value="199">Solomon Islands</option>
            <option data-iso="SO" value="200">Somalia</option>
            <option data-iso="ZA" value="201">South Africa</option>
            <option data-iso="ES" value="202">Spain</option>
            <option data-iso="LK" value="203">Sri Lanka</option>
            <option data-iso="SH" value="204">St. Helena</option>
            <option data-iso="PM" value="205">St. Pierre and Miquelon</option>
            <option data-iso="SD" value="206">Sudan</option>
            <option data-iso="SR" value="207">Suriname</option>
            <option data-iso="SJ" value="208">Svalbard and Jan Mayen Islands</option>
            <option data-iso="SZ" value="209">Swaziland</option>
            <option data-iso="SE" value="210">Sweden</option>
            <option data-iso="SY" value="212">Syria</option>
            <option data-iso="TW" value="213">Taiwan</option>
            <option data-iso="TJ" value="214">Tajikistan</option>
            <option data-iso="TZ" value="215">Tanzania</option>
            <option data-iso="TH" value="216">Thailand</option>
            <option data-iso="TG" value="217">Togo</option>
            <option data-iso="TK" value="218">Tokelau</option>
            <option data-iso="TO" value="219">Tonga</option>
            <option data-iso="TT" value="220">Trinidad and Tobago</option>
            <option data-iso="TN" value="221">Tunisia</option>
            <option data-iso="TR" value="222">Turkey</option>
            <option data-iso="TM" value="223">Turkmenistan</option>
            <option data-iso="TC" value="224">Turks and Caicos Islands</option>
            <option data-iso="TV" value="225">Tuvalu</option>
            <option data-iso="UG" value="226">Uganda</option>
            <option data-iso="UA" value="227">Ukraine</option>
            <option data-iso="AE" value="228">United Arab Emirates</option>
            <option data-iso="UY" value="231">Uruguay</option>
            <option data-iso="UZ" value="232">Uzbekistan</option>
            <option data-iso="VU" value="233">Vanuatu</option>
            <option data-iso="VE" value="235">Venezuela</option>
            <option data-iso="VN" value="236">Vietnam</option>
            <option data-iso="WF" value="239">Wallis and Futuna Islands</option>
            <option data-iso="YE" value="241">Yemen</option>
            <option data-iso="ZM" value="243">Zambia</option>
            <option data-iso="ZW" value="244">Zimbabwe</option>
            <option data-iso="SC" value="249">Scotland</option>
          </select>
          <div class="invalid-feedback">Please select Country</div>
        </div>
        <div class="col">
          <label for="reg_form_currency_id" class="form-label form-label-sm align-top form-label-gray">Currency</label>
          <select id="reg_form_currency_id" name="reg_form[currency_id]" class="custom-select custom-select-md reg-form-currency-id" required="">
            <option value="" disabled="" selected="">Currency</option>
            <option value="32">Argentine peso</option>
            <option value="15">Australian Dollar</option>
            <option value="28">Brazil Real</option>
            <option value="3">British Pound Sterling</option>
            <option value="20">Brunei Dollar</option>
            <option value="27" selected="">Canadian dollar</option>
            <option value="55">Central African CFA Franc</option>
            <option value="31">Chilean Pesos</option>
            <option value="16">Chinese Yuan</option>
            <option value="34">Colombian Peso</option>
            <option value="12">Czech Republic Koruna</option>
            <option value="6">Danish Krone</option>
            <option value="1">Euro</option>
            <option value="4">Hong Kong Dollar</option>
            <option value="25">Hungarian Forint</option>
            <option value="29">Indian Rupees</option>
            <option value="17">Indonesian Rupiah</option>
            <option value="18">Japanese Yen</option>
            <option value="53">Kuwaiti Dinar</option>
            <option value="13">Malaysian Ringgit</option>
            <option value="22">Mexican Peso</option>
            <option value="44">Morrocan Dirham</option>
            <option value="42">New Zealand Dollar </option>
            <option value="46">Nigerian Naira</option>
            <option value="8">Norwegian Krone</option>
            <option value="47">Pakistani Rupee</option>
            <option value="33">Paraguayan peso</option>
            <option value="35">Peruvian Sol</option>
            <option value="41">Philippine Peso</option>
            <option value="11">Polish Zloty</option>
            <option value="21">Romanian Leu</option>
            <option value="10">Russian Ruble</option>
