eds-appnet02.apps.jjsea.com Open in urlscan Pro
203.127.112.239  Public Scan

URL: https://eds-appnet02.apps.jjsea.com/eInvoice/Main?UID=288B7214-74F7-4F7A-AEFF-11FD5D33890D__;!!DiE8aZgLzg!EuwjsB3xR4l8I0JmuIb0QQ6-6U...
Submission: On February 01 via manual from MY — Scanned from SG

Form analysis 1 forms found in the DOM

<form class="form fv-plugins-bootstrap fv-plugins-framework" id="eInvoiceForm" autocomplete="off">
  <div class="card-body">
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label"> Buyer's Name<span class="text-danger ">* </span><span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="For business: Name of business 
For Malaysian individual: Full name as per MyKad 
For non-Malaysian individual: Full name as per passport
Please verify if information is correct. Please update accordingly.">
          <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
            <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
            <path
              d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
            </path>
          </svg></span>
      </label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerName" id="id_buyerName" maxlength="300" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label"> Buyer’s TIN <span class="text-danger">*</span><span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="Completion based on the TIN assigned by LHDNM (e.g., Company TIN: C2584563202, Individual TIN: IG56003500070).
For foreign buyers without TIN, please input “NA”.
The input of special characters is not allowed.">
          <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
            <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
            <path
              d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
            </path>
          </svg></span></label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerTin" id="id_buyerTin" maxlength="13" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label"> Buyer’s Registration <br>/ Identification Number / Passport Number<span class="text-danger">*</span>
        <span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="For businesses: Business registration number 
For Malaysian individual: MyKad identification number 
For non-Malaysian individual: Passport number
The input of special characters is not allowed.">
          <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
            <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
            <path
              d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
            </path>
          </svg></span>
      </label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerRegistration" id="id_buyerRegistration" maxlength="12" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label"> Buyer’s SST Registration Number <span class="text-danger">*</span><span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="Completion based on the number assigned by JKDM (e.g., B01-2345-67891012).
For non-SST registrant buyer, please input “NA”.
The input of special characters is not allowed, except for “ - ”">
          <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
            <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
            <path
              d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
            </path>
          </svg></span>
      </label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerSST" id="id_buyerSST" maxlength="17" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label"> Buyer’s e-mail <span class="text-danger">*</span> <span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top"
          title="This is the e-mail address to be notified by the IRBM for the e-invoice.">
          <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
            <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
            <path
              d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
            </path>
          </svg></span></label>
      <div class="col-9">
        <input type="text" class="form-control" name="buyerEmail" id="id_buyerEmail" im-insert="true">
        <div class="fv-plugins-message-container"></div>
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label">Buyer’s Contact Number <span class="text-danger">*</span></label>
      <div class="col-9">
        <div class="iti iti--allow-dropdown iti--separate-dial-code iti--show-flags">
          <div class="iti__flag-container">
            <div class="iti__selected-flag" role="combobox" aria-haspopup="listbox" aria-controls="iti-0__country-listbox" aria-expanded="false" aria-label="Telephone country code" tabindex="0" title="Malaysia">
              <div class="iti__flag iti__my"></div>
              <div class="iti__selected-dial-code">+60</div>
              <div class="iti__arrow"></div>
            </div>
            <ul class="iti__country-list iti__hide" id="iti-0__country-listbox" role="listbox" aria-label="List of countries">
              <li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-us-preferred" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__us"></div>
                </div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-gb-preferred" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gb"></div>
                </div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
              </li>
              <li class="iti__divider" role="separator" aria-disabled="true"></li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-af" role="option" data-dial-code="93" data-country-code="af" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__af"></div>
                </div><span class="iti__country-name">Afghanistan (‫افغانستان‬‎)</span><span class="iti__dial-code">+93</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-al" role="option" data-dial-code="355" data-country-code="al" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__al"></div>
                </div><span class="iti__country-name">Albania (Shqipëri)</span><span class="iti__dial-code">+355</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dz" role="option" data-dial-code="213" data-country-code="dz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__dz"></div>
                </div><span class="iti__country-name">Algeria (‫الجزائر‬‎)</span><span class="iti__dial-code">+213</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-as" role="option" data-dial-code="1" data-country-code="as" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__as"></div>
                </div><span class="iti__country-name">American Samoa</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ad" role="option" data-dial-code="376" data-country-code="ad" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ad"></div>
                </div><span class="iti__country-name">Andorra</span><span class="iti__dial-code">+376</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ao" role="option" data-dial-code="244" data-country-code="ao" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ao"></div>
                </div><span class="iti__country-name">Angola</span><span class="iti__dial-code">+244</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ai" role="option" data-dial-code="1" data-country-code="ai" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ai"></div>
                </div><span class="iti__country-name">Anguilla</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ag" role="option" data-dial-code="1" data-country-code="ag" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ag"></div>
                </div><span class="iti__country-name">Antigua and Barbuda</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ar" role="option" data-dial-code="54" data-country-code="ar" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ar"></div>
                </div><span class="iti__country-name">Argentina</span><span class="iti__dial-code">+54</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-am" role="option" data-dial-code="374" data-country-code="am" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__am"></div>
                </div><span class="iti__country-name">Armenia (Հայաստան)</span><span class="iti__dial-code">+374</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-aw" role="option" data-dial-code="297" data-country-code="aw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__aw"></div>
                </div><span class="iti__country-name">Aruba</span><span class="iti__dial-code">+297</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ac" role="option" data-dial-code="247" data-country-code="ac" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ac"></div>
                </div><span class="iti__country-name">Ascension Island</span><span class="iti__dial-code">+247</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-au" role="option" data-dial-code="61" data-country-code="au" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__au"></div>
                </div><span class="iti__country-name">Australia</span><span class="iti__dial-code">+61</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-at" role="option" data-dial-code="43" data-country-code="at" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__at"></div>
                </div><span class="iti__country-name">Austria (Österreich)</span><span class="iti__dial-code">+43</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-az" role="option" data-dial-code="994" data-country-code="az" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__az"></div>
                </div><span class="iti__country-name">Azerbaijan (Azərbaycan)</span><span class="iti__dial-code">+994</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bs" role="option" data-dial-code="1" data-country-code="bs" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bs"></div>
                </div><span class="iti__country-name">Bahamas</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bh" role="option" data-dial-code="973" data-country-code="bh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bh"></div>
                </div><span class="iti__country-name">Bahrain (‫البحرين‬‎)</span><span class="iti__dial-code">+973</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bd" role="option" data-dial-code="880" data-country-code="bd" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bd"></div>
                </div><span class="iti__country-name">Bangladesh (বাংলাদেশ)</span><span class="iti__dial-code">+880</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bb" role="option" data-dial-code="1" data-country-code="bb" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bb"></div>
                </div><span class="iti__country-name">Barbados</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-by" role="option" data-dial-code="375" data-country-code="by" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__by"></div>
                </div><span class="iti__country-name">Belarus (Беларусь)</span><span class="iti__dial-code">+375</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-be" role="option" data-dial-code="32" data-country-code="be" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__be"></div>
                </div><span class="iti__country-name">Belgium (België)</span><span class="iti__dial-code">+32</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bz" role="option" data-dial-code="501" data-country-code="bz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bz"></div>
                </div><span class="iti__country-name">Belize</span><span class="iti__dial-code">+501</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bj" role="option" data-dial-code="229" data-country-code="bj" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bj"></div>
                </div><span class="iti__country-name">Benin (Bénin)</span><span class="iti__dial-code">+229</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bm" role="option" data-dial-code="1" data-country-code="bm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bm"></div>
                </div><span class="iti__country-name">Bermuda</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bt" role="option" data-dial-code="975" data-country-code="bt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bt"></div>
                </div><span class="iti__country-name">Bhutan (འབྲུག)</span><span class="iti__dial-code">+975</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bo" role="option" data-dial-code="591" data-country-code="bo" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bo"></div>
                </div><span class="iti__country-name">Bolivia</span><span class="iti__dial-code">+591</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ba" role="option" data-dial-code="387" data-country-code="ba" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ba"></div>
                </div><span class="iti__country-name">Bosnia and Herzegovina (Босна и Херцеговина)</span><span class="iti__dial-code">+387</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bw" role="option" data-dial-code="267" data-country-code="bw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bw"></div>
                </div><span class="iti__country-name">Botswana</span><span class="iti__dial-code">+267</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-br" role="option" data-dial-code="55" data-country-code="br" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__br"></div>
                </div><span class="iti__country-name">Brazil (Brasil)</span><span class="iti__dial-code">+55</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-io" role="option" data-dial-code="246" data-country-code="io" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__io"></div>
                </div><span class="iti__country-name">British Indian Ocean Territory</span><span class="iti__dial-code">+246</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vg" role="option" data-dial-code="1" data-country-code="vg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__vg"></div>
                </div><span class="iti__country-name">British Virgin Islands</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bn" role="option" data-dial-code="673" data-country-code="bn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bn"></div>
                </div><span class="iti__country-name">Brunei</span><span class="iti__dial-code">+673</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bg" role="option" data-dial-code="359" data-country-code="bg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bg"></div>
                </div><span class="iti__country-name">Bulgaria (България)</span><span class="iti__dial-code">+359</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bf" role="option" data-dial-code="226" data-country-code="bf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bf"></div>
                </div><span class="iti__country-name">Burkina Faso</span><span class="iti__dial-code">+226</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bi" role="option" data-dial-code="257" data-country-code="bi" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bi"></div>
                </div><span class="iti__country-name">Burundi (Uburundi)</span><span class="iti__dial-code">+257</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kh" role="option" data-dial-code="855" data-country-code="kh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kh"></div>
                </div><span class="iti__country-name">Cambodia (កម្ពុជា)</span><span class="iti__dial-code">+855</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cm" role="option" data-dial-code="237" data-country-code="cm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cm"></div>
                </div><span class="iti__country-name">Cameroon (Cameroun)</span><span class="iti__dial-code">+237</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ca" role="option" data-dial-code="1" data-country-code="ca" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ca"></div>
                </div><span class="iti__country-name">Canada</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cv" role="option" data-dial-code="238" data-country-code="cv" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cv"></div>
                </div><span class="iti__country-name">Cape Verde (Kabu Verdi)</span><span class="iti__dial-code">+238</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bq" role="option" data-dial-code="599" data-country-code="bq" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bq"></div>
                </div><span class="iti__country-name">Caribbean Netherlands</span><span class="iti__dial-code">+599</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ky" role="option" data-dial-code="1" data-country-code="ky" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ky"></div>
                </div><span class="iti__country-name">Cayman Islands</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cf" role="option" data-dial-code="236" data-country-code="cf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cf"></div>
                </div><span class="iti__country-name">Central African Republic (République centrafricaine)</span><span class="iti__dial-code">+236</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-td" role="option" data-dial-code="235" data-country-code="td" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__td"></div>
                </div><span class="iti__country-name">Chad (Tchad)</span><span class="iti__dial-code">+235</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cl" role="option" data-dial-code="56" data-country-code="cl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cl"></div>
                </div><span class="iti__country-name">Chile</span><span class="iti__dial-code">+56</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cn" role="option" data-dial-code="86" data-country-code="cn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cn"></div>
                </div><span class="iti__country-name">China (中国)</span><span class="iti__dial-code">+86</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cx" role="option" data-dial-code="61" data-country-code="cx" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cx"></div>
                </div><span class="iti__country-name">Christmas Island</span><span class="iti__dial-code">+61</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cc" role="option" data-dial-code="61" data-country-code="cc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cc"></div>
                </div><span class="iti__country-name">Cocos (Keeling) Islands</span><span class="iti__dial-code">+61</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-co" role="option" data-dial-code="57" data-country-code="co" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__co"></div>
                </div><span class="iti__country-name">Colombia</span><span class="iti__dial-code">+57</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-km" role="option" data-dial-code="269" data-country-code="km" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__km"></div>
                </div><span class="iti__country-name">Comoros (‫جزر القمر‬‎)</span><span class="iti__dial-code">+269</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cd" role="option" data-dial-code="243" data-country-code="cd" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cd"></div>
                </div><span class="iti__country-name">Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)</span><span class="iti__dial-code">+243</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cg" role="option" data-dial-code="242" data-country-code="cg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cg"></div>
                </div><span class="iti__country-name">Congo (Republic) (Congo-Brazzaville)</span><span class="iti__dial-code">+242</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ck" role="option" data-dial-code="682" data-country-code="ck" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ck"></div>
                </div><span class="iti__country-name">Cook Islands</span><span class="iti__dial-code">+682</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cr" role="option" data-dial-code="506" data-country-code="cr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cr"></div>
                </div><span class="iti__country-name">Costa Rica</span><span class="iti__dial-code">+506</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ci" role="option" data-dial-code="225" data-country-code="ci" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ci"></div>
                </div><span class="iti__country-name">Côte d’Ivoire</span><span class="iti__dial-code">+225</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hr" role="option" data-dial-code="385" data-country-code="hr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__hr"></div>
                </div><span class="iti__country-name">Croatia (Hrvatska)</span><span class="iti__dial-code">+385</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cu" role="option" data-dial-code="53" data-country-code="cu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cu"></div>
                </div><span class="iti__country-name">Cuba</span><span class="iti__dial-code">+53</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cw" role="option" data-dial-code="599" data-country-code="cw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cw"></div>
                </div><span class="iti__country-name">Curaçao</span><span class="iti__dial-code">+599</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cy" role="option" data-dial-code="357" data-country-code="cy" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cy"></div>
                </div><span class="iti__country-name">Cyprus (Κύπρος)</span><span class="iti__dial-code">+357</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cz" role="option" data-dial-code="420" data-country-code="cz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__cz"></div>
                </div><span class="iti__country-name">Czech Republic (Česká republika)</span><span class="iti__dial-code">+420</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dk" role="option" data-dial-code="45" data-country-code="dk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__dk"></div>
