connetixtiles.com Open in urlscan Pro
54.79.246.61  Public Scan

Submitted URL: https://www.connetix.education/
Effective URL: https://connetixtiles.com/
Submission: On December 30 via api from US — Scanned from AU

Form analysis 4 forms found in the DOM

POST

<form method="post" class="currency_switch_form">
  <select class="aelia_cs_currencies" name="aelia_cs_currency" aria-label="">
    <option value="AUD" selected="selected">AUD</option>
    <option value="CAD">CAD</option>
    <option value="EUR">EUR</option>
    <option value="GBP">GBP</option>
    <option value="USD">USD</option>
    <option value="SGD">SGD</option>
    <option value="AED">AED</option>
    <option value="HKD">HKD</option>
    <option value="NZD">NZD</option>
  </select>
  <noscript><button type="submit" class="button change_currency">Change Currency</button></noscript>
</form>

POST

<form method="post" class="currency_switch_form">
  <select class="aelia_cs_currencies" name="aelia_cs_currency" aria-label="">
    <option value="AUD" selected="selected">AUD</option>
    <option value="CAD">CAD</option>
    <option value="EUR">EUR</option>
    <option value="GBP">GBP</option>
    <option value="USD">USD</option>
    <option value="SGD">SGD</option>
    <option value="AED">AED</option>
    <option value="HKD">HKD</option>
    <option value="NZD">NZD</option>
  </select>
  <noscript><button type="submit" class="button change_currency">Change Currency</button></noscript>
</form>

POST

<form method="post" class="currency_switch_form">
  <select class="aelia_cs_currencies" name="aelia_cs_currency" aria-label="">
    <option value="AUD" selected="selected">AUD</option>
    <option value="CAD">CAD</option>
    <option value="EUR">EUR</option>
    <option value="GBP">GBP</option>
    <option value="USD">USD</option>
    <option value="SGD">SGD</option>
    <option value="AED">AED</option>
    <option value="HKD">HKD</option>
    <option value="NZD">NZD</option>
  </select>
  <noscript><button type="submit" class="button change_currency">Change Currency</button></noscript>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_12" action="/" data-formid="12" novalidate=""><input id="gpnf_session_hash_12" type="hidden" name="gpnf_session_hash" value="7cd168587b24">
  <div class="gform-body gform_body">
    <div id="gform_fields_12" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <div id="field_12_1" class="gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden"
        data-js-reload="field_12_1">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_1">Lead Type<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_1" id="input_12_1" class="large gfield_select" aria-required="true" aria-invalid="false">
            <option value="wholesaler">Wholesale Enquiry</option>
            <option value="newsletter">Join Connetix Club</option>
            <option value="educator">Educator Enquiry</option>
            <option value="affiliate">Affiliate Enquiry</option>
            <option value="influencer">Influencer Enquiry</option>
            <option value="ambassador">Ambassador Enquiry</option>
            <option value="competition">Competition</option>
          </select></div>
      </div>
      <div id="field_12_29" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden" data-js-reload="field_12_29">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_29">Mail Tag</label>
        <div class="ginput_container ginput_container_text"><input name="input_29" id="input_12_29" type="text" value="" class="large" aria-describedby="gfield_description_12_29" aria-invalid="false"> </div>
        <div class="gfield_description" id="gfield_description_12_29">Used to pass mail tag on specific forms so that it triggers the right action in Odoo. Passed in Gravity Forms shortcode on the page the form is shown on.</div>
      </div>
      <div id="field_12_32" class="gfield gfield--type-text gfield--input-type-text gfield--width-full ct-referrer field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden"
        data-js-reload="field_12_32">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_32">Referrer</label>
        <div class="ginput_container ginput_container_text"><input name="input_32" id="input_12_32" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_12_33" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden" data-js-reload="field_12_33">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_33">utm_campaign</label>
        <div class="ginput_container ginput_container_text"><input name="input_33" id="input_12_33" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_12_34" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden" data-js-reload="field_12_34">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_34">utm_source</label>
        <div class="ginput_container ginput_container_text"><input name="input_34" id="input_12_34" type="text" value="website" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_12_35" class="gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden" data-js-reload="field_12_35">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_12_35">utm_medium</label>
        <div class="ginput_container ginput_container_text"><input name="input_35" id="input_12_35" type="text" value="form" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_12_8" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_8" data-conditional-logic="visible"><label class="gfield_label gform-field-label" for="input_12_8">How did you Hear About Us?<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_8" id="input_12_8" class="large gfield_select" aria-required="true" aria-invalid="false" data-conditional-logic="visible">
            <option value="" selected="selected" class="gf_placeholder">How did you hear about us?</option>
            <option value="Trade Show">Trade Show</option>
            <option value="Google">Google</option>
            <option value="Facebook">Facebook</option>
            <option value="Instagram">Instagram</option>
            <option value="Other Social Media">Other Social Media</option>
            <option value="Friend/Referral">Friend/Referral</option>
            <option value="Other">Other</option>
          </select></div>
      </div>
      <div id="field_12_23" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_23" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_23">Other Detail<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_23" id="input_12_23" type="text" value="" class="large" placeholder="Please provide details" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </div>
      <fieldset id="field_12_3"
        class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_3">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Contact Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_12_3">
          <span id="input_12_3_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.3" id="input_12_3_3" value="" aria-required="true" placeholder="First Name">
            <label for="input_12_3_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First</label>
          </span>
          <span id="input_12_3_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.6" id="input_12_3_6" value="" aria-required="true" placeholder="Last Name">
            <label for="input_12_3_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_12_6" class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_6" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_6">Contact Email Address<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_6" id="input_12_6" type="email" value="" class="large" placeholder="Contact Email Address" aria-required="true" aria-invalid="false" disabled="disabled">
        </div>
      </div>
      <div id="field_12_4" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_4" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_4">Business Trading Name<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_4" id="input_12_4" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </div>
      <div id="field_12_7" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_7" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_7">Business Phone Number<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_7" id="input_12_7" type="tel" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"></div>
      </div>
      <fieldset id="field_12_5"
        class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_5" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Business Location<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_city ginput_container_address gform-grid-row" id="input_12_5">
          <span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_12_5_3_container">
            <input type="text" name="input_5.3" id="input_12_5_3" value="" placeholder="City/Town/Suburb" aria-required="true" disabled="disabled">
            <label for="input_12_5_3" id="input_12_5_3_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">City</label>
          </span><input type="hidden" class="gform_hidden" name="input_5.4" id="input_12_5_4" value="" disabled="disabled"><input type="hidden" class="gform_hidden" name="input_5.6" id="input_12_5_6" value="" disabled="disabled">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <fieldset id="field_12_24"
        class="gfield gfield--type-countrywisestate gfield--input-type-countrywisestate gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_24" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Lookup<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_state has_country ginput_container_address" name="country_state_fliter" id="input_12_24">
          <span class="ginput_left address_country ginput_address_country" id="input_12_24_1_container"><select class="large" data-show-subtext="true" data-live-search="true" name="input_24.1" id="input_12_24_1" disabled="disabled">
              <option name="country_input_placeholders" value="Please select your Country">Please select your Country</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Aland">Aland</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Ascension">Ascension</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="British Virgin Islands">British Virgin Islands</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo">Congo</option>
              <option value="Congo (DRC)">Congo (DRC)</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Cote d" ivoire'="">Cote d'Ivoire</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Isle of Man">Isle of Man</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jersey">Jersey</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="Korea (North Korea)">Korea (North Korea)</option>
              <option value="Korea (South Korea)">Korea (South Korea)</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macau">Macau</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Martinique">Martinique</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mayotte">Mayotte</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Montserrat">Montserrat</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar (Burma)">Myanmar (Burma)</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="Netherlands Antilles">Netherlands Antilles</option>
              <option value="New Caledonia">New Caledonia</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Niue">Niue</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestinian Territories (Gaza Strip and West Bank)">Palestinian Territories (Gaza Strip and West Bank)</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Pitcairn Islands">Pitcairn Islands</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Reunion">Reunion</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Suriname">Suriname</option>
              <option value="Svalbard">Svalbard</option>
              <option value="Swaziland">Swaziland</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria">Syria</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Timor-Leste (East Timor)">Timor-Leste (East Timor)</option>
              <option value="Togo">Togo</option>
              <option value="Tokelau">Tokelau</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tristan da Cunha">Tristan da Cunha</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkey">Turkey</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States">United States</option>
              <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Vatican City">Vatican City</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Vietnam">Vietnam</option>
              <option value="Wallis and Futuna">Wallis and Futuna</option>
              <option value="Western Sahara">Western Sahara</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
            </select><label for="input_12_24_1" id="input_12_24_1_label" class="hidden_sub_label">Please select your Country</label></span><span class="ginput_right gfcws_stateload address_state ginput_address_state"
            id="input_12_24_2_container"><select class="large" data-custom-input="" name="input_24.2" id="input_12_24_2" disabled="disabled">
              <option name="states_input_placeholders" value="Please select your State/Region/Province">Please select your State/Region/Province</option>
              <option value="Balkh province">Balkh province</option>
              <option value="Bamian province">Bamian province</option>
              <option value="Badghis province">Badghis province</option>
              <option value="Badakhshan province">Badakhshan province</option>
              <option value="Baghlan province">Baghlan province</option>
              <option value="Farah province">Farah province</option>
              <option value="Faryab province">Faryab province</option>
              <option value="Ghazni province">Ghazni province</option>
              <option value="Ghowr province">Ghowr province</option>
              <option value="Helmand province">Helmand province</option>
              <option value="Herat province">Herat province</option>
              <option value="Jowzjan province">Jowzjan province</option>
              <option value="Kabul province">Kabul province</option>
              <option value="Kandahar province">Kandahar province</option>
              <option value="Kapisa province">Kapisa province</option>
              <option value="Kondoz province">Kondoz province</option>
              <option value="Khost province">Khost province</option>
              <option value="Konar province">Konar province</option>
              <option value="Laghman province">Laghman province</option>
              <option value="Lowgar province">Lowgar province</option>
              <option value="Nangrahar province">Nangrahar province</option>
              <option value="Nimruz province">Nimruz province</option>
              <option value="Nurestan province">Nurestan province</option>
              <option value="Oruzgan province">Oruzgan province</option>
              <option value="Parwan province">Parwan province</option>
              <option value="Paktia province">Paktia province</option>
              <option value="Paktika province">Paktika province</option>
              <option value="Samangan province">Samangan province</option>
              <option value="Sar-e Pol province">Sar-e Pol province</option>
              <option value="Takhar province">Takhar province</option>
              <option value="Wardak province">Wardak province</option>
              <option value="Zabol province">Zabol province</option>
              <option value=""></option>
              <option value="Berat">Berat</option>
              <option value="Bulqize">Bulqize</option>
              <option value="Diber">Diber</option>
              <option value="Delvine">Delvine</option>
              <option value="Durres">Durres</option>
              <option value="Devoll">Devoll</option>
              <option value="Elbasan">Elbasan</option>
              <option value="Kolonje">Kolonje</option>
              <option value="Fier">Fier</option>
              <option value="Gjirokaster">Gjirokaster</option>
              <option value="Gramsh">Gramsh</option>
              <option value="Has">Has</option>
              <option value="Kavaje">Kavaje</option>
              <option value="Kurbin">Kurbin</option>
              <option value="Kucove">Kucove</option>
              <option value="Korce">Korce</option>
              <option value="Kruje">Kruje</option>
              <option value="Kukes">Kukes</option>
              <option value="Librazhd">Librazhd</option>
              <option value="Lezhe">Lezhe</option>
              <option value="Lushnje">Lushnje</option>
              <option value="Mallakaster">Mallakaster</option>
              <option value="Malesi e Madhe">Malesi e Madhe</option>
              <option value="Mirdite">Mirdite</option>
              <option value="Mat">Mat</option>
              <option value="Pogradec">Pogradec</option>
              <option value="Peqin">Peqin</option>
              <option value="Permet">Permet</option>
              <option value="Puke">Puke</option>
              <option value="Shkoder">Shkoder</option>
              <option value="Skrapar">Skrapar</option>
              <option value="Sarande">Sarande</option>
              <option value="Tepelene">Tepelene</option>
              <option value="Tropoje">Tropoje</option>
              <option value="Tirane">Tirane</option>
              <option value="Vlore">Vlore</option>
              <option value="Ain Defla">Ain Defla</option>
              <option value="Adrar">Adrar</option>
              <option value="Alger">Alger</option>
              <option value="Annaba">Annaba</option>
              <option value="Ain Temouchent">Ain Temouchent</option>
              <option value="Batna">Batna</option>
              <option value="Bordj Bou Arreridj">Bordj Bou Arreridj</option>
              <option value="Bechar">Bechar</option>
              <option value="Bejaia">Bejaia</option>
              <option value="Biskra">Biskra</option>
              <option value="Blida">Blida</option>
              <option value="Boumerdes">Boumerdes</option>
              <option value="Bouira">Bouira</option>
              <option value="Chlef">Chlef</option>
              <option value="Constantine">Constantine</option>
              <option value="Djelfa">Djelfa</option>
              <option value="El Bayadh">El Bayadh</option>
              <option value="El Oued">El Oued</option>
              <option value="El Tarf">El Tarf</option>
              <option value="Ghardaia">Ghardaia</option>
              <option value="Guelma">Guelma</option>
              <option value="Illizi">Illizi</option>
              <option value="Jijel">Jijel</option>
              <option value="Khenchela">Khenchela</option>
              <option value="Laghouat">Laghouat</option>
              <option value="Medea">Medea</option>
              <option value="Mila">Mila</option>
              <option value="Mostaganem">Mostaganem</option>
              <option value="MSila">MSila</option>
              <option value="Muaskar">Muaskar</option>
              <option value="Naama">Naama</option>
              <option value="Oum el-Bouaghi">Oum el-Bouaghi</option>
              <option value="Oran">Oran</option>
              <option value="Ouargla">Ouargla</option>
              <option value="Relizane">Relizane</option>
              <option value="Souk Ahras">Souk Ahras</option>
              <option value="Saida">Saida</option>
              <option value="Sidi Bel Abbes">Sidi Bel Abbes</option>
              <option value="Setif">Setif</option>
              <option value="Skikda">Skikda</option>
              <option value="Tamanghasset">Tamanghasset</option>
              <option value="Tebessa">Tebessa</option>
              <option value="Tiaret">Tiaret</option>
              <option value="Tindouf">Tindouf</option>
              <option value="Tipaza">Tipaza</option>
              <option value="Tissemsilt">Tissemsilt</option>
              <option value="Tlemcen">Tlemcen</option>