            <option value="54">Saudi Riyal</option>
            <option value="5">Singapore Dollar</option>
            <option value="43">South Africa Rand</option>
            <option value="19">South Korean Won</option>
            <option value="45">Swazi Lilangeni</option>
            <option value="9">Swiss Franc</option>
            <option value="30">Taiwan New Dollars</option>
            <option value="14">Thai Baht</option>
            <option value="48">Trinidadian Dollar</option>
            <option value="40">Tunisian Dinar</option>
            <option value="26">Turkish Lira</option>
            <option value="39">Turkmenistani Manats</option>
            <option value="38">Ukrainian Grivna</option>
            <option value="52">United Arab Emirates Dirham</option>
            <option value="2">United States Dollar</option>
            <option value="36">Uruguayan Peso</option>
            <option value="23">Vietnamese Dong</option>
            <option value="49">West African CFA Franc</option>
          </select>
          <div class="invalid-feedback">Please select Currency</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="register-user-modal" class="form-label form-label-sm align-top form-label-gray">Cell Phone</label>
          <div class="phone-prefix-container d-flex align-items-center">
            <input type="hidden" class="phone-prefix-hidden-input" name="reg_form[phone_prefix]" value="1">
            <input type="hidden" class="phone-number-hidden-input" name="reg_form[cell_phone]" value="">
            <div class="phone-prefix-label d-none">Prefix</div>
            <div class="phone-prefix-country-container align-items-center justify-content-between d-flex">
              <i class="flag-icon flag-icon-sm ca"></i>
              <div class="phone-prefix-value-container d-flex align-items-center">
                <span class="phone-prefix-sign">+</span>
                <span class="phone-prefix-value">1</span>
              </div>
            </div>
            <select class="custom-select custom-select-md phone-prefix-select phone-validation-group" required="" required-message="Please select Phone prefix">
              <option value="" disabled="" selected="">Country</option>
              <option data-phone-prefix="355" data-iso="AL" value="355">Albania</option>
              <option data-phone-prefix="213" data-iso="DZ" value="213">Algeria</option>
              <option data-phone-prefix="376" data-iso="AD" value="376">Andorra</option>
              <option data-phone-prefix="244" data-iso="AO" value="244">Angola</option>
              <option data-phone-prefix="1-264" data-iso="AI" value="1-264">Anguilla</option>
              <option data-phone-prefix="54" data-iso="AR" value="54">Argentina</option>
              <option data-phone-prefix="374" data-iso="AM" value="374">Armenia</option>
              <option data-phone-prefix="61" data-iso="AU" value="61">Australia</option>
              <option data-phone-prefix="43" data-iso="AT" value="43">Austria</option>
              <option data-phone-prefix="994" data-iso="AZ" value="994">Azerbaijan</option>
              <option data-phone-prefix="1-242" data-iso="BS" value="1-242">Bahamas</option>
              <option data-phone-prefix="973" data-iso="BH" value="973">Bahrain</option>
              <option data-phone-prefix="880" data-iso="BD" value="880">Bangladesh</option>
              <option data-phone-prefix="1-246" data-iso="BB" value="1-246">Barbados</option>
              <option data-phone-prefix="375" data-iso="BY" value="375">Belarus</option>
              <option data-phone-prefix="32" data-iso="BE" value="32">Belgium</option>
              <option data-phone-prefix="501" data-iso="BZ" value="501">Belize</option>
              <option data-phone-prefix="229" data-iso="BJ" value="229">Benin</option>
              <option data-phone-prefix="1-441" data-iso="BM" value="1-441">Bermuda</option>
              <option data-phone-prefix="975" data-iso="BT" value="975">Bhutan</option>
              <option data-phone-prefix="591" data-iso="BO" value="591">Bolivia</option>
              <option data-phone-prefix="387" data-iso="BA" value="387">Bosnia and Herzegovina</option>
              <option data-phone-prefix="267" data-iso="BW" value="267">Botswana</option>
              <option data-phone-prefix="55" data-iso="BR" value="55">Brazil</option>
              <option data-phone-prefix="673" data-iso="BN" value="673">Brunei Darussalam</option>
              <option data-phone-prefix="226" data-iso="BF" value="226">Burkina Faso</option>
              <option data-phone-prefix="95" data-iso="MM" value="95">Burma (Myanmar)</option>
              <option data-phone-prefix="257" data-iso="BI" value="257">Burundi</option>