                </div><span class="iti__country-name">Denmark (Danmark)</span><span class="iti__dial-code">+45</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dj" role="option" data-dial-code="253" data-country-code="dj" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__dj"></div>
                </div><span class="iti__country-name">Djibouti</span><span class="iti__dial-code">+253</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dm" role="option" data-dial-code="1" data-country-code="dm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__dm"></div>
                </div><span class="iti__country-name">Dominica</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-do" role="option" data-dial-code="1" data-country-code="do" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__do"></div>
                </div><span class="iti__country-name">Dominican Republic (República Dominicana)</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ec" role="option" data-dial-code="593" data-country-code="ec" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ec"></div>
                </div><span class="iti__country-name">Ecuador</span><span class="iti__dial-code">+593</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eg" role="option" data-dial-code="20" data-country-code="eg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__eg"></div>
                </div><span class="iti__country-name">Egypt (‫مصر‬‎)</span><span class="iti__dial-code">+20</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sv" role="option" data-dial-code="503" data-country-code="sv" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sv"></div>
                </div><span class="iti__country-name">El Salvador</span><span class="iti__dial-code">+503</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gq" role="option" data-dial-code="240" data-country-code="gq" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gq"></div>
                </div><span class="iti__country-name">Equatorial Guinea (Guinea Ecuatorial)</span><span class="iti__dial-code">+240</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-er" role="option" data-dial-code="291" data-country-code="er" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__er"></div>
                </div><span class="iti__country-name">Eritrea</span><span class="iti__dial-code">+291</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ee" role="option" data-dial-code="372" data-country-code="ee" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ee"></div>
                </div><span class="iti__country-name">Estonia (Eesti)</span><span class="iti__dial-code">+372</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sz" role="option" data-dial-code="268" data-country-code="sz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sz"></div>
                </div><span class="iti__country-name">Eswatini</span><span class="iti__dial-code">+268</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-et" role="option" data-dial-code="251" data-country-code="et" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__et"></div>
                </div><span class="iti__country-name">Ethiopia</span><span class="iti__dial-code">+251</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fk" role="option" data-dial-code="500" data-country-code="fk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fk"></div>
                </div><span class="iti__country-name">Falkland Islands (Islas Malvinas)</span><span class="iti__dial-code">+500</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fo" role="option" data-dial-code="298" data-country-code="fo" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fo"></div>
                </div><span class="iti__country-name">Faroe Islands (Føroyar)</span><span class="iti__dial-code">+298</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fj" role="option" data-dial-code="679" data-country-code="fj" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fj"></div>
                </div><span class="iti__country-name">Fiji</span><span class="iti__dial-code">+679</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fi" role="option" data-dial-code="358" data-country-code="fi" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fi"></div>
                </div><span class="iti__country-name">Finland (Suomi)</span><span class="iti__dial-code">+358</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fr" role="option" data-dial-code="33" data-country-code="fr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fr"></div>
                </div><span class="iti__country-name">France</span><span class="iti__dial-code">+33</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gf" role="option" data-dial-code="594" data-country-code="gf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gf"></div>
                </div><span class="iti__country-name">French Guiana (Guyane française)</span><span class="iti__dial-code">+594</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pf" role="option" data-dial-code="689" data-country-code="pf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pf"></div>
                </div><span class="iti__country-name">French Polynesia (Polynésie française)</span><span class="iti__dial-code">+689</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ga" role="option" data-dial-code="241" data-country-code="ga" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ga"></div>
                </div><span class="iti__country-name">Gabon</span><span class="iti__dial-code">+241</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gm" role="option" data-dial-code="220" data-country-code="gm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gm"></div>
                </div><span class="iti__country-name">Gambia</span><span class="iti__dial-code">+220</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ge" role="option" data-dial-code="995" data-country-code="ge" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ge"></div>
                </div><span class="iti__country-name">Georgia (საქართველო)</span><span class="iti__dial-code">+995</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-de" role="option" data-dial-code="49" data-country-code="de" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__de"></div>
                </div><span class="iti__country-name">Germany (Deutschland)</span><span class="iti__dial-code">+49</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gh" role="option" data-dial-code="233" data-country-code="gh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gh"></div>
                </div><span class="iti__country-name">Ghana (Gaana)</span><span class="iti__dial-code">+233</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gi" role="option" data-dial-code="350" data-country-code="gi" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gi"></div>
                </div><span class="iti__country-name">Gibraltar</span><span class="iti__dial-code">+350</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gr" role="option" data-dial-code="30" data-country-code="gr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gr"></div>
                </div><span class="iti__country-name">Greece (Ελλάδα)</span><span class="iti__dial-code">+30</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gl" role="option" data-dial-code="299" data-country-code="gl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gl"></div>
                </div><span class="iti__country-name">Greenland (Kalaallit Nunaat)</span><span class="iti__dial-code">+299</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gd" role="option" data-dial-code="1" data-country-code="gd" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gd"></div>
                </div><span class="iti__country-name">Grenada</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gp" role="option" data-dial-code="590" data-country-code="gp" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gp"></div>
                </div><span class="iti__country-name">Guadeloupe</span><span class="iti__dial-code">+590</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gu" role="option" data-dial-code="1" data-country-code="gu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gu"></div>
                </div><span class="iti__country-name">Guam</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gt" role="option" data-dial-code="502" data-country-code="gt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gt"></div>
                </div><span class="iti__country-name">Guatemala</span><span class="iti__dial-code">+502</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gg" role="option" data-dial-code="44" data-country-code="gg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gg"></div>
                </div><span class="iti__country-name">Guernsey</span><span class="iti__dial-code">+44</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gn" role="option" data-dial-code="224" data-country-code="gn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gn"></div>
                </div><span class="iti__country-name">Guinea (Guinée)</span><span class="iti__dial-code">+224</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gw" role="option" data-dial-code="245" data-country-code="gw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gw"></div>
                </div><span class="iti__country-name">Guinea-Bissau (Guiné Bissau)</span><span class="iti__dial-code">+245</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gy" role="option" data-dial-code="592" data-country-code="gy" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gy"></div>
                </div><span class="iti__country-name">Guyana</span><span class="iti__dial-code">+592</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ht" role="option" data-dial-code="509" data-country-code="ht" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ht"></div>
                </div><span class="iti__country-name">Haiti</span><span class="iti__dial-code">+509</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hn" role="option" data-dial-code="504" data-country-code="hn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__hn"></div>
                </div><span class="iti__country-name">Honduras</span><span class="iti__dial-code">+504</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hk" role="option" data-dial-code="852" data-country-code="hk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__hk"></div>
                </div><span class="iti__country-name">Hong Kong (香港)</span><span class="iti__dial-code">+852</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hu" role="option" data-dial-code="36" data-country-code="hu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__hu"></div>
                </div><span class="iti__country-name">Hungary (Magyarország)</span><span class="iti__dial-code">+36</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-is" role="option" data-dial-code="354" data-country-code="is" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__is"></div>
                </div><span class="iti__country-name">Iceland (Ísland)</span><span class="iti__dial-code">+354</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-in" role="option" data-dial-code="91" data-country-code="in" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__in"></div>
                </div><span class="iti__country-name">India (भारत)</span><span class="iti__dial-code">+91</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-id" role="option" data-dial-code="62" data-country-code="id" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__id"></div>
                </div><span class="iti__country-name">Indonesia</span><span class="iti__dial-code">+62</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ir" role="option" data-dial-code="98" data-country-code="ir" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ir"></div>
                </div><span class="iti__country-name">Iran (‫ایران‬‎)</span><span class="iti__dial-code">+98</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-iq" role="option" data-dial-code="964" data-country-code="iq" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__iq"></div>
                </div><span class="iti__country-name">Iraq (‫العراق‬‎)</span><span class="iti__dial-code">+964</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ie" role="option" data-dial-code="353" data-country-code="ie" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ie"></div>
                </div><span class="iti__country-name">Ireland</span><span class="iti__dial-code">+353</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-im" role="option" data-dial-code="44" data-country-code="im" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__im"></div>
                </div><span class="iti__country-name">Isle of Man</span><span class="iti__dial-code">+44</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-il" role="option" data-dial-code="972" data-country-code="il" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__il"></div>
                </div><span class="iti__country-name">Israel (‫ישראל‬‎)</span><span class="iti__dial-code">+972</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-it" role="option" data-dial-code="39" data-country-code="it" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__it"></div>
                </div><span class="iti__country-name">Italy (Italia)</span><span class="iti__dial-code">+39</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jm" role="option" data-dial-code="1" data-country-code="jm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__jm"></div>
                </div><span class="iti__country-name">Jamaica</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jp" role="option" data-dial-code="81" data-country-code="jp" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__jp"></div>
                </div><span class="iti__country-name">Japan (日本)</span><span class="iti__dial-code">+81</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-je" role="option" data-dial-code="44" data-country-code="je" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__je"></div>
                </div><span class="iti__country-name">Jersey</span><span class="iti__dial-code">+44</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jo" role="option" data-dial-code="962" data-country-code="jo" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__jo"></div>
                </div><span class="iti__country-name">Jordan (‫الأردن‬‎)</span><span class="iti__dial-code">+962</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kz" role="option" data-dial-code="7" data-country-code="kz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kz"></div>
                </div><span class="iti__country-name">Kazakhstan (Казахстан)</span><span class="iti__dial-code">+7</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ke" role="option" data-dial-code="254" data-country-code="ke" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ke"></div>
                </div><span class="iti__country-name">Kenya</span><span class="iti__dial-code">+254</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ki" role="option" data-dial-code="686" data-country-code="ki" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ki"></div>
                </div><span class="iti__country-name">Kiribati</span><span class="iti__dial-code">+686</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-xk" role="option" data-dial-code="383" data-country-code="xk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__xk"></div>
                </div><span class="iti__country-name">Kosovo</span><span class="iti__dial-code">+383</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kw" role="option" data-dial-code="965" data-country-code="kw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kw"></div>
                </div><span class="iti__country-name">Kuwait (‫الكويت‬‎)</span><span class="iti__dial-code">+965</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kg" role="option" data-dial-code="996" data-country-code="kg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kg"></div>
                </div><span class="iti__country-name">Kyrgyzstan (Кыргызстан)</span><span class="iti__dial-code">+996</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-la" role="option" data-dial-code="856" data-country-code="la" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__la"></div>
                </div><span class="iti__country-name">Laos (ລາວ)</span><span class="iti__dial-code">+856</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lv" role="option" data-dial-code="371" data-country-code="lv" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lv"></div>
                </div><span class="iti__country-name">Latvia (Latvija)</span><span class="iti__dial-code">+371</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lb" role="option" data-dial-code="961" data-country-code="lb" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lb"></div>
                </div><span class="iti__country-name">Lebanon (‫لبنان‬‎)</span><span class="iti__dial-code">+961</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ls" role="option" data-dial-code="266" data-country-code="ls" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ls"></div>
                </div><span class="iti__country-name">Lesotho</span><span class="iti__dial-code">+266</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lr" role="option" data-dial-code="231" data-country-code="lr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lr"></div>
                </div><span class="iti__country-name">Liberia</span><span class="iti__dial-code">+231</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ly" role="option" data-dial-code="218" data-country-code="ly" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ly"></div>
                </div><span class="iti__country-name">Libya (‫ليبيا‬‎)</span><span class="iti__dial-code">+218</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-li" role="option" data-dial-code="423" data-country-code="li" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__li"></div>
                </div><span class="iti__country-name">Liechtenstein</span><span class="iti__dial-code">+423</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lt" role="option" data-dial-code="370" data-country-code="lt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lt"></div>
                </div><span class="iti__country-name">Lithuania (Lietuva)</span><span class="iti__dial-code">+370</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lu" role="option" data-dial-code="352" data-country-code="lu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lu"></div>
                </div><span class="iti__country-name">Luxembourg</span><span class="iti__dial-code">+352</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mo" role="option" data-dial-code="853" data-country-code="mo" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mo"></div>
                </div><span class="iti__country-name">Macau (澳門)</span><span class="iti__dial-code">+853</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mg" role="option" data-dial-code="261" data-country-code="mg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mg"></div>
                </div><span class="iti__country-name">Madagascar (Madagasikara)</span><span class="iti__dial-code">+261</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mw" role="option" data-dial-code="265" data-country-code="mw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mw"></div>
                </div><span class="iti__country-name">Malawi</span><span class="iti__dial-code">+265</span>
              </li>
              <li class="iti__country iti__standard iti__active" tabindex="-1" id="iti-0__item-my" role="option" data-dial-code="60" data-country-code="my" aria-selected="true">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__my"></div>
                </div><span class="iti__country-name">Malaysia</span><span class="iti__dial-code">+60</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mv" role="option" data-dial-code="960" data-country-code="mv" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mv"></div>
                </div><span class="iti__country-name">Maldives</span><span class="iti__dial-code">+960</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ml" role="option" data-dial-code="223" data-country-code="ml" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ml"></div>
                </div><span class="iti__country-name">Mali</span><span class="iti__dial-code">+223</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mt" role="option" data-dial-code="356" data-country-code="mt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mt"></div>
                </div><span class="iti__country-name">Malta</span><span class="iti__dial-code">+356</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mh" role="option" data-dial-code="692" data-country-code="mh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mh"></div>
                </div><span class="iti__country-name">Marshall Islands</span><span class="iti__dial-code">+692</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mq" role="option" data-dial-code="596" data-country-code="mq" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mq"></div>
                </div><span class="iti__country-name">Martinique</span><span class="iti__dial-code">+596</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mr" role="option" data-dial-code="222" data-country-code="mr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mr"></div>
                </div><span class="iti__country-name">Mauritania (‫موريتانيا‬‎)</span><span class="iti__dial-code">+222</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mu" role="option" data-dial-code="230" data-country-code="mu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mu"></div>
                </div><span class="iti__country-name">Mauritius (Moris)</span><span class="iti__dial-code">+230</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-yt" role="option" data-dial-code="262" data-country-code="yt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__yt"></div>
