www.thyrocare.healthcare
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Submitted URL: https://thyrocare.healthcare/
Effective URL: https://www.thyrocare.healthcare/
Submission: On November 25 via api from JP — Scanned from JP
Effective URL: https://www.thyrocare.healthcare/
Submission: On November 25 via api from JP — Scanned from JP
Form analysis 1 forms found in the DOM
<form id="formbuilder">
<div class="form-page theme-3 head-Merriweather mediumContent content-left label-left heading-left icon-left image-0 icon-0 rounded-1 button-0 custom-form" style="color:#262626">
<p class="description" style="text-align:left"><strong>Note<!-- -->:</strong> <!-- -->Fields with ( * ) are compulsory.</p>
<ul class="form_list">
<li id="setTimerCustom" class="timerBar appyslim-calendar-alarm-clock" style="display: block;">00:00:04</li>
<li class="input customField ddd" data-type="name" data-mandatory="1"><i class="info iconz-quiz" data-index="0" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><input class="targetField" type="text" name="name" id="text0"
placeholder=" " data-placeholder="Please enter your full name. *"><span>Please enter your full name. *</span></label></li>
<li class="input customField ddd" data-type="gender" data-mandatory="1"><i class="info iconz-quiz" data-index="1" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><select class="targetField" id="1" placeholder=" "
data-placeholder="Select your gender. *">
<option value="0" selected="">Select your gender. *</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Transgender">Transgender</option>
</select><span>Select your gender. *</span></label></li>
<li class="input customField ddd" data-type="date" data-mandatory="1"><i class="info iconz-quiz" data-index="2" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><input class="targetField hasDatepicker" type="text" name="date"
id="date2" placeholder=" " data-placeholder="Choose your preferred date for sample collection. *" readonly="readonly"><span>Choose your preferred date for sample collection. *</span></label></li>
<li class="input customField ddd" data-type="country" data-mandatory="1"><i class="info iconz-quiz" data-index="3" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><select class="targetField" id="3" placeholder=" "
data-placeholder="Select your country of residence. *">
<option value="0" selected="">Select your country of residence. *</option>
<option value="United States" id="US">United States</option>
<option value="United Kingdom" id="GB">United Kingdom</option>
<option value="Afghanistan" id="AF">Afghanistan</option>
<option value="Åland Islands" id="AX">Åland Islands</option>
<option value="Albania" id="AL">Albania</option>
<option value="Algeria" id="DZ">Algeria</option>
<option value="American Samoa" id="AS">American Samoa</option>
<option value="Andorra" id="AD">Andorra</option>
<option value="Angola" id="AO">Angola</option>
<option value="USA" id="US">USA</option>
<option value="Anguilla" id="AI">Anguilla</option>
<option value="Antarctica" id="AQ">Antarctica</option>
<option value="Antigua and Barbuda" id="AG">Antigua and Barbuda</option>
<option value="Argentina" id="AR">Argentina</option>
<option value="Armenia" id="AM">Armenia</option>
<option value="Aruba" id="AW">Aruba</option>
<option value="Australia" id="AU">Australia</option>
<option value="Austria" id="AT">Austria</option>
<option value="Azerbaijan" id="AZ">Azerbaijan</option>
<option value="Bahamas" id="BS">Bahamas</option>
<option value="Bahrain" id="BH">Bahrain</option>
<option value="Bangladesh" id="BD">Bangladesh</option>
<option value="Barbados" id="BB">Barbados</option>
<option value="Belarus" id="BY">Belarus</option>
<option value="Belgium" id="BE">Belgium</option>
<option value="Belize" id="BZ">Belize</option>
<option value="Benin" id="BJ">Benin</option>