              <option data-phone-prefix="855" data-iso="KH" value="855">Cambodia</option>
              <option data-phone-prefix="237" data-iso="CM" value="237">Cameroon</option>
              <option data-phone-prefix="1" data-iso="CA" value="1" selected="">Canada</option>
              <option data-phone-prefix="238" data-iso="CV" value="238">Cape Verde</option>
              <option data-phone-prefix="1-345" data-iso="KY" value="1-345">Cayman Islands</option>
              <option data-phone-prefix="236" data-iso="CF" value="236">Central African Republic</option>
              <option data-phone-prefix="235" data-iso="TD" value="235">Chad</option>
              <option data-phone-prefix="56" data-iso="CL" value="56">Chile</option>
              <option data-phone-prefix="86" data-iso="CN" value="86">China</option>
              <option data-phone-prefix="61" data-iso="CX" value="61">Isola di Natale</option>
              <option data-phone-prefix="61" data-iso="CC" value="61">Cocos (Keeling) Islands</option>
              <option data-phone-prefix="57" data-iso="CO" value="57">Colombia</option>
              <option data-phone-prefix="269" data-iso="KM" value="269">Comoros</option>
              <option data-phone-prefix="242" data-iso="CG" value="242">Congo</option>
              <option data-phone-prefix="682" data-iso="CK" value="682">Cook Islands</option>
              <option data-phone-prefix="506" data-iso="CR" value="506">Costa Rica</option>
              <option data-phone-prefix="385" data-iso="HR" value="385">Croatia</option>
              <option data-phone-prefix="53" data-iso="CU" value="53">Cuba</option>
              <option data-phone-prefix="420" data-iso="CZ" value="420">Czech Republic</option>
              <option data-phone-prefix="243" data-iso="CD" value="243">Democratic Republic of the Congo</option>
              <option data-phone-prefix="45" data-iso="DK" value="45">Denmark</option>
              <option data-phone-prefix="253" data-iso="DJ" value="253">Djibouti</option>
              <option data-phone-prefix="1-767" data-iso="DM" value="1-767">Dominica</option>
              <option data-phone-prefix="1-809 " data-iso="DO" value="1-809 ">Dominican Republic</option>
              <option data-phone-prefix="670" data-iso="TL" value="670">East Timor</option>
              <option data-phone-prefix="593" data-iso="EC" value="593">Ecuador</option>
              <option data-phone-prefix="20" data-iso="EG" value="20">Egypt</option>
              <option data-phone-prefix="503" data-iso="SV" value="503">El Salvador</option>
              <option data-phone-prefix="240" data-iso="GQ" value="240">Equatorial Guinea</option>
              <option data-phone-prefix="291" data-iso="ER" value="291">Eritrea</option>
              <option data-phone-prefix="372" data-iso="EE" value="372">Estonia</option>
              <option data-phone-prefix="251" data-iso="ET" value="251">Ethiopia</option>
              <option data-phone-prefix="500" data-iso="FK" value="500">Falkland Islands (Malvinas)</option>
              <option data-phone-prefix="298" data-iso="FO" value="298">Faroe Islands</option>
              <option data-phone-prefix="679" data-iso="FJ" value="679">Fiji</option>
              <option data-phone-prefix="358" data-iso="FI" value="358">Finland</option>
              <option data-phone-prefix="33" data-iso="FR" value="33">France</option>
              <option data-phone-prefix="594" data-iso="GF" value="594">French Guiana</option>
              <option data-phone-prefix="689" data-iso="PF" value="689">French Polynesia</option>
              <option data-phone-prefix="241" data-iso="GA" value="241">Gabon</option>
              <option data-phone-prefix="220" data-iso="GM" value="220">Gambia</option>
              <option data-phone-prefix="995" data-iso="GE" value="995">Georgia</option>
              <option data-phone-prefix="49" data-iso="DE" value="49">Germany</option>
              <option data-phone-prefix="233" data-iso="GH" value="233">Ghana</option>
              <option data-phone-prefix="299" data-iso="GL" value="299">Greenland</option>
              <option data-phone-prefix="1-473" data-iso="GD" value="1-473">Grenada</option>
              <option data-phone-prefix="590" data-iso="GP" value="590">Guadeloupe</option>
              <option data-phone-prefix="1-671" data-iso="GU" value="1-671">Guam</option>
              <option data-phone-prefix="502" data-iso="GT" value="502">Guatemala</option>
              <option data-phone-prefix="224" data-iso="GN" value="224">Guinea</option>
              <option data-phone-prefix="245" data-iso="GW" value="245">Guinea-Bissau</option>
              <option data-phone-prefix="592" data-iso="GY" value="592">Guyana</option>
              <option data-phone-prefix="509" data-iso="HT" value="509">Haiti</option>