                </div><span class="iti__country-name">Mayotte</span><span class="iti__dial-code">+262</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mx" role="option" data-dial-code="52" data-country-code="mx" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mx"></div>
                </div><span class="iti__country-name">Mexico (México)</span><span class="iti__dial-code">+52</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fm" role="option" data-dial-code="691" data-country-code="fm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__fm"></div>
                </div><span class="iti__country-name">Micronesia</span><span class="iti__dial-code">+691</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-md" role="option" data-dial-code="373" data-country-code="md" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__md"></div>
                </div><span class="iti__country-name">Moldova (Republica Moldova)</span><span class="iti__dial-code">+373</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mc" role="option" data-dial-code="377" data-country-code="mc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mc"></div>
                </div><span class="iti__country-name">Monaco</span><span class="iti__dial-code">+377</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mn" role="option" data-dial-code="976" data-country-code="mn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mn"></div>
                </div><span class="iti__country-name">Mongolia (Монгол)</span><span class="iti__dial-code">+976</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-me" role="option" data-dial-code="382" data-country-code="me" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__me"></div>
                </div><span class="iti__country-name">Montenegro (Crna Gora)</span><span class="iti__dial-code">+382</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ms" role="option" data-dial-code="1" data-country-code="ms" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ms"></div>
                </div><span class="iti__country-name">Montserrat</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ma" role="option" data-dial-code="212" data-country-code="ma" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ma"></div>
                </div><span class="iti__country-name">Morocco (‫المغرب‬‎)</span><span class="iti__dial-code">+212</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mz" role="option" data-dial-code="258" data-country-code="mz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mz"></div>
                </div><span class="iti__country-name">Mozambique (Moçambique)</span><span class="iti__dial-code">+258</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mm" role="option" data-dial-code="95" data-country-code="mm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mm"></div>
                </div><span class="iti__country-name">Myanmar (Burma) (မြန်မာ)</span><span class="iti__dial-code">+95</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-na" role="option" data-dial-code="264" data-country-code="na" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__na"></div>
                </div><span class="iti__country-name">Namibia (Namibië)</span><span class="iti__dial-code">+264</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nr" role="option" data-dial-code="674" data-country-code="nr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nr"></div>
                </div><span class="iti__country-name">Nauru</span><span class="iti__dial-code">+674</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-np" role="option" data-dial-code="977" data-country-code="np" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__np"></div>
                </div><span class="iti__country-name">Nepal (नेपाल)</span><span class="iti__dial-code">+977</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nl" role="option" data-dial-code="31" data-country-code="nl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nl"></div>
                </div><span class="iti__country-name">Netherlands (Nederland)</span><span class="iti__dial-code">+31</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nc" role="option" data-dial-code="687" data-country-code="nc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nc"></div>
                </div><span class="iti__country-name">New Caledonia (Nouvelle-Calédonie)</span><span class="iti__dial-code">+687</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nz" role="option" data-dial-code="64" data-country-code="nz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nz"></div>
                </div><span class="iti__country-name">New Zealand</span><span class="iti__dial-code">+64</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ni" role="option" data-dial-code="505" data-country-code="ni" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ni"></div>
                </div><span class="iti__country-name">Nicaragua</span><span class="iti__dial-code">+505</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ne" role="option" data-dial-code="227" data-country-code="ne" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ne"></div>
                </div><span class="iti__country-name">Niger (Nijar)</span><span class="iti__dial-code">+227</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ng" role="option" data-dial-code="234" data-country-code="ng" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ng"></div>
                </div><span class="iti__country-name">Nigeria</span><span class="iti__dial-code">+234</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nu" role="option" data-dial-code="683" data-country-code="nu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nu"></div>
                </div><span class="iti__country-name">Niue</span><span class="iti__dial-code">+683</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nf" role="option" data-dial-code="672" data-country-code="nf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__nf"></div>
                </div><span class="iti__country-name">Norfolk Island</span><span class="iti__dial-code">+672</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kp" role="option" data-dial-code="850" data-country-code="kp" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kp"></div>
                </div><span class="iti__country-name">North Korea (조선 민주주의 인민 공화국)</span><span class="iti__dial-code">+850</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mk" role="option" data-dial-code="389" data-country-code="mk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mk"></div>
                </div><span class="iti__country-name">North Macedonia (Северна Македонија)</span><span class="iti__dial-code">+389</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mp" role="option" data-dial-code="1" data-country-code="mp" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mp"></div>
                </div><span class="iti__country-name">Northern Mariana Islands</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-no" role="option" data-dial-code="47" data-country-code="no" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__no"></div>
                </div><span class="iti__country-name">Norway (Norge)</span><span class="iti__dial-code">+47</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-om" role="option" data-dial-code="968" data-country-code="om" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__om"></div>
                </div><span class="iti__country-name">Oman (‫عُمان‬‎)</span><span class="iti__dial-code">+968</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pk" role="option" data-dial-code="92" data-country-code="pk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pk"></div>
                </div><span class="iti__country-name">Pakistan (‫پاکستان‬‎)</span><span class="iti__dial-code">+92</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pw" role="option" data-dial-code="680" data-country-code="pw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pw"></div>
                </div><span class="iti__country-name">Palau</span><span class="iti__dial-code">+680</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ps" role="option" data-dial-code="970" data-country-code="ps" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ps"></div>
                </div><span class="iti__country-name">Palestine (‫فلسطين‬‎)</span><span class="iti__dial-code">+970</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pa" role="option" data-dial-code="507" data-country-code="pa" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pa"></div>
                </div><span class="iti__country-name">Panama (Panamá)</span><span class="iti__dial-code">+507</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pg" role="option" data-dial-code="675" data-country-code="pg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pg"></div>
                </div><span class="iti__country-name">Papua New Guinea</span><span class="iti__dial-code">+675</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-py" role="option" data-dial-code="595" data-country-code="py" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__py"></div>
                </div><span class="iti__country-name">Paraguay</span><span class="iti__dial-code">+595</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pe" role="option" data-dial-code="51" data-country-code="pe" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pe"></div>
                </div><span class="iti__country-name">Peru (Perú)</span><span class="iti__dial-code">+51</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ph" role="option" data-dial-code="63" data-country-code="ph" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ph"></div>
                </div><span class="iti__country-name">Philippines</span><span class="iti__dial-code">+63</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pl" role="option" data-dial-code="48" data-country-code="pl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pl"></div>
                </div><span class="iti__country-name">Poland (Polska)</span><span class="iti__dial-code">+48</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pt" role="option" data-dial-code="351" data-country-code="pt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pt"></div>
                </div><span class="iti__country-name">Portugal</span><span class="iti__dial-code">+351</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pr" role="option" data-dial-code="1" data-country-code="pr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pr"></div>
                </div><span class="iti__country-name">Puerto Rico</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-qa" role="option" data-dial-code="974" data-country-code="qa" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__qa"></div>
                </div><span class="iti__country-name">Qatar (‫قطر‬‎)</span><span class="iti__dial-code">+974</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-re" role="option" data-dial-code="262" data-country-code="re" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__re"></div>
                </div><span class="iti__country-name">Réunion (La Réunion)</span><span class="iti__dial-code">+262</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ro" role="option" data-dial-code="40" data-country-code="ro" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ro"></div>
                </div><span class="iti__country-name">Romania (România)</span><span class="iti__dial-code">+40</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ru" role="option" data-dial-code="7" data-country-code="ru" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ru"></div>
                </div><span class="iti__country-name">Russia (Россия)</span><span class="iti__dial-code">+7</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rw" role="option" data-dial-code="250" data-country-code="rw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__rw"></div>
                </div><span class="iti__country-name">Rwanda</span><span class="iti__dial-code">+250</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bl" role="option" data-dial-code="590" data-country-code="bl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__bl"></div>
                </div><span class="iti__country-name">Saint Barthélemy</span><span class="iti__dial-code">+590</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sh" role="option" data-dial-code="290" data-country-code="sh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sh"></div>
                </div><span class="iti__country-name">Saint Helena</span><span class="iti__dial-code">+290</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kn" role="option" data-dial-code="1" data-country-code="kn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kn"></div>
                </div><span class="iti__country-name">Saint Kitts and Nevis</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lc" role="option" data-dial-code="1" data-country-code="lc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lc"></div>
                </div><span class="iti__country-name">Saint Lucia</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mf" role="option" data-dial-code="590" data-country-code="mf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__mf"></div>
                </div><span class="iti__country-name">Saint Martin (Saint-Martin (partie française))</span><span class="iti__dial-code">+590</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pm" role="option" data-dial-code="508" data-country-code="pm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__pm"></div>
                </div><span class="iti__country-name">Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)</span><span class="iti__dial-code">+508</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vc" role="option" data-dial-code="1" data-country-code="vc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__vc"></div>
                </div><span class="iti__country-name">Saint Vincent and the Grenadines</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ws" role="option" data-dial-code="685" data-country-code="ws" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ws"></div>
                </div><span class="iti__country-name">Samoa</span><span class="iti__dial-code">+685</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sm" role="option" data-dial-code="378" data-country-code="sm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sm"></div>
                </div><span class="iti__country-name">San Marino</span><span class="iti__dial-code">+378</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-st" role="option" data-dial-code="239" data-country-code="st" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__st"></div>
                </div><span class="iti__country-name">São Tomé and Príncipe (São Tomé e Príncipe)</span><span class="iti__dial-code">+239</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sa" role="option" data-dial-code="966" data-country-code="sa" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sa"></div>
                </div><span class="iti__country-name">Saudi Arabia (‫المملكة العربية السعودية‬‎)</span><span class="iti__dial-code">+966</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sn" role="option" data-dial-code="221" data-country-code="sn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sn"></div>
                </div><span class="iti__country-name">Senegal (Sénégal)</span><span class="iti__dial-code">+221</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rs" role="option" data-dial-code="381" data-country-code="rs" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__rs"></div>
                </div><span class="iti__country-name">Serbia (Србија)</span><span class="iti__dial-code">+381</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sc" role="option" data-dial-code="248" data-country-code="sc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sc"></div>
                </div><span class="iti__country-name">Seychelles</span><span class="iti__dial-code">+248</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sl" role="option" data-dial-code="232" data-country-code="sl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sl"></div>
                </div><span class="iti__country-name">Sierra Leone</span><span class="iti__dial-code">+232</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sg" role="option" data-dial-code="65" data-country-code="sg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sg"></div>
                </div><span class="iti__country-name">Singapore</span><span class="iti__dial-code">+65</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sx" role="option" data-dial-code="1" data-country-code="sx" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sx"></div>
                </div><span class="iti__country-name">Sint Maarten</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sk" role="option" data-dial-code="421" data-country-code="sk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sk"></div>
                </div><span class="iti__country-name">Slovakia (Slovensko)</span><span class="iti__dial-code">+421</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-si" role="option" data-dial-code="386" data-country-code="si" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__si"></div>
                </div><span class="iti__country-name">Slovenia (Slovenija)</span><span class="iti__dial-code">+386</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sb" role="option" data-dial-code="677" data-country-code="sb" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sb"></div>
                </div><span class="iti__country-name">Solomon Islands</span><span class="iti__dial-code">+677</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-so" role="option" data-dial-code="252" data-country-code="so" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__so"></div>
                </div><span class="iti__country-name">Somalia (Soomaaliya)</span><span class="iti__dial-code">+252</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-za" role="option" data-dial-code="27" data-country-code="za" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__za"></div>
                </div><span class="iti__country-name">South Africa</span><span class="iti__dial-code">+27</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kr" role="option" data-dial-code="82" data-country-code="kr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__kr"></div>
                </div><span class="iti__country-name">South Korea (대한민국)</span><span class="iti__dial-code">+82</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ss" role="option" data-dial-code="211" data-country-code="ss" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ss"></div>
                </div><span class="iti__country-name">South Sudan (‫جنوب السودان‬‎)</span><span class="iti__dial-code">+211</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-es" role="option" data-dial-code="34" data-country-code="es" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__es"></div>
                </div><span class="iti__country-name">Spain (España)</span><span class="iti__dial-code">+34</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lk" role="option" data-dial-code="94" data-country-code="lk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__lk"></div>
                </div><span class="iti__country-name">Sri Lanka (ශ්‍රී ලංකාව)</span><span class="iti__dial-code">+94</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sd" role="option" data-dial-code="249" data-country-code="sd" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sd"></div>
                </div><span class="iti__country-name">Sudan (‫السودان‬‎)</span><span class="iti__dial-code">+249</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sr" role="option" data-dial-code="597" data-country-code="sr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sr"></div>
                </div><span class="iti__country-name">Suriname</span><span class="iti__dial-code">+597</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sj" role="option" data-dial-code="47" data-country-code="sj" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sj"></div>
                </div><span class="iti__country-name">Svalbard and Jan Mayen</span><span class="iti__dial-code">+47</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-se" role="option" data-dial-code="46" data-country-code="se" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__se"></div>
                </div><span class="iti__country-name">Sweden (Sverige)</span><span class="iti__dial-code">+46</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ch" role="option" data-dial-code="41" data-country-code="ch" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ch"></div>
                </div><span class="iti__country-name">Switzerland (Schweiz)</span><span class="iti__dial-code">+41</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sy" role="option" data-dial-code="963" data-country-code="sy" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__sy"></div>
                </div><span class="iti__country-name">Syria (‫سوريا‬‎)</span><span class="iti__dial-code">+963</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tw" role="option" data-dial-code="886" data-country-code="tw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tw"></div>
                </div><span class="iti__country-name">Taiwan (台灣)</span><span class="iti__dial-code">+886</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tj" role="option" data-dial-code="992" data-country-code="tj" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tj"></div>
                </div><span class="iti__country-name">Tajikistan</span><span class="iti__dial-code">+992</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tz" role="option" data-dial-code="255" data-country-code="tz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tz"></div>