              <option value="Tizi Ouzou">Tizi Ouzou</option>
              <option value="Eastern">Eastern</option>
              <option value="Manu a">Manu a</option>
              <option value="Rose Island">Rose Island</option>
              <option value="Swains Island">Swains Island</option>
              <option value="Western">Western</option>
              <option value="Andorra la Vella">Andorra la Vella</option>
              <option value="Canillo">Canillo</option>
              <option value="Encamp">Encamp</option>
              <option value="Escaldes-Engordany">Escaldes-Engordany</option>
              <option value="La Massana">La Massana</option>
              <option value="Ordino">Ordino</option>
              <option value="Sant Julia de LOA">Sant Julia de LOA</option>
              <option value="Bengo">Bengo</option>
              <option value="Benguela province">Benguela province</option>
              <option value="Bie">Bie</option>
              <option value="Cabinda">Cabinda</option>
              <option value="Cuando-Cubango">Cuando-Cubango</option>
              <option value="Cunene">Cunene</option>
              <option value="Cuanza Norte">Cuanza Norte</option>
              <option value="Cuanza Sul">Cuanza Sul</option>
              <option value="Huambo province">Huambo province</option>
              <option value="Huila province">Huila province</option>
              <option value="Lunda Norte">Lunda Norte</option>
              <option value="Lunda Sul">Lunda Sul</option>
              <option value="Luanda">Luanda</option>
              <option value="Malange">Malange</option>
              <option value="Moxico">Moxico</option>
              <option value="Namibe">Namibe</option>
              <option value="Uige">Uige</option>
              <option value="Zaire">Zaire</option>
              <option value=""></option>
              <option value="Australian Antarctic Territory">Australian Antarctic Territory</option>
              <option value="Ross Dependency">Ross Dependency</option>
              <option value="Peter I Island">Peter I Island</option>
              <option value="Queen Maud Land">Queen Maud Land</option>
              <option value="British Antarctic Territory">British Antarctic Territory</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint Philip">Saint Philip</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Paul">Saint Paul</option>
              <option value="Saint Mary">Saint Mary</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Barbuda">Barbuda</option>
              <option value="Redonda">Redonda</option>
              <option value="Salta">Salta</option>
              <option value="Buenos Aires Province">Buenos Aires Province</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="San Luis">San Luis</option>
              <option value="Entre Rios">Entre Rios</option>
              <option value="La Rioja">La Rioja</option>
              <option value="Santiago del Estero">Santiago del Estero</option>
              <option value="Chaco">Chaco</option>
              <option value="San Juan">San Juan</option>
              <option value="Catamarca">Catamarca</option>
              <option value="La Pampa">La Pampa</option>
              <option value="Mendoza">Mendoza</option>
              <option value="Misiones">Misiones</option>
              <option value="Formosa">Formosa</option>
              <option value="Neuquen">Neuquen</option>
              <option value="Rio Negro">Rio Negro</option>
              <option value="Santa Fe">Santa Fe</option>
              <option value="Tucuman">Tucuman</option>
              <option value="Chubut">Chubut</option>
              <option value="Tierra del Fuego">Tierra del Fuego</option>
              <option value="Corrientes">Corrientes</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Jujuy">Jujuy</option>
              <option value="Santa Cruz">Santa Cruz</option>
              <option value="Aragatsotn">Aragatsotn</option>
              <option value="Armavir">Armavir</option>
              <option value="Ararat">Ararat</option>
              <option value="Geghark unik">Geghark unik</option>
              <option value="Kotayk">Kotayk</option>
              <option value="Lorri">Lorri</option>
              <option value="Shirak">Shirak</option>
              <option value="Syunik">Syunik</option>
              <option value="Tavush">Tavush</option>
              <option value="Vayots Dzor">Vayots Dzor</option>
              <option value="Yerevan">Yerevan</option>
              <option value=""></option>
              <option value=""></option>
              <option value="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option>
              <option value="Australian Capital Territory">Australian Capital Territory</option>
              <option value="Coral Sea Islands">Coral Sea Islands</option>
              <option value="New South Wales">New South Wales</option>
              <option value="Northern Territory">Northern Territory</option>
              <option value="Queensland">Queensland</option>
              <option value="South Australia">South Australia</option>
              <option value="Tasmania">Tasmania</option>
              <option value="Victoria">Victoria</option>
              <option value="Western Australia">Western Australia</option>
              <option value="Burgenland">Burgenland</option>
              <option value="Karnten">Karnten</option>
              <option value="Niederosterreich">Niederosterreich</option>
              <option value="Oberosterreich">Oberosterreich</option>
              <option value="Salzburg">Salzburg</option>
              <option value="Steiermark">Steiermark</option>
              <option value="Tirol">Tirol</option>
              <option value="Vorarlberg">Vorarlberg</option>
              <option value="Wien">Wien</option>
              <option value="Ali Bayramli">Ali Bayramli</option>
              <option value="Abseron">Abseron</option>
              <option value="Agstafa">Agstafa</option>
              <option value="AgcabAdi">AgcabAdi</option>
              <option value="Agdam">Agdam</option>
              <option value="Agdas">Agdas</option>
              <option value="Agsu">Agsu</option>
              <option value="Astara">Astara</option>
              <option value="Baki">Baki</option>
              <option value="Babak">Babak</option>
              <option value="Balakan">Balakan</option>
              <option value="Barda">Barda</option>
              <option value="Beylaqan">Beylaqan</option>
              <option value="Bilasuvar">Bilasuvar</option>
              <option value="Cabrayil">Cabrayil</option>
              <option value="Calilabab">Calilabab</option>
              <option value="Culfa">Culfa</option>
              <option value="Daskasan">Daskasan</option>
              <option value="Davaci">Davaci</option>
              <option value="Fuzuli">Fuzuli</option>
              <option value="Ganca">Ganca</option>
              <option value="Gadabay">Gadabay</option>
              <option value="Goranboy">Goranboy</option>
              <option value="Goycay">Goycay</option>
              <option value="Haciqabul">Haciqabul</option>
              <option value="Imisli">Imisli</option>
              <option value="Ismayilli">Ismayilli</option>
              <option value="Kalbacar">Kalbacar</option>
              <option value="Kurdamir">Kurdamir</option>
              <option value="Lacin">Lacin</option>
              <option value="Lankaran">Lankaran</option>
              <option value="Lerik">Lerik</option>
              <option value="Masalli">Masalli</option>
              <option value="Mingacevir">Mingacevir</option>
              <option value="Naftalan">Naftalan</option>
              <option value="Neftcala">Neftcala</option>
              <option value="Naxcivan">Naxcivan</option>
              <option value="Nagorno-Karabakh">Nagorno-Karabakh</option>
              <option value="Oguz">Oguz</option>
              <option value="Ordubad">Ordubad</option>
              <option value="Qabala">Qabala</option>
              <option value="Qax">Qax</option>
              <option value="Qazax">Qazax</option>
              <option value="Quba">Quba</option>
              <option value="Qubadli">Qubadli</option>
              <option value="Qobustan">Qobustan</option>
              <option value="Qusar">Qusar</option>
              <option value="Saki">Saki</option>
              <option value="Sabirabad">Sabirabad</option>
              <option value="Sadarak">Sadarak</option>
              <option value="Sahbuz">Sahbuz</option>
              <option value="Saki">Saki</option>
              <option value="Salyan">Salyan</option>
              <option value="Sarur">Sarur</option>
              <option value="Saatli">Saatli</option>
              <option value="Siyazan">Siyazan</option>
              <option value="Samkir">Samkir</option>
              <option value="Sumqayit">Sumqayit</option>
              <option value="Samaxi">Samaxi</option>
              <option value="Samux">Samux</option>
              <option value="Susa">Susa</option>
              <option value="Susa">Susa</option>
              <option value="Tartar">Tartar</option>
              <option value="Tovuz">Tovuz</option>
              <option value="Ucar">Ucar</option>
              <option value="Xankandi">Xankandi</option>
              <option value="Xacmaz">Xacmaz</option>
              <option value="Xanlar">Xanlar</option>
              <option value="Xocali">Xocali</option>
              <option value="Xizi">Xizi</option>
              <option value="Xocavand">Xocavand</option>
              <option value="Yardimli">Yardimli</option>
              <option value="Yevlax">Yevlax</option>
              <option value="Zangilan">Zangilan</option>
              <option value="Zaqatala">Zaqatala</option>
              <option value="Zardab">Zardab</option>
              <option value="Acklins">Acklins</option>
              <option value="Berry Islands">Berry Islands</option>
              <option value="Bimini">Bimini</option>
              <option value="Black Point">Black Point</option>
              <option value="Central Abaco">Central Abaco</option>
              <option value="Central Andros">Central Andros</option>
              <option value="Cat Island">Cat Island</option>
              <option value="Central Eleuthera">Central Eleuthera</option>
              <option value="Crooked Island">Crooked Island</option>
              <option value="East Grand Bahama">East Grand Bahama</option>
              <option value="Exuma">Exuma</option>
              <option value="City of Freeport">City of Freeport</option>
              <option value="Grand Cay">Grand Cay</option>
              <option value="Harbour Island">Harbour Island</option>
              <option value="Hope Town">Hope Town</option>
              <option value="Inagua">Inagua</option>
              <option value="Long Island">Long Island</option>
              <option value="Mangrove Cay">Mangrove Cay</option>
              <option value="Mayaguana">Mayaguana</option>
              <option value="Moores Island">Moores Island</option>
              <option value="North Abaco">North Abaco</option>
              <option value="North Andros">North Andros</option>
              <option value="North Eleuthera">North Eleuthera</option>
              <option value="Ragged Island">Ragged Island</option>
              <option value="Rum Cay">Rum Cay</option>
              <option value="South Abaco">South Abaco</option>
              <option value="San Salvador">San Salvador</option>
              <option value="South Andros">South Andros</option>
              <option value="South Eleuthera">South Eleuthera</option>
              <option value="Spanish Wells">Spanish Wells</option>
              <option value="West Grand Bahama">West Grand Bahama</option>
              <option value="Capital">Capital</option>
              <option value="Central">Central</option>
              <option value="Muharraq">Muharraq</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Barisal">Barisal</option>
              <option value="Chittagong">Chittagong</option>
              <option value="Dhaka">Dhaka</option>
              <option value="Khulna">Khulna</option>
              <option value="Rajshahi">Rajshahi</option>
              <option value="Sylhet">Sylhet</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Christ Church">Christ Church</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint James">Saint James</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Joseph">Saint Joseph</option>
              <option value="Saint Lucy">Saint Lucy</option>
              <option value="Saint Michael">Saint Michael</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Saint Philip">Saint Philip</option>
              <option value="Saint Thomas">Saint Thomas</option>
              <option value="Brest voblast">Brest voblast</option>
              <option value="Homyel voblast">Homyel voblast</option>
              <option value="Hrodna voblast">Hrodna voblast</option>
              <option value="Mahilyow voblast">Mahilyow voblast</option>
              <option value="Minsk voblast">Minsk voblast</option>
              <option value="Vitsebsk voblast">Vitsebsk voblast</option>
              <option value="Antwerpen">Antwerpen</option>
              <option value="Vlaams Brabant">Vlaams Brabant</option>
              <option value="Limburg">Limburg</option>
              <option value="Oost-Vlaanderen">Oost-Vlaanderen</option>
              <option value="West-Vlaanderen">West-Vlaanderen</option>
              <option value="Brabant Wallon">Brabant Wallon</option>
              <option value="Hainaut">Hainaut</option>
              <option value="Liege">Liege</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Namur">Namur</option>
              <option value="Belize District">Belize District</option>
              <option value="Corozal District">Corozal District</option>
              <option value="Cayo District">Cayo District</option>
              <option value="Orange Walk District">Orange Walk District</option>
              <option value="Stann Creek District">Stann Creek District</option>
              <option value="Toledo District">Toledo District</option>
              <option value="Atakora">Atakora</option>
              <option value="Alibori">Alibori</option>
              <option value="Atlantique">Atlantique</option>
              <option value="Borgou">Borgou</option>
              <option value="Collines">Collines</option>
              <option value="Donga">Donga</option>
              <option value="Kouffo">Kouffo</option>
              <option value="Littoral">Littoral</option>
              <option value="Mono">Mono</option>
              <option value="Oueme">Oueme</option>
              <option value="Plateau">Plateau</option>
              <option value="Zou">Zou</option>
              <option value="Devonshire">Devonshire</option>
              <option value="Saint George City">Saint George City</option>
              <option value="Hamilton">Hamilton</option>
              <option value="Hamilton City">Hamilton City</option>
              <option value="Pembroke">Pembroke</option>
              <option value="Paget">Paget</option>
              <option value="Sandys">Sandys</option>
              <option value="Saint Georges">Saint Georges</option>
              <option value="Southampton">Southampton</option>
              <option value="Smiths">Smiths</option>
              <option value="Warwick">Warwick</option>
              <option value="Bumthang">Bumthang</option>
              <option value="Chukha">Chukha</option>
              <option value="Dagana">Dagana</option>
              <option value="Gasa">Gasa</option>
              <option value="Haa">Haa</option>
              <option value="Lhuntse">Lhuntse</option>
              <option value="Mongar">Mongar</option>
              <option value="Paro">Paro</option>
              <option value="Pemagatshel">Pemagatshel</option>
              <option value="Punakha">Punakha</option>
              <option value="Sarpang">Sarpang</option>
              <option value="Samtse">Samtse</option>
              <option value="Samdrup Jongkhar">Samdrup Jongkhar</option>
              <option value="Thimphu">Thimphu</option>
              <option value="Trashigang">Trashigang</option>
              <option value="Trongsa">Trongsa</option>
              <option value="Trashiyangste">Trashiyangste</option>
              <option value="Tsirang">Tsirang</option>
              <option value="Wangdue Phodrang">Wangdue Phodrang</option>
              <option value="Zhemgang">Zhemgang</option>
              <option value="Departmento Beni">Departmento Beni</option>
              <option value="Departmento Chuquisaca">Departmento Chuquisaca</option>
              <option value="Departmento Cochabamba">Departmento Cochabamba</option>
              <option value="Departmento La Paz">Departmento La Paz</option>
              <option value="Departmento Oruro">Departmento Oruro</option>
              <option value="Departmento Pando">Departmento Pando</option>
              <option value="Departmento Potosi">Departmento Potosi</option>
              <option value="Departmento Santa Cruz">Departmento Santa Cruz</option>
              <option value="Departmento Tarija">Departmento Tarija</option>
              <option value="Brcko district">Brcko district</option>
              <option value="Bosanskopodrinjski Kanton">Bosanskopodrinjski Kanton</option>
              <option value="Hercegovacko-neretvanski Kanton">Hercegovacko-neretvanski Kanton</option>
              <option value="Posavski Kanton">Posavski Kanton</option>
              <option value="Kanton Sarajevo">Kanton Sarajevo</option>
              <option value="Srednjebosanski Kanton">Srednjebosanski Kanton</option>
              <option value="Tuzlanski Kanton">Tuzlanski Kanton</option>
              <option value="Unsko-Sanski Kanton">Unsko-Sanski Kanton</option>
              <option value="Zapadnobosanska">Zapadnobosanska</option>
              <option value="Zenicko-Dobojski Kanton">Zenicko-Dobojski Kanton</option>
              <option value="Zapadnohercegovacka Zupanija">Zapadnohercegovacka Zupanija</option>
              <option value="Bijeljina">Bijeljina</option>
              <option value="Banja Luka">Banja Luka</option>
              <option value="Doboj">Doboj</option>
              <option value="Foca">Foca</option>
              <option value="Sarajevo-Romanija or Sokolac">Sarajevo-Romanija or Sokolac</option>
              <option value="Trebinje">Trebinje</option>
              <option value="Vlasenica">Vlasenica</option>
              <option value="Central">Central</option>
              <option value="Ghanzi">Ghanzi</option>
              <option value="Kgalagadi">Kgalagadi</option>
              <option value="Kgatleng">Kgatleng</option>
              <option value="Kweneng">Kweneng</option>
              <option value="North East">North East</option>
              <option value="Ngamiland">Ngamiland</option>
              <option value="North West">North West</option>
              <option value="South East">South East</option>
              <option value="Southern">Southern</option>
              <option value=""></option>
              <option value="Acre">Acre</option>
              <option value="Alagoas">Alagoas</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Amapa">Amapa</option>
              <option value="Bahia">Bahia</option>
              <option value="Ceara">Ceara</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="Espirito Santo">Espirito Santo</option>
              <option value="Goias">Goias</option>
              <option value="Maranhao">Maranhao</option>
              <option value="Minas Gerais">Minas Gerais</option>
              <option value="Mato Grosso do Sul">Mato Grosso do Sul</option>