<option value="Bermuda" id="BM">Bermuda</option>
<option value="Bhutan" id="BT">Bhutan</option>
<option value="Bolivia" id="BO">Bolivia</option>
<option value="Bosnia and Herzegovina" id="BA">Bosnia and Herzegovina</option>
<option value="Botswana" id="BW">Botswana</option>
<option value="Bouvet Island" id="BV">Bouvet Island</option>
<option value="Brazil" id="BR">Brazil</option>
<option value="British Indian Ocean Territory" id="IO">British Indian Ocean Territory</option>
<option value="Brunei Darussalam" id="BN">Brunei Darussalam</option>
<option value="Bulgaria" id="BG">Bulgaria</option>
<option value="Burkina Faso" id="BF">Burkina Faso</option>
<option value="Burundi" id="BI">Burundi</option>
<option value="Cambodia" id="KH">Cambodia</option>
<option value="Cameroon" id="CM">Cameroon</option>
<option value="Canada" id="CA">Canada</option>
<option value="Cape Verde" id="CV">Cape Verde</option>
<option value="Cayman Islands" id="KY">Cayman Islands</option>
<option value="Central African Republic" id="CF">Central African Republic</option>
<option value="Chad" id="TD">Chad</option>
<option value="Chile" id="CL">Chile</option>
<option value="China" id="CN">China</option>
<option value="Christmas Island" id="CX">Christmas Island</option>
<option value="Cocos (Keeling) Islands" id="CC">Cocos (Keeling) Islands</option>
<option value="Colombia" id="CO">Colombia</option>
<option value="Comoros" id="KM">Comoros</option>
<option value="Congo" id="CG">Congo</option>
<option value="Congo, The Democratic Republic of the" id="CD">Congo, The Democratic Republic of the</option>
<option value="Cook Islands" id="CK">Cook Islands</option>
<option value="Costa Rica" id="CR">Costa Rica</option>
<option value="Côte D'Ivoire" id="CI">Côte D'Ivoire</option>
<option value="Croatia" id="HR">Croatia</option>
<option value="Cuba" id="CU">Cuba</option>
<option value="Cyprus" id="CY">Cyprus</option>
<option value="Czech Republic" id="CZ">Czech Republic</option>
<option value="Denmark" id="DK">Denmark</option>
<option value="Djibouti" id="DJ">Djibouti</option>
<option value="Dominica" id="DM">Dominica</option>
<option value="Dominican Republic" id="DO">Dominican Republic</option>
<option value="Ecuador" id="EC">Ecuador</option>
<option value="Egypt" id="EG">Egypt</option>
<option value="El Salvador" id="SV">El Salvador</option>
<option value="Equatorial Guinea" id="GQ">Equatorial Guinea</option>
<option value="Eritrea" id="ER">Eritrea</option>
<option value="Estonia" id="EE">Estonia</option>
<option value="Ethiopia" id="ET">Ethiopia</option>
<option value="Falkland Islands (Malvinas)" id="FK">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands" id="FO">Faroe Islands</option>
<option value="Fiji" id="FJ">Fiji</option>
<option value="Finland" id="FI">Finland</option>
<option value="France" id="FR">France</option>
<option value="French Guiana" id="GF">French Guiana</option>
<option value="French Polynesia" id="PF">French Polynesia</option>
<option value="French Southern Territories" id="TF">French Southern Territories</option>
<option value="Gabon" id="GA">Gabon</option>
<option value="Gambia" id="GM">Gambia</option>
<option value="Georgia" id="GE">Georgia</option>
<option value="Germany" id="DE">Germany</option>
<option value="Ghana" id="GH">Ghana</option>
<option value="Gibraltar" id="GI">Gibraltar</option>
<option value="Greece" id="GR">Greece</option>
<option value="Greenland" id="GL">Greenland</option>
<option value="Grenada" id="GD">Grenada</option>
<option value="Guadeloupe" id="GP">Guadeloupe</option>
<option value="Guam" id="GU">Guam</option>
<option value="Guatemala" id="GT">Guatemala</option>
<option value="Guernsey" id="GG">Guernsey</option>
<option value="Guinea" id="GN">Guinea</option>
<option value="Guinea-Bissau" id="GW">Guinea-Bissau</option>
<option value="Guyana" id="GY">Guyana</option>