                </div><span class="iti__country-name">Tanzania</span><span class="iti__dial-code">+255</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-th" role="option" data-dial-code="66" data-country-code="th" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__th"></div>
                </div><span class="iti__country-name">Thailand (ไทย)</span><span class="iti__dial-code">+66</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tl" role="option" data-dial-code="670" data-country-code="tl" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tl"></div>
                </div><span class="iti__country-name">Timor-Leste</span><span class="iti__dial-code">+670</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tg" role="option" data-dial-code="228" data-country-code="tg" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tg"></div>
                </div><span class="iti__country-name">Togo</span><span class="iti__dial-code">+228</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tk" role="option" data-dial-code="690" data-country-code="tk" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tk"></div>
                </div><span class="iti__country-name">Tokelau</span><span class="iti__dial-code">+690</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-to" role="option" data-dial-code="676" data-country-code="to" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__to"></div>
                </div><span class="iti__country-name">Tonga</span><span class="iti__dial-code">+676</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tt" role="option" data-dial-code="1" data-country-code="tt" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tt"></div>
                </div><span class="iti__country-name">Trinidad and Tobago</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tn" role="option" data-dial-code="216" data-country-code="tn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tn"></div>
                </div><span class="iti__country-name">Tunisia (‫تونس‬‎)</span><span class="iti__dial-code">+216</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tr" role="option" data-dial-code="90" data-country-code="tr" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tr"></div>
                </div><span class="iti__country-name">Turkey (Türkiye)</span><span class="iti__dial-code">+90</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tm" role="option" data-dial-code="993" data-country-code="tm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tm"></div>
                </div><span class="iti__country-name">Turkmenistan</span><span class="iti__dial-code">+993</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tc" role="option" data-dial-code="1" data-country-code="tc" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tc"></div>
                </div><span class="iti__country-name">Turks and Caicos Islands</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tv" role="option" data-dial-code="688" data-country-code="tv" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__tv"></div>
                </div><span class="iti__country-name">Tuvalu</span><span class="iti__dial-code">+688</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vi" role="option" data-dial-code="1" data-country-code="vi" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__vi"></div>
                </div><span class="iti__country-name">U.S. Virgin Islands</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ug" role="option" data-dial-code="256" data-country-code="ug" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ug"></div>
                </div><span class="iti__country-name">Uganda</span><span class="iti__dial-code">+256</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ua" role="option" data-dial-code="380" data-country-code="ua" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ua"></div>
                </div><span class="iti__country-name">Ukraine (Україна)</span><span class="iti__dial-code">+380</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ae" role="option" data-dial-code="971" data-country-code="ae" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ae"></div>
                </div><span class="iti__country-name">United Arab Emirates (‫الإمارات العربية المتحدة‬‎)</span><span class="iti__dial-code">+971</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gb" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__gb"></div>
                </div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-us" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__us"></div>
                </div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uy" role="option" data-dial-code="598" data-country-code="uy" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__uy"></div>
                </div><span class="iti__country-name">Uruguay</span><span class="iti__dial-code">+598</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uz" role="option" data-dial-code="998" data-country-code="uz" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__uz"></div>
                </div><span class="iti__country-name">Uzbekistan (Oʻzbekiston)</span><span class="iti__dial-code">+998</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vu" role="option" data-dial-code="678" data-country-code="vu" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__vu"></div>
                </div><span class="iti__country-name">Vanuatu</span><span class="iti__dial-code">+678</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-va" role="option" data-dial-code="39" data-country-code="va" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__va"></div>
                </div><span class="iti__country-name">Vatican City (Città del Vaticano)</span><span class="iti__dial-code">+39</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ve" role="option" data-dial-code="58" data-country-code="ve" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ve"></div>
                </div><span class="iti__country-name">Venezuela</span><span class="iti__dial-code">+58</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vn" role="option" data-dial-code="84" data-country-code="vn" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__vn"></div>
                </div><span class="iti__country-name">Vietnam (Việt Nam)</span><span class="iti__dial-code">+84</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-wf" role="option" data-dial-code="681" data-country-code="wf" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__wf"></div>
                </div><span class="iti__country-name">Wallis and Futuna (Wallis-et-Futuna)</span><span class="iti__dial-code">+681</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eh" role="option" data-dial-code="212" data-country-code="eh" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__eh"></div>
                </div><span class="iti__country-name">Western Sahara (‫الصحراء الغربية‬‎)</span><span class="iti__dial-code">+212</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ye" role="option" data-dial-code="967" data-country-code="ye" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ye"></div>
                </div><span class="iti__country-name">Yemen (‫اليمن‬‎)</span><span class="iti__dial-code">+967</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zm" role="option" data-dial-code="260" data-country-code="zm" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__zm"></div>
                </div><span class="iti__country-name">Zambia</span><span class="iti__dial-code">+260</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zw" role="option" data-dial-code="263" data-country-code="zw" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__zw"></div>
                </div><span class="iti__country-name">Zimbabwe</span><span class="iti__dial-code">+263</span>
              </li>
              <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ax" role="option" data-dial-code="358" data-country-code="ax" aria-selected="false">
                <div class="iti__flag-box">
                  <div class="iti__flag iti__ax"></div>
                </div><span class="iti__country-name">Åland Islands</span><span class="iti__dial-code">+358</span>
              </li>
            </ul>
          </div><input class="form-control" type="text" value="" name="buyerContact" id="id_buyerContact" maxlength="20" im-insert="true" data-intl-tel-input-id="0" placeholder="012-345 6789" style="padding-left: 83px;">
        </div>
        <div class="fv-plugins-message-container"></div>
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <h3 class="col-10  col-form-label">Buyer Address:</h3>
      <input type="hidden" name="buyerAddress" id="id_buyerAddress">
      <div class="fv-plugins-message-container"></div>
      <div class="fv-plugins-message-container"></div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label">Address 1<span class="text-danger">*</span></label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddress1" id="id_buyerAddress1" maxlength="300" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row">
      <label class="col-3 col-form-label">Address 2 </label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddress2" id="id_buyerAddress2" im-insert="true">
      </div>
    </div>
    <div class="form-group row fv-row">
      <label class="col-3 col-form-label">Address 3 </label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddress3" id="id_buyerAddress3" im-insert="true">
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label">Postal Code</label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddressPostalCode" id="id_buyerAddressPostalCode" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label">City</label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddressCity" id="id_buyerAddressCity" im-insert="true">
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row">
      <label class="col-3 col-form-label">State</label>
      <div class="col-9">
        <input class="form-control" type="text" value="" name="buyerAddressState" id="id_buyerAddressState" im-insert="true">
      </div>
    </div>
    <div class="form-group row fv-row fv-plugins-icon-container">
      <label class="col-3 col-form-label">Country <span class="text-danger">*</span></label>
      <div class="col-9">
        <div class="dropdown bootstrap-select form-control dropup"><select name="buyerCountry" id="id_buyerCountry" aria-label="Select a Country" data-control="select2" data-placeholder="Select a country..." class="form-control selectpicker"
            data-size="7" data-live-search="true">
            <option value="">Select a Country...</option>
            <option data-kt-flag="flags/afghanistan.svg" value="AF">Afghanistan</option>
            <option data-kt-flag="flags/aland-islands.svg" value="AX">Aland Islands</option>
            <option data-kt-flag="flags/albania.svg" value="AL">Albania</option>
            <option data-kt-flag="flags/algeria.svg" value="DZ">Algeria</option>
            <option data-kt-flag="flags/american-samoa.svg" value="AS">American Samoa</option>
            <option data-kt-flag="flags/andorra.svg" value="AD">Andorra</option>
            <option data-kt-flag="flags/angola.svg" value="AO">Angola</option>
            <option data-kt-flag="flags/anguilla.svg" value="AI">Anguilla</option>
            <option data-kt-flag="flags/antigua-and-barbuda.svg" value="AG">Antigua and Barbuda</option>
            <option data-kt-flag="flags/argentina.svg" value="AR">Argentina</option>
            <option data-kt-flag="flags/armenia.svg" value="AM">Armenia</option>
            <option data-kt-flag="flags/aruba.svg" value="AW">Aruba</option>
            <option data-kt-flag="flags/australia.svg" value="AU">Australia</option>
            <option data-kt-flag="flags/austria.svg" value="AT">Austria</option>
            <option data-kt-flag="flags/azerbaijan.svg" value="AZ">Azerbaijan</option>
            <option data-kt-flag="flags/bahamas.svg" value="BS">Bahamas</option>
            <option data-kt-flag="flags/bahrain.svg" value="BH">Bahrain</option>
            <option data-kt-flag="flags/bangladesh.svg" value="BD">Bangladesh</option>
            <option data-kt-flag="flags/barbados.svg" value="BB">Barbados</option>
            <option data-kt-flag="flags/belarus.svg" value="BY">Belarus</option>
            <option data-kt-flag="flags/belgium.svg" value="BE">Belgium</option>
            <option data-kt-flag="flags/belize.svg" value="BZ">Belize</option>
            <option data-kt-flag="flags/benin.svg" value="BJ">Benin</option>
            <option data-kt-flag="flags/bermuda.svg" value="BM">Bermuda</option>
            <option data-kt-flag="flags/bhutan.svg" value="BT">Bhutan</option>
            <option data-kt-flag="flags/bolivia.svg" value="BO">Bolivia, Plurinational State of</option>
            <option data-kt-flag="flags/bonaire.svg" value="BQ">Bonaire, Sint Eustatius and Saba</option>
            <option data-kt-flag="flags/bosnia-and-herzegovina.svg" value="BA">Bosnia and Herzegovina</option>
            <option data-kt-flag="flags/botswana.svg" value="BW">Botswana</option>
            <option data-kt-flag="flags/brazil.svg" value="BR">Brazil</option>
            <option data-kt-flag="flags/british-indian-ocean-territory.svg" value="IO">British Indian Ocean Territory</option>
            <option data-kt-flag="flags/brunei.svg" value="BN">Brunei Darussalam</option>
            <option data-kt-flag="flags/bulgaria.svg" value="BG">Bulgaria</option>
            <option data-kt-flag="flags/burkina-faso.svg" value="BF">Burkina Faso</option>
            <option data-kt-flag="flags/burundi.svg" value="BI">Burundi</option>
            <option data-kt-flag="flags/cambodia.svg" value="KH">Cambodia</option>
            <option data-kt-flag="flags/cameroon.svg" value="CM">Cameroon</option>
            <option data-kt-flag="flags/canada.svg" value="CA">Canada</option>
            <option data-kt-flag="flags/cape-verde.svg" value="CV">Cape Verde</option>
            <option data-kt-flag="flags/cayman-islands.svg" value="KY">Cayman Islands</option>
            <option data-kt-flag="flags/central-african-republic.svg" value="CF">Central African Republic</option>
            <option data-kt-flag="flags/chad.svg" value="TD">Chad</option>
            <option data-kt-flag="flags/chile.svg" value="CL">Chile</option>
            <option data-kt-flag="flags/china.svg" value="CN">China</option>
            <option data-kt-flag="flags/christmas-island.svg" value="CX">Christmas Island</option>
            <option data-kt-flag="flags/cocos-island.svg" value="CC">Cocos (Keeling) Islands</option>
            <option data-kt-flag="flags/colombia.svg" value="CO">Colombia</option>
            <option data-kt-flag="flags/comoros.svg" value="KM">Comoros</option>
            <option data-kt-flag="flags/cook-islands.svg" value="CK">Cook Islands</option>
            <option data-kt-flag="flags/costa-rica.svg" value="CR">Costa Rica</option>
            <option data-kt-flag="flags/ivory-coast.svg" value="CI">Côte d'Ivoire</option>
            <option data-kt-flag="flags/croatia.svg" value="HR">Croatia</option>
            <option data-kt-flag="flags/cuba.svg" value="CU">Cuba</option>
            <option data-kt-flag="flags/curacao.svg" value="CW">Curaçao</option>
            <option data-kt-flag="flags/czech-republic.svg" value="CZ">Czech Republic</option>
            <option data-kt-flag="flags/denmark.svg" value="DK">Denmark</option>
            <option data-kt-flag="flags/djibouti.svg" value="DJ">Djibouti</option>
            <option data-kt-flag="flags/dominica.svg" value="DM">Dominica</option>
            <option data-kt-flag="flags/dominican-republic.svg" value="DO">Dominican Republic</option>
            <option data-kt-flag="flags/ecuador.svg" value="EC">Ecuador</option>
            <option data-kt-flag="flags/egypt.svg" value="EG">Egypt</option>
            <option data-kt-flag="flags/el-salvador.svg" value="SV">El Salvador</option>
            <option data-kt-flag="flags/equatorial-guinea.svg" value="GQ">Equatorial Guinea</option>
            <option data-kt-flag="flags/eritrea.svg" value="ER">Eritrea</option>
            <option data-kt-flag="flags/estonia.svg" value="EE">Estonia</option>
            <option data-kt-flag="flags/ethiopia.svg" value="ET">Ethiopia</option>
            <option data-kt-flag="flags/falkland-islands.svg" value="FK">Falkland Islands (Malvinas)</option>
            <option data-kt-flag="flags/fiji.svg" value="FJ">Fiji</option>
            <option data-kt-flag="flags/finland.svg" value="FI">Finland</option>
            <option data-kt-flag="flags/france.svg" value="FR">France</option>
            <option data-kt-flag="flags/french-polynesia.svg" value="PF">French Polynesia</option>
            <option data-kt-flag="flags/gabon.svg" value="GA">Gabon</option>
            <option data-kt-flag="flags/gambia.svg" value="GM">Gambia</option>
            <option data-kt-flag="flags/georgia.svg" value="GE">Georgia</option>
            <option data-kt-flag="flags/germany.svg" value="DE">Germany</option>
            <option data-kt-flag="flags/ghana.svg" value="GH">Ghana</option>
            <option data-kt-flag="flags/gibraltar.svg" value="GI">Gibraltar</option>
            <option data-kt-flag="flags/greece.svg" value="GR">Greece</option>
            <option data-kt-flag="flags/greenland.svg" value="GL">Greenland</option>
            <option data-kt-flag="flags/grenada.svg" value="GD">Grenada</option>
            <option data-kt-flag="flags/guam.svg" value="GU">Guam</option>
            <option data-kt-flag="flags/guatemala.svg" value="GT">Guatemala</option>
            <option data-kt-flag="flags/guernsey.svg" value="GG">Guernsey</option>
            <option data-kt-flag="flags/guinea.svg" value="GN">Guinea</option>
            <option data-kt-flag="flags/guinea-bissau.svg" value="GW">Guinea-Bissau</option>
            <option data-kt-flag="flags/haiti.svg" value="HT">Haiti</option>
            <option data-kt-flag="flags/vatican-city.svg" value="VA">Holy See (Vatican City State)</option>
            <option data-kt-flag="flags/honduras.svg" value="HN">Honduras</option>
            <option data-kt-flag="flags/hong-kong.svg" value="HK">Hong Kong</option>
            <option data-kt-flag="flags/hungary.svg" value="HU">Hungary</option>
            <option data-kt-flag="flags/iceland.svg" value="IS">Iceland</option>
            <option data-kt-flag="flags/india.svg" value="IN">India</option>
            <option data-kt-flag="flags/indonesia.svg" value="ID">Indonesia</option>
            <option data-kt-flag="flags/iran.svg" value="IR">Iran, Islamic Republic of</option>
            <option data-kt-flag="flags/iraq.svg" value="IQ">Iraq</option>
            <option data-kt-flag="flags/ireland.svg" value="IE">Ireland</option>
            <option data-kt-flag="flags/isle-of-man.svg" value="IM">Isle of Man</option>
            <option data-kt-flag="flags/israel.svg" value="IL">Israel</option>
            <option data-kt-flag="flags/italy.svg" value="IT">Italy</option>
            <option data-kt-flag="flags/jamaica.svg" value="JM">Jamaica</option>
            <option data-kt-flag="flags/japan.svg" value="JP">Japan</option>
            <option data-kt-flag="flags/jersey.svg" value="JE">Jersey</option>
            <option data-kt-flag="flags/jordan.svg" value="JO">Jordan</option>
            <option data-kt-flag="flags/kazakhstan.svg" value="KZ">Kazakhstan</option>
            <option data-kt-flag="flags/kenya.svg" value="KE">Kenya</option>
            <option data-kt-flag="flags/kiribati.svg" value="KI">Kiribati</option>
            <option data-kt-flag="flags/north-korea.svg" value="KP">Korea, Democratic People's Republic of</option>
            <option data-kt-flag="flags/kuwait.svg" value="KW">Kuwait</option>
            <option data-kt-flag="flags/kyrgyzstan.svg" value="KG">Kyrgyzstan</option>
            <option data-kt-flag="flags/laos.svg" value="LA">Lao People's Democratic Republic</option>
            <option data-kt-flag="flags/latvia.svg" value="LV">Latvia</option>
            <option data-kt-flag="flags/lebanon.svg" value="LB">Lebanon</option>
            <option data-kt-flag="flags/lesotho.svg" value="LS">Lesotho</option>
            <option data-kt-flag="flags/liberia.svg" value="LR">Liberia</option>
            <option data-kt-flag="flags/libya.svg" value="LY">Libya</option>
            <option data-kt-flag="flags/liechtenstein.svg" value="LI">Liechtenstein</option>
            <option data-kt-flag="flags/lithuania.svg" value="LT">Lithuania</option>
            <option data-kt-flag="flags/luxembourg.svg" value="LU">Luxembourg</option>
            <option data-kt-flag="flags/macao.svg" value="MO">Macao</option>
            <option data-kt-flag="flags/madagascar.svg" value="MG">Madagascar</option>
            <option data-kt-flag="flags/malawi.svg" value="MW">Malawi</option>
            <option data-kt-flag="flags/malaysia.svg" value="MY">Malaysia</option>
            <option data-kt-flag="flags/maldives.svg" value="MV">Maldives</option>
            <option data-kt-flag="flags/mali.svg" value="ML">Mali</option>
            <option data-kt-flag="flags/malta.svg" value="MT">Malta</option>
            <option data-kt-flag="flags/marshall-island.svg" value="MH">Marshall Islands</option>
            <option data-kt-flag="flags/martinique.svg" value="MQ">Martinique</option>
            <option data-kt-flag="flags/mauritania.svg" value="MR">Mauritania</option>
            <option data-kt-flag="flags/mauritius.svg" value="MU">Mauritius</option>
            <option data-kt-flag="flags/mexico.svg" value="MX">Mexico</option>
            <option data-kt-flag="flags/micronesia.svg" value="FM">Micronesia, Federated States of</option>
            <option data-kt-flag="flags/moldova.svg" value="MD">Moldova, Republic of</option>
            <option data-kt-flag="flags/monaco.svg" value="MC">Monaco</option>
            <option data-kt-flag="flags/mongolia.svg" value="MN">Mongolia</option>
            <option data-kt-flag="flags/montenegro.svg" value="ME">Montenegro</option>
            <option data-kt-flag="flags/montserrat.svg" value="MS">Montserrat</option>
            <option data-kt-flag="flags/morocco.svg" value="MA">Morocco</option>