              <option value="Mato Grosso">Mato Grosso</option>
              <option value="Para">Para</option>
              <option value="Paraiba">Paraiba</option>
              <option value="Pernambuco">Pernambuco</option>
              <option value="Piaui">Piaui</option>
              <option value="Parana">Parana</option>
              <option value="Rio de Janeiro">Rio de Janeiro</option>
              <option value="Rio Grande do Norte">Rio Grande do Norte</option>
              <option value="Rondonia">Rondonia</option>
              <option value="Roraima">Roraima</option>
              <option value="Rio Grande do Sul">Rio Grande do Sul</option>
              <option value="Santa Catarina">Santa Catarina</option>
              <option value="Sergipe">Sergipe</option>
              <option value="Sao Paulo">Sao Paulo</option>
              <option value="Tocantins">Tocantins</option>
              <option value="Diego Garcia">Diego Garcia</option>
              <option value="Danger Island">Danger Island</option>
              <option value="Eagle Islands">Eagle Islands</option>
              <option value="Egmont Islands">Egmont Islands</option>
              <option value="Nelsons Island">Nelsons Island</option>
              <option value="Peros Banhos">Peros Banhos</option>
              <option value="Salomon Islands">Salomon Islands</option>
              <option value="Three Brothers">Three Brothers</option>
              <option value=""></option>
              <option value="Belait">Belait</option>
              <option value="Brunei and Muara">Brunei and Muara</option>
              <option value="Temburong">Temburong</option>
              <option value="Tutong">Tutong</option>
              <option value="Blagoevgrad">Blagoevgrad</option>
              <option value="Burgas">Burgas</option>
              <option value="Varna">Varna</option>
              <option value="Veliko Turnovo">Veliko Turnovo</option>
              <option value="Vidin">Vidin</option>
              <option value="Vratsa">Vratsa</option>
              <option value="Gabrovo">Gabrovo</option>
              <option value="Dobrich">Dobrich</option>
              <option value="Kurdzhali">Kurdzhali</option>
              <option value="Kyustendil">Kyustendil</option>
              <option value="Lovech">Lovech</option>
              <option value="Montana">Montana</option>
              <option value="Pazardzhik">Pazardzhik</option>
              <option value="Pernik">Pernik</option>
              <option value="Pleven">Pleven</option>
              <option value="Plovdiv">Plovdiv</option>
              <option value="Razgrad">Razgrad</option>
              <option value="Ruse">Ruse</option>
              <option value="Silistra">Silistra</option>
              <option value="Sliven">Sliven</option>
              <option value="Smolyan">Smolyan</option>
              <option value="Sofia Region">Sofia Region</option>
              <option value="Sofia">Sofia</option>
              <option value="Stara Zagora">Stara Zagora</option>
              <option value="Turgovishte">Turgovishte</option>
              <option value="Khaskovo">Khaskovo</option>
              <option value="Shumen">Shumen</option>
              <option value="Yambol">Yambol</option>
              <option value="Bale">Bale</option>
              <option value="Bam">Bam</option>
              <option value="Banwa">Banwa</option>
              <option value="Bazega">Bazega</option>
              <option value="Boulgou">Boulgou</option>
              <option value="Boulkiemde">Boulkiemde</option>
              <option value="Bougouriba">Bougouriba</option>
              <option value="Comoe">Comoe</option>
              <option value="Ganzourgou">Ganzourgou</option>
              <option value="Gnagna">Gnagna</option>
              <option value="Gourma">Gourma</option>
              <option value="Houet">Houet</option>
              <option value="Ioba">Ioba</option>
              <option value="Kadiogo">Kadiogo</option>
              <option value="Kenedougou">Kenedougou</option>
              <option value="Komondjari">Komondjari</option>
              <option value="Koulpelogo">Koulpelogo</option>
              <option value="Kompienga">Kompienga</option>
              <option value="Kossi">Kossi</option>
              <option value="Kouritenga">Kouritenga</option>
              <option value="Kourweogo">Kourweogo</option>
              <option value="Leraba">Leraba</option>
              <option value="Loroum">Loroum</option>
              <option value="Mouhoun">Mouhoun</option>
              <option value="Nahouri">Nahouri</option>
              <option value="Namentenga">Namentenga</option>
              <option value="Nayala">Nayala</option>
              <option value="Noumbiel">Noumbiel</option>
              <option value="Oubritenga">Oubritenga</option>
              <option value="Oudalan">Oudalan</option>
              <option value="Passore">Passore</option>
              <option value="Poni">Poni</option>
              <option value="Sanguie">Sanguie</option>
              <option value="Sanmatenga">Sanmatenga</option>
              <option value="Seno">Seno</option>
              <option value="Sissili">Sissili</option>
              <option value="Soum">Soum</option>
              <option value="Sourou">Sourou</option>
              <option value="Tapoa">Tapoa</option>
              <option value="Tuy">Tuy</option>
              <option value="Yagha">Yagha</option>
              <option value="Yatenga">Yatenga</option>
              <option value="Ziro">Ziro</option>
              <option value="Zondoma">Zondoma</option>
              <option value="Zoundweogo">Zoundweogo</option>
              <option value="Bubanza">Bubanza</option>
              <option value="Bujumbura">Bujumbura</option>
              <option value="Bururi">Bururi</option>
              <option value="Cankuzo">Cankuzo</option>
              <option value="Cibitoke">Cibitoke</option>
              <option value="Gitega">Gitega</option>
              <option value="Kirundo">Kirundo</option>
              <option value="Karuzi">Karuzi</option>
              <option value="Kayanza">Kayanza</option>
              <option value="Makamba">Makamba</option>
              <option value="Muramvya">Muramvya</option>
              <option value="Mwaro">Mwaro</option>
              <option value="Muyinga">Muyinga</option>
              <option value="Ngozi">Ngozi</option>
              <option value="Rutana">Rutana</option>
              <option value="Ruyigi">Ruyigi</option>
              <option value="Battambang">Battambang</option>
              <option value="Banteay Meanchey">Banteay Meanchey</option>
              <option value="Keb">Keb</option>
              <option value="Kaoh Kong">Kaoh Kong</option>
              <option value="Kandal">Kandal</option>
              <option value="Kampong Cham">Kampong Cham</option>
              <option value="Kampong Chhnang">Kampong Chhnang</option>
              <option value="Kampong Som">Kampong Som</option>
              <option value="Kampot">Kampot</option>
              <option value="Kratie">Kratie</option>
              <option value="Kampong Thom">Kampong Thom</option>
              <option value="Kampong Speu">Kampong Speu</option>
              <option value="Mondul Kiri">Mondul Kiri</option>
              <option value="Oddar Meancheay">Oddar Meancheay</option>
              <option value="Pailin">Pailin</option>
              <option value="Prey Veng">Prey Veng</option>
              <option value="Phnom Penh">Phnom Penh</option>
              <option value="Preah Vihear">Preah Vihear</option>
              <option value="Preah Seihanu (Kompong Som or Sihanoukville)">Preah Seihanu (Kompong Som or Sihanoukville)</option>
              <option value="Pursat">Pursat</option>
              <option value="Ratanak Kiri">Ratanak Kiri</option>
              <option value="Siemreap">Siemreap</option>
              <option value="Svay Rieng">Svay Rieng</option>
              <option value="Stung Treng">Stung Treng</option>
              <option value="Takeo">Takeo</option>
              <option value="Adamawa Province (Adamaoua)">Adamawa Province (Adamaoua)</option>
              <option value="Centre Province">Centre Province</option>
              <option value="East Province (Est)">East Province (Est)</option>
              <option value="Extreme North Province (ExtrO?-Nord) C">Extreme North Province (ExtrO?-Nord) C</option>
              <option value="Littoral Province">Littoral Province</option>
              <option value="North Province (Nord)">North Province (Nord)</option>
              <option value="Northwest Province (Nord-Ouest)">Northwest Province (Nord-Ouest)</option>
              <option value="West Province (Ouest)">West Province (Ouest)</option>
              <option value="Southwest Province (Sud-Ouest).">Southwest Province (Sud-Ouest).</option>
              <option value="South Province (Sud)">South Province (Sud)</option>
              <option value="Alberta">Alberta</option>
              <option value="British Columbia">British Columbia</option>
              <option value="Manitoba">Manitoba</option>
              <option value="New Brunswick">New Brunswick</option>
              <option value="Newfoundland and Labrador">Newfoundland and Labrador</option>
              <option value="Nova Scotia">Nova Scotia</option>
              <option value="Northwest Territories">Northwest Territories</option>
              <option value="Nunavut">Nunavut</option>
              <option value="Ontario">Ontario</option>
              <option value="Prince Edward Island">Prince Edward Island</option>
              <option value="Quebec">Quebec</option>
              <option value="Saskatchewan">Saskatchewan</option>
              <option value="Yukon Territory">Yukon Territory</option>
              <option value="Brava">Brava</option>
              <option value="Boa Vista">Boa Vista</option>
              <option value="Santa Catarina">Santa Catarina</option>
              <option value="Santa Cruz">Santa Cruz</option>
              <option value="Calheta de Sao Miguel">Calheta de Sao Miguel</option>
              <option value="Maio">Maio</option>
              <option value="Mosteiros">Mosteiros</option>
              <option value="Paul">Paul</option>
              <option value="Porto Novo">Porto Novo</option>
              <option value="Praia">Praia</option>
              <option value="Ribeira Grande">Ribeira Grande</option>
              <option value="Sao Domingos">Sao Domingos</option>
              <option value="Sao Filipe">Sao Filipe</option>
              <option value="Sal">Sal</option>
              <option value="Sao Nicolau">Sao Nicolau</option>
              <option value="Sao Vicente">Sao Vicente</option>
              <option value="Tarrafal">Tarrafal</option>
              <option value="Creek">Creek</option>
              <option value="Eastern">Eastern</option>
              <option value="Midland">Midland</option>
              <option value="Stake Bay">Stake Bay</option>
              <option value="Spot Bay">Spot Bay</option>
              <option value="South Town">South Town</option>
              <option value="West End">West End</option>
              <option value="Western">Western</option>
              <option value="Bangui">Bangui</option>
              <option value="Bamingui-Bangoran">Bamingui-Bangoran</option>
              <option value="Basse-Kotto">Basse-Kotto</option>
              <option value="Haute-Kotto">Haute-Kotto</option>
              <option value="Haut-Mbomou">Haut-Mbomou</option>
              <option value="Kemo">Kemo</option>
              <option value="Lobaye">Lobaye</option>
              <option value="Mbomou">Mbomou</option>
              <option value="Mambere-KadeOC">Mambere-KadeOC</option>
              <option value="Nana-Grebizi">Nana-Grebizi</option>
              <option value="Nana-Mambere">Nana-Mambere</option>
              <option value="Ombella-MPoko">Ombella-MPoko</option>
              <option value="Ouham-Pende">Ouham-Pende</option>
              <option value="Ouham">Ouham</option>
              <option value="Ouaka">Ouaka</option>
              <option value="Sangha-Mbaere">Sangha-Mbaere</option>
              <option value="Vakaga">Vakaga</option>
              <option value="Batha">Batha</option>
              <option value="Borkou-Ennedi-Tibesti">Borkou-Ennedi-Tibesti</option>
              <option value="Biltine">Biltine</option>
              <option value="Chari-Baguirmi">Chari-Baguirmi</option>
              <option value="Guera">Guera</option>
              <option value="Kanem">Kanem</option>
              <option value="Lac">Lac</option>
              <option value="Logone Occidental">Logone Occidental</option>
              <option value="Logone Oriental">Logone Oriental</option>
              <option value="Moyen-Chari">Moyen-Chari</option>
              <option value="Mayo-Kebbi">Mayo-Kebbi</option>
              <option value="Ouaddai">Ouaddai</option>
              <option value="Salamat">Salamat</option>
              <option value="Tandjile">Tandjile</option>
              <option value="Aisen del General Carlos Ibanez del Campo (XI)">Aisen del General Carlos Ibanez del Campo (XI)</option>
              <option value="Antofagasta (II)">Antofagasta (II)</option>
              <option value="Araucania (IX)">Araucania (IX)</option>
              <option value="Atacama (III)">Atacama (III)</option>
              <option value="Bio-Bio (VIII)">Bio-Bio (VIII)</option>
              <option value="Coquimbo (IV)">Coquimbo (IV)</option>
              <option value="Libertador General Bernardo OHiggins (VI)">Libertador General Bernardo OHiggins (VI)</option>
              <option value="Los Lagos (X)">Los Lagos (X)</option>
              <option value="Magallanes (XII)">Magallanes (XII)</option>
              <option value="Maule (VII)">Maule (VII)</option>
              <option value="Region Metropolitana (RM)">Region Metropolitana (RM)</option>
              <option value="Tarapaca (I)">Tarapaca (I)</option>
              <option value="Valparaiso (V)">Valparaiso (V)</option>
              <option value="Beijing">Beijing</option>
              <option value="Tianjin">Tianjin</option>
              <option value="Hebei">Hebei</option>
              <option value="Shanxi">Shanxi</option>
              <option value="Nei Mongol">Nei Mongol</option>
              <option value="Liaoning">Liaoning</option>
              <option value="Jilin">Jilin</option>
              <option value="Heilongjiang">Heilongjiang</option>
              <option value="Shanghai">Shanghai</option>
              <option value="Jiangsu">Jiangsu</option>
              <option value="Zhejiang">Zhejiang</option>
              <option value="Anhui">Anhui</option>
              <option value="Fujian">Fujian</option>
              <option value="Jiangxi">Jiangxi</option>
              <option value="Shandong">Shandong</option>
              <option value="Henan">Henan</option>
              <option value="Hubei">Hubei</option>
              <option value="Hunan">Hunan</option>
              <option value="Guangdong">Guangdong</option>
              <option value="Guangxi">Guangxi</option>
              <option value="Hainan">Hainan</option>
              <option value="Sichuan">Sichuan</option>
              <option value="Guizhou">Guizhou</option>
              <option value="Yunnan">Yunnan</option>
              <option value="Xizang ZO?O? (Tibet) CH">Xizang ZO?O? (Tibet) CH</option>
              <option value="Shaanxi">Shaanxi</option>
              <option value="Gansu">Gansu</option>
              <option value="Qinghai">Qinghai</option>
              <option value="Ningxia">Ningxia</option>
              <option value="Xinjiang">Xinjiang</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Xianggang">Xianggang</option>
              <option value="Aomen">Aomen</option>
              <option value="ChongqO? C">ChongqO? C</option>
              <option value="Gaoxiong">Gaoxiong</option>
              <option value="Taibei">Taibei</option>
              <option value=""></option>
              <option value="Direction Island">Direction Island</option>
              <option value="Home Island">Home Island</option>
              <option value="Horsburgh Island">Horsburgh Island</option>
              <option value="South Island">South Island</option>
              <option value="West Island">West Island</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Antioquia">Antioquia</option>
              <option value="Arauca">Arauca</option>
              <option value="Atlantico">Atlantico</option>
              <option value="Bogota D.C.">Bogota D.C.</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Boyaca">Boyaca</option>
              <option value="Caldas">Caldas</option>
              <option value="Cundinamarca">Cundinamarca</option>
              <option value="Caqueta">Caqueta</option>
              <option value="Casanare">Casanare</option>
              <option value="Cauca">Cauca</option>
              <option value="Cesar">Cesar</option>
              <option value="Choco">Choco</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Guajira">Guajira</option>
              <option value="Guainia">Guainia</option>
              <option value="Guaviare">Guaviare</option>
              <option value="Huila">Huila</option>
              <option value="Magdalena">Magdalena</option>
              <option value="Meta">Meta</option>
              <option value="Narino">Narino</option>
              <option value="Norte de Santander">Norte de Santander</option>
              <option value="Putumayo">Putumayo</option>
              <option value="Quindio">Quindio</option>
              <option value="Risaralda">Risaralda</option>
              <option value="Santander">Santander</option>
              <option value="San Andres y Providencia">San Andres y Providencia</option>
              <option value="Sucre">Sucre</option>
              <option value="Tolima">Tolima</option>
              <option value="Vaupes">Vaupes</option>
              <option value="Valle del Cauca">Valle del Cauca</option>
              <option value="Vichada">Vichada</option>
              <option value="Anjouan">Anjouan</option>
              <option value="Grande Comore">Grande Comore</option>
              <option value="Moheli">Moheli</option>
              <option value="Bouenza">Bouenza</option>
              <option value="Brazzaville">Brazzaville</option>
              <option value="Cuvette-Ouest">Cuvette-Ouest</option>
              <option value="Cuvette">Cuvette</option>
              <option value="Kouilou">Kouilou</option>
              <option value="Lekoumou">Lekoumou</option>
              <option value="Likouala">Likouala</option>
              <option value="Niari">Niari</option>
              <option value="Plateaux">Plateaux</option>
              <option value="Pool">Pool</option>
              <option value="Sangha">Sangha</option>
              <option value="Bas-Congo">Bas-Congo</option>
              <option value="Bandundu">Bandundu</option>
              <option value="Equateur">Equateur</option>
              <option value="Katanga">Katanga</option>
              <option value="Kasai-Oriental">Kasai-Oriental</option>
              <option value="Kinshasa">Kinshasa</option>
              <option value="Kasai-Occidental">Kasai-Occidental</option>
              <option value="Maniema">Maniema</option>
              <option value="Nord-Kivu">Nord-Kivu</option>
              <option value="Orientale">Orientale</option>
              <option value="Sud-Kivu">Sud-Kivu</option>
              <option value="Aitutaki">Aitutaki</option>
              <option value="Atiu">Atiu</option>
              <option value="Manuae">Manuae</option>
              <option value="Mangaia">Mangaia</option>
              <option value="Manihiki">Manihiki</option>
              <option value="Mitiaro">Mitiaro</option>