<option value="Haiti" id="HT">Haiti</option>
<option value="Heard Island and McDonald Islands" id="HM">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)" id="VA">Holy See (Vatican City State)</option>
<option value="Honduras" id="HN">Honduras</option>
<option value="Hong Kong" id="HK">Hong Kong</option>
<option value="Hungary" id="HU">Hungary</option>
<option value="Iceland" id="IS">Iceland</option>
<option value="India" id="IN">India</option>
<option value="Indonesia" id="ID">Indonesia</option>
<option value="Iran, Islamic Republic of" id="IR">Iran, Islamic Republic of</option>
<option value="Iraq" id="IQ">Iraq</option>
<option value="Ireland" id="IE">Ireland</option>
<option value="Isle of Man" id="IM">Isle of Man</option>
<option value="Israel" id="IL">Israel</option>
<option value="Italy" id="IT">Italy</option>
<option value="Jamaica" id="JM">Jamaica</option>
<option value="Japan" id="JP">Japan</option>
<option value="Jersey" id="JE">Jersey</option>
<option value="Jordan" id="JO">Jordan</option>
<option value="Kazakhstan" id="KZ">Kazakhstan</option>
<option value="Kenya" id="KE">Kenya</option>
<option value="Kiribati" id="KI">Kiribati</option>
<option value="Korea, Democratic People's Republic of" id="KP">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of" id="KR">Korea, Republic of</option>
<option value="Kuwait" id="KW">Kuwait</option>
<option value="Kyrgyzstan" id="KG">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic" id="LA">Lao People's Democratic Republic</option>
<option value="Latvia" id="LV">Latvia</option>
<option value="Lebanon" id="LB">Lebanon</option>
<option value="Lesotho" id="LS">Lesotho</option>
<option value="Liberia" id="LR">Liberia</option>
<option value="Libyan Arab Jamahiriya" id="LY">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein" id="LI">Liechtenstein</option>
<option value="Lithuania" id="LT">Lithuania</option>
<option value="Luxembourg" id="LU">Luxembourg</option>
<option value="Macao" id="MO">Macao</option>
<option value="Macedonia, The Former Yugoslav Republic of" id="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar" id="MG">Madagascar</option>
<option value="Malawi" id="MW">Malawi</option>
<option value="Malaysia" id="MY">Malaysia</option>
<option value="Maldives" id="MV">Maldives</option>
<option value="Mali" id="ML">Mali</option>
<option value="Malta" id="MT">Malta</option>
<option value="Marshall Islands" id="MH">Marshall Islands</option>
<option value="Martinique" id="MQ">Martinique</option>
<option value="Mauritania" id="MR">Mauritania</option>
<option value="Mauritius" id="MU">Mauritius</option>
<option value="Mayotte" id="YT">Mayotte</option>
<option value="Mexico" id="MX">Mexico</option>
<option value="Micronesia, Federated States of" id="FM">Micronesia, Federated States of</option>
<option value="Moldova, Republic of" id="MD">Moldova, Republic of</option>
<option value="Monaco" id="MC">Monaco</option>
<option value="Mongolia" id="MN">Mongolia</option>
<option value="Montenegro" id="ME">Montenegro</option>
<option value="Montserrat" id="MS">Montserrat</option>
<option value="Morocco" id="MA">Morocco</option>
<option value="Mozambique" id="MZ">Mozambique</option>
<option value="Myanmar" id="MM">Myanmar</option>
<option value="Namibia" id="NA">Namibia</option>
<option value="Nauru" id="NR">Nauru</option>
<option value="Nepal" id="NP">Nepal</option>
<option value="Netherlands" id="NL">Netherlands</option>
<option value="Netherlands Antilles" id="AN">Netherlands Antilles</option>
<option value="New Caledonia" id="NC">New Caledonia</option>
<option value="New Zealand" id="NZ">New Zealand</option>
<option value="Nicaragua" id="NI">Nicaragua</option>
<option value="Niger" id="NE">Niger</option>
<option value="Nigeria" id="NG">Nigeria</option>
<option value="Niue" id="NU">Niue</option>
<option value="Norfolk Island" id="NF">Norfolk Island</option>