            <option data-kt-flag="flags/mozambique.svg" value="MZ">Mozambique</option>
            <option data-kt-flag="flags/myanmar.svg" value="MM">Myanmar</option>
            <option data-kt-flag="flags/namibia.svg" value="NA">Namibia</option>
            <option data-kt-flag="flags/nauru.svg" value="NR">Nauru</option>
            <option data-kt-flag="flags/nepal.svg" value="NP">Nepal</option>
            <option data-kt-flag="flags/netherlands.svg" value="NL">Netherlands</option>
            <option data-kt-flag="flags/new-zealand.svg" value="NZ">New Zealand</option>
            <option data-kt-flag="flags/nicaragua.svg" value="NI">Nicaragua</option>
            <option data-kt-flag="flags/niger.svg" value="NE">Niger</option>
            <option data-kt-flag="flags/nigeria.svg" value="NG">Nigeria</option>
            <option data-kt-flag="flags/niue.svg" value="NU">Niue</option>
            <option data-kt-flag="flags/norfolk-island.svg" value="NF">Norfolk Island</option>
            <option data-kt-flag="flags/northern-mariana-islands.svg" value="MP">Northern Mariana Islands</option>
            <option data-kt-flag="flags/norway.svg" value="NO">Norway</option>
            <option data-kt-flag="flags/oman.svg" value="OM">Oman</option>
            <option data-kt-flag="flags/pakistan.svg" value="PK">Pakistan</option>
            <option data-kt-flag="flags/palau.svg" value="PW">Palau</option>
            <option data-kt-flag="flags/palestine.svg" value="PS">Palestinian Territory, Occupied</option>
            <option data-kt-flag="flags/panama.svg" value="PA">Panama</option>
            <option data-kt-flag="flags/papua-new-guinea.svg" value="PG">Papua New Guinea</option>
            <option data-kt-flag="flags/paraguay.svg" value="PY">Paraguay</option>
            <option data-kt-flag="flags/peru.svg" value="PE">Peru</option>
            <option data-kt-flag="flags/philippines.svg" value="PH">Philippines</option>
            <option data-kt-flag="flags/poland.svg" value="PL">Poland</option>
            <option data-kt-flag="flags/portugal.svg" value="PT">Portugal</option>
            <option data-kt-flag="flags/puerto-rico.svg" value="PR">Puerto Rico</option>
            <option data-kt-flag="flags/qatar.svg" value="QA">Qatar</option>
            <option data-kt-flag="flags/romania.svg" value="RO">Romania</option>
            <option data-kt-flag="flags/russia.svg" value="RU">Russian Federation</option>
            <option data-kt-flag="flags/rwanda.svg" value="RW">Rwanda</option>
            <option data-kt-flag="flags/st-barts.svg" value="BL">Saint Barthélemy</option>
            <option data-kt-flag="flags/saint-kitts-and-nevis.svg" value="KN">Saint Kitts and Nevis</option>
            <option data-kt-flag="flags/st-lucia.svg" value="LC">Saint Lucia</option>
            <option data-kt-flag="flags/sint-maarten.svg" value="MF">Saint Martin (French part)</option>
            <option data-kt-flag="flags/st-vincent-and-the-grenadines.svg" value="VC">Saint Vincent and the Grenadines</option>
            <option data-kt-flag="flags/samoa.svg" value="WS">Samoa</option>
            <option data-kt-flag="flags/san-marino.svg" value="SM">San Marino</option>
            <option data-kt-flag="flags/sao-tome-and-prince.svg" value="ST">Sao Tome and Principe</option>
            <option data-kt-flag="flags/saudi-arabia.svg" value="SA">Saudi Arabia</option>
            <option data-kt-flag="flags/senegal.svg" value="SN">Senegal</option>
            <option data-kt-flag="flags/serbia.svg" value="RS">Serbia</option>
            <option data-kt-flag="flags/seychelles.svg" value="SC">Seychelles</option>
            <option data-kt-flag="flags/sierra-leone.svg" value="SL">Sierra Leone</option>
            <option data-kt-flag="flags/singapore.svg" value="SG">Singapore</option>
            <option data-kt-flag="flags/sint-maarten.svg" value="SX">Sint Maarten (Dutch part)</option>
            <option data-kt-flag="flags/slovakia.svg" value="SK">Slovakia</option>
            <option data-kt-flag="flags/slovenia.svg" value="SI">Slovenia</option>
            <option data-kt-flag="flags/solomon-islands.svg" value="SB">Solomon Islands</option>
            <option data-kt-flag="flags/somalia.svg" value="SO">Somalia</option>
            <option data-kt-flag="flags/south-africa.svg" value="ZA">South Africa</option>
            <option data-kt-flag="flags/south-korea.svg" value="KR">South Korea</option>
            <option data-kt-flag="flags/south-sudan.svg" value="SS">South Sudan</option>
            <option data-kt-flag="flags/spain.svg" value="ES">Spain</option>
            <option data-kt-flag="flags/sri-lanka.svg" value="LK">Sri Lanka</option>
            <option data-kt-flag="flags/sudan.svg" value="SD">Sudan</option>
            <option data-kt-flag="flags/suriname.svg" value="SR">Suriname</option>
            <option data-kt-flag="flags/swaziland.svg" value="SZ">Swaziland</option>
            <option data-kt-flag="flags/sweden.svg" value="SE">Sweden</option>
            <option data-kt-flag="flags/switzerland.svg" value="CH">Switzerland</option>
            <option data-kt-flag="flags/syria.svg" value="SY">Syrian Arab Republic</option>
            <option data-kt-flag="flags/taiwan.svg" value="TW">Taiwan, Province of China</option>
            <option data-kt-flag="flags/tajikistan.svg" value="TJ">Tajikistan</option>
            <option data-kt-flag="flags/tanzania.svg" value="TZ">Tanzania, United Republic of</option>
            <option data-kt-flag="flags/thailand.svg" value="TH">Thailand</option>
            <option data-kt-flag="flags/togo.svg" value="TG">Togo</option>
            <option data-kt-flag="flags/tokelau.svg" value="TK">Tokelau</option>
            <option data-kt-flag="flags/tonga.svg" value="TO">Tonga</option>
            <option data-kt-flag="flags/trinidad-and-tobago.svg" value="TT">Trinidad and Tobago</option>
            <option data-kt-flag="flags/tunisia.svg" value="TN">Tunisia</option>
            <option data-kt-flag="flags/turkey.svg" value="TR">Turkey</option>
            <option data-kt-flag="flags/turkmenistan.svg" value="TM">Turkmenistan</option>
            <option data-kt-flag="flags/turks-and-caicos.svg" value="TC">Turks and Caicos Islands</option>
            <option data-kt-flag="flags/tuvalu.svg" value="TV">Tuvalu</option>
            <option data-kt-flag="flags/uganda.svg" value="UG">Uganda</option>
            <option data-kt-flag="flags/ukraine.svg" value="UA">Ukraine</option>
            <option data-kt-flag="flags/united-arab-emirates.svg" value="AE">United Arab Emirates</option>
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            <option data-kt-flag="flags/uruguay.svg" value="UY">Uruguay</option>
            <option data-kt-flag="flags/uzbekistan.svg" value="UZ">Uzbekistan</option>
            <option data-kt-flag="flags/vanuatu.svg" value="VU">Vanuatu</option>
            <option data-kt-flag="flags/venezuela.svg" value="VE">Venezuela, Bolivarian Republic of</option>
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            <option data-kt-flag="flags/virgin-islands.svg" value="VI">Virgin Islands</option>
            <option data-kt-flag="flags/yemen.svg" value="YE">Yemen</option>
            <option data-kt-flag="flags/zambia.svg" value="ZM">Zambia</option>
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                <li><a role="option" class="dropdown-item" id="bs-select-1-115" tabindex="0"><span class="text">Libya</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-116" tabindex="0"><span class="text">Liechtenstein</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-117" tabindex="0"><span class="text">Lithuania</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-118" tabindex="0"><span class="text">Luxembourg</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-119" tabindex="0"><span class="text">Macao</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-120" tabindex="0"><span class="text">Madagascar</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-121" tabindex="0"><span class="text">Malawi</span></a></li>
                <li class="selected active"><a role="option" class="dropdown-item active selected" id="bs-select-1-122" tabindex="0" aria-setsize="225" aria-posinset="123" aria-selected="true"><span class="text">Malaysia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-123" tabindex="0"><span class="text">Maldives</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-124" tabindex="0"><span class="text">Mali</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-125" tabindex="0"><span class="text">Malta</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-126" tabindex="0"><span class="text">Marshall Islands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-127" tabindex="0"><span class="text">Martinique</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-128" tabindex="0"><span class="text">Mauritania</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-129" tabindex="0"><span class="text">Mauritius</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-130" tabindex="0"><span class="text">Mexico</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-131" tabindex="0"><span class="text">Micronesia, Federated States of</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-132" tabindex="0"><span class="text">Moldova, Republic of</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-133" tabindex="0"><span class="text">Monaco</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-134" tabindex="0"><span class="text">Mongolia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-135" tabindex="0"><span class="text">Montenegro</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-136" tabindex="0"><span class="text">Montserrat</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-137" tabindex="0"><span class="text">Morocco</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-138" tabindex="0"><span class="text">Mozambique</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-139" tabindex="0"><span class="text">Myanmar</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-140" tabindex="0"><span class="text">Namibia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-141" tabindex="0"><span class="text">Nauru</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-142" tabindex="0"><span class="text">Nepal</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-143" tabindex="0"><span class="text">Netherlands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-144" tabindex="0"><span class="text">New Zealand</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-145" tabindex="0"><span class="text">Nicaragua</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-146" tabindex="0"><span class="text">Niger</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-147" tabindex="0"><span class="text">Nigeria</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-148" tabindex="0"><span class="text">Niue</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-149" tabindex="0"><span class="text">Norfolk Island</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-150" tabindex="0"><span class="text">Northern Mariana Islands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-151" tabindex="0"><span class="text">Norway</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-152" tabindex="0"><span class="text">Oman</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-153" tabindex="0"><span class="text">Pakistan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-154" tabindex="0"><span class="text">Palau</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-155" tabindex="0"><span class="text">Palestinian Territory, Occupied</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-156" tabindex="0"><span class="text">Panama</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-157" tabindex="0"><span class="text">Papua New Guinea</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-158" tabindex="0"><span class="text">Paraguay</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-159" tabindex="0"><span class="text">Peru</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-160" tabindex="0"><span class="text">Philippines</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-161" tabindex="0"><span class="text">Poland</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-162" tabindex="0"><span class="text">Portugal</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-163" tabindex="0"><span class="text">Puerto Rico</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-164" tabindex="0"><span class="text">Qatar</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-165" tabindex="0"><span class="text">Romania</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-166" tabindex="0"><span class="text">Russian Federation</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-167" tabindex="0"><span class="text">Rwanda</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-168" tabindex="0"><span class="text">Saint Barthélemy</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-169" tabindex="0"><span class="text">Saint Kitts and Nevis</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-170" tabindex="0"><span class="text">Saint Lucia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-171" tabindex="0"><span class="text">Saint Martin (French part)</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-172" tabindex="0"><span class="text">Saint Vincent and the Grenadines</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-173" tabindex="0"><span class="text">Samoa</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-174" tabindex="0"><span class="text">San Marino</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-175" tabindex="0"><span class="text">Sao Tome and Principe</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-176" tabindex="0"><span class="text">Saudi Arabia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-177" tabindex="0"><span class="text">Senegal</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-178" tabindex="0"><span class="text">Serbia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-179" tabindex="0"><span class="text">Seychelles</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-180" tabindex="0"><span class="text">Sierra Leone</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-181" tabindex="0"><span class="text">Singapore</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-182" tabindex="0"><span class="text">Sint Maarten (Dutch part)</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-183" tabindex="0"><span class="text">Slovakia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-184" tabindex="0"><span class="text">Slovenia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-185" tabindex="0"><span class="text">Solomon Islands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-186" tabindex="0"><span class="text">Somalia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-187" tabindex="0"><span class="text">South Africa</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-188" tabindex="0"><span class="text">South Korea</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-189" tabindex="0"><span class="text">South Sudan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-190" tabindex="0"><span class="text">Spain</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-191" tabindex="0"><span class="text">Sri Lanka</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-192" tabindex="0"><span class="text">Sudan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-193" tabindex="0"><span class="text">Suriname</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-194" tabindex="0"><span class="text">Swaziland</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-195" tabindex="0"><span class="text">Sweden</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-196" tabindex="0"><span class="text">Switzerland</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-197" tabindex="0"><span class="text">Syrian Arab Republic</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-198" tabindex="0"><span class="text">Taiwan, Province of China</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-199" tabindex="0"><span class="text">Tajikistan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-200" tabindex="0"><span class="text">Tanzania, United Republic of</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-201" tabindex="0"><span class="text">Thailand</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-202" tabindex="0"><span class="text">Togo</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-203" tabindex="0"><span class="text">Tokelau</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-204" tabindex="0"><span class="text">Tonga</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-205" tabindex="0"><span class="text">Trinidad and Tobago</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-206" tabindex="0"><span class="text">Tunisia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-207" tabindex="0"><span class="text">Turkey</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-208" tabindex="0"><span class="text">Turkmenistan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-209" tabindex="0"><span class="text">Turks and Caicos Islands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-210" tabindex="0"><span class="text">Tuvalu</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-211" tabindex="0"><span class="text">Uganda</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-212" tabindex="0"><span class="text">Ukraine</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-213" tabindex="0"><span class="text">United Arab Emirates</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-214" tabindex="0"><span class="text">United Kingdom</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-215" tabindex="0"><span class="text">United States</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-216" tabindex="0"><span class="text">Uruguay</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-217" tabindex="0"><span class="text">Uzbekistan</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-218" tabindex="0"><span class="text">Vanuatu</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-219" tabindex="0"><span class="text">Venezuela, Bolivarian Republic of</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-220" tabindex="0"><span class="text">Vietnam</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-221" tabindex="0"><span class="text">Virgin Islands</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-222" tabindex="0"><span class="text">Yemen</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-223" tabindex="0"><span class="text">Zambia</span></a></li>
                <li><a role="option" class="dropdown-item" id="bs-select-1-224" tabindex="0"><span class="text">Zimbabwe</span></a></li>
              </ul>
            </div>
          </div>
        </div>
        <div class="fv-plugins-message-container"></div>
      </div>
    </div>
    <div class="form-group row fv-row">
      <label class="col-3 col-form-label">Shipping Details</label>
      <div class="col-9">
        <div class="checkbox-inline">
          <label class="checkbox checkbox-lg">
            <input type="checkbox" id="id_chkShipping" name="chkShipping" onchange="ShowHideShipping(this)">
            <span></span> Tick box if applicable: Do you have transactions where goods are shipped to a different recipient and/or address (i.e., different from the Buyer’s details)? </label>
        </div>
      </div>
    </div>
    <div class="form-group row fv-row" id="shippingDetailsSection" style="display: none;">
      <!--begin::Repeater-->
      <div id="kt_repeater_1" class="ktrepeater">
        <!--begin::Form group-->
        <div class="form-group" id="kt_repeater_1">
          <div data-repeater-list="data">
            <div data-repeater-item="" style="">
              <div class="separator separator-dashed separator-content border-primary my-15">
              </div>
              <div class="form-group row fv-row">
                <div class="col-md-4">
                  <label class="form-label" style="padding-top:1rem">Shipping Recipient’s Name:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientName]" maxlength="300" im-insert="true">
                </div>
                <div class="col-md-4">
                  <label class="form-label" style="padding-top:1rem">Shipping Recipient’s TIN:<span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="Completion based on the TIN assigned by LHDNM (e.g., Company TIN: C2584563202, Individual TIN: IG56003500070).
For foreign buyers without TIN, please input “NA”.
The input of special characters is not allowed.">
                      <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
                        <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
                        <path
                          d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
                        </path>
                      </svg></span></label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientTin]" maxlength="13" im-insert="true">
                </div>
                <div class="col-md-4">
                  <label class="form-label" style="padding-top:1rem">Shipping Recipient’s Registration Number: <span class="position-absolute top-0 start-100" data-bs-toggle="tooltip" data-bs-placement="top" title="For businesses: Business registration number 
For Malaysian individual: MyKad identification number 
For non-Malaysian individual: Passport number
The input of special characters is not allowed.">
                      <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" fill="currentColor" class="bi bi-info-circle" viewBox="0 0 16 16">
                        <path d="M8 15A7 7 0 1 1 8 1a7 7 0 0 1 0 14zm0 1A8 8 0 1 0 8 0a8 8 0 0 0 0 16z"></path>
                        <path
                          d="m8.93 6.588-2.29.287-.082.38.45.083c.294.07.352.176.288.469l-.738 3.468c-.194.897.105 1.319.808 1.319.545 0 1.178-.252 1.465-.598l.088-.416c-.2.176-.492.246-.686.246-.275 0-.375-.193-.304-.533L8.93 6.588zM9 4.5a1 1 0 1 1-2 0 1 1 0 0 1 2 0z">
                        </path>