              <option value="Mauke">Mauke</option>
              <option value="Nassau Island">Nassau Island</option>
              <option value="Palmerston">Palmerston</option>
              <option value="Penrhyn">Penrhyn</option>
              <option value="Pukapuka">Pukapuka</option>
              <option value="Rakahanga">Rakahanga</option>
              <option value="Rarotonga">Rarotonga</option>
              <option value="Surwarrow">Surwarrow</option>
              <option value="Takutea">Takutea</option>
              <option value="Alajuela">Alajuela</option>
              <option value="Cartago">Cartago</option>
              <option value="Guanacaste">Guanacaste</option>
              <option value="Heredia">Heredia</option>
              <option value="Limon">Limon</option>
              <option value="Puntarenas">Puntarenas</option>
              <option value="San Jose">San Jose</option>
              <option value="Abengourou">Abengourou</option>
              <option value="Abidjan">Abidjan</option>
              <option value="Aboisso">Aboisso</option>
              <option value="Adiake">Adiake</option>
              <option value="Adzope">Adzope</option>
              <option value="Agboville">Agboville</option>
              <option value="Agnibilekrou">Agnibilekrou</option>
              <option value="Alepe">Alepe</option>
              <option value="Bangolo">Bangolo</option>
              <option value="Bondoukou">Bondoukou</option>
              <option value="Boundiali">Boundiali</option>
              <option value="Beoumi">Beoumi</option>
              <option value="Bouafle">Bouafle</option>
              <option value="Bongouanou">Bongouanou</option>
              <option value="Biankouma">Biankouma</option>
              <option value="Bouake">Bouake</option>
              <option value="Bouna">Bouna</option>
              <option value="Bocanda">Bocanda</option>
              <option value="Daloa">Daloa</option>
              <option value="Danane">Danane</option>
              <option value="Daoukro">Daoukro</option>
              <option value="Dabou">Dabou</option>
              <option value="Dimbokro">Dimbokro</option>
              <option value="Divo">Divo</option>
              <option value="Dabakala">Dabakala</option>
              <option value="Duekoue">Duekoue</option>
              <option value="Ferkessedougou">Ferkessedougou</option>
              <option value="Gagnoa">Gagnoa</option>
              <option value="Grand-Bassam">Grand-Bassam</option>
              <option value="Grand-Lahou">Grand-Lahou</option>
              <option value="Guiglo">Guiglo</option>
              <option value="Issia">Issia</option>
              <option value="Jacqueville">Jacqueville</option>
              <option value="Katiola">Katiola</option>
              <option value="Korhogo">Korhogo</option>
              <option value="Lakota">Lakota</option>
              <option value="Man">Man</option>
              <option value="Mbahiakro">Mbahiakro</option>
              <option value="Mankono">Mankono</option>
              <option value="Odienne">Odienne</option>
              <option value="Oume">Oume</option>
              <option value="Sakassou">Sakassou</option>
              <option value="Sassandra">Sassandra</option>
              <option value="Seguela">Seguela</option>
              <option value="Sinfra">Sinfra</option>
              <option value="Soubre">Soubre</option>
              <option value="San-Pedro">San-Pedro</option>
              <option value="Tabou">Tabou</option>
              <option value="Tanda">Tanda</option>
              <option value="Touba">Touba</option>
              <option value="Tiassale">Tiassale</option>
              <option value="Tiebissou">Tiebissou</option>
              <option value="Tingrela">Tingrela</option>
              <option value="Toulepleu">Toulepleu</option>
              <option value="Toumodi">Toumodi</option>
              <option value="Vavoua">Vavoua</option>
              <option value="Yamoussoukro">Yamoussoukro</option>
              <option value="Zuenoula">Zuenoula</option>
              <option value="Zagreb county">Zagreb county</option>
              <option value="Krapina-Zagorje county">Krapina-Zagorje county</option>
              <option value="Sisak-Moslavina county">Sisak-Moslavina county</option>
              <option value="Karlovac county">Karlovac county</option>
              <option value="Varazdin county">Varazdin county</option>
              <option value="Koprivnica-Krizevci county">Koprivnica-Krizevci county</option>
              <option value="Bjelovar-Bilogora county">Bjelovar-Bilogora county</option>
              <option value="Primorje-Gorski Kotar county">Primorje-Gorski Kotar county</option>
              <option value="Lika-Senj county">Lika-Senj county</option>
              <option value="Virovitica-Podravina county">Virovitica-Podravina county</option>
              <option value="Pozega-Slavonia county">Pozega-Slavonia county</option>
              <option value="Brod-Posavina county">Brod-Posavina county</option>
              <option value="Zadar county">Zadar county</option>
              <option value="Osijek-Baranja county">Osijek-Baranja county</option>
              <option value="Sibenik-Knin county">Sibenik-Knin county</option>
              <option value="Vukovar-Srijem county">Vukovar-Srijem county</option>
              <option value="Split-Dalmatia county">Split-Dalmatia county</option>
              <option value="Istria county">Istria county</option>
              <option value="Dubrovnik-Neretva county">Dubrovnik-Neretva county</option>
              <option value="Medjimurje county">Medjimurje county</option>
              <option value="Zagreb (city)">Zagreb (city)</option>
              <option value="Camaguey">Camaguey</option>
              <option value="Ciego de Avila">Ciego de Avila</option>
              <option value="Cienfuegos">Cienfuegos</option>
              <option value="Ciudad de La Habana">Ciudad de La Habana</option>
              <option value="Granma">Granma</option>
              <option value="Guantanamo">Guantanamo</option>
              <option value="Holguin">Holguin</option>
              <option value="Isla de la Juventud">Isla de la Juventud</option>
              <option value="La Habana">La Habana</option>
              <option value="Las Tunas">Las Tunas</option>
              <option value="Matanzas">Matanzas</option>
              <option value="Pinar del Rio">Pinar del Rio</option>
              <option value="Santiago de Cuba">Santiago de Cuba</option>
              <option value="Sancti Spiritus">Sancti Spiritus</option>
              <option value="Villa Clara">Villa Clara</option>
              <option value="Larnaca">Larnaca</option>
              <option value="Famagusta">Famagusta</option>
              <option value="Limassol">Limassol</option>
              <option value="Kyrenia">Kyrenia</option>
              <option value="Nicosia">Nicosia</option>
              <option value="Northern Cyprus">Northern Cyprus</option>
              <option value="Paphos">Paphos</option>
              <option value="South Bohemian Region (Jihocesky kraj)">South Bohemian Region (Jihocesky kraj)</option>
              <option value="South Moravian Region (Jihomoravsky kraj)">South Moravian Region (Jihomoravsky kraj)</option>
              <option value="Carlsbad Region (Karlovarsky kraj)">Carlsbad Region (Karlovarsky kraj)</option>
              <option value="Hradec Kralove Region (Kralovehradecky kraj)">Hradec Kralove Region (Kralovehradecky kraj)</option>
              <option value="Liberec Region (Liberecky kraj)">Liberec Region (Liberecky kraj)</option>
              <option value="Moravian-Silesian Region (Moravskoslezsky kraj)">Moravian-Silesian Region (Moravskoslezsky kraj)</option>
              <option value="Olomouc Region (Olomoucky kraj)">Olomouc Region (Olomoucky kraj)</option>
              <option value="Pardubice Region (Pardubicky kraj)">Pardubice Region (Pardubicky kraj)</option>
              <option value="Plzen( Region Plzensky kraj)">Plzen( Region Plzensky kraj)</option>
              <option value="Prague - the Capital (Praha - hlavni mesto)">Prague - the Capital (Praha - hlavni mesto)</option>
              <option value="Central Bohemian Region (Stredocesky kraj)">Central Bohemian Region (Stredocesky kraj)</option>
              <option value="Usti nad Labem Region (Ustecky kraj)">Usti nad Labem Region (Ustecky kraj)</option>
              <option value="Vysoc(ina Region (kraj Vysoc(ina)">Vysoc(ina Region (kraj Vysoc(ina)</option>
              <option value="Zlin Region (Zlinsky kraj)">Zlin Region (Zlinsky kraj)</option>
              <option value="Arhus">Arhus</option>
              <option value="Bornholm">Bornholm</option>
              <option value="Copenhagen (municipality)">Copenhagen (municipality)</option>
              <option value="Copenhagen">Copenhagen</option>
              <option value="Frederiksberg (municipality)">Frederiksberg (municipality)</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Frederiksborg">Frederiksborg</option>
              <option value="Funen">Funen</option>
              <option value="Greenland">Greenland</option>
              <option value="North Jutland">North Jutland</option>
              <option value="Ribe">Ribe</option>
              <option value="Ringkjobing">Ringkjobing</option>
              <option value="Roskilde">Roskilde</option>
              <option value="South Jutland">South Jutland</option>
              <option value="Storstrom">Storstrom</option>
              <option value="Viborg">Viborg</option>
              <option value="Vejle">Vejle</option>
              <option value="West Zealand">West Zealand</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dikhil">Dikhil</option>
              <option value="Obock">Obock</option>
              <option value="Ali Sabih">Ali Sabih</option>
              <option value="Tadjoura">Tadjoura</option>
              <option value="Saint Andrew Parish">Saint Andrew Parish</option>
              <option value="Saint David Parish">Saint David Parish</option>
              <option value="Saint George Parish">Saint George Parish</option>
              <option value="Saint John Parish">Saint John Parish</option>
              <option value="Saint Joseph Parish">Saint Joseph Parish</option>
              <option value="Saint Luke Parish">Saint Luke Parish</option>
              <option value="Saint Mark Parish">Saint Mark Parish</option>
              <option value="Saint Patrick Parish">Saint Patrick Parish</option>
              <option value="Saint Paul Parish">Saint Paul Parish</option>
              <option value="Saint Peter Parish">Saint Peter Parish</option>
              <option value="La Altagracia">La Altagracia</option>
              <option value="Azua">Azua</option>
              <option value="Baoruco">Baoruco</option>
              <option value="Barahona">Barahona</option>
              <option value="Dajabon">Dajabon</option>
              <option value="Distrito Nacional">Distrito Nacional</option>
              <option value="Duarte">Duarte</option>
              <option value="Elias Pina">Elias Pina</option>
              <option value="Espaillat">Espaillat</option>
              <option value="Hato Mayor">Hato Mayor</option>
              <option value="Independencia">Independencia</option>
              <option value="San Jose de Ocoa">San Jose de Ocoa</option>
              <option value="Monte Cristi">Monte Cristi</option>
              <option value="Monsenor Nouel">Monsenor Nouel</option>
              <option value="Monte Plata">Monte Plata</option>
              <option value="Maria Trinidad Sanchez">Maria Trinidad Sanchez</option>
              <option value="Pedernales">Pedernales</option>
              <option value="San Pedro de Macoris">San Pedro de Macoris</option>
              <option value="Puerto Plata">Puerto Plata</option>
              <option value="Peravia (Bani)">Peravia (Bani)</option>
              <option value="La Romana">La Romana</option>
              <option value="Santiago">Santiago</option>
              <option value="San Cristobal">San Cristobal</option>
              <option value="Santo Domingo">Santo Domingo</option>
              <option value="Sanchez Ramirez">Sanchez Ramirez</option>
              <option value="San Juan">San Juan</option>
              <option value="Salcedo">Salcedo</option>
              <option value="Samana">Samana</option>
              <option value="Santiago Rodriguez">Santiago Rodriguez</option>
              <option value="El Seybo">El Seybo</option>
              <option value="Valverde">Valverde</option>
              <option value="La Vega">La Vega</option>
              <option value="Azuay">Azuay</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Carchi">Carchi</option>
              <option value="Orellana">Orellana</option>
              <option value="Esmeraldas">Esmeraldas</option>
              <option value="Canar">Canar</option>
              <option value="Guayas">Guayas</option>
              <option value="Chimborazo">Chimborazo</option>
              <option value="Imbabura">Imbabura</option>
              <option value="Loja">Loja</option>
              <option value="Manabi">Manabi</option>
              <option value="Napo">Napo</option>
              <option value="El Oro">El Oro</option>
              <option value="Pichincha">Pichincha</option>
              <option value="Los Rios">Los Rios</option>
              <option value="Morona-Santiago">Morona-Santiago</option>
              <option value="Tungurahua">Tungurahua</option>
              <option value="Sucumbios">Sucumbios</option>
              <option value="Galapagos">Galapagos</option>
              <option value="Cotopaxi">Cotopaxi</option>
              <option value="Pastaza">Pastaza</option>
              <option value="Zamora-Chinchipe">Zamora-Chinchipe</option>
              <option value="Aswan">Aswan</option>
              <option value="Asyut">Asyut</option>
              <option value="Al Bahr al Ahmar">Al Bahr al Ahmar</option>
              <option value="Al Buhayrah">Al Buhayrah</option>
              <option value="Bur Said">Bur Said</option>
              <option value="Bani Suwayf">Bani Suwayf</option>
              <option value="Ad Daqahliyah">Ad Daqahliyah</option>
              <option value="Dumyat">Dumyat</option>
              <option value="Al Fayyum">Al Fayyum</option>
              <option value="Al Gharbiyah">Al Gharbiyah</option>
              <option value="Al Iskandariyah">Al Iskandariyah</option>
              <option value="Al Ismailiyah">Al Ismailiyah</option>
              <option value="Janub Sina">Janub Sina</option>
              <option value="Al Jizah">Al Jizah</option>
              <option value="Kafr ash Shaykh">Kafr ash Shaykh</option>
              <option value="Matruh">Matruh</option>
              <option value="Al Minufiyah">Al Minufiyah</option>
              <option value="Al Minya">Al Minya</option>
              <option value="Al Qahirah">Al Qahirah</option>
              <option value="Qina">Qina</option>
              <option value="Al Qalyubiyah">Al Qalyubiyah</option>
              <option value="Ash Sharqiyah">Ash Sharqiyah</option>
              <option value="Shamal Sina">Shamal Sina</option>
              <option value="Suhaj">Suhaj</option>
              <option value="As Suways">As Suways</option>
              <option value="Al Wadi al Jadid">Al Wadi al Jadid</option>
              <option value="Ahuachapan">Ahuachapan</option>
              <option value="Cabanas">Cabanas</option>
              <option value="Chalatenango">Chalatenango</option>
              <option value="Cuscatlan">Cuscatlan</option>
              <option value="La Libertad">La Libertad</option>
              <option value="Morazan">Morazan</option>
              <option value="La Paz">La Paz</option>
              <option value="Santa Ana">Santa Ana</option>
              <option value="San Miguel">San Miguel</option>
              <option value="Sonsonate">Sonsonate</option>
              <option value="San Salvador">San Salvador</option>
              <option value="San Vicente">San Vicente</option>
              <option value="La Union">La Union</option>
              <option value="Usulutan">Usulutan</option>
              <option value="Provincia Annobon">Provincia Annobon</option>
              <option value="Provincia Bioko Norte">Provincia Bioko Norte</option>
              <option value="Provincia Bioko Sur">Provincia Bioko Sur</option>
              <option value="Provincia Centro Sur">Provincia Centro Sur</option>
              <option value="Provincia Kie-Ntem">Provincia Kie-Ntem</option>
              <option value="Provincia Litoral">Provincia Litoral</option>
              <option value="Provincia Wele-Nzas">Provincia Wele-Nzas</option>
              <option value="Gash-Barka (Barentu)">Gash-Barka (Barentu)</option>
              <option value="Southern (Debub)">Southern (Debub)</option>
              <option value="Southern Red Sea (Debub-Keih-Bahri)">Southern Red Sea (Debub-Keih-Bahri)</option>
              <option value="Anseba (Keren)">Anseba (Keren)</option>
              <option value="Central (Maekel)">Central (Maekel)</option>
              <option value="Northern Red Sea (Semien-Keih-Bahri)">Northern Red Sea (Semien-Keih-Bahri)</option>
              <option value="Harju County">Harju County</option>
              <option value="Hiiu County">Hiiu County</option>
              <option value="Ida-Viru County">Ida-Viru County</option>
              <option value="JOAa County">JOAa County</option>
              <option value="JArva County">JArva County</option>
              <option value="LAAne County">LAAne County</option>
              <option value="LAAne-Viru County">LAAne-Viru County</option>
              <option value="POA County">POA County</option>
              <option value="PArnu County">PArnu County</option>
              <option value="Rapla County">Rapla County</option>
              <option value="Saare County">Saare County</option>
              <option value="Tartu County">Tartu County</option>
              <option value="Valga County">Valga County</option>
              <option value="Viljandi County">Viljandi County</option>
              <option value="VOACounty">VOACounty</option>
              <option value="Addis Ababa">Addis Ababa</option>
              <option value="Afar">Afar</option>
              <option value="Amhara">Amhara</option>
              <option value="Benishangul-Gumaz">Benishangul-Gumaz</option>
              <option value="Dire Dawa">Dire Dawa</option>
              <option value="Gambela">Gambela</option>
              <option value="Hariai">Hariai</option>
              <option value="Oromia">Oromia</option>
              <option value="Somali">Somali</option>
              <option value="Southern Nations - Nationalities and Peoples Region">Southern Nations - Nationalities and Peoples Region</option>
              <option value="Tigray">Tigray</option>
              <option value=""></option>
              <option value=""></option>
              <option value="Central Division">Central Division</option>
              <option value="Eastern Division">Eastern Division</option>
              <option value="Northern Division">Northern Division</option>
              <option value="Rotuma">Rotuma</option>
              <option value="Western Division">Western Division</option>
              <option value="Ahvenanmaan laani">Ahvenanmaan laani</option>
              <option value="Etela-Suomen laani">Etela-Suomen laani</option>
              <option value="Ita-Suomen laani">Ita-Suomen laani</option>
              <option value="Lapin laani">Lapin laani</option>
              <option value="Lansi-Suomen laani">Lansi-Suomen laani</option>
              <option value="Oulun laani">Oulun laani</option>
              <option value="Bas-Rhin - Alsace">Bas-Rhin - Alsace</option>