<option value="Northern Mariana Islands" id="MP">Northern Mariana Islands</option>
<option value="Norway" id="NO">Norway</option>
<option value="Oman" id="OM">Oman</option>
<option value="Pakistan" id="PK">Pakistan</option>
<option value="Palau" id="PW">Palau</option>
<option value="Palestinian Territory, Occupied" id="PS">Palestinian Territory, Occupied</option>
<option value="Panama" id="PA">Panama</option>
<option value="Papua New Guinea" id="PG">Papua New Guinea</option>
<option value="Paraguay" id="PY">Paraguay</option>
<option value="Peru" id="PE">Peru</option>
<option value="Philippines" id="PH">Philippines</option>
<option value="Pitcairn" id="PN">Pitcairn</option>
<option value="Poland" id="PL">Poland</option>
<option value="Portugal" id="PT">Portugal</option>
<option value="Puerto Rico" id="PR">Puerto Rico</option>
<option value="Qatar" id="QA">Qatar</option>
<option value="Reunion" id="RE">Reunion</option>
<option value="Romania" id="RO">Romania</option>
<option value="Russian Federation" id="RU">Russian Federation</option>
<option value="Rwanda" id="RW">Rwanda</option>
<option value="Saint Barthélemy" id="BL">Saint Barthélemy</option>
<option value="Saint Helena" id="SH">Saint Helena</option>
<option value="Saint Kitts and Nevis" id="KN">Saint Kitts and Nevis</option>
<option value="Saint Lucia" id="LC">Saint Lucia</option>
<option value="Saint Martin" id="MF">Saint Martin</option>
<option value="Saint Pierre and Miquelon" id="PM">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines" id="VC">Saint Vincent and the Grenadines</option>
<option value="Samoa" id="WS">Samoa</option>
<option value="San Marino" id="SM">San Marino</option>
<option value="Sao Tome and Principe" id="ST">Sao Tome and Principe</option>
<option value="Saudi Arabia" id="SA">Saudi Arabia</option>
<option value="Senegal" id="SN">Senegal</option>
<option value="Serbia" id="RS">Serbia</option>
<option value="Seychelles" id="SC">Seychelles</option>
<option value="Sierra Leone" id="SL">Sierra Leone</option>
<option value="Singapore" id="SG">Singapore</option>
<option value="Slovakia" id="SK">Slovakia</option>
<option value="Slovenia" id="SI">Slovenia</option>
<option value="Solomon Islands" id="SB">Solomon Islands</option>
<option value="Somalia" id="SO">Somalia</option>
<option value="South Africa" id="ZA">South Africa</option>
<option value="South Georgia and the South Sandwich Islands" id="GS">South Georgia and the South Sandwich Islands</option>
<option value="Spain" id="ES">Spain</option>
<option value="Sri Lanka" id="LK">Sri Lanka</option>
<option value="Sudan" id="SD">Sudan</option>
<option value="Suriname" id="SR">Suriname</option>
<option value="Svalbard and Jan Mayen" id="SJ">Svalbard and Jan Mayen</option>
<option value="Swaziland" id="SZ">Swaziland</option>
<option value="Sweden" id="SE">Sweden</option>
<option value="Switzerland" id="CH">Switzerland</option>
<option value="Syrian Arab Republic" id="SY">Syrian Arab Republic</option>
<option value="Taiwan, Province Of China" id="TW">Taiwan, Province Of China</option>
<option value="Tajikistan" id="TJ">Tajikistan</option>
<option value="Tanzania, United Republic of" id="TZ">Tanzania, United Republic of</option>
<option value="Thailand" id="TH">Thailand</option>
<option value="Timor-Leste" id="TL">Timor-Leste</option>
<option value="Togo" id="TG">Togo</option>
<option value="Tokelau" id="TK">Tokelau</option>
<option value="Tonga" id="TO">Tonga</option>
<option value="Trinidad and Tobago" id="TT">Trinidad and Tobago</option>
<option value="Tunisia" id="TN">Tunisia</option>
<option value="Turkey" id="TR">Turkey</option>
<option value="Turkmenistan" id="TM">Turkmenistan</option>
<option value="Turks and Caicos Islands" id="TC">Turks and Caicos Islands</option>
<option value="Tuvalu" id="TV">Tuvalu</option>
<option value="Uganda" id="UG">Uganda</option>