                      </svg></span></label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientRegNo]" maxlength="12" im-insert="true">
                </div>
              </div>
              <div class="form-group row fv-row fv-plugins-icon-container">
                <h3 class="col-10  col-form-label">Shipping Recipient’s Address:</h3>
                <input type="hidden" name="data[0][shippingAddress]" value="">
                <div class="fv-plugins-message-container"></div>
              </div>
              <div class="form-group row fv-row">
                <div class="col-md-4">
                  <label class="form-label">Address 1:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddress1]" im-insert="true">
                </div>
                <div class="col-md-4">
                  <label class="form-label">Address 2:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddress2]" im-insert="true">
                </div>
                <div class="col-md-4">
                  <label class="form-label">Address 3:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddress3]" im-insert="true">
                </div>
              </div>
              <div class="form-group row fv-row fv-plugins-icon-container">
                <div class="col-md-4">
                  <label class="form-label">Postal Code:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddressPostalCode]" im-insert="true">
                  <div class="fv-plugins-message-container"></div>
                </div>
                <div class="col-md-4">
                  <label class="form-label">City:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddressCity]" im-insert="true">
                  <div class="fv-plugins-message-container"></div>
                </div>
                <div class="col-md-4">
                  <label class="form-label">State:</label>
                  <input class="form-control mb-2 mb-md-0" type="text" value="" name="data[0][shippingRecipientAddressState]" im-insert="true">
                </div>
              </div>
              <div class="form-group row fv-row">
                <div class="col-md-4">
                  <label class="form-label">Country:</label>
                  <div class="dropdown bootstrap-select form-control"><select name="data[0][shippingRecipientCountry]" id="id_shippingRecipientCountry" aria-label="Select a Country" data-control="select2" data-placeholder="Select a country..."
                      class="form-control selectpicker" data-size="7" data-live-search="true">
                      <option value="">Select a Country...</option>
                      <option data-kt-flag="flags/afghanistan.svg" value="AF">Afghanistan</option>
                      <option data-kt-flag="flags/aland-islands.svg" value="AX">Aland Islands</option>
                      <option data-kt-flag="flags/albania.svg" value="AL">Albania</option>
                      <option data-kt-flag="flags/algeria.svg" value="DZ">Algeria</option>
                      <option data-kt-flag="flags/american-samoa.svg" value="AS">American Samoa</option>
                      <option data-kt-flag="flags/andorra.svg" value="AD">Andorra</option>
                      <option data-kt-flag="flags/angola.svg" value="AO">Angola</option>
                      <option data-kt-flag="flags/anguilla.svg" value="AI">Anguilla</option>
                      <option data-kt-flag="flags/antigua-and-barbuda.svg" value="AG">Antigua and Barbuda</option>
                      <option data-kt-flag="flags/argentina.svg" value="AR">Argentina</option>
                      <option data-kt-flag="flags/armenia.svg" value="AM">Armenia</option>
                      <option data-kt-flag="flags/aruba.svg" value="AW">Aruba</option>
                      <option data-kt-flag="flags/australia.svg" value="AU">Australia</option>
                      <option data-kt-flag="flags/austria.svg" value="AT">Austria</option>
                      <option data-kt-flag="flags/azerbaijan.svg" value="AZ">Azerbaijan</option>
                      <option data-kt-flag="flags/bahamas.svg" value="BS">Bahamas</option>
                      <option data-kt-flag="flags/bahrain.svg" value="BH">Bahrain</option>
                      <option data-kt-flag="flags/bangladesh.svg" value="BD">Bangladesh</option>
                      <option data-kt-flag="flags/barbados.svg" value="BB">Barbados</option>
                      <option data-kt-flag="flags/belarus.svg" value="BY">Belarus</option>
                      <option data-kt-flag="flags/belgium.svg" value="BE">Belgium</option>
                      <option data-kt-flag="flags/belize.svg" value="BZ">Belize</option>
                      <option data-kt-flag="flags/benin.svg" value="BJ">Benin</option>
                      <option data-kt-flag="flags/bermuda.svg" value="BM">Bermuda</option>
                      <option data-kt-flag="flags/bhutan.svg" value="BT">Bhutan</option>
                      <option data-kt-flag="flags/bolivia.svg" value="BO">Bolivia, Plurinational State of</option>
                      <option data-kt-flag="flags/bonaire.svg" value="BQ">Bonaire, Sint Eustatius and Saba</option>
                      <option data-kt-flag="flags/bosnia-and-herzegovina.svg" value="BA">Bosnia and Herzegovina</option>
                      <option data-kt-flag="flags/botswana.svg" value="BW">Botswana</option>
                      <option data-kt-flag="flags/brazil.svg" value="BR">Brazil</option>
                      <option data-kt-flag="flags/british-indian-ocean-territory.svg" value="IO">British Indian Ocean Territory</option>
                      <option data-kt-flag="flags/brunei.svg" value="BN">Brunei Darussalam</option>
                      <option data-kt-flag="flags/bulgaria.svg" value="BG">Bulgaria</option>
                      <option data-kt-flag="flags/burkina-faso.svg" value="BF">Burkina Faso</option>
                      <option data-kt-flag="flags/burundi.svg" value="BI">Burundi</option>
                      <option data-kt-flag="flags/cambodia.svg" value="KH">Cambodia</option>
                      <option data-kt-flag="flags/cameroon.svg" value="CM">Cameroon</option>
                      <option data-kt-flag="flags/canada.svg" value="CA">Canada</option>
                      <option data-kt-flag="flags/cape-verde.svg" value="CV">Cape Verde</option>
                      <option data-kt-flag="flags/cayman-islands.svg" value="KY">Cayman Islands</option>
                      <option data-kt-flag="flags/central-african-republic.svg" value="CF">Central African Republic</option>
                      <option data-kt-flag="flags/chad.svg" value="TD">Chad</option>
                      <option data-kt-flag="flags/chile.svg" value="CL">Chile</option>
                      <option data-kt-flag="flags/china.svg" value="CN">China</option>
                      <option data-kt-flag="flags/christmas-island.svg" value="CX">Christmas Island</option>
                      <option data-kt-flag="flags/cocos-island.svg" value="CC">Cocos (Keeling) Islands</option>
                      <option data-kt-flag="flags/colombia.svg" value="CO">Colombia</option>
                      <option data-kt-flag="flags/comoros.svg" value="KM">Comoros</option>
                      <option data-kt-flag="flags/cook-islands.svg" value="CK">Cook Islands</option>
                      <option data-kt-flag="flags/costa-rica.svg" value="CR">Costa Rica</option>
                      <option data-kt-flag="flags/ivory-coast.svg" value="CI">Côte d'Ivoire</option>
                      <option data-kt-flag="flags/croatia.svg" value="HR">Croatia</option>
                      <option data-kt-flag="flags/cuba.svg" value="CU">Cuba</option>
                      <option data-kt-flag="flags/curacao.svg" value="CW">Curaçao</option>
                      <option data-kt-flag="flags/czech-republic.svg" value="CZ">Czech Republic</option>
                      <option data-kt-flag="flags/denmark.svg" value="DK">Denmark</option>
                      <option data-kt-flag="flags/djibouti.svg" value="DJ">Djibouti</option>
                      <option data-kt-flag="flags/dominica.svg" value="DM">Dominica</option>
                      <option data-kt-flag="flags/dominican-republic.svg" value="DO">Dominican Republic</option>
                      <option data-kt-flag="flags/ecuador.svg" value="EC">Ecuador</option>
                      <option data-kt-flag="flags/egypt.svg" value="EG">Egypt</option>
                      <option data-kt-flag="flags/el-salvador.svg" value="SV">El Salvador</option>
                      <option data-kt-flag="flags/equatorial-guinea.svg" value="GQ">Equatorial Guinea</option>
                      <option data-kt-flag="flags/eritrea.svg" value="ER">Eritrea</option>
                      <option data-kt-flag="flags/estonia.svg" value="EE">Estonia</option>
                      <option data-kt-flag="flags/ethiopia.svg" value="ET">Ethiopia</option>
                      <option data-kt-flag="flags/falkland-islands.svg" value="FK">Falkland Islands (Malvinas)</option>
                      <option data-kt-flag="flags/fiji.svg" value="FJ">Fiji</option>
                      <option data-kt-flag="flags/finland.svg" value="FI">Finland</option>
                      <option data-kt-flag="flags/france.svg" value="FR">France</option>
                      <option data-kt-flag="flags/french-polynesia.svg" value="PF">French Polynesia</option>
                      <option data-kt-flag="flags/gabon.svg" value="GA">Gabon</option>
                      <option data-kt-flag="flags/gambia.svg" value="GM">Gambia</option>
                      <option data-kt-flag="flags/georgia.svg" value="GE">Georgia</option>
                      <option data-kt-flag="flags/germany.svg" value="DE">Germany</option>
                      <option data-kt-flag="flags/ghana.svg" value="GH">Ghana</option>
                      <option data-kt-flag="flags/gibraltar.svg" value="GI">Gibraltar</option>
                      <option data-kt-flag="flags/greece.svg" value="GR">Greece</option>
                      <option data-kt-flag="flags/greenland.svg" value="GL">Greenland</option>
                      <option data-kt-flag="flags/grenada.svg" value="GD">Grenada</option>
                      <option data-kt-flag="flags/guam.svg" value="GU">Guam</option>
                      <option data-kt-flag="flags/guatemala.svg" value="GT">Guatemala</option>
                      <option data-kt-flag="flags/guernsey.svg" value="GG">Guernsey</option>
                      <option data-kt-flag="flags/guinea.svg" value="GN">Guinea</option>
                      <option data-kt-flag="flags/guinea-bissau.svg" value="GW">Guinea-Bissau</option>
                      <option data-kt-flag="flags/haiti.svg" value="HT">Haiti</option>
                      <option data-kt-flag="flags/vatican-city.svg" value="VA">Holy See (Vatican City State)</option>
                      <option data-kt-flag="flags/honduras.svg" value="HN">Honduras</option>
                      <option data-kt-flag="flags/hong-kong.svg" value="HK">Hong Kong</option>
                      <option data-kt-flag="flags/hungary.svg" value="HU">Hungary</option>
                      <option data-kt-flag="flags/iceland.svg" value="IS">Iceland</option>
                      <option data-kt-flag="flags/india.svg" value="IN">India</option>
                      <option data-kt-flag="flags/indonesia.svg" value="ID">Indonesia</option>
                      <option data-kt-flag="flags/iran.svg" value="IR">Iran, Islamic Republic of</option>
                      <option data-kt-flag="flags/iraq.svg" value="IQ">Iraq</option>
                      <option data-kt-flag="flags/ireland.svg" value="IE">Ireland</option>
                      <option data-kt-flag="flags/isle-of-man.svg" value="IM">Isle of Man</option>
                      <option data-kt-flag="flags/israel.svg" value="IL">Israel</option>
                      <option data-kt-flag="flags/italy.svg" value="IT">Italy</option>
                      <option data-kt-flag="flags/jamaica.svg" value="JM">Jamaica</option>
                      <option data-kt-flag="flags/japan.svg" value="JP">Japan</option>
                      <option data-kt-flag="flags/jersey.svg" value="JE">Jersey</option>
                      <option data-kt-flag="flags/jordan.svg" value="JO">Jordan</option>
                      <option data-kt-flag="flags/kazakhstan.svg" value="KZ">Kazakhstan</option>
                      <option data-kt-flag="flags/kenya.svg" value="KE">Kenya</option>
                      <option data-kt-flag="flags/kiribati.svg" value="KI">Kiribati</option>
                      <option data-kt-flag="flags/north-korea.svg" value="KP">Korea, Democratic People's Republic of</option>
                      <option data-kt-flag="flags/kuwait.svg" value="KW">Kuwait</option>
                      <option data-kt-flag="flags/kyrgyzstan.svg" value="KG">Kyrgyzstan</option>
                      <option data-kt-flag="flags/laos.svg" value="LA">Lao People's Democratic Republic</option>
                      <option data-kt-flag="flags/latvia.svg" value="LV">Latvia</option>
                      <option data-kt-flag="flags/lebanon.svg" value="LB">Lebanon</option>
                      <option data-kt-flag="flags/lesotho.svg" value="LS">Lesotho</option>
                      <option data-kt-flag="flags/liberia.svg" value="LR">Liberia</option>
                      <option data-kt-flag="flags/libya.svg" value="LY">Libya</option>
                      <option data-kt-flag="flags/liechtenstein.svg" value="LI">Liechtenstein</option>
                      <option data-kt-flag="flags/lithuania.svg" value="LT">Lithuania</option>
                      <option data-kt-flag="flags/luxembourg.svg" value="LU">Luxembourg</option>
                      <option data-kt-flag="flags/macao.svg" value="MO">Macao</option>
                      <option data-kt-flag="flags/madagascar.svg" value="MG">Madagascar</option>
                      <option data-kt-flag="flags/malawi.svg" value="MW">Malawi</option>
                      <option data-kt-flag="flags/malaysia.svg" value="MY">Malaysia</option>
                      <option data-kt-flag="flags/maldives.svg" value="MV">Maldives</option>
                      <option data-kt-flag="flags/mali.svg" value="ML">Mali</option>
                      <option data-kt-flag="flags/malta.svg" value="MT">Malta</option>
                      <option data-kt-flag="flags/marshall-island.svg" value="MH">Marshall Islands</option>
                      <option data-kt-flag="flags/martinique.svg" value="MQ">Martinique</option>
                      <option data-kt-flag="flags/mauritania.svg" value="MR">Mauritania</option>
                      <option data-kt-flag="flags/mauritius.svg" value="MU">Mauritius</option>
                      <option data-kt-flag="flags/mexico.svg" value="MX">Mexico</option>
                      <option data-kt-flag="flags/micronesia.svg" value="FM">Micronesia, Federated States of</option>
                      <option data-kt-flag="flags/moldova.svg" value="MD">Moldova, Republic of</option>
                      <option data-kt-flag="flags/monaco.svg" value="MC">Monaco</option>
                      <option data-kt-flag="flags/mongolia.svg" value="MN">Mongolia</option>
                      <option data-kt-flag="flags/montenegro.svg" value="ME">Montenegro</option>
                      <option data-kt-flag="flags/montserrat.svg" value="MS">Montserrat</option>
                      <option data-kt-flag="flags/morocco.svg" value="MA">Morocco</option>
                      <option data-kt-flag="flags/mozambique.svg" value="MZ">Mozambique</option>
                      <option data-kt-flag="flags/myanmar.svg" value="MM">Myanmar</option>
                      <option data-kt-flag="flags/namibia.svg" value="NA">Namibia</option>
                      <option data-kt-flag="flags/nauru.svg" value="NR">Nauru</option>
                      <option data-kt-flag="flags/nepal.svg" value="NP">Nepal</option>
                      <option data-kt-flag="flags/netherlands.svg" value="NL">Netherlands</option>
                      <option data-kt-flag="flags/new-zealand.svg" value="NZ">New Zealand</option>
                      <option data-kt-flag="flags/nicaragua.svg" value="NI">Nicaragua</option>
                      <option data-kt-flag="flags/niger.svg" value="NE">Niger</option>
                      <option data-kt-flag="flags/nigeria.svg" value="NG">Nigeria</option>
                      <option data-kt-flag="flags/niue.svg" value="NU">Niue</option>
                      <option data-kt-flag="flags/norfolk-island.svg" value="NF">Norfolk Island</option>
                      <option data-kt-flag="flags/northern-mariana-islands.svg" value="MP">Northern Mariana Islands</option>
                      <option data-kt-flag="flags/norway.svg" value="NO">Norway</option>
                      <option data-kt-flag="flags/oman.svg" value="OM">Oman</option>
                      <option data-kt-flag="flags/pakistan.svg" value="PK">Pakistan</option>
                      <option data-kt-flag="flags/palau.svg" value="PW">Palau</option>
                      <option data-kt-flag="flags/palestine.svg" value="PS">Palestinian Territory, Occupied</option>
                      <option data-kt-flag="flags/panama.svg" value="PA">Panama</option>
                      <option data-kt-flag="flags/papua-new-guinea.svg" value="PG">Papua New Guinea</option>
                      <option data-kt-flag="flags/paraguay.svg" value="PY">Paraguay</option>
                      <option data-kt-flag="flags/peru.svg" value="PE">Peru</option>
                      <option data-kt-flag="flags/philippines.svg" value="PH">Philippines</option>
                      <option data-kt-flag="flags/poland.svg" value="PL">Poland</option>
                      <option data-kt-flag="flags/portugal.svg" value="PT">Portugal</option>
                      <option data-kt-flag="flags/puerto-rico.svg" value="PR">Puerto Rico</option>
                      <option data-kt-flag="flags/qatar.svg" value="QA">Qatar</option>
                      <option data-kt-flag="flags/romania.svg" value="RO">Romania</option>
                      <option data-kt-flag="flags/russia.svg" value="RU">Russian Federation</option>
                      <option data-kt-flag="flags/rwanda.svg" value="RW">Rwanda</option>
                      <option data-kt-flag="flags/st-barts.svg" value="BL">Saint Barthélemy</option>
                      <option data-kt-flag="flags/saint-kitts-and-nevis.svg" value="KN">Saint Kitts and Nevis</option>
                      <option data-kt-flag="flags/st-lucia.svg" value="LC">Saint Lucia</option>
                      <option data-kt-flag="flags/sint-maarten.svg" value="MF">Saint Martin (French part)</option>
                      <option data-kt-flag="flags/st-vincent-and-the-grenadines.svg" value="VC">Saint Vincent and the Grenadines</option>
                      <option data-kt-flag="flags/samoa.svg" value="WS">Samoa</option>
                      <option data-kt-flag="flags/san-marino.svg" value="SM">San Marino</option>
                      <option data-kt-flag="flags/sao-tome-and-prince.svg" value="ST">Sao Tome and Principe</option>
                      <option data-kt-flag="flags/saudi-arabia.svg" value="SA">Saudi Arabia</option>
                      <option data-kt-flag="flags/senegal.svg" value="SN">Senegal</option>
                      <option data-kt-flag="flags/serbia.svg" value="RS">Serbia</option>
                      <option data-kt-flag="flags/seychelles.svg" value="SC">Seychelles</option>
                      <option data-kt-flag="flags/sierra-leone.svg" value="SL">Sierra Leone</option>
                      <option data-kt-flag="flags/singapore.svg" value="SG">Singapore</option>
                      <option data-kt-flag="flags/sint-maarten.svg" value="SX">Sint Maarten (Dutch part)</option>
                      <option data-kt-flag="flags/slovakia.svg" value="SK">Slovakia</option>
                      <option data-kt-flag="flags/slovenia.svg" value="SI">Slovenia</option>
                      <option data-kt-flag="flags/solomon-islands.svg" value="SB">Solomon Islands</option>
                      <option data-kt-flag="flags/somalia.svg" value="SO">Somalia</option>
                      <option data-kt-flag="flags/south-africa.svg" value="ZA">South Africa</option>
                      <option data-kt-flag="flags/south-korea.svg" value="KR">South Korea</option>
                      <option data-kt-flag="flags/south-sudan.svg" value="SS">South Sudan</option>
                      <option data-kt-flag="flags/spain.svg" value="ES">Spain</option>
                      <option data-kt-flag="flags/sri-lanka.svg" value="LK">Sri Lanka</option>
                      <option data-kt-flag="flags/sudan.svg" value="SD">Sudan</option>
                      <option data-kt-flag="flags/suriname.svg" value="SR">Suriname</option>
                      <option data-kt-flag="flags/swaziland.svg" value="SZ">Swaziland</option>
                      <option data-kt-flag="flags/sweden.svg" value="SE">Sweden</option>
                      <option data-kt-flag="flags/switzerland.svg" value="CH">Switzerland</option>
                      <option data-kt-flag="flags/syria.svg" value="SY">Syrian Arab Republic</option>
                      <option data-kt-flag="flags/taiwan.svg" value="TW">Taiwan, Province of China</option>
                      <option data-kt-flag="flags/tajikistan.svg" value="TJ">Tajikistan</option>
                      <option data-kt-flag="flags/tanzania.svg" value="TZ">Tanzania, United Republic of</option>
                      <option data-kt-flag="flags/thailand.svg" value="TH">Thailand</option>
                      <option data-kt-flag="flags/togo.svg" value="TG">Togo</option>
                      <option data-kt-flag="flags/tokelau.svg" value="TK">Tokelau</option>
                      <option data-kt-flag="flags/tonga.svg" value="TO">Tonga</option>
                      <option data-kt-flag="flags/trinidad-and-tobago.svg" value="TT">Trinidad and Tobago</option>