              <option value="Haut-Rhin - Alsace">Haut-Rhin - Alsace</option>
              <option value="Dordogne - Aquitaine">Dordogne - Aquitaine</option>
              <option value="Gironde - Aquitaine">Gironde - Aquitaine</option>
              <option value="Landes - Aquitaine">Landes - Aquitaine</option>
              <option value="Lot-et-Garonne - Aquitaine">Lot-et-Garonne - Aquitaine</option>
              <option value="Pyrenees-Atlantiques - Aquitaine">Pyrenees-Atlantiques - Aquitaine</option>
              <option value="Deux-Sevres - Aquitaine">Deux-Sevres - Aquitaine</option>
              <option value="Allier - Auvergne">Allier - Auvergne</option>
              <option value="Cantal - Auvergne">Cantal - Auvergne</option>
              <option value="Haute-Loire - Auvergne">Haute-Loire - Auvergne</option>
              <option value="Pu-de-Dme - Auvergne">Pu-de-Dme - Auvergne</option>
              <option value="Cote-dOr - Bourgogne">Cote-dOr - Bourgogne</option>
              <option value="Nievre - Bourgogne">Nievre - Bourgogne</option>
              <option value="Saone-et-Loire - Bourgogne">Saone-et-Loire - Bourgogne</option>
              <option value="Yonne - Bourgogne">Yonne - Bourgogne</option>
              <option value="Cotes-dArmor - Bretagne">Cotes-dArmor - Bretagne</option>
              <option value="Finistere - Bretagne">Finistere - Bretagne</option>
              <option value="Ille-et-Vilaine - Bretagne">Ille-et-Vilaine - Bretagne</option>
              <option value="Morbihan - Bretagne">Morbihan - Bretagne</option>
              <option value="Cher - Centre">Cher - Centre</option>
              <option value="Eure-et-Loir - Centre">Eure-et-Loir - Centre</option>
              <option value="Indre - Centre">Indre - Centre</option>
              <option value="Indre-et-Loire - Centre">Indre-et-Loire - Centre</option>
              <option value="Loir-et-Cher - Centre">Loir-et-Cher - Centre</option>
              <option value="Loiret - Centre">Loiret - Centre</option>
              <option value="Ardennes - Champagne-Ardenne">Ardennes - Champagne-Ardenne</option>
              <option value="Aube - Champagne-Ardenne">Aube - Champagne-Ardenne</option>
              <option value="Marne - Champagne-Ardenne">Marne - Champagne-Ardenne</option>
              <option value="Haute-Marne - Champagne-Ardenne">Haute-Marne - Champagne-Ardenne</option>
              <option value="Corse-du-Sud - Corse">Corse-du-Sud - Corse</option>
              <option value="Haute-Corse - Corse">Haute-Corse - Corse</option>
              <option value="Doubs - Franche-Comte">Doubs - Franche-Comte</option>
              <option value="Jura - Franche-Comte">Jura - Franche-Comte</option>
              <option value="Haute-Saone - Franche-Comte">Haute-Saone - Franche-Comte</option>
              <option value="Haute-Saone - Territoire de Belfort">Haute-Saone - Territoire de Belfort</option>
              <option value="Paris - Ile-de-France">Paris - Ile-de-France</option>
              <option value="Seine-et-Marne - Ile-de-France">Seine-et-Marne - Ile-de-France</option>
              <option value="Yvelines - Ile-de-France">Yvelines - Ile-de-France</option>
              <option value="Essonne - Ile-de-France">Essonne - Ile-de-France</option>
              <option value="Hauts-de-Seine - Ile-de-France">Hauts-de-Seine - Ile-de-France</option>
              <option value="Seine-Saint-Denis - Ile-de-France">Seine-Saint-Denis - Ile-de-France</option>
              <option value="Val-de-Marne - Ile-de-France">Val-de-Marne - Ile-de-France</option>
              <option value="Val-dOise - Ile-de-France">Val-dOise - Ile-de-France</option>
              <option value="Alpes-de-Haute-Provence">Alpes-de-Haute-Provence</option>
              <option value="Hautes-Alpes">Hautes-Alpes</option>
              <option value="Alpes-Maritimes">Alpes-Maritimes</option>
              <option value="Bouches-du-Rhne">Bouches-du-Rhne</option>
              <option value="Var">Var</option>
              <option value="Vaucluse">Vaucluse</option>
              <option value=""></option>
              <option value="Archipel des Tubuai">Archipel des Tubuai</option>
              <option value="Archipel des Marquises">Archipel des Marquises</option>
              <option value="Iles Sous-le-Vent">Iles Sous-le-Vent</option>
              <option value="Archipel des Tuamotu">Archipel des Tuamotu</option>
              <option value="Iles du Vent">Iles du Vent</option>
              <option value="Ile Amsterdam">Ile Amsterdam</option>
              <option value="Iles Crozet">Iles Crozet</option>
              <option value="Adelie Land">Adelie Land</option>
              <option value="Iles Kerguelen">Iles Kerguelen</option>
              <option value="Ile Saint-Paul">Ile Saint-Paul</option>
              <option value="Estuaire">Estuaire</option>
              <option value="Haut-Ogooue">Haut-Ogooue</option>
              <option value="Moyen-Ogooue">Moyen-Ogooue</option>
              <option value="Ngounie">Ngounie</option>
              <option value="Nyanga">Nyanga</option>
              <option value="Ogooue-Ivindo">Ogooue-Ivindo</option>
              <option value="Ogooue-Lolo">Ogooue-Lolo</option>
              <option value="Ogooue-Maritime">Ogooue-Maritime</option>
              <option value="Woleu-Ntem">Woleu-Ntem</option>
              <option value="Banjul">Banjul</option>
              <option value="Brikama">Brikama</option>
              <option value="Basse">Basse</option>
              <option value="Central River">Central River</option>
              <option value="Janjangbure">Janjangbure</option>
              <option value="Kanifeng">Kanifeng</option>
              <option value="Kerewan">Kerewan</option>
              <option value="Kuntaur">Kuntaur</option>
              <option value="Lower River">Lower River</option>
              <option value="Mansakonko">Mansakonko</option>
              <option value="North Bank">North Bank</option>
              <option value="Upper River">Upper River</option>
              <option value="Western">Western</option>
              <option value="Abkhazia">Abkhazia</option>
              <option value="Ajaria">Ajaria</option>
              <option value="Guria">Guria</option>
              <option value="Imereti">Imereti</option>
              <option value="Kakheti">Kakheti</option>
              <option value="Kvemo Kartli">Kvemo Kartli</option>
              <option value="Mtskheta-Mtianeti">Mtskheta-Mtianeti</option>
              <option value="Racha Lechkhumi and Kvemo Svaneti">Racha Lechkhumi and Kvemo Svaneti</option>
              <option value="Samtskhe-Javakheti">Samtskhe-Javakheti</option>
              <option value="Shida Kartli">Shida Kartli</option>
              <option value="Samegrelo-Zemo Svaneti">Samegrelo-Zemo Svaneti</option>
              <option value="South Ossetia">South Ossetia</option>
              <option value="Tbilisi">Tbilisi</option>
              <option value="Berlin">Berlin</option>
              <option value="Brandenburg">Brandenburg</option>
              <option value="Baden-Wurttemberg">Baden-Wurttemberg</option>
              <option value="Bayern">Bayern</option>
              <option value="Bremen">Bremen</option>
              <option value="Hessen">Hessen</option>
              <option value="Hamburg">Hamburg</option>
              <option value="Mecklenburg-Vorpommern">Mecklenburg-Vorpommern</option>
              <option value="Niedersachsen">Niedersachsen</option>
              <option value="Nordrhein-Westfalen">Nordrhein-Westfalen</option>
              <option value="Rheinland-Pfalz">Rheinland-Pfalz</option>
              <option value="Schleswig-Holstein">Schleswig-Holstein</option>
              <option value="Saarland">Saarland</option>
              <option value="Sachsen">Sachsen</option>
              <option value="Sachsen-Anhalt">Sachsen-Anhalt</option>
              <option value="Thuringen">Thuringen</option>
              <option value="Ashanti Region">Ashanti Region</option>
              <option value="Brong-Ahafo Region">Brong-Ahafo Region</option>
              <option value="Central Region">Central Region</option>
              <option value="Eastern Region">Eastern Region</option>
              <option value="Greater Accra Region">Greater Accra Region</option>
              <option value="Northern Region">Northern Region</option>
              <option value="Upper East Region">Upper East Region</option>
              <option value="Upper West Region">Upper West Region</option>
              <option value="Volta Region">Volta Region</option>
              <option value="Western Region">Western Region</option>
              <option value=""></option>
              <option value="Attica">Attica</option>
              <option value="Central Macedonia">Central Macedonia</option>
              <option value="Central Greece">Central Greece</option>
              <option value="Crete">Crete</option>
              <option value="East Macedonia and Thrace">East Macedonia and Thrace</option>
              <option value="Epirus">Epirus</option>
              <option value="Ionian Islands">Ionian Islands</option>
              <option value="North Aegean">North Aegean</option>
              <option value="Peloponnesos">Peloponnesos</option>
              <option value="South Aegean">South Aegean</option>
              <option value="Thessaly">Thessaly</option>
              <option value="West Greece">West Greece</option>
              <option value="West Macedonia">West Macedonia</option>
              <option value="Avannaa">Avannaa</option>
              <option value="Kitaa">Kitaa</option>
              <option value="Tunu">Tunu</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Carriacou">Carriacou</option>
              <option value="Saint David">Saint David</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Mark">Saint Mark</option>
              <option value="Saint Patrick">Saint Patrick</option>
              <option value="Petit Martinique">Petit Martinique</option>
              <option value="Saint Barthelemy">Saint Barthelemy</option>
              <option value="Saint Martin">Saint Martin</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Alta Verapaz">Alta Verapaz</option>
              <option value="Baja Verapaz">Baja Verapaz</option>
              <option value="Chimaltenango">Chimaltenango</option>
              <option value="Chiquimula">Chiquimula</option>
              <option value="Escuintla">Escuintla</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Huehuetenango">Huehuetenango</option>
              <option value="Izabal">Izabal</option>
              <option value="Jalapa">Jalapa</option>
              <option value="Jutiapa">Jutiapa</option>
              <option value="El Peten">El Peten</option>
              <option value="El Progreso">El Progreso</option>
              <option value="El Quiche">El Quiche</option>
              <option value="Quetzaltenango">Quetzaltenango</option>
              <option value="Retalhuleu">Retalhuleu</option>
              <option value="San Marcos">San Marcos</option>
              <option value="Solola">Solola</option>
              <option value="Santa Rosa">Santa Rosa</option>
              <option value="Sacatepequez">Sacatepequez</option>
              <option value="Suchitepequez">Suchitepequez</option>
              <option value="Totonicapan">Totonicapan</option>
              <option value="Zacapa">Zacapa</option>
              <option value=""></option>
              <option value="Boffa">Boffa</option>
              <option value="Boke">Boke</option>
              <option value="Beyla">Beyla</option>
              <option value="Conakry">Conakry</option>
              <option value="Coyah">Coyah</option>
              <option value="Dabola">Dabola</option>
              <option value="Dubreka">Dubreka</option>
              <option value="Dinguiraye">Dinguiraye</option>
              <option value="Dalaba">Dalaba</option>
              <option value="Forecariah">Forecariah</option>
              <option value="Fria">Fria</option>
              <option value="Faranah">Faranah</option>
              <option value="Gaoual">Gaoual</option>
              <option value="Gueckedou">Gueckedou</option>
              <option value="Koubia">Koubia</option>
              <option value="Koundara">Koundara</option>
              <option value="Kindia">Kindia</option>
              <option value="Kankan">Kankan</option>
              <option value="Kouroussa">Kouroussa</option>
              <option value="Kerouane">Kerouane</option>
              <option value="Kissidougou">Kissidougou</option>
              <option value="Labe">Labe</option>
              <option value="Lelouma">Lelouma</option>
              <option value="Lola">Lola</option>
              <option value="Mali">Mali</option>
              <option value="Mamou">Mamou</option>
              <option value="Mandiana">Mandiana</option>
              <option value="Macenta">Macenta</option>
              <option value="Nzerekore">Nzerekore</option>
              <option value="Pita">Pita</option>
              <option value="Siguiri">Siguiri</option>
              <option value="Telimele">Telimele</option>
              <option value="Tougue">Tougue</option>
              <option value="Yomou">Yomou</option>
              <option value="Biombo Region">Biombo Region</option>
              <option value="Bafata Region">Bafata Region</option>
              <option value="Bolama Region">Bolama Region</option>
              <option value="Bissau Region">Bissau Region</option>
              <option value="Cacheu Region">Cacheu Region</option>
              <option value="Gabu Region">Gabu Region</option>
              <option value="Oio Region">Oio Region</option>
              <option value="Quinara Region">Quinara Region</option>
              <option value="Tombali Region">Tombali Region</option>
              <option value="Barima-Waini">Barima-Waini</option>
              <option value="Cuyuni-Mazaruni">Cuyuni-Mazaruni</option>
              <option value="Demerara-Mahaica">Demerara-Mahaica</option>
              <option value="East Berbice-Corentyne">East Berbice-Corentyne</option>
              <option value="Essequibo Islands-West Demerara">Essequibo Islands-West Demerara</option>
              <option value="Mahaica-Berbice">Mahaica-Berbice</option>
              <option value="Potaro-Siparuni">Potaro-Siparuni</option>
              <option value="Pomeroon-Supenaam">Pomeroon-Supenaam</option>
              <option value="Upper Demerara-Berbice">Upper Demerara-Berbice</option>
              <option value="Upper Takutu-Upper Essequibo">Upper Takutu-Upper Essequibo</option>
              <option value="Artibonite">Artibonite</option>
              <option value="Centre">Centre</option>
              <option value="GrandAnse">GrandAnse</option>
              <option value="Nord">Nord</option>
              <option value="Nord-Est">Nord-Est</option>
              <option value="Nord-Ouest">Nord-Ouest</option>
              <option value="Ouest">Ouest</option>
              <option value="Sud">Sud</option>
              <option value="Sud-Est">Sud-Est</option>
              <option value="Flat Island">Flat Island</option>
              <option value="Heard Island">Heard Island</option>
              <option value="McDonald Island">McDonald Island</option>
              <option value="Shag Island">Shag Island</option>
              <option value="Atlantida">Atlantida</option>
              <option value="Choluteca">Choluteca</option>
              <option value="Colon">Colon</option>
              <option value="Comayagua">Comayagua</option>
              <option value="Copan">Copan</option>
              <option value="Cortes">Cortes</option>
              <option value="Francisco Morazan">Francisco Morazan</option>
              <option value="Gracias a Dios">Gracias a Dios</option>
              <option value="Islas de la Bahia (Bay Islands)">Islas de la Bahia (Bay Islands)</option>
              <option value="Intibuca">Intibuca</option>
              <option value="Lempira">Lempira</option>
              <option value="Ocotepeque">Ocotepeque</option>
              <option value="Olancho">Olancho</option>
              <option value="El Paraiso">El Paraiso</option>
              <option value="La Paz">La Paz</option>
              <option value="Santa Barbara">Santa Barbara</option>
              <option value="Valle">Valle</option>
              <option value="Yoro">Yoro</option>
              <option value="Central and Western Hong Kong Island">Central and Western Hong Kong Island</option>
              <option value="Eastern Hong Kong Island">Eastern Hong Kong Island</option>
              <option value="Southern Hong Kong Island">Southern Hong Kong Island</option>
              <option value="Wan Chai Hong Kong Island">Wan Chai Hong Kong Island</option>
              <option value="Kowloon City Kowloon">Kowloon City Kowloon</option>
              <option value="Kwun Tong Kowloon">Kwun Tong Kowloon</option>
              <option value="Sham Shui Po Kowloon">Sham Shui Po Kowloon</option>
              <option value="Wong Tai Sin Kowloon">Wong Tai Sin Kowloon</option>
              <option value="Yau Tsim Mong Kowloon">Yau Tsim Mong Kowloon</option>
              <option value="Islands New Territories">Islands New Territories</option>
              <option value="Kwai Tsing New Territories">Kwai Tsing New Territories</option>
              <option value="North New Territories">North New Territories</option>
              <option value="Sai Kung New Territories">Sai Kung New Territories</option>
              <option value="Sha Tin New Territories">Sha Tin New Territories</option>
              <option value="Tuen Mun New Territories">Tuen Mun New Territories</option>
              <option value="Tai Po New Territories">Tai Po New Territories</option>
              <option value="Tsuen Wan New Territories">Tsuen Wan New Territories</option>
              <option value="Yuen Long New Territories">Yuen Long New Territories</option>
              <option value="Borsod-Abauj-Zemplen">Borsod-Abauj-Zemplen</option>
              <option value="Bekescsaba">Bekescsaba</option>
              <option value="Bacs-Kiskun">Bacs-Kiskun</option>
              <option value="Baranya">Baranya</option>
              <option value="Bekes">Bekes</option>
              <option value="Budapest">Budapest</option>
              <option value="Csongrad">Csongrad</option>
              <option value="Debrecen">Debrecen</option>
              <option value="Dunaujvaros">Dunaujvaros</option>
              <option value="Eger">Eger</option>
              <option value="Fejer">Fejer</option>
              <option value="Gyor-Moson-Sopron">Gyor-Moson-Sopron</option>
              <option value="Gyor">Gyor</option>
              <option value="Hajdu-Bihar">Hajdu-Bihar</option>
              <option value="Hodmezovasarhely">Hodmezovasarhely</option>
              <option value="Heves">Heves</option>
              <option value="Jasz-Nagykun-Szolnok">Jasz-Nagykun-Szolnok</option>
              <option value="Kecskemet">Kecskemet</option>
              <option value="Komarom-Esztergom">Komarom-Esztergom</option>
              <option value="Kaposvar">Kaposvar</option>
              <option value="Miskolc">Miskolc</option>
              <option value="Nograd">Nograd</option>
              <option value="Nagykanizsa">Nagykanizsa</option>
              <option value="Nyiregyhaza">Nyiregyhaza</option>
              <option value="Pecs">Pecs</option>
              <option value="Pest">Pest</option>
              <option value="Szombathely">Szombathely</option>
              <option value="Szeged">Szeged</option>
              <option value="Szekesfehervar">Szekesfehervar</option>
              <option value="Szolnok">Szolnok</option>
              <option value="Somogy">Somogy</option>
              <option value="Sopron">Sopron</option>