              <option data-phone-prefix=" " data-iso="HM" value=" ">Heard and McDonald Islands</option>
              <option data-phone-prefix="504" data-iso="HN" value="504">Honduras</option>
              <option data-phone-prefix="852" data-iso="HK" value="852">Hong Kong</option>
              <option data-phone-prefix="36" data-iso="HU" value="36">Hungary</option>
              <option data-phone-prefix="354" data-iso="IS" value="354">Iceland</option>
              <option data-phone-prefix="91" data-iso="IN" value="91">India</option>
              <option data-phone-prefix="353" data-iso="IE" value="353">Ireland</option>
              <option data-phone-prefix="39" data-iso="IT" value="39">Italy</option>
              <option data-phone-prefix="225" data-iso="CI" value="225">Ivory Coast</option>
              <option data-phone-prefix="1-876" data-iso="JM" value="1-876">Jamaica</option>
              <option data-phone-prefix="81" data-iso="JP" value="81">Japan</option>
              <option data-phone-prefix="962" data-iso="JO" value="962">Jordan</option>
              <option data-phone-prefix="7" data-iso="KZ" value="7">Kazakhstan</option>
              <option data-phone-prefix="254" data-iso="KE" value="254">Kenya</option>
              <option data-phone-prefix="686" data-iso="KI" value="686">Kiribati</option>
              <option data-phone-prefix="82" data-iso="KR" value="82">Korea (South)</option>
              <option data-phone-prefix="965" data-iso="KW" value="965">Kuwait</option>
              <option data-phone-prefix="996" data-iso="KG" value="996">Kyrgyzstan</option>
              <option data-phone-prefix="856" data-iso="LA" value="856">Laos</option>
              <option data-phone-prefix="371" data-iso="LV" value="371">Latvia</option>
              <option data-phone-prefix="266" data-iso="LS" value="266">Lesotho</option>
              <option data-phone-prefix="231" data-iso="LR" value="231">Liberia</option>
              <option data-phone-prefix="218" data-iso="LY" value="218">Libya</option>
              <option data-phone-prefix="423" data-iso="LI" value="423">Liechtenstein</option>
              <option data-phone-prefix="352" data-iso="LU" value="352">Luxembourg</option>
              <option data-phone-prefix="853" data-iso="MO" value="853">Macau</option>
              <option data-phone-prefix="389" data-iso="MK" value="389">Macedonia</option>
              <option data-phone-prefix="261" data-iso="MG" value="261">Madagascar</option>
              <option data-phone-prefix="265" data-iso="MW" value="265">Malawi</option>
              <option data-phone-prefix="60" data-iso="MY" value="60">Malaysia</option>
              <option data-phone-prefix="960" data-iso="MV" value="960">Maldives</option>
              <option data-phone-prefix="223" data-iso="ML" value="223">Mali</option>
              <option data-phone-prefix="356" data-iso="MT" value="356">Malta</option>
              <option data-phone-prefix="692" data-iso="MH" value="692">Marshall Islands</option>
              <option data-phone-prefix="596" data-iso="MQ" value="596">Martinique</option>
              <option data-phone-prefix="222" data-iso="MR" value="222">Mauritania</option>
              <option data-phone-prefix="230" data-iso="MU" value="230">Mauritius</option>
              <option data-phone-prefix="262" data-iso="YT" value="262">Mayotte</option>
              <option data-phone-prefix="52" data-iso="MX" value="52">Mexico</option>
              <option data-phone-prefix="691" data-iso="FM" value="691">Micronesia</option>
              <option data-phone-prefix="373" data-iso="MD" value="373">Moldova</option>
              <option data-phone-prefix="377" data-iso="MC" value="377">Monaco</option>
              <option data-phone-prefix="976" data-iso="MN" value="976">Mongolia</option>
              <option data-phone-prefix="382" data-iso="ME" value="382">Montenegro</option>
              <option data-phone-prefix="1-664" data-iso="MS" value="1-664">Montserrat</option>
              <option data-phone-prefix="212" data-iso="MA" value="212">Morocco</option>
              <option data-phone-prefix="258" data-iso="MZ" value="258">Mozambique</option>
              <option data-phone-prefix="264" data-iso="NA" value="264">Namibia</option>
              <option data-phone-prefix="674" data-iso="NR" value="674">Nauru</option>
              <option data-phone-prefix="977" data-iso="NP" value="977">Nepal</option>
              <option data-phone-prefix="64" data-iso="NZ" value="64">New Zealand (Aotearoa)</option>
              <option data-phone-prefix="227" data-iso="NE" value="227">Niger</option>
              <option data-phone-prefix="234" data-iso="NG" value="234">Nigeria</option>