                      <option data-kt-flag="flags/tunisia.svg" value="TN">Tunisia</option>
                      <option data-kt-flag="flags/turkey.svg" value="TR">Turkey</option>
                      <option data-kt-flag="flags/turkmenistan.svg" value="TM">Turkmenistan</option>
                      <option data-kt-flag="flags/turks-and-caicos.svg" value="TC">Turks and Caicos Islands</option>
                      <option data-kt-flag="flags/tuvalu.svg" value="TV">Tuvalu</option>
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                      <option data-kt-flag="flags/uruguay.svg" value="UY">Uruguay</option>
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                      <option data-kt-flag="flags/vanuatu.svg" value="VU">Vanuatu</option>
                      <option data-kt-flag="flags/venezuela.svg" value="VE">Venezuela, Bolivarian Republic of</option>
                      <option data-kt-flag="flags/vietnam.svg" value="VN">Vietnam</option>
                      <option data-kt-flag="flags/virgin-islands.svg" value="VI">Virgin Islands</option>
                      <option data-kt-flag="flags/yemen.svg" value="YE">Yemen</option>
                      <option data-kt-flag="flags/zambia.svg" value="ZM">Zambia</option>
                      <option data-kt-flag="flags/zimbabwe.svg" value="ZW">Zimbabwe</option>
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                          <li><a role="option" class="dropdown-item" id="bs-select-2-37" tabindex="0"><span class="text">Cameroon</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-38" tabindex="0"><span class="text">Canada</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-39" tabindex="0"><span class="text">Cape Verde</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-40" tabindex="0"><span class="text">Cayman Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-41" tabindex="0"><span class="text">Central African Republic</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-42" tabindex="0"><span class="text">Chad</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-43" tabindex="0"><span class="text">Chile</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-44" tabindex="0"><span class="text">China</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-45" tabindex="0"><span class="text">Christmas Island</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-46" tabindex="0"><span class="text">Cocos (Keeling) Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-47" tabindex="0"><span class="text">Colombia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-48" tabindex="0"><span class="text">Comoros</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-49" tabindex="0"><span class="text">Cook Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-50" tabindex="0"><span class="text">Costa Rica</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-51" tabindex="0"><span class="text">Côte d'Ivoire</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-52" tabindex="0"><span class="text">Croatia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-53" tabindex="0"><span class="text">Cuba</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-54" tabindex="0"><span class="text">Curaçao</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-55" tabindex="0"><span class="text">Czech Republic</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-56" tabindex="0"><span class="text">Denmark</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-57" tabindex="0"><span class="text">Djibouti</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-58" tabindex="0"><span class="text">Dominica</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-59" tabindex="0"><span class="text">Dominican Republic</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-60" tabindex="0"><span class="text">Ecuador</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-61" tabindex="0"><span class="text">Egypt</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-62" tabindex="0"><span class="text">El Salvador</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-63" tabindex="0"><span class="text">Equatorial Guinea</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-64" tabindex="0"><span class="text">Eritrea</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-65" tabindex="0"><span class="text">Estonia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-66" tabindex="0"><span class="text">Ethiopia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-67" tabindex="0"><span class="text">Falkland Islands (Malvinas)</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-68" tabindex="0"><span class="text">Fiji</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-69" tabindex="0"><span class="text">Finland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-70" tabindex="0"><span class="text">France</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-71" tabindex="0"><span class="text">French Polynesia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-72" tabindex="0"><span class="text">Gabon</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-73" tabindex="0"><span class="text">Gambia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-74" tabindex="0"><span class="text">Georgia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-75" tabindex="0"><span class="text">Germany</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-76" tabindex="0"><span class="text">Ghana</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-77" tabindex="0"><span class="text">Gibraltar</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-78" tabindex="0"><span class="text">Greece</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-79" tabindex="0"><span class="text">Greenland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-80" tabindex="0"><span class="text">Grenada</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-81" tabindex="0"><span class="text">Guam</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-82" tabindex="0"><span class="text">Guatemala</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-83" tabindex="0"><span class="text">Guernsey</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-84" tabindex="0"><span class="text">Guinea</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-85" tabindex="0"><span class="text">Guinea-Bissau</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-86" tabindex="0"><span class="text">Haiti</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-87" tabindex="0"><span class="text">Holy See (Vatican City State)</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-88" tabindex="0"><span class="text">Honduras</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-89" tabindex="0"><span class="text">Hong Kong</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-90" tabindex="0"><span class="text">Hungary</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-91" tabindex="0"><span class="text">Iceland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-92" tabindex="0"><span class="text">India</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-93" tabindex="0"><span class="text">Indonesia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-94" tabindex="0"><span class="text">Iran, Islamic Republic of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-95" tabindex="0"><span class="text">Iraq</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-96" tabindex="0"><span class="text">Ireland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-97" tabindex="0"><span class="text">Isle of Man</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-98" tabindex="0"><span class="text">Israel</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-99" tabindex="0"><span class="text">Italy</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-100" tabindex="0"><span class="text">Jamaica</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-101" tabindex="0"><span class="text">Japan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-102" tabindex="0"><span class="text">Jersey</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-103" tabindex="0"><span class="text">Jordan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-104" tabindex="0"><span class="text">Kazakhstan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-105" tabindex="0"><span class="text">Kenya</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-106" tabindex="0"><span class="text">Kiribati</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-107" tabindex="0"><span class="text">Korea, Democratic People's Republic of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-108" tabindex="0"><span class="text">Kuwait</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-109" tabindex="0"><span class="text">Kyrgyzstan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-110" tabindex="0"><span class="text">Lao People's Democratic Republic</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-111" tabindex="0"><span class="text">Latvia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-112" tabindex="0"><span class="text">Lebanon</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-113" tabindex="0"><span class="text">Lesotho</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-114" tabindex="0"><span class="text">Liberia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-115" tabindex="0"><span class="text">Libya</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-116" tabindex="0"><span class="text">Liechtenstein</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-117" tabindex="0"><span class="text">Lithuania</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-118" tabindex="0"><span class="text">Luxembourg</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-119" tabindex="0"><span class="text">Macao</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-120" tabindex="0"><span class="text">Madagascar</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-121" tabindex="0"><span class="text">Malawi</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-122" tabindex="0"><span class="text">Malaysia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-123" tabindex="0"><span class="text">Maldives</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-124" tabindex="0"><span class="text">Mali</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-125" tabindex="0"><span class="text">Malta</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-126" tabindex="0"><span class="text">Marshall Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-127" tabindex="0"><span class="text">Martinique</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-128" tabindex="0"><span class="text">Mauritania</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-129" tabindex="0"><span class="text">Mauritius</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-130" tabindex="0"><span class="text">Mexico</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-131" tabindex="0"><span class="text">Micronesia, Federated States of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-132" tabindex="0"><span class="text">Moldova, Republic of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-133" tabindex="0"><span class="text">Monaco</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-134" tabindex="0"><span class="text">Mongolia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-135" tabindex="0"><span class="text">Montenegro</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-136" tabindex="0"><span class="text">Montserrat</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-137" tabindex="0"><span class="text">Morocco</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-138" tabindex="0"><span class="text">Mozambique</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-139" tabindex="0"><span class="text">Myanmar</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-140" tabindex="0"><span class="text">Namibia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-141" tabindex="0"><span class="text">Nauru</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-142" tabindex="0"><span class="text">Nepal</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-143" tabindex="0"><span class="text">Netherlands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-144" tabindex="0"><span class="text">New Zealand</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-145" tabindex="0"><span class="text">Nicaragua</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-146" tabindex="0"><span class="text">Niger</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-147" tabindex="0"><span class="text">Nigeria</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-148" tabindex="0"><span class="text">Niue</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-149" tabindex="0"><span class="text">Norfolk Island</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-150" tabindex="0"><span class="text">Northern Mariana Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-151" tabindex="0"><span class="text">Norway</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-152" tabindex="0"><span class="text">Oman</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-153" tabindex="0"><span class="text">Pakistan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-154" tabindex="0"><span class="text">Palau</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-155" tabindex="0"><span class="text">Palestinian Territory, Occupied</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-156" tabindex="0"><span class="text">Panama</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-157" tabindex="0"><span class="text">Papua New Guinea</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-158" tabindex="0"><span class="text">Paraguay</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-159" tabindex="0"><span class="text">Peru</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-160" tabindex="0"><span class="text">Philippines</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-161" tabindex="0"><span class="text">Poland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-162" tabindex="0"><span class="text">Portugal</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-163" tabindex="0"><span class="text">Puerto Rico</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-164" tabindex="0"><span class="text">Qatar</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-165" tabindex="0"><span class="text">Romania</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-166" tabindex="0"><span class="text">Russian Federation</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-167" tabindex="0"><span class="text">Rwanda</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-168" tabindex="0"><span class="text">Saint Barthélemy</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-169" tabindex="0"><span class="text">Saint Kitts and Nevis</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-170" tabindex="0"><span class="text">Saint Lucia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-171" tabindex="0"><span class="text">Saint Martin (French part)</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-172" tabindex="0"><span class="text">Saint Vincent and the Grenadines</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-173" tabindex="0"><span class="text">Samoa</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-174" tabindex="0"><span class="text">San Marino</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-175" tabindex="0"><span class="text">Sao Tome and Principe</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-176" tabindex="0"><span class="text">Saudi Arabia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-177" tabindex="0"><span class="text">Senegal</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-178" tabindex="0"><span class="text">Serbia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-179" tabindex="0"><span class="text">Seychelles</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-180" tabindex="0"><span class="text">Sierra Leone</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-181" tabindex="0"><span class="text">Singapore</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-182" tabindex="0"><span class="text">Sint Maarten (Dutch part)</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-183" tabindex="0"><span class="text">Slovakia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-184" tabindex="0"><span class="text">Slovenia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-185" tabindex="0"><span class="text">Solomon Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-186" tabindex="0"><span class="text">Somalia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-187" tabindex="0"><span class="text">South Africa</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-188" tabindex="0"><span class="text">South Korea</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-189" tabindex="0"><span class="text">South Sudan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-190" tabindex="0"><span class="text">Spain</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-191" tabindex="0"><span class="text">Sri Lanka</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-192" tabindex="0"><span class="text">Sudan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-193" tabindex="0"><span class="text">Suriname</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-194" tabindex="0"><span class="text">Swaziland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-195" tabindex="0"><span class="text">Sweden</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-196" tabindex="0"><span class="text">Switzerland</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-197" tabindex="0"><span class="text">Syrian Arab Republic</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-198" tabindex="0"><span class="text">Taiwan, Province of China</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-199" tabindex="0"><span class="text">Tajikistan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-200" tabindex="0"><span class="text">Tanzania, United Republic of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-201" tabindex="0"><span class="text">Thailand</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-202" tabindex="0"><span class="text">Togo</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-203" tabindex="0"><span class="text">Tokelau</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-204" tabindex="0"><span class="text">Tonga</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-205" tabindex="0"><span class="text">Trinidad and Tobago</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-206" tabindex="0"><span class="text">Tunisia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-207" tabindex="0"><span class="text">Turkey</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-208" tabindex="0"><span class="text">Turkmenistan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-209" tabindex="0"><span class="text">Turks and Caicos Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-210" tabindex="0"><span class="text">Tuvalu</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-211" tabindex="0"><span class="text">Uganda</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-212" tabindex="0"><span class="text">Ukraine</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-213" tabindex="0"><span class="text">United Arab Emirates</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-214" tabindex="0"><span class="text">United Kingdom</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-215" tabindex="0"><span class="text">United States</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-216" tabindex="0"><span class="text">Uruguay</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-217" tabindex="0"><span class="text">Uzbekistan</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-218" tabindex="0"><span class="text">Vanuatu</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-219" tabindex="0"><span class="text">Venezuela, Bolivarian Republic of</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-220" tabindex="0"><span class="text">Vietnam</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-221" tabindex="0"><span class="text">Virgin Islands</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-222" tabindex="0"><span class="text">Yemen</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-223" tabindex="0"><span class="text">Zambia</span></a></li>
                          <li><a role="option" class="dropdown-item" id="bs-select-2-224" tabindex="0"><span class="text">Zimbabwe</span></a></li>
                        </ul>
                      </div>
                    </div>
                  </div>
                </div>
                <div class="col-md-4">
                  <a href="javascript:;" data-repeater-delete="" name="data[0][shippingDelete]" class="btn btn-sm btn-light-danger mt-3 mt-md-8">
                                                                                <i class="la la-trash-o"></i>Delete
                                                                            </a>
                </div>
              </div>
            </div>
          </div>
        </div>
        <!--end::Form group-->
        <!--begin::Form group-->
        <div class="form-group mt-5">
          <label class="col-lg-2 col-form-label text-right"></label>
          <div class="col-lg-4">
            <a href="javascript:;" data-repeater-create="" name="shippingAdd" class="btn btn-sm font-weight-bolder btn-light-primary">
                                                                    <i class="la la-plus"></i>Add
                                                                </a>
          </div>
        </div>
        <!--end::Form group-->
      </div>
      <!--end::Repeater-->
    </div>
    <div class="card-footer">
      <button type="submit" class="btn btn-primary font-weight-bold mr-2" name="saveButton" id="id_saveButton">Save</button>
      <button type="submit" class="btn btn-primary font-weight-bold mr-2" name="submitButton" id="id_submitButton">Submit</button>
    </div>
    <!--end::Form-->
  </div>
  <div></div>
  <div></div>
</form>