              <option value="Szabolcs-Szatmar-Bereg">Szabolcs-Szatmar-Bereg</option>
              <option value="Tatabanya">Tatabanya</option>
              <option value="Tolna">Tolna</option>
              <option value="Vas">Vas</option>
              <option value="Veszprem">Veszprem</option>
              <option value="Zala">Zala</option>
              <option value="Zalaegerszeg">Zalaegerszeg</option>
              <option value="Austurland">Austurland</option>
              <option value="Hofuoborgarsvaeoi">Hofuoborgarsvaeoi</option>
              <option value="Norourland eystra">Norourland eystra</option>
              <option value="Norourland vestra">Norourland vestra</option>
              <option value="Suourland">Suourland</option>
              <option value="Suournes">Suournes</option>
              <option value="Vestfiroir">Vestfiroir</option>
              <option value="Vesturland">Vesturland</option>
              <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
              <option value="Andhra Pradesh">Andhra Pradesh</option>
              <option value="Arunachal Pradesh">Arunachal Pradesh</option>
              <option value="Assam">Assam</option>
              <option value="Bihar">Bihar</option>
              <option value="Chandigarh">Chandigarh</option>
              <option value="Chhattisgarh">Chhattisgarh</option>
              <option value="Daman and Diu">Daman and Diu</option>
              <option value="Delhi">Delhi</option>
              <option value="Dadra and Nagar Haveli">Dadra and Nagar Haveli</option>
              <option value="Goa">Goa</option>
              <option value="Gujarat">Gujarat</option>
              <option value="Himachal Pradesh">Himachal Pradesh</option>
              <option value="Haryana">Haryana</option>
              <option value="Jharkhand">Jharkhand</option>
              <option value="Jammu and Kashmir">Jammu and Kashmir</option>
              <option value="Karnataka">Karnataka</option>
              <option value="Kerala">Kerala</option>
              <option value="Lakshadweep">Lakshadweep</option>
              <option value="Meghalaya">Meghalaya</option>
              <option value="Maharashtra">Maharashtra</option>
              <option value="Manipur">Manipur</option>
              <option value="Madhya Pradesh">Madhya Pradesh</option>
              <option value="Mizoram">Mizoram</option>
              <option value="Nagaland">Nagaland</option>
              <option value="Orissa">Orissa</option>
              <option value="Punjab">Punjab</option>
              <option value="Pondicherry">Pondicherry</option>
              <option value="Rajasthan">Rajasthan</option>
              <option value="Sikkim">Sikkim</option>
              <option value="Tamil Nadu">Tamil Nadu</option>
              <option value="Tripura">Tripura</option>
              <option value="Uttaranchal">Uttaranchal</option>
              <option value="Uttar Pradesh">Uttar Pradesh</option>
              <option value="West Bengal">West Bengal</option>
              <option value="Aceh">Aceh</option>
              <option value="Bali">Bali</option>
              <option value="Bangka-Belitung">Bangka-Belitung</option>
              <option value="Bengkulu">Bengkulu</option>
              <option value="Banten">Banten</option>
              <option value="Gorontalo">Gorontalo</option>
              <option value="Papua">Papua</option>
              <option value="Jambi">Jambi</option>
              <option value="Jawa Timur">Jawa Timur</option>
              <option value="Jakarta Raya">Jakarta Raya</option>
              <option value="Jawa Barat">Jawa Barat</option>
              <option value="Jawa Tengah">Jawa Tengah</option>
              <option value="Kalimantan Barat">Kalimantan Barat</option>
              <option value="Kalimantan Timur">Kalimantan Timur</option>
              <option value="Kalimantan Selatan">Kalimantan Selatan</option>
              <option value="Kalimantan Tengah">Kalimantan Tengah</option>
              <option value="Lampung">Lampung</option>
              <option value="Maluku">Maluku</option>
              <option value="Maluku Utara">Maluku Utara</option>
              <option value="Nusa Tenggara Barat">Nusa Tenggara Barat</option>
              <option value="Nusa Tenggara Timur">Nusa Tenggara Timur</option>
              <option value="Riau">Riau</option>
              <option value="Sumatera Barat">Sumatera Barat</option>
              <option value="Sulawesi Tenggara">Sulawesi Tenggara</option>
              <option value="Sumatera Selatan">Sumatera Selatan</option>
              <option value="Sulawesi Selatan">Sulawesi Selatan</option>
              <option value="Sulawesi Tengah">Sulawesi Tengah</option>
              <option value="Sumatera Utara">Sumatera Utara</option>
              <option value="Sulawesi Utara">Sulawesi Utara</option>
              <option value="Yogyakarta">Yogyakarta</option>
              <option value="Ardabil">Ardabil</option>
              <option value="Bushehr">Bushehr</option>
              <option value="Chahar Mahaal and Bakhtiari">Chahar Mahaal and Bakhtiari</option>
              <option value="East Azarbaijan">East Azarbaijan</option>
              <option value="Esfahan">Esfahan</option>
              <option value="Fars">Fars</option>
              <option value="Gilan">Gilan</option>
              <option value="Golestan">Golestan</option>
              <option value="Hamadan">Hamadan</option>
              <option value="Hormozgan">Hormozgan</option>
              <option value="Ilam">Ilam</option>
              <option value="Kohkiluyeh and Buyer Ahmad">Kohkiluyeh and Buyer Ahmad</option>
              <option value="Kerman">Kerman</option>
              <option value="Kurdistan">Kurdistan</option>
              <option value="Kermanshah">Kermanshah</option>
              <option value="Khuzestan">Khuzestan</option>
              <option value="Lorestan">Lorestan</option>
              <option value="Markazi">Markazi</option>
              <option value="Mazandaran">Mazandaran</option>
              <option value="North Khorasan">North Khorasan</option>
              <option value="Qazvin">Qazvin</option>
              <option value="Qom">Qom</option>
              <option value="Razavi Khorasan">Razavi Khorasan</option>
              <option value="Sistan and Baluchistan">Sistan and Baluchistan</option>
              <option value="South Khorasan">South Khorasan</option>
              <option value="Semnan">Semnan</option>
              <option value="Tehran">Tehran</option>
              <option value="West Azarbaijan">West Azarbaijan</option>
              <option value="Yazd">Yazd</option>
              <option value="Zanjan">Zanjan</option>
              <option value="Al Anbar">Al Anbar</option>
              <option value="Arbil">Arbil</option>
              <option value="Al Basrah">Al Basrah</option>
              <option value="Babil">Babil</option>
              <option value="Baghdad">Baghdad</option>
              <option value="Dahuk">Dahuk</option>
              <option value="Dhi Qar">Dhi Qar</option>
              <option value="Diyala">Diyala</option>
              <option value="Al Karbala">Al Karbala</option>
              <option value="Al Muthanna">Al Muthanna</option>
              <option value="Maysan">Maysan</option>
              <option value="An Najaf">An Najaf</option>
              <option value="Ninawa">Ninawa</option>
              <option value="Al Qadisyah">Al Qadisyah</option>
              <option value="Salah ad Din">Salah ad Din</option>
              <option value="As Sulaymaniyah">As Sulaymaniyah</option>
              <option value="At Tamim">At Tamim</option>
              <option value="Wasit">Wasit</option>
              <option value="Cork">Cork</option>
              <option value="Clare">Clare</option>
              <option value="Cavan">Cavan</option>
              <option value="Carlow">Carlow</option>
              <option value="Dublin">Dublin</option>
              <option value="Donegal">Donegal</option>
              <option value="Galway">Galway</option>
              <option value="Kildare">Kildare</option>
              <option value="Kilkenny">Kilkenny</option>
              <option value="Kerry">Kerry</option>
              <option value="Laois">Laois</option>
              <option value="Longford">Longford</option>
              <option value="Limerick">Limerick</option>
              <option value="Leitrim">Leitrim</option>
              <option value="Louth">Louth</option>
              <option value="Monaghan">Monaghan</option>
              <option value="Meath">Meath</option>
              <option value="Mayo">Mayo</option>
              <option value="Offaly">Offaly</option>
              <option value="Roscommon">Roscommon</option>
              <option value="Sligo">Sligo</option>
              <option value="Tipperary">Tipperary</option>
              <option value="Waterford">Waterford</option>
              <option value="Wicklow">Wicklow</option>
              <option value="Westmeath">Westmeath</option>
              <option value="Wexford">Wexford</option>
              <option value=""></option>
              <option value="Central">Central</option>
              <option value="Haifa">Haifa</option>
              <option value="Jerusalem">Jerusalem</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Tel Aviv">Tel Aviv</option>
              <option value="Agrigento">Agrigento</option>
              <option value="Alessandria">Alessandria</option>
              <option value="Ancona">Ancona</option>
              <option value="Aosta">Aosta</option>
              <option value="Ascoli Piceno">Ascoli Piceno</option>
              <option value="LAquila">LAquila</option>
              <option value="Arezzo">Arezzo</option>
              <option value="Asti">Asti</option>
              <option value="Avellino">Avellino</option>
              <option value="Bari">Bari</option>
              <option value="Bergamo">Bergamo</option>
              <option value="Biella">Biella</option>
              <option value="Belluno">Belluno</option>
              <option value="Benevento">Benevento</option>
              <option value="Bologna">Bologna</option>
              <option value="Brindisi">Brindisi</option>
              <option value="Brescia">Brescia</option>
              <option value="Bolzano">Bolzano</option>
              <option value="Cagliari">Cagliari</option>
              <option value="Campobasso">Campobasso</option>
              <option value="Caserta">Caserta</option>
              <option value="Chieti">Chieti</option>
              <option value="Caltanissetta">Caltanissetta</option>
              <option value="Cuneo">Cuneo</option>
              <option value="Como">Como</option>
              <option value="Cremona">Cremona</option>
              <option value="Cosenza">Cosenza</option>
              <option value="Catania">Catania</option>
              <option value="Catanzaro">Catanzaro</option>
              <option value="Enna">Enna</option>
              <option value="Ferrara">Ferrara</option>
              <option value="Foggia">Foggia</option>
              <option value="Firenze">Firenze</option>
              <option value="ForlO?esena">ForlO?esena</option>
              <option value="Frosinone">Frosinone</option>
              <option value="Genova">Genova</option>
              <option value="Gorizia">Gorizia</option>
              <option value="Grosseto">Grosseto</option>
              <option value="Imperia">Imperia</option>
              <option value="Isernia">Isernia</option>
              <option value="Crotone">Crotone</option>
              <option value="Lecco">Lecco</option>
              <option value="Lecce">Lecce</option>
              <option value="Livorno">Livorno</option>
              <option value="Lodi">Lodi</option>
              <option value="Latina">Latina</option>
              <option value="Lucca">Lucca</option>
              <option value="Macerata">Macerata</option>
              <option value="Messina">Messina</option>
              <option value="Milano">Milano</option>
              <option value="Mantova">Mantova</option>
              <option value="Modena">Modena</option>
              <option value="Massa-Carrara">Massa-Carrara</option>
              <option value="Matera">Matera</option>
              <option value="Naploli">Naploli</option>
              <option value="Novara">Novara</option>
              <option value="Nuoro">Nuoro</option>
              <option value="Oristano">Oristano</option>
              <option value="Palermo">Palermo</option>
              <option value="Piacenza">Piacenza</option>
              <option value="Padova">Padova</option>
              <option value="Pescara">Pescara</option>
              <option value="Perugia">Perugia</option>
              <option value="Pisa">Pisa</option>
              <option value="Pordenone">Pordenone</option>
              <option value="Prato">Prato</option>
              <option value="Parma">Parma</option>
              <option value="Pesaro e Urbino">Pesaro e Urbino</option>
              <option value="Pistoia">Pistoia</option>
              <option value="Pavia">Pavia</option>
              <option value="Potenza">Potenza</option>
              <option value="Ravenna">Ravenna</option>
              <option value="Reggio Calabria">Reggio Calabria</option>
              <option value="Reggio Emilia">Reggio Emilia</option>
              <option value="Ragusa">Ragusa</option>
              <option value="Rieti">Rieti</option>
              <option value="Roma">Roma</option>
              <option value="Rimini">Rimini</option>
              <option value="Rovigo">Rovigo</option>
              <option value="Salerno">Salerno</option>
              <option value="Siena">Siena</option>
              <option value="Sondrio">Sondrio</option>
              <option value="La Spezia">La Spezia</option>
              <option value="Siracusa">Siracusa</option>
              <option value="Sassari">Sassari</option>
              <option value="Savona">Savona</option>
              <option value="Taranto">Taranto</option>
              <option value="Teramo">Teramo</option>
              <option value="Trento">Trento</option>
              <option value="Torino">Torino</option>
              <option value="Trapani">Trapani</option>
              <option value="Terni">Terni</option>
              <option value="Trieste">Trieste</option>
              <option value="Treviso">Treviso</option>
              <option value="Udine">Udine</option>
              <option value="Varese">Varese</option>
              <option value="Verbano-Cusio-Ossola">Verbano-Cusio-Ossola</option>
              <option value="Vercelli">Vercelli</option>
              <option value="Venezia">Venezia</option>
              <option value="Vicenza">Vicenza</option>
              <option value="Verona">Verona</option>
              <option value="Viterbo">Viterbo</option>
              <option value="Vibo Valentia">Vibo Valentia</option>
              <option value="Saint Andrew Parish">Saint Andrew Parish</option>
              <option value="Saint Ann Parish">Saint Ann Parish</option>
              <option value="Saint Catherine Parish">Saint Catherine Parish</option>
              <option value="Clarendon Parish">Clarendon Parish</option>
              <option value="Saint Elizabeth Parish">Saint Elizabeth Parish</option>
              <option value="Hanover Parish">Hanover Parish</option>
              <option value="Saint James Parish">Saint James Parish</option>
              <option value="Kingston Parish">Kingston Parish</option>
              <option value="Manchester Parish">Manchester Parish</option>
              <option value="Saint Mary Parish">Saint Mary Parish</option>
              <option value="Portland Parish">Portland Parish</option>
              <option value="Saint Thomas Parish">Saint Thomas Parish</option>
              <option value="Trelawny Parish">Trelawny Parish</option>
              <option value="Westmoreland Parish">Westmoreland Parish</option>
              <option value="Hokkaido">Hokkaido</option>
              <option value="Aomori">Aomori</option>
              <option value="Iwate">Iwate</option>
              <option value="Miyagi">Miyagi</option>
              <option value="Akita">Akita</option>
              <option value="Yamagata">Yamagata</option>
              <option value="Hukusima (Fukushima)">Hukusima (Fukushima)</option>
              <option value="Ibaraki">Ibaraki</option>
              <option value="Totigi (Tochigi)">Totigi (Tochigi)</option>
              <option value="Gunma">Gunma</option>
              <option value="Saitama">Saitama</option>
              <option value="Tiba (Chiba)">Tiba (Chiba)</option>
              <option value="Tokyo">Tokyo</option>
              <option value="Kanagawa">Kanagawa</option>
              <option value="Niigata">Niigata</option>
              <option value="Toyama">Toyama</option>
              <option value="Isikawa (Ishikawa)">Isikawa (Ishikawa)</option>
              <option value="Hukui (Fukui)">Hukui (Fukui)</option>
              <option value="Yamanasi (Yamanashi)">Yamanasi (Yamanashi)</option>
              <option value="Nagano">Nagano</option>
              <option value="Gihu (Gifu)">Gihu (Gifu)</option>
              <option value="Sizuoka (Shizuoka)">Sizuoka (Shizuoka)</option>
              <option value="Aiti (Aichi)">Aiti (Aichi)</option>
              <option value="Mie">Mie</option>
              <option value="Siga (Shiga)">Siga (Shiga)</option>
              <option value="Kyoto">Kyoto</option>
              <option value="Osaka">Osaka</option>
              <option value="Hyogo">Hyogo</option>
              <option value="Nara">Nara</option>
              <option value="Wakayama">Wakayama</option>
              <option value="Tottori">Tottori</option>
              <option value="Simane (Shimane)">Simane (Shimane)</option>
              <option value="Okayama">Okayama</option>
              <option value="Hirosima (Hiroshima)">Hirosima (Hiroshima)</option>
              <option value="Yamaguti (Yamaguchi)">Yamaguti (Yamaguchi)</option>
              <option value="Tokusima (Tokushima)">Tokusima (Tokushima)</option>
              <option value="Kagawa">Kagawa</option>
              <option value="Ehime">Ehime</option>
              <option value="Koti (Kochi)">Koti (Kochi)</option>
              <option value="Hukuoka (Fukuoka)">Hukuoka (Fukuoka)</option>
              <option value="Saga">Saga</option>
              <option value="Nagasaki">Nagasaki</option>
              <option value="Kumamoto">Kumamoto</option>
              <option value="Oita">Oita</option>
              <option value="Miyazaki">Miyazaki</option>
              <option value="Kagosima (Kagoshima)">Kagosima (Kagoshima)</option>
              <option value="Okinawa">Okinawa</option>
              <option value=""></option>
              <option value="Ajlun">Ajlun</option>
              <option value="Amman">Amman</option>
              <option value="Al Aqabah">Al Aqabah</option>
              <option value="Al Balqa">Al Balqa</option>
              <option value="Irbid">Irbid</option>
              <option value="Jarash">Jarash</option>
              <option value="Al Karak">Al Karak</option>
              <option value="Madaba">Madaba</option>
              <option value="Al Mafraq">Al Mafraq</option>
              <option value="Maan">Maan</option>
              <option value="At Tafilah">At Tafilah</option>
              <option value="Az Zarqa">Az Zarqa</option>
              <option value="Aqmola">Aqmola</option>
              <option value="Aqtobe">Aqtobe</option>
              <option value="Almaty">Almaty</option>
              <option value="Almaty">Almaty</option>
              <option value="Astana">Astana</option>
              <option value="Atyrau">Atyrau</option>
              <option value="Qaraghandy">Qaraghandy</option>