              <option data-phone-prefix="683" data-iso="NU" value="683">Niue</option>
              <option data-phone-prefix="672" data-iso="NF" value="672">Norfolk Island</option>
              <option data-phone-prefix="1-670" data-iso="MP" value="1-670">Northern Mariana Islands</option>
              <option data-phone-prefix="47" data-iso="NO" value="47">Norway</option>
              <option data-phone-prefix="968" data-iso="OM" value="968">Oman</option>
              <option data-phone-prefix="680" data-iso="PW" value="680">Palau</option>
              <option data-phone-prefix="507" data-iso="PA" value="507">Panama</option>
              <option data-phone-prefix="675" data-iso="PG" value="675">Papua New Guinea</option>
              <option data-phone-prefix="595" data-iso="PY" value="595">Paraguay</option>
              <option data-phone-prefix="51" data-iso="PE" value="51">Peru</option>
              <option data-phone-prefix="63" data-iso="PH" value="63">Philippines</option>
              <option data-phone-prefix="870" data-iso="PN" value="870">Pitcairn</option>
              <option data-phone-prefix="48" data-iso="PL" value="48">Poland</option>
              <option data-phone-prefix="351" data-iso="PT" value="351">Portugal</option>
              <option data-phone-prefix="1-787 " data-iso="PR" value="1-787 ">Puerto Rico</option>
              <option data-phone-prefix="381" data-iso="RS" value="381">Serbia</option>
              <option data-phone-prefix="262" data-iso="RE" value="262">Reunion</option>
              <option data-phone-prefix="7" data-iso="RU" value="7">Russia</option>
              <option data-phone-prefix="250" data-iso="RW" value="250">Rwanda</option>
              <option data-phone-prefix="1-869" data-iso="KN" value="1-869">Saint Kitts and Nevis</option>
              <option data-phone-prefix="1-758" data-iso="LC" value="1-758">Saint Lucia</option>
              <option data-phone-prefix="1-784" data-iso="VC" value="1-784">Saint Vincent and the Grenadines</option>
              <option data-phone-prefix="685" data-iso="WS" value="685">Samoa</option>
              <option data-phone-prefix="378" data-iso="SM" value="378">San Marino</option>
              <option data-phone-prefix="239" data-iso="ST" value="239">Sao Tome and Principe</option>
              <option data-phone-prefix="966" data-iso="SA" value="966">Saudi Arabia</option>
              <option data-phone-prefix="221" data-iso="SN" value="221">Senegal</option>
              <option data-phone-prefix="44" data-iso="SC" value="44">Seychelles</option>
              <option data-phone-prefix="232" data-iso="SL" value="232">Sierra Leone</option>
              <option data-phone-prefix="65" data-iso="SG" value="65">Singapore</option>
              <option data-phone-prefix="421" data-iso="SK" value="421">Slovak Republic</option>
              <option data-phone-prefix="386" data-iso="SI" value="386">Slovenia</option>
              <option data-phone-prefix="677" data-iso="SB" value="677">Solomon Islands</option>
              <option data-phone-prefix="252" data-iso="SO" value="252">Somalia</option>
              <option data-phone-prefix="27" data-iso="ZA" value="27">South Africa</option>
              <option data-phone-prefix="34" data-iso="ES" value="34">Spain</option>
              <option data-phone-prefix="94" data-iso="LK" value="94">Sri Lanka</option>
              <option data-phone-prefix="290" data-iso="SH" value="290">St. Helena</option>
              <option data-phone-prefix="508" data-iso="PM" value="508">St. Pierre and Miquelon</option>
              <option data-phone-prefix="249" data-iso="SD" value="249">Sudan</option>
              <option data-phone-prefix="597" data-iso="SR" value="597">Suriname</option>
              <option data-phone-prefix="47" data-iso="SJ" value="47">Svalbard and Jan Mayen Islands</option>
              <option data-phone-prefix="268" data-iso="SZ" value="268">Swaziland</option>
              <option data-phone-prefix="46" data-iso="SE" value="46">Sweden</option>
              <option data-phone-prefix="963" data-iso="SY" value="963">Syria</option>
              <option data-phone-prefix="886" data-iso="TW" value="886">Taiwan</option>
              <option data-phone-prefix="992" data-iso="TJ" value="992">Tajikistan</option>
              <option data-phone-prefix="255" data-iso="TZ" value="255">Tanzania</option>
              <option data-phone-prefix="66" data-iso="TH" value="66">Thailand</option>
              <option data-phone-prefix="228" data-iso="TG" value="228">Togo</option>
              <option data-phone-prefix="690" data-iso="TK" value="690">Tokelau</option>
              <option data-phone-prefix="676" data-iso="TO" value="676">Tonga</option>