<option value="Ukraine" id="UA">Ukraine</option>
<option value="United Arab Emirates" id="AE">United Arab Emirates</option>
<option value="United States Minor Outlying Islands" id="UM">United States Minor Outlying Islands</option>
<option value="Uruguay" id="UY">Uruguay</option>
<option value="Uzbekistan" id="UZ">Uzbekistan</option>
<option value="Vanuatu" id="VU">Vanuatu</option>
<option value="Venezuela" id="VE">Venezuela</option>
<option value="Viet Nam" id="VN">Viet Nam</option>
<option value="Virgin Islands, British" id="VG">Virgin Islands, British</option>
<option value="Virgin Islands, U.S." id="VI">Virgin Islands, U.S.</option>
<option value="Wallis And Futuna" id="WF">Wallis And Futuna</option>
<option value="Western Sahara" id="EH">Western Sahara</option>
<option value="Yemen" id="YE">Yemen</option>
<option value="Zambia" id="ZM">Zambia</option>
<option value="Zimbabwe" id="ZW">Zimbabwe</option>
</select><span>Select your country of residence. *</span></label></li>
<li class="input customField ddd" data-type="text" data-mandatory="1"><i class="info iconz-quiz" data-index="4" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><input class="targetField" type="text" name="text" id="text4"
placeholder=" " data-placeholder="Please provide your complete address for home sample collection. *"><span>Please provide your complete address for home sample collection. *</span></label></li>
<li class="input customField ddd" data-type="email" data-mandatory="1"><i class="info iconz-quiz" data-index="5" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><input class="targetField" type="email" name="email" id="email5"
placeholder=" " data-placeholder="Enter your email to receive notifications. *"><span>Enter your email to receive notifications. *</span></label></li>
<li class="input customField ddd" data-type="phone" data-mandatory="1"><i class="info iconz-quiz" data-index="6" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><input class="targetField" type="tel" name="phone" id="tel6"
placeholder=" " data-placeholder="Provide your contact number for communication. *"><span>Provide your contact number for communication. *</span></label></li>
<li class="input customField ddd" data-type="radio" data-mandatory="1"><i class="info iconz-quiz" data-index="7" style="color:rgba(255,255,255,1)"></i>
<div class="targetContainer">
<div class="label-head head-Merriweather" style="color:#262626">Choose the type of blood test you need. *<!-- --> <i class="info info-inside iconz-quiz" data-index="7" style="color:rgba(255,255,255,1)"></i></div><label
class="targetRadio"><input class="hidden" name="radio7" id="radio0" type="radio" checked="" value="Complete Blood Count"><span class="label"></span><span class="label-text">Complete Blood Count</span></label><label
class="targetRadio"><input class="hidden" name="radio7" id="radio1" type="radio" value="Lipid Panel"><span class="label"></span><span class="label-text">Lipid Panel</span></label><label class="targetRadio"><input class="hidden"
name="radio7" id="radio2" type="radio" value="Thyroid Panel"><span class="label"></span><span class="label-text">Thyroid Panel</span></label><label class="targetRadio"><input class="hidden" name="radio7" id="radio3" type="radio"
value="Lipid profile"><span class="label"></span><span class="label-text">Lipid profile</span></label>
</div><label class="targetRadio other"><input id="radioLast" class="hidden" name="radio7" type="radio" data-placeholder="Others" value="Others"><span class="label"></span><span class="label-text">Others</span></label><input class="otherInput"
type="text" placeholder="Others" data-placeholder="Others">
</li>
<li class="input customField ddd" data-type="listPrice" data-mandatory="1"><i class="info iconz-quiz" data-index="8" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><select type="select" name="select" id="8" class="targetField"