              <option value="Qustanay">Qustanay</option>
              <option value="Qyzylorda">Qyzylorda</option>
              <option value="Mangghystau">Mangghystau</option>
              <option value="Paylodar">Paylodar</option>
              <option value="Soltustik Qazaqstan">Soltustik Qazaqstan</option>
              <option value="Shyghys Qazaqstan">Shyghys Qazaqstan</option>
              <option value="Ongtustik Qazaqstan">Ongtustik Qazaqstan</option>
              <option value="Baty Qazaqstan">Baty Qazaqstan</option>
              <option value="Zhambyl">Zhambyl</option>
              <option value="Central">Central</option>
              <option value="Coast">Coast</option>
              <option value="Eastern">Eastern</option>
              <option value="Nairobi Area">Nairobi Area</option>
              <option value="North Eastern">North Eastern</option>
              <option value="Nyanza">Nyanza</option>
              <option value="Rift Valley">Rift Valley</option>
              <option value="Western">Western</option>
              <option value="Abaiang">Abaiang</option>
              <option value="Aranuka">Aranuka</option>
              <option value="Abemama">Abemama</option>
              <option value="Arorae">Arorae</option>
              <option value="Banaba">Banaba</option>
              <option value="Beru">Beru</option>
              <option value="Kanton">Kanton</option>
              <option value="Kiritimati">Kiritimati</option>
              <option value="Kuria">Kuria</option>
              <option value="Marakei">Marakei</option>
              <option value="Maiana">Maiana</option>
              <option value="Makin">Makin</option>
              <option value="Nikunau">Nikunau</option>
              <option value="Nonouti">Nonouti</option>
              <option value="Onotoa">Onotoa</option>
              <option value="Teraina">Teraina</option>
              <option value="Tamana">Tamana</option>
              <option value="Tabuaeran">Tabuaeran</option>
              <option value="Tabiteuea">Tabiteuea</option>
              <option value="Tarawa">Tarawa</option>
              <option value="Butaritari">Butaritari</option>
              <option value="Chagang-do">Chagang-do</option>
              <option value="Hamgyong-bukto">Hamgyong-bukto</option>
              <option value="Hamgyong-namdo">Hamgyong-namdo</option>
              <option value="Hwanghae-bukto">Hwanghae-bukto</option>
              <option value="Hwanghae-namdo">Hwanghae-namdo</option>
              <option value="Kangwon-do">Kangwon-do</option>
              <option value="Rason Directly Governed City">Rason Directly Governed City</option>
              <option value="Pyongan-bukto">Pyongan-bukto</option>
              <option value="Pyongan-namdo">Pyongan-namdo</option>
              <option value="Pyongyang Special City">Pyongyang Special City</option>
              <option value="Ryanggang-do (Yanggang-do)">Ryanggang-do (Yanggang-do)</option>
              <option value="Seoul Special City">Seoul Special City</option>
              <option value="Busan Metropolitan City">Busan Metropolitan City</option>
              <option value="Daegu Metropolitan City">Daegu Metropolitan City</option>
              <option value="Incheon Metropolitan City">Incheon Metropolitan City</option>
              <option value="Gwangju Metropolitan City">Gwangju Metropolitan City</option>
              <option value="Daejeon Metropolitan City">Daejeon Metropolitan City</option>
              <option value="Ulsan Metropolitan City">Ulsan Metropolitan City</option>
              <option value="Gyeonggi-do">Gyeonggi-do</option>
              <option value="Gangwon-do">Gangwon-do</option>
              <option value="Chungcheongbuk-do">Chungcheongbuk-do</option>
              <option value="Chungcheongnam-do">Chungcheongnam-do</option>
              <option value="Jeollabuk-do">Jeollabuk-do</option>
              <option value="Jeollanam-do">Jeollanam-do</option>
              <option value="Gyeongsangbuk-do">Gyeongsangbuk-do</option>
              <option value="Gyeongsangnam-do">Gyeongsangnam-do</option>
              <option value="Jeju-do">Jeju-do</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Serbia">Serbia</option>
              <option value="Vojvodina">Vojvodina</option>
              <option value="Al Ahmadi">Al Ahmadi</option>
              <option value="Al Farwaniyah">Al Farwaniyah</option>
              <option value="Hawalli">Hawalli</option>
              <option value="Al Jahra">Al Jahra</option>
              <option value="Al Asimah">Al Asimah</option>
              <option value="Batken">Batken</option>
              <option value="Chu">Chu</option>
              <option value="Bishkek">Bishkek</option>
              <option value="Jalal-Abad">Jalal-Abad</option>
              <option value="Naryn">Naryn</option>
              <option value="Osh">Osh</option>
              <option value="Talas">Talas</option>
              <option value="Ysyk-Kol">Ysyk-Kol</option>
              <option value="Attapu">Attapu</option>
              <option value="Bokeo">Bokeo</option>
              <option value="Bolikhamxai">Bolikhamxai</option>
              <option value="Champasak">Champasak</option>
              <option value="Houaphan">Houaphan</option>
              <option value="Khammouan">Khammouan</option>
              <option value="Louang Namtha">Louang Namtha</option>
              <option value="Louangphabang">Louangphabang</option>
              <option value="Oudomxai">Oudomxai</option>
              <option value="Phongsali">Phongsali</option>
              <option value="Salavan">Salavan</option>
              <option value="Savannakhet">Savannakhet</option>
              <option value="Vientiane">Vientiane</option>
              <option value="Vientiane">Vientiane</option>
              <option value="Xaignabouli">Xaignabouli</option>
              <option value="Xekong">Xekong</option>
              <option value="Xiangkhoang">Xiangkhoang</option>
              <option value="Xaisomboun">Xaisomboun</option>
              <option value="Aizkraukles Rajons">Aizkraukles Rajons</option>
              <option value="Aluksnes Rajons">Aluksnes Rajons</option>
              <option value="Balvu Rajons">Balvu Rajons</option>
              <option value="Bauskas Rajons">Bauskas Rajons</option>
              <option value="Cesu Rajons">Cesu Rajons</option>
              <option value="Daugavpils Rajons">Daugavpils Rajons</option>
              <option value="Daugavpils">Daugavpils</option>
              <option value="Dobeles Rajons">Dobeles Rajons</option>
              <option value="Gulbenes Rajons">Gulbenes Rajons</option>
              <option value="Jekabpils Rajons">Jekabpils Rajons</option>
              <option value="Jelgavas Rajons">Jelgavas Rajons</option>
              <option value="Jelgava">Jelgava</option>
              <option value="Jurmala">Jurmala</option>
              <option value="Kraslavas Rajons">Kraslavas Rajons</option>
              <option value="Kuldigas Rajons">Kuldigas Rajons</option>
              <option value="Limbazu Rajons">Limbazu Rajons</option>
              <option value="Liepaja">Liepaja</option>
              <option value="Liepajas Rajons">Liepajas Rajons</option>
              <option value="Ludzas Rajons">Ludzas Rajons</option>
              <option value="Madonas Rajons">Madonas Rajons</option>
              <option value="Ogres Rajons">Ogres Rajons</option>
              <option value="Preilu Rajons">Preilu Rajons</option>
              <option value="Riga">Riga</option>
              <option value="Rigas Rajons">Rigas Rajons</option>
              <option value="Rezekne">Rezekne</option>
              <option value="Rezeknes Rajons">Rezeknes Rajons</option>
              <option value="Saldus Rajons">Saldus Rajons</option>
              <option value="Talsu Rajons">Talsu Rajons</option>
              <option value="Tukuma Rajons">Tukuma Rajons</option>
              <option value="Valkas Rajons">Valkas Rajons</option>
              <option value="Valmieras Rajons">Valmieras Rajons</option>
              <option value="Ventspils">Ventspils</option>
              <option value="Ventspils Rajons">Ventspils Rajons</option>
              <option value=""></option>
              <option value="Butha-Buthe">Butha-Buthe</option>
              <option value="Berea">Berea</option>
              <option value="Leribe">Leribe</option>
              <option value="Mafeteng">Mafeteng</option>
              <option value="Mohales Hoek">Mohales Hoek</option>
              <option value="Mokhotlong">Mokhotlong</option>
              <option value="Maseru">Maseru</option>
              <option value="Qachas Nek">Qachas Nek</option>
              <option value="Quthing">Quthing</option>
              <option value="Thaba-Tseka">Thaba-Tseka</option>
              <option value="Bong">Bong</option>
              <option value="Bomi">Bomi</option>
              <option value="Grand Cape Mount">Grand Cape Mount</option>
              <option value="Grand Bassa">Grand Bassa</option>
              <option value="Grand Gedeh">Grand Gedeh</option>
              <option value="Grand Kru">Grand Kru</option>
              <option value="Lofa">Lofa</option>
              <option value="Margibi">Margibi</option>
              <option value="Maryland">Maryland</option>
              <option value="Montserrado">Montserrado</option>
              <option value="Nimba">Nimba</option>
              <option value="River Cess">River Cess</option>
              <option value="Sinoe">Sinoe</option>
              <option value="Ajdabiya">Ajdabiya</option>
              <option value="Ash Shati">Ash Shati</option>
              <option value="Awbari">Awbari</option>
              <option value="Al Aziziyah">Al Aziziyah</option>
              <option value="Banghazi">Banghazi</option>
              <option value="Darnah">Darnah</option>
              <option value="Al Fatih">Al Fatih</option>
              <option value="Ghadamis">Ghadamis</option>
              <option value="Gharyan">Gharyan</option>
              <option value="Al Jabal al Akhdar">Al Jabal al Akhdar</option>
              <option value="Al Jufrah">Al Jufrah</option>
              <option value="Al Khums">Al Khums</option>
              <option value="Al Kufrah">Al Kufrah</option>
              <option value="Misratah">Misratah</option>
              <option value="Murzuq">Murzuq</option>
              <option value="An Nuqat al Khams">An Nuqat al Khams</option>
              <option value="Sabha">Sabha</option>
              <option value="Surt">Surt</option>
              <option value="Sawfajjin">Sawfajjin</option>
              <option value="Tarhunah">Tarhunah</option>
              <option value="Tarabulus (Tripoli)">Tarabulus (Tripoli)</option>
              <option value="Tubruq">Tubruq</option>
              <option value="Yafran">Yafran</option>
              <option value="Az Zawiyah">Az Zawiyah</option>
              <option value="Zlitan">Zlitan</option>
              <option value="Schaan">Schaan</option>
              <option value="Balzers">Balzers</option>
              <option value="Eschen">Eschen</option>
              <option value="Gamprin">Gamprin</option>
              <option value="Mauren">Mauren</option>
              <option value="Triesen">Triesen</option>
              <option value="Planken">Planken</option>
              <option value="Ruggell">Ruggell</option>
              <option value="Triesenberg">Triesenberg</option>
              <option value="Vaduz">Vaduz</option>
              <option value="Schellenberg">Schellenberg</option>
              <option value="Alytus">Alytus</option>
              <option value="Kaunas">Kaunas</option>
              <option value="Klaipeda">Klaipeda</option>
              <option value="Marijampole">Marijampole</option>
              <option value="Panevezys">Panevezys</option>
              <option value="Siauliai">Siauliai</option>
              <option value="Taurage">Taurage</option>
              <option value="Telsiai">Telsiai</option>
              <option value="Utena">Utena</option>
              <option value="Vilnius">Vilnius</option>
              <option value="Clervaux">Clervaux</option>
              <option value="Diekirch">Diekirch</option>
              <option value="Redange">Redange</option>
              <option value="Vianden">Vianden</option>
              <option value="Wiltz">Wiltz</option>
              <option value="Echternach">Echternach</option>
              <option value="Grevenmacher">Grevenmacher</option>
              <option value="Remich">Remich</option>
              <option value="Capellen">Capellen</option>
              <option value="Esch-sur-Alzette">Esch-sur-Alzette</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Mersch">Mersch</option>
              <option value="St. Anthony Parish">St. Anthony Parish</option>
              <option value="Cathedral Parish">Cathedral Parish</option>
              <option value="St. Lawrence Parish">St. Lawrence Parish</option>
              <option value="St. Lazarus Parish">St. Lazarus Parish</option>
              <option value="Our Lady Fatima Parish">Our Lady Fatima Parish</option>
              <option value=""></option>
              <option value="Antananarivo province">Antananarivo province</option>
              <option value="Antsiranana province">Antsiranana province</option>
              <option value="Fianarantsoa province">Fianarantsoa province</option>
              <option value="Mahajanga province">Mahajanga province</option>
              <option value="Toliara province">Toliara province</option>
              <option value="Toamasina province">Toamasina province</option>
              <option value="Balaka">Balaka</option>
              <option value="Blantyre">Blantyre</option>
              <option value="Chikwawa">Chikwawa</option>
              <option value="Chiradzulu">Chiradzulu</option>
              <option value="Chitipa">Chitipa</option>
              <option value="Dedza">Dedza</option>
              <option value="Dowa">Dowa</option>
              <option value="Karonga">Karonga</option>
              <option value="Kasungu">Kasungu</option>
              <option value="Likoma">Likoma</option>
              <option value="Lilongwe">Lilongwe</option>
              <option value="Machinga">Machinga</option>
              <option value="Mchinji">Mchinji</option>
              <option value="Mangochi">Mangochi</option>
              <option value="Mulanje">Mulanje</option>
              <option value="Mwanza">Mwanza</option>
              <option value="Mzimba">Mzimba</option>
              <option value="Nkhata Bay">Nkhata Bay</option>
              <option value="Nkhotakota">Nkhotakota</option>
              <option value="Nsanje">Nsanje</option>
              <option value="Ntchisi">Ntchisi</option>
              <option value="Ntcheu">Ntcheu</option>
              <option value="Phalombe">Phalombe</option>
              <option value="Rumphi">Rumphi</option>
              <option value="Salima">Salima</option>
              <option value="Thyolo">Thyolo</option>
              <option value="Zomba">Zomba</option>
              <option value="Johor">Johor</option>
              <option value="Kedah">Kedah</option>
              <option value="Kuala Lumpur">Kuala Lumpur</option>
              <option value="Kelantan">Kelantan</option>
              <option value="Labuan">Labuan</option>
              <option value="Malacca">Malacca</option>
              <option value="Negeri Sembilan">Negeri Sembilan</option>
              <option value="Penang">Penang</option>
              <option value="Pahang">Pahang</option>
              <option value="Perak">Perak</option>
              <option value="Perlis">Perlis</option>
              <option value="Sabah">Sabah</option>
              <option value="Selangor">Selangor</option>
              <option value="Sarawak">Sarawak</option>
              <option value="Terengganu">Terengganu</option>
              <option value="Wilayah Persekutuan">Wilayah Persekutuan</option>
              <option value="Ari Atoll Dheknu">Ari Atoll Dheknu</option>
              <option value="Ari Atoll Uthuru">Ari Atoll Uthuru</option>
              <option value="Addu">Addu</option>
              <option value="Faadhippolhu">Faadhippolhu</option>
              <option value="Felidhe Atoll">Felidhe Atoll</option>
              <option value="Fua Mulaku">Fua Mulaku</option>
              <option value="Huvadhu Atoll Dhekunu">Huvadhu Atoll Dhekunu</option>
              <option value="Huvadhu Atoll Uthuru">Huvadhu Atoll Uthuru</option>
              <option value="Hadhdhunmathi">Hadhdhunmathi</option>
              <option value="Kolhumadulu">Kolhumadulu</option>
              <option value="Male Atoll">Male Atoll</option>
              <option value="Maalhosmadulu Dhekunu">Maalhosmadulu Dhekunu</option>
              <option value="Maalhosmadulu Uthuru">Maalhosmadulu Uthuru</option>
              <option value="Miladhunmadulu Dhekunu">Miladhunmadulu Dhekunu</option>
              <option value="Miladhunmadulu Uthuru">Miladhunmadulu Uthuru</option>
              <option value="Mulaku Atoll">Mulaku Atoll</option>
              <option value="Nilandhe Atoll Dhekunu">Nilandhe Atoll Dhekunu</option>
              <option value="Nilandhe Atoll Uthuru">Nilandhe Atoll Uthuru</option>
              <option value="Thiladhunmathi Dhekunu">Thiladhunmathi Dhekunu</option>
              <option value="Thiladhunmathi Uthuru">Thiladhunmathi Uthuru</option>
              <option value="Bamako Capital District">Bamako Capital District</option>
              <option value="Gao">Gao</option>
              <option value="Kidal">Kidal</option>
              <option value="Koulikoro">Koulikoro</option>
              <option value="Kayes">Kayes</option>
              <option value="Mopti">Mopti</option>
              <option value="Segou">Segou</option>
              <option value="Sikasso">Sikasso</option>
              <option value="Tombouctou">Tombouctou</option>
              <option value="Attard">Attard</option>
              <option value="Balzan">Balzan</option>
              <option value="Birgu">Birgu</option>
              <option value="Birkirkara">Birkirkara</option>
              <option value="Bormla">Bormla</option>
              <option value="Birzebbuga">Birzebbuga</option>
              <option value="Dingli">Dingli</option>
              <option value="Fgura">Fgura</option>
              <option value="Floriana">Floriana</option>
              <option value="Fontana">Fontana</option>
              <option value="Gudja">Gudja</option>
              <option value="Ghajnsielem">Ghajnsielem</option>
              <option value="Gharb">Gharb</option>
              <option value="Ghasri">Ghasri</option>
              <option value="Gargur">Gargur</option>
              <option value="Gaxaq">Gaxaq</option>
              <option value="Gzira">Gzira</option>
              <option value="Hamrun">Hamrun</option>
              <option value="Iklin">Iklin</option>
              <option value="Isla">Isla</option>
              <option value="Kalkara">Kalkara</option>
              <option value="Kercem">Kercem</option>
              <option value="Kirkop">Kirkop</option>
              <option value="Lija">Lija</option>
              <option value="Luqa">Luqa</option>
              <option value="Mdina">Mdina</option>
              <option value="Melliea">Melliea</option>
              <option value="Mgarr">Mgarr</option>
              <option value="Marsaskala">Marsaskala</option>
              <option value="Mqabba">Mqabba</option>
              <option value="Marsa">Marsa</option>
              <option value="Msida">Msida</option>
              <option value="Mosta">Mosta</option>
              <option value="Mtarfa">Mtarfa</option>
              <option value="Munxar">Munxar</option>
              <option value="Marsaxlokk">Marsaxlokk</option>