              <option data-phone-prefix="1-868" data-iso="TT" value="1-868">Trinidad and Tobago</option>
              <option data-phone-prefix="216" data-iso="TN" value="216">Tunisia</option>
              <option data-phone-prefix="90" data-iso="TR" value="90">Turkey</option>
              <option data-phone-prefix="993" data-iso="TM" value="993">Turkmenistan</option>
              <option data-phone-prefix="1-649" data-iso="TC" value="1-649">Turks and Caicos Islands</option>
              <option data-phone-prefix="688" data-iso="TV" value="688">Tuvalu</option>
              <option data-phone-prefix="256" data-iso="UG" value="256">Uganda</option>
              <option data-phone-prefix="380" data-iso="UA" value="380">Ukraine</option>
              <option data-phone-prefix="971" data-iso="AE" value="971">United Arab Emirates</option>
              <option data-phone-prefix="598" data-iso="UY" value="598">Uruguay</option>
              <option data-phone-prefix="998" data-iso="UZ" value="998">Uzbekistan</option>
              <option data-phone-prefix="678" data-iso="VU" value="678">Vanuatu</option>
              <option data-phone-prefix="58" data-iso="VE" value="58">Venezuela</option>
              <option data-phone-prefix="84" data-iso="VN" value="84">Vietnam</option>
              <option data-phone-prefix="681" data-iso="WF" value="681">Wallis and Futuna Islands</option>
              <option data-phone-prefix="967" data-iso="YE" value="967">Yemen</option>
              <option data-phone-prefix="260" data-iso="ZM" value="260">Zambia</option>
              <option data-phone-prefix="263" data-iso="ZW" value="263">Zimbabwe</option>
            </select>
          </div>
          <input id="register-user-modal" type="text" required="" value="" minlength="5" maxlength="50" placeholder="Cell Phone" autocomplete="off" aria-autocomplete="off" required-message="Please enter Cell Phone"
            class="form-control form-control-md data-hj-whitelist reg-form-cell-phone phone-validation-group">
          <div class="invalid-feedback">Please enter Cell Phone</div>
          <div class="help-message phone-help-message form-label-gray form-label-sm">Phone number example: +1 XXX XXX XXXX</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label class="form-label form-label-sm form-label-gray align-top input-group-label">Day of birth</label>
          <div class="row">
            <div class="col">
              <select id="reg_form_birthday_day" name="reg_form[birthday][day]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Day</option>
                <option value="1">01</option>
                <option value="2">02</option>
                <option value="3">03</option>
                <option value="4">04</option>
                <option value="5">05</option>
                <option value="6">06</option>
                <option value="7">07</option>
                <option value="8">08</option>
                <option value="9">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </div>
            <div class="col">
              <select id="reg_form_birthday_month" name="reg_form[birthday][month]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Month</option>
                <option value="1">January</option>
                <option value="2">February</option>
                <option value="3">March</option>
                <option value="4">April</option>
                <option value="5">May</option>
                <option value="6">June</option>
                <option value="7">July</option>
                <option value="8">August</option>
                <option value="9">September</option>
                <option value="10">October</option>
                <option value="11">November</option>
                <option value="12">December</option>
              </select>
            </div>
            <div class="col">
              <select id="reg_form_birthday_year" name="reg_form[birthday][year]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Year</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
                <option value="1921">1921</option>
                <option value="1920">1920</option>
              </select>
            </div>
            <div class="invalid-feedback col-12">Please select birthday</div>
          </div>
        </div>
      </div>
      <div class="form-group row mb-0">
        <div class="col text-center">
          <input type="hidden" name="reg_form[terms_accepted]" value="on">
          <span class="form-label form-label-sm"> I accept the <a href="/terms-and-conditions" class="info-link help-popup">Terms &amp; Conditions</a> and <a href="/privacy-policy" class="info-link help-popup">Privacy Policy</a>
          </span>
        </div>
      </div>
      <div class="form-group row  d-none ">
        <div class="col">