placeholder=" " data-placeholder="Select your preferred price range for the blood test. *">
<option value="0" selected="">Select your preferred price range for the blood test. *</option>
<option value="0" data-text="Basic (null 0)" selected="">Basic<!-- --> (<!-- --> <!-- -->0<!-- -->)</option>
<option value="100" data-text="Standard (null 100)">Standard<!-- --> (<!-- --> <!-- -->100<!-- -->)</option>
<option value="150" data-text="Premium (null 150)">Premium<!-- --> (<!-- --> <!-- -->150<!-- -->)</option>
</select><span>Select your preferred price range for the blood test. *</span></label></li>
<li class="input customField" data-type="category" data-mandatory="1"><i class="info iconz-quiz" data-index="9" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><select type="select" name="select" id="9" class="targetField"
data-rel="subcat" placeholder=" " data-placeholder="null *">
<option value="0" selected="">null *</option>
<option value="item0">Routine Tests</option>
<option value="item1">Specialized Tests</option>
</select><span>null *</span></label></li>
<li class="input customField" data-type="subCategory" data-id="item9" style="display: none;"><label class="targetLabel"><select type="select" name="select" id="9" class="targetField" placeholder=" ">
<option value="0" style="display:none">Select</option>
</select><span>Select</span></label></li>
<li class="input customField ddd" data-type="select" data-mandatory="1"><i class="info iconz-quiz" data-index="10" style="color:rgba(255,255,255,1)"></i><label class="targetLabel"><select id="10" class="targetField" placeholder=" "
data-placeholder="Select your preferred appointment time slot. *">
<option value="0" selected="">Select your preferred appointment time slot. *</option>
<option value="Morning">Morning</option>
<option value="Afternoon">Afternoon</option>
<option value="Evening">Evening</option>
</select><span>Select your preferred appointment time slot. *</span></label></li>
<li class="input customField ddd" data-type="checkbox" data-mandatory="1"><i class="info iconz-quiz" data-index="11" style="color:rgba(255,255,255,1)"></i>
<div class="targetContainer">
<div class="label-head head-Merriweather" style="color:#262626">Agree to terms and conditions. *<!-- --> <i class="info info-inside iconz-quiz" data-index="11" style="color:rgba(255,255,255,1)"></i></div><label class="targetCheckbox"><input
name="0" id="0" type="checkbox" value="option"><span class="label"></span>
<div class="label-text">option</div>
</label>
</div>
</li>
<li class="input" data-type="gpslocation" type="gpslocation"><label class="targetLabel"><input type="text" class="targetField" name="getLocation" id="getLocation" data-placeholder="Latitude, Longitude"><span>Latitude, Longitude</span></label>
</li>
<li class="form-btn"><a class="head-Merriweather mediumContent" style="background-color:rgb(237,112,87);color:#FFFFFF">Submit</a></li>
</ul>
</div>
</form>Text Content
Health Check-8l
Blood Test Booking
Search your location
Enable Location Services
* Home
* Blood Test Booking
* Others
0
* Search your location
Enable Location Services
*
0
* Home
* Blood Test Booking
OTHERS
* Blood Test Booking
BLOOD TEST BOOKING
1. Home
2. Blood Test Booking
THYROCARE CENTER
Note: Fields with ( * ) are compulsory.
* 00:00:04
* Please enter your full name. *
* Select your gender. *MaleFemaleTransgenderSelect your gender. *
* Choose your preferred date for sample collection. *
* Select your country of residence. *United StatesUnited
KingdomAfghanistanÅland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaUSAAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean
TerritoryBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook
IslandsCosta RicaCôte D'IvoireCroatiaCubaCyprusCzech
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