Text Content

 * e-Invoice

Buyer's Name*

Buyer’s TIN *

Buyer’s Registration
/ Identification Number / Passport Number*

Buyer’s SST Registration Number *

Buyer’s e-mail *

Buyer’s Contact Number *
+60

 * 
   United States+1
 * 
   United Kingdom+44
 * 
 * 
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 * 
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   Canada+1
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   Cook Islands+682
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   Cuba+53
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   Ethiopia+251
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   Fiji+679
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   Finland (Suomi)+358
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   France+33
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   French Guiana (Guyane française)+594
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   Gabon+241
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   Gambia+220
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   Guadeloupe+590
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   Honduras+504
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   Hong Kong (香港)+852
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   Hungary (Magyarország)+36
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   India (भारत)+91
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   Isle of Man+44
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   Israel (‫ישראל‬‎)+972
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   Jamaica+1
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   Japan (日本)+81
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   Jersey+44
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   Jordan (‫الأردن‬‎)+962
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   Kazakhstan (Казахстан)+7
 * 
   Kenya+254
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   Kiribati+686
 * 
   Kosovo+383
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 * 
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 * 
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   Lesotho+266
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   Liberia+231
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   Libya (‫ليبيا‬‎)+218
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   Liechtenstein+423
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 * 
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 * 
   Mayotte+262
 * 
   Mexico (México)+52
 * 
   Micronesia+691
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   Moldova (Republica Moldova)+373
 * 
   Monaco+377
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   Mongolia (Монгол)+976
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   Montenegro (Crna Gora)+382
 * 
   Montserrat+1
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 * 
   Mozambique (Moçambique)+258
 * 
   Myanmar (Burma) (မြန်မာ)+95
 * 
   Namibia (Namibië)+264
 * 
   Nauru+674
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   Netherlands (Nederland)+31
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 * 
   New Zealand+64
 * 
   Nicaragua+505
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   Niger (Nijar)+227
 * 
   Nigeria+234
 * 
   Niue+683
 * 
   Norfolk Island+672
 * 
   North Korea (조선 민주주의 인민 공화국)+850
 * 
   North Macedonia (Северна Македонија)+389
 * 
   Northern Mariana Islands+1
 * 
   Norway (Norge)+47
 * 
   Oman (‫عُمان‬‎)+968
 * 
   Pakistan (‫پاکستان‬‎)+92
 * 
   Palau+680
 * 
   Palestine (‫فلسطين‬‎)+970
 * 
   Panama (Panamá)+507
 * 
   Papua New Guinea+675
 * 
   Paraguay+595
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   Peru (Perú)+51
 * 
   Philippines+63
 * 
   Poland (Polska)+48
 * 
   Portugal+351
 * 
   Puerto Rico+1
 * 
   Qatar (‫قطر‬‎)+974
 * 
   Réunion (La Réunion)+262
 * 
   Romania (România)+40
 * 
   Russia (Россия)+7
 * 
   Rwanda+250
 * 
   Saint Barthélemy+590
 * 
   Saint Helena+290
 * 
   Saint Kitts and Nevis+1
 * 
   Saint Lucia+1
 * 
   Saint Martin (Saint-Martin (partie française))+590
 * 
   Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508
 * 
   Saint Vincent and the Grenadines+1
 * 
   Samoa+685
 * 
   San Marino+378
 * 
   São Tomé and Príncipe (São Tomé e Príncipe)+239
 * 
   Saudi Arabia (‫المملكة العربية السعودية‬‎)+966
 * 
   Senegal (Sénégal)+221
 * 
   Serbia (Србија)+381
 * 
   Seychelles+248
 * 
   Sierra Leone+232
 * 
   Singapore+65
 * 
   Sint Maarten+1
 * 
   Slovakia (Slovensko)+421
 * 
   Slovenia (Slovenija)+386
 * 
   Solomon Islands+677
 * 
   Somalia (Soomaaliya)+252
 * 
   South Africa+27
 * 
   South Korea (대한민국)+82
 * 
   South Sudan (‫جنوب السودان‬‎)+211
 * 
   Spain (España)+34
 * 
   Sri Lanka (ශ්‍රී ලංකාව)+94
 * 
   Sudan (‫السودان‬‎)+249
 * 
   Suriname+597
 * 
   Svalbard and Jan Mayen+47
 * 
   Sweden (Sverige)+46
 * 
   Switzerland (Schweiz)+41
 * 
   Syria (‫سوريا‬‎)+963
 * 
   Taiwan (台灣)+886
 * 
   Tajikistan+992
 * 
   Tanzania+255
 * 
   Thailand (ไทย)+66
 * 
   Timor-Leste+670
 * 
   Togo+228
 * 
   Tokelau+690
 * 
   Tonga+676
 * 
   Trinidad and Tobago+1
 * 
   Tunisia (‫تونس‬‎)+216
 * 
   Turkey (Türkiye)+90
 * 
   Turkmenistan+993
 * 
   Turks and Caicos Islands+1
 * 
   Tuvalu+688
 * 
   U.S. Virgin Islands+1
 * 
   Uganda+256
 * 
   Ukraine (Україна)+380
 * 
   United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971
 * 
   United Kingdom+44
 * 
   United States+1
 * 
   Uruguay+598
 * 
   Uzbekistan (Oʻzbekiston)+998
 * 
   Vanuatu+678
 * 
   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358





BUYER ADDRESS:



Address 1*

Address 2

Address 3

Postal Code

City

State

Country *
Select a Country... Afghanistan Aland Islands Albania Algeria American Samoa
Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia
Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize
Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and
Saba Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory
Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape
Verde Cayman Islands Central African Republic Chad Chile China Christmas Island
Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Côte d'Ivoire
Croatia Cuba Curaçao Czech Republic Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands (Malvinas) Fiji Finland France French Polynesia Gabon Gambia Georgia
Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guernsey Guinea
Guinea-Bissau Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary
Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man
Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea,
Democratic People's Republic of Kuwait Kyrgyzstan Lao People's Democratic
Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg
Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique
Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of
Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru
Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norfolk Island
Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory,
Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal
Puerto Rico Qatar Romania Russian Federation Rwanda Saint Barthélemy Saint Kitts
and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the
Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia
Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia
Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka
Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan,
Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau
Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay
Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands
Yemen Zambia Zimbabwe
Malaysia
 * Select a Country...
 * Afghanistan
 * Aland Islands
 * Albania
 * Algeria
 * American Samoa
 * Andorra
 * Angola
 * Anguilla
 * Antigua and Barbuda
 * Argentina
 * Armenia
 * Aruba
 * Australia
 * Austria
 * Azerbaijan
 * Bahamas
 * Bahrain
 * Bangladesh
 * Barbados
 * Belarus
 * Belgium
 * Belize
 * Benin
 * Bermuda
 * Bhutan
 * Bolivia, Plurinational State of
 * Bonaire, Sint Eustatius and Saba
 * Bosnia and Herzegovina
 * Botswana
 * Brazil
 * British Indian Ocean Territory
 * Brunei Darussalam
 * Bulgaria
 * Burkina Faso
 * Burundi
 * Cambodia
 * Cameroon
 * Canada
 * Cape Verde
 * Cayman Islands
 * Central African Republic
 * Chad
 * Chile
 * China
 * Christmas Island
 * Cocos (Keeling) Islands
 * Colombia
 * Comoros
 * Cook Islands
 * Costa Rica
 * Côte d'Ivoire
 * Croatia
 * Cuba
 * Curaçao
 * Czech Republic
 * Denmark
 * Djibouti
 * Dominica
 * Dominican Republic
 * Ecuador
 * Egypt
 * El Salvador
 * Equatorial Guinea
 * Eritrea
 * Estonia
 * Ethiopia
 * Falkland Islands (Malvinas)
 * Fiji
 * Finland
 * France
 * French Polynesia
 * Gabon
 * Gambia
 * Georgia
 * Germany
 * Ghana
 * Gibraltar
 * Greece
 * Greenland
 * Grenada
 * Guam
 * Guatemala
 * Guernsey
 * Guinea
 * Guinea-Bissau
 * Haiti
 * Holy See (Vatican City State)
 * Honduras
 * Hong Kong
 * Hungary
 * Iceland
 * India
 * Indonesia
 * Iran, Islamic Republic of
 * Iraq
 * Ireland
 * Isle of Man
 * Israel
 * Italy
 * Jamaica
 * Japan
 * Jersey
 * Jordan
 * Kazakhstan
 * Kenya
 * Kiribati
 * Korea, Democratic People's Republic of
 * Kuwait
 * Kyrgyzstan
 * Lao People's Democratic Republic
 * Latvia
 * Lebanon
 * Lesotho
 * Liberia
 * Libya
 * Liechtenstein
 * Lithuania
 * Luxembourg
 * Macao
 * Madagascar
 * Malawi
 * Malaysia
 * Maldives
 * Mali
 * Malta
 * Marshall Islands
 * Martinique
 * Mauritania
 * Mauritius
 * Mexico
 * Micronesia, Federated States of
 * Moldova, Republic of
 * Monaco
 * Mongolia
 * Montenegro
 * Montserrat
 * Morocco
 * Mozambique
 * Myanmar
 * Namibia
 * Nauru
 * Nepal
 * Netherlands
 * New Zealand
 * Nicaragua
 * Niger
 * Nigeria
 * Niue
 * Norfolk Island
 * Northern Mariana Islands
 * Norway
 * Oman
 * Pakistan
 * Palau
 * Palestinian Territory, Occupied
 * Panama
 * Papua New Guinea
 * Paraguay
 * Peru
 * Philippines
 * Poland
 * Portugal
 * Puerto Rico
 * Qatar
 * Romania
 * Russian Federation
 * Rwanda
 * Saint Barthélemy
 * Saint Kitts and Nevis
 * Saint Lucia
 * Saint Martin (French part)
 * Saint Vincent and the Grenadines
 * Samoa
 * San Marino
 * Sao Tome and Principe
 * Saudi Arabia
 * Senegal
 * Serbia
 * Seychelles
 * Sierra Leone
 * Singapore
 * Sint Maarten (Dutch part)
 * Slovakia
 * Slovenia
 * Solomon Islands
 * Somalia
 * South Africa
 * South Korea
 * South Sudan
 * Spain
 * Sri Lanka
 * Sudan
 * Suriname
 * Swaziland
 * Sweden
 * Switzerland
 * Syrian Arab Republic
 * Taiwan, Province of China
 * Tajikistan
 * Tanzania, United Republic of
 * Thailand
 * Togo
 * Tokelau
 * Tonga
 * Trinidad and Tobago
 * Tunisia
 * Turkey
 * Turkmenistan
 * Turks and Caicos Islands
 * Tuvalu
 * Uganda
 * Ukraine
 * United Arab Emirates
 * United Kingdom
 * United States
 * Uruguay
 * Uzbekistan
 * Vanuatu
 * Venezuela, Bolivarian Republic of
 * Vietnam
 * Virgin Islands
 * Yemen
 * Zambia
 * Zimbabwe


Shipping Details
Tick box if applicable: Do you have transactions where goods are shipped to a
different recipient and/or address (i.e., different from the Buyer’s details)?
Shipping Recipient’s Name:
Shipping Recipient’s TIN:
Shipping Recipient’s Registration Number:


SHIPPING RECIPIENT’S ADDRESS:


Address 1:
Address 2:
Address 3:
Postal Code:

City:

State:
Country:
Select a Country... Afghanistan Aland Islands Albania Algeria American Samoa
Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia
Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize
Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and
Saba Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory
Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape
Verde Cayman Islands Central African Republic Chad Chile China Christmas Island
Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Côte d'Ivoire
Croatia Cuba Curaçao Czech Republic Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands (Malvinas) Fiji Finland France French Polynesia Gabon Gambia Georgia
Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guernsey Guinea
Guinea-Bissau Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary
Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man
Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea,
Democratic People's Republic of Kuwait Kyrgyzstan Lao People's Democratic
Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg
Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique
Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of
Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru
Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norfolk Island
Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory,
Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal
Puerto Rico Qatar Romania Russian Federation Rwanda Saint Barthélemy Saint Kitts
and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the
Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia
Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia
Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka
Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan,
Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau
Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay
Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands
Yemen Zambia Zimbabwe
Select a Country...
 * Select a Country...
 * Afghanistan
 * Aland Islands
 * Albania
 * Algeria
 * American Samoa
 * Andorra
 * Angola
 * Anguilla
 * Antigua and Barbuda
 * Argentina
 * Armenia
 * Aruba
 * Australia
 * Austria
 * Azerbaijan
 * Bahamas
 * Bahrain
 * Bangladesh
 * Barbados
 * Belarus
 * Belgium
 * Belize
 * Benin
 * Bermuda
 * Bhutan
 * Bolivia, Plurinational State of
 * Bonaire, Sint Eustatius and Saba
 * Bosnia and Herzegovina
 * Botswana
 * Brazil
 * British Indian Ocean Territory
 * Brunei Darussalam
 * Bulgaria
 * Burkina Faso
 * Burundi
 * Cambodia
 * Cameroon
 * Canada
 * Cape Verde
 * Cayman Islands
 * Central African Republic
 * Chad
 * Chile
 * China
 * Christmas Island
 * Cocos (Keeling) Islands
 * Colombia
 * Comoros
 * Cook Islands
 * Costa Rica
 * Côte d'Ivoire
 * Croatia
 * Cuba
 * Curaçao
 * Czech Republic
 * Denmark
 * Djibouti
 * Dominica
 * Dominican Republic
 * Ecuador
 * Egypt
 * El Salvador
 * Equatorial Guinea
 * Eritrea
 * Estonia
 * Ethiopia
 * Falkland Islands (Malvinas)
 * Fiji
 * Finland
 * France
 * French Polynesia
 * Gabon
 * Gambia
 * Georgia
 * Germany
 * Ghana
 * Gibraltar
 * Greece
 * Greenland
 * Grenada
 * Guam
 * Guatemala
 * Guernsey
 * Guinea
 * Guinea-Bissau
 * Haiti
 * Holy See (Vatican City State)
 * Honduras
 * Hong Kong
 * Hungary
 * Iceland
 * India
 * Indonesia
 * Iran, Islamic Republic of
 * Iraq
 * Ireland
 * Isle of Man
 * Israel
 * Italy
 * Jamaica
 * Japan
 * Jersey
 * Jordan
 * Kazakhstan
 * Kenya
 * Kiribati
 * Korea, Democratic People's Republic of
 * Kuwait
 * Kyrgyzstan
 * Lao People's Democratic Republic
 * Latvia
 * Lebanon
 * Lesotho
 * Liberia
 * Libya
 * Liechtenstein
 * Lithuania
 * Luxembourg
 * Macao
 * Madagascar
 * Malawi
 * Malaysia
 * Maldives
 * Mali
 * Malta
 * Marshall Islands
 * Martinique
 * Mauritania
 * Mauritius
 * Mexico
 * Micronesia, Federated States of
 * Moldova, Republic of
 * Monaco
 * Mongolia
 * Montenegro
 * Montserrat
 * Morocco
 * Mozambique
 * Myanmar
 * Namibia
 * Nauru
 * Nepal
 * Netherlands
 * New Zealand
 * Nicaragua
 * Niger
 * Nigeria
 * Niue
 * Norfolk Island
 * Northern Mariana Islands
 * Norway
 * Oman
 * Pakistan
 * Palau
 * Palestinian Territory, Occupied
 * Panama
 * Papua New Guinea
 * Paraguay
 * Peru
 * Philippines
 * Poland
 * Portugal
 * Puerto Rico
 * Qatar
 * Romania
 * Russian Federation
 * Rwanda
 * Saint Barthélemy
 * Saint Kitts and Nevis
 * Saint Lucia
 * Saint Martin (French part)
 * Saint Vincent and the Grenadines
 * Samoa
 * San Marino
 * Sao Tome and Principe
 * Saudi Arabia
 * Senegal
 * Serbia
 * Seychelles
 * Sierra Leone
 * Singapore
 * Sint Maarten (Dutch part)
 * Slovakia
 * Slovenia
 * Solomon Islands
 * Somalia
 * South Africa
 * South Korea
 * South Sudan
 * Spain
 * Sri Lanka
 * Sudan
 * Suriname
 * Swaziland
 * Sweden
 * Switzerland
 * Syrian Arab Republic
 * Taiwan, Province of China
 * Tajikistan
 * Tanzania, United Republic of
 * Thailand
 * Togo
 * Tokelau
 * Tonga
 * Trinidad and Tobago
 * Tunisia
 * Turkey
 * Turkmenistan
 * Turks and Caicos Islands
 * Tuvalu
 * Uganda
 * Ukraine
 * United Arab Emirates
 * United Kingdom
 * United States
 * Uruguay
 * Uzbekistan
 * Vanuatu
 * Venezuela, Bolivarian Republic of
 * Vietnam
 * Virgin Islands
 * Yemen
 * Zambia
 * Zimbabwe

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