          <div class="custom-control custom-checkbox">
            <input type="checkbox" class="custom-control-input" id="reg_form_newsletter" name="reg_form[is_in_mail_list]" checked="checked" value="1">
            <label class="custom-control-label form-label form-label-sm " for="reg_form_newsletter">Send me Newsletters and SMS</label>
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        </div>
      </div>
      <button type="submit" id="submit-reg-form" class="btn btn-primary btn-block modal-submit-button"> Create new account </button>
    </div>
    <!-- end of step 2 -->
    <!-- begin step 3 -->
    <div class="step-section step-section-3 col-lg-10 d-none confirmation-container">
      <div class="confirmation-heading">Congratulations</div>
      <div class="confirmation-details form-tooltip">You have successfully activated your account!</div>
      <div class="redirect-counter-container"> You will be redirected in <span class="redirect-counter">15</span> seconds </div>
      <button id="register-complete-button" type="button" class="btn btn-action btn-block text-uppercase modal-submit-button">DEPOSIT NOW </button>
    </div>
    <!-- end of step 3 -->
  </div>
</form>

<form method="" id="forgot-password-form" class="validate-form " novalidate="">
  <div class="row">
    <div class="col-lg-10 offset-lg-1">
      <div class="row">
        <div class="col">
        </div>
      </div>
    </div>
    <div class="col-lg-10 offset-lg-1">
      <div class="row">
        <div class="col error-container"></div>
      </div>
    </div>
    <div class="col-lg-10 offset-lg-1">
      <div class="form-group row">
        <div class="col">
          <label for="forgot-password-form_username" class="form-label form-label-sm align-top form-label-gray">Username</label>
          <input id="forgot-password-form_username" type="text" required="" name="username" value="" minlength="2" maxlength="50" placeholder="Username" autocomplete="off" aria-autocomplete="off" required-message="Please enter Username"
            class="form-control form-control-md ">
          <div class="invalid-feedback">Please enter Username</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="forgot-password-form_email" class="form-label form-label-sm align-top form-label-gray">Email</label>
          <input id="forgot-password-form_email" type="email" required="" name="email" value="" minlength="2" maxlength="50" placeholder="Email" autocomplete="off" aria-autocomplete="off" required-message="Please enter valid Email"
            class="form-control form-control-md ">
          <div class="invalid-feedback">Please enter valid Email</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label class="form-label form-label-sm form-label-gray input-group-label align-top">Day of birth</label>
          <div class="row">
            <div class="col">
              <select id="forgot-password-form_birthday_day" name="birthday[day]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Day</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </div>
            <div class="col">
              <select id="forgot-password-form_birthday_month" name="birthday[month]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Month</option>
                <option value="01">January</option>
                <option value="02">February</option>
                <option value="03">March</option>
                <option value="04">April</option>
                <option value="05">May</option>
                <option value="06">June</option>
                <option value="07">July</option>
                <option value="08">August</option>
                <option value="09">September</option>
                <option value="10">October</option>
                <option value="11">November</option>
                <option value="12">December</option>
              </select>
            </div>
            <div class="col">
              <select id="forgot-password-form_birthday_year" name="birthday[year]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Year</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
                <option value="1921">1921</option>
                <option value="1920">1920</option>
              </select>
            </div>
            <div class="invalid-feedback col-12">Please select birthday</div>
          </div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <button type="submit" id="submit-forgot-password-form" class="btn btn-primary btn-block modal-submit-button">Recover</button>
        </div>
      </div>
    </div>
  </div>
</form>

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AlbaniaAlgeriaAndorraAngolaAnguillaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
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