              <option value="Nadur">Nadur</option>
              <option value="Naxxar">Naxxar</option>
              <option value="Paola">Paola</option>
              <option value="Pembroke">Pembroke</option>
              <option value="Pieta">Pieta</option>
              <option value="Qala">Qala</option>
              <option value="Qormi">Qormi</option>
              <option value="Qrendi">Qrendi</option>
              <option value="Rabat">Rabat</option>
              <option value="Safi">Safi</option>
              <option value="San Giljan">San Giljan</option>
              <option value="San Gwann">San Gwann</option>
              <option value="Siggiewi">Siggiewi</option>
              <option value="San Lawrenz">San Lawrenz</option>
              <option value="Sliema">Sliema</option>
              <option value="Santa Lucija">Santa Lucija</option>
              <option value="Sannat">Sannat</option>
              <option value="San Pawl il-Bahar">San Pawl il-Bahar</option>
              <option value="Santa Venera">Santa Venera</option>
              <option value="Swieqi">Swieqi</option>
              <option value="Tarxien">Tarxien</option>
              <option value="Ta Xbiex">Ta Xbiex</option>
              <option value="Victoria">Victoria</option>
              <option value="Valletta">Valletta</option>
              <option value="Xewkija">Xewkija</option>
              <option value="Xgajra">Xgajra</option>
              <option value="Xagra">Xagra</option>
              <option value="Zebbug">Zebbug</option>
              <option value="Zabbar">Zabbar</option>
              <option value="Zebbug">Zebbug</option>
              <option value="Zejtun">Zejtun</option>
              <option value="Zurrieq">Zurrieq</option>
              <option value="Ailinginae">Ailinginae</option>
              <option value="Ailuk">Ailuk</option>
              <option value="Ailinglaplap">Ailinglaplap</option>
              <option value="Arno">Arno</option>
              <option value="Aur">Aur</option>
              <option value="Bokak">Bokak</option>
              <option value="Bikini">Bikini</option>
              <option value="Bikar">Bikar</option>
              <option value="Ebon">Ebon</option>
              <option value="Erikub">Erikub</option>
              <option value="Enewetak">Enewetak</option>
              <option value="Jabat">Jabat</option>
              <option value="Jemo">Jemo</option>
              <option value="Jaluit">Jaluit</option>
              <option value="Kili">Kili</option>
              <option value="Kwajalein">Kwajalein</option>
              <option value="Lae">Lae</option>
              <option value="Lib">Lib</option>
              <option value="Likiep">Likiep</option>
              <option value="Mili">Mili</option>
              <option value="Majuro">Majuro</option>
              <option value="Mejit">Mejit</option>
              <option value="Maloelap">Maloelap</option>
              <option value="Namu">Namu</option>
              <option value="Namorik">Namorik</option>
              <option value="Rongrik">Rongrik</option>
              <option value="Rongelap">Rongelap</option>
              <option value="Toke">Toke</option>
              <option value="Ujae">Ujae</option>
              <option value="Ujelang">Ujelang</option>
              <option value="Utirik">Utirik</option>
              <option value="Wotho">Wotho</option>
              <option value="Wotje">Wotje</option>
              <option value=""></option>
              <option value="Adrar">Adrar</option>
              <option value="Assaba">Assaba</option>
              <option value="Brakna">Brakna</option>
              <option value="Dakhlet Nouadhibou">Dakhlet Nouadhibou</option>
              <option value="Guidimaka">Guidimaka</option>
              <option value="Gorgol">Gorgol</option>
              <option value="Hodh Ech Chargui">Hodh Ech Chargui</option>
              <option value="Hodh El Gharbi">Hodh El Gharbi</option>
              <option value="Inchiri">Inchiri</option>
              <option value="Nouakchott">Nouakchott</option>
              <option value="Tagant">Tagant</option>
              <option value="Trarza">Trarza</option>
              <option value="Tiris Zemmour">Tiris Zemmour</option>
              <option value="Agalega Islands">Agalega Islands</option>
              <option value="Black River">Black River</option>
              <option value="Beau Bassin-Rose Hill">Beau Bassin-Rose Hill</option>
              <option value="Cargados Carajos Shoals (Saint Brandon Islands)">Cargados Carajos Shoals (Saint Brandon Islands)</option>
              <option value="Curepipe">Curepipe</option>
              <option value="Flacq">Flacq</option>
              <option value="Grand Port">Grand Port</option>
              <option value="Moka">Moka</option>
              <option value="Pamplemousses">Pamplemousses</option>
              <option value="Port Louis">Port Louis</option>
              <option value="Port Louis">Port Louis</option>
              <option value="Plaines Wilhems">Plaines Wilhems</option>
              <option value="Quatre Bornes">Quatre Bornes</option>
              <option value="Rodrigues">Rodrigues</option>
              <option value="Riviere du Rempart">Riviere du Rempart</option>
              <option value="Savanne">Savanne</option>
              <option value="Vacoas-Phoenix">Vacoas-Phoenix</option>
              <option value=""></option>
              <option value="Aguascalientes">Aguascalientes</option>
              <option value="Baja California">Baja California</option>
              <option value="Baja California Sur">Baja California Sur</option>
              <option value="Campeche">Campeche</option>
              <option value="Chihuahua">Chihuahua</option>
              <option value="Chiapas">Chiapas</option>
              <option value="Coahuila">Coahuila</option>
              <option value="Colima">Colima</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="Durango">Durango</option>
              <option value="Guerrero">Guerrero</option>
              <option value="Guanajuato">Guanajuato</option>
              <option value="Hidalgo">Hidalgo</option>
              <option value="Jalisco">Jalisco</option>
              <option value="Mexico">Mexico</option>
              <option value="Michoacan">Michoacan</option>
              <option value="Morelos">Morelos</option>
              <option value="Nayarit">Nayarit</option>
              <option value="Nuevo Leon">Nuevo Leon</option>
              <option value="Oaxaca">Oaxaca</option>
              <option value="Puebla">Puebla</option>
              <option value="Queretaro">Queretaro</option>
              <option value="Quintana Roo">Quintana Roo</option>
              <option value="Sinaloa">Sinaloa</option>
              <option value="San Luis Potosi">San Luis Potosi</option>
              <option value="Sonora">Sonora</option>
              <option value="Tabasco">Tabasco</option>
              <option value="Tamaulipas">Tamaulipas</option>
              <option value="Tlaxcala">Tlaxcala</option>
              <option value="Veracruz">Veracruz</option>
              <option value="Yucatan">Yucatan</option>
              <option value="Zacatecas">Zacatecas</option>
              <option value="Chuuk">Chuuk</option>
              <option value="Kosrae">Kosrae</option>
              <option value="Pohnpei">Pohnpei</option>
              <option value="Yap">Yap</option>
              <option value="Balti">Balti</option>
              <option value="Cahul">Cahul</option>
              <option value="Chisinau">Chisinau</option>
              <option value="Edinet">Edinet</option>
              <option value="Gagauzia">Gagauzia</option>
              <option value="Lapusna">Lapusna</option>
              <option value="Orhei">Orhei</option>
              <option value="Pridnestrovie (Transnistria)">Pridnestrovie (Transnistria)</option>
              <option value="StO?a Nistrului">StO?a Nistrului</option>
              <option value="Soroca">Soroca</option>
              <option value="Tighina">Tighina</option>
              <option value="Ungheni">Ungheni</option>
              <option value="Fontvieille">Fontvieille</option>
              <option value="La Condamine">La Condamine</option>
              <option value="Monte-Carlo">Monte-Carlo</option>
              <option value="Monaco-Ville">Monaco-Ville</option>
              <option value="Orhon">Orhon</option>
              <option value="Darhan uul">Darhan uul</option>
              <option value="Hentiy">Hentiy</option>
              <option value="Hovsgol">Hovsgol</option>
              <option value="Hovd">Hovd</option>
              <option value="Uvs">Uvs</option>
              <option value="Tov">Tov</option>
              <option value="Selenge">Selenge</option>
              <option value="Suhbaatar">Suhbaatar</option>
              <option value="Omnogovi">Omnogovi</option>
              <option value="Ovorhangay">Ovorhangay</option>
              <option value="Dzavhan">Dzavhan</option>
              <option value="DundgovL">DundgovL</option>
              <option value="Dornod">Dornod</option>
              <option value="Dornogov">Dornogov</option>
              <option value="Govi-Sumber">Govi-Sumber</option>
              <option value="Govi-Altay">Govi-Altay</option>
              <option value="Bulgan">Bulgan</option>
              <option value="Bayanhongor">Bayanhongor</option>
              <option value="Bayan-Olgiy">Bayan-Olgiy</option>
              <option value="Arhangay">Arhangay</option>
              <option value="Ulanbaatar">Ulanbaatar</option>
              <option value=""></option>
              <option value="Saint Anthony">Saint Anthony</option>
              <option value="Saint Georges">Saint Georges</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Ad Dakhla">Ad Dakhla</option>
              <option value="Agadir">Agadir</option>
              <option value="Azilal">Azilal</option>
              <option value="Boujdour">Boujdour</option>
              <option value="Boulemane">Boulemane</option>
              <option value="Beni Mellal">Beni Mellal</option>
              <option value="Ben Slimane">Ben Slimane</option>
              <option value="Casablanca">Casablanca</option>
              <option value="Chaouen">Chaouen</option>
              <option value="El Jadida">El Jadida</option>
              <option value="El Kelaa des Sraghna">El Kelaa des Sraghna</option>
              <option value="Er Rachidia">Er Rachidia</option>
              <option value="Es Smara">Es Smara</option>
              <option value="Essaouira">Essaouira</option>
              <option value="Fes">Fes</option>
              <option value="Figuig">Figuig</option>
              <option value="Guelmim">Guelmim</option>
              <option value="Al Hoceima">Al Hoceima</option>
              <option value="Ifrane">Ifrane</option>
              <option value="Kenitra">Kenitra</option>
              <option value="Khemisset">Khemisset</option>
              <option value="Khenifra">Khenifra</option>
              <option value="Khouribga">Khouribga</option>
              <option value="Larache">Larache</option>
              <option value="Laayoune">Laayoune</option>
              <option value="Meknes">Meknes</option>
              <option value="Marrakech">Marrakech</option>
              <option value="Nador">Nador</option>
              <option value="Ouarzazate">Ouarzazate</option>
              <option value="Oujda">Oujda</option>
              <option value="Rabat-Sale">Rabat-Sale</option>
              <option value="Safi">Safi</option>
              <option value="Settat">Settat</option>
              <option value="Sidi Kacem">Sidi Kacem</option>
              <option value="Tan-Tan">Tan-Tan</option>
              <option value="Taounate">Taounate</option>
              <option value="Tata">Tata</option>
              <option value="Taza">Taza</option>
              <option value="Tetouan">Tetouan</option>
              <option value="Tangier">Tangier</option>
              <option value="Tiznit">Tiznit</option>
              <option value="Taroudannt">Taroudannt</option>
              <option value="Cabo Delgado">Cabo Delgado</option>
              <option value="Gaza">Gaza</option>
              <option value="Inhambane">Inhambane</option>
              <option value="Maputo (city)">Maputo (city)</option>
              <option value="Manica">Manica</option>
              <option value="Maputo">Maputo</option>
              <option value="Nampula">Nampula</option>
              <option value="Niassa">Niassa</option>
              <option value="Sofala">Sofala</option>
              <option value="Tete">Tete</option>
              <option value="Zambezia">Zambezia</option>
              <option value="Ayeyarwady">Ayeyarwady</option>
              <option value="Bago">Bago</option>
              <option value="Chin State">Chin State</option>
              <option value="Kachin State">Kachin State</option>
              <option value="Kayah State">Kayah State</option>
              <option value="Kayin State">Kayin State</option>
              <option value="Mandalay">Mandalay</option>
              <option value="Magway">Magway</option>
              <option value="Mon State">Mon State</option>
              <option value="Rakhine State">Rakhine State</option>
              <option value="Sagaing">Sagaing</option>
              <option value="Shan State">Shan State</option>
              <option value="Tanintharyi">Tanintharyi</option>
              <option value="Yangon">Yangon</option>
              <option value="Caprivi">Caprivi</option>
              <option value="Erongo">Erongo</option>
              <option value="Hardap">Hardap</option>
              <option value="Khomas">Khomas</option>
              <option value="Karas">Karas</option>
              <option value="Kunene">Kunene</option>
              <option value="Kavango">Kavango</option>
              <option value="Otjozondjupa">Otjozondjupa</option>
              <option value="Omaheke">Omaheke</option>
              <option value="Oshana">Oshana</option>
              <option value="Oshikoto">Oshikoto</option>
              <option value="Omusati">Omusati</option>
              <option value="Ohangwena">Ohangwena</option>
              <option value="Anabar">Anabar</option>
              <option value="Anibare">Anibare</option>
              <option value="Aiwo">Aiwo</option>
              <option value="Anetan">Anetan</option>
              <option value="Baiti">Baiti</option>
              <option value="Boe">Boe</option>
              <option value="Buada">Buada</option>
              <option value="Denigomodu">Denigomodu</option>
              <option value="Ewa">Ewa</option>
              <option value="Ijuw">Ijuw</option>
              <option value="Meneng">Meneng</option>
              <option value="Nibok">Nibok</option>
              <option value="Uaboe">Uaboe</option>
              <option value="Yaren">Yaren</option>
              <option value="Bagmati">Bagmati</option>
              <option value="Bheri">Bheri</option>
              <option value="Dhawalagiri">Dhawalagiri</option>
              <option value="Gandaki">Gandaki</option>
              <option value="Janakpur">Janakpur</option>
              <option value="Karnali">Karnali</option>
              <option value="Kosi">Kosi</option>
              <option value="Lumbini">Lumbini</option>
              <option value="Mahakali">Mahakali</option>
              <option value="Mechi">Mechi</option>
              <option value="Narayani">Narayani</option>
              <option value="Rapti">Rapti</option>
              <option value="Sagarmatha">Sagarmatha</option>
              <option value="Seti">Seti</option>
              <option value="Drenthe">Drenthe</option>
              <option value="Flevoland">Flevoland</option>
              <option value="Friesland">Friesland</option>
              <option value="Gelderland">Gelderland</option>
              <option value="Groningen">Groningen</option>
              <option value="Limburg">Limburg</option>
              <option value="Noord Brabant">Noord Brabant</option>
              <option value="Noord Holland">Noord Holland</option>
              <option value="Overijssel">Overijssel</option>
              <option value="Utrecht">Utrecht</option>
              <option value="Zeeland">Zeeland</option>
              <option value="Zuid Holland">Zuid Holland</option>
              <option value=""></option>
              <option value="Iles Loyaute">Iles Loyaute</option>
              <option value="Nord">Nord</option>
              <option value="Sud">Sud</option>
              <option value="Auckland">Auckland</option>
              <option value="Bay of Plenty">Bay of Plenty</option>
              <option value="Canterbury">Canterbury</option>
              <option value="Gisborne">Gisborne</option>
              <option value="Hawkes Bay">Hawkes Bay</option>
              <option value="Marlborough">Marlborough</option>
              <option value="Manawatu-Wanganui">Manawatu-Wanganui</option>
              <option value="Nelson">Nelson</option>
              <option value="Northland">Northland</option>
              <option value="Otago">Otago</option>
              <option value="Southland">Southland</option>
              <option value="Tasman">Tasman</option>
              <option value="Taranaki">Taranaki</option>
              <option value="Wellington">Wellington</option>
              <option value="Waikato">Waikato</option>
              <option value="West Coast">West Coast</option>
              <option value="Region Autonoma del Atlantico Norte">Region Autonoma del Atlantico Norte</option>
              <option value="Region Autonoma del Atlantico Sur">Region Autonoma del Atlantico Sur</option>
              <option value="Boaco">Boaco</option>
              <option value="Carazo">Carazo</option>
              <option value="Chinandega">Chinandega</option>
              <option value="Chontales">Chontales</option>
              <option value="Esteli">Esteli</option>
              <option value="Granada">Granada</option>
              <option value="Jinotega">Jinotega</option>
              <option value="Leon">Leon</option>
              <option value="Madriz">Madriz</option>
              <option value="Managua">Managua</option>
              <option value="Masaya">Masaya</option>
              <option value="Matagalpa">Matagalpa</option>
              <option value="Nueva Segovia">Nueva Segovia</option>
              <option value="Rivas">Rivas</option>
              <option value="Rio San Juan">Rio San Juan</option>
              <option value=""></option>
              <option value="Abia">Abia</option>
              <option value="Adamawa">Adamawa</option>
              <option value="Agadez">Agadez</option>
              <option value="Akwa Ibom">Akwa Ibom</option>
              <option value="Anambra">Anambra</option>
              <option value="Bauchi">Bauchi</option>
              <option value="Benue">Benue</option>
              <option value="Borno">Borno</option>
              <option value="Bayelsa">Bayelsa</option>
              <option value="Cross River">Cross River</option>
              <option value="Federal Capital Territory">Federal Capital Territory</option>
              <option value="Delta">Delta</option>
              <option value="Diffa">Diffa</option>
              <option value="Dosso">Dosso</option>
              <option value="Ebonyi">Ebonyi</option>
              <option value="Edo">Edo</option>
              <option value="Ekiti">Ekiti</option>
              <option value="Enugu">Enugu</option>
              <option value="Gombe">Gombe</option>
              <option value="Imo">Imo</option>
              <option value="Jigawa">Jigawa</option>
              <option value="Kaduna">Kaduna</option>
              <option value="Kebbi">Kebbi</option>
              <option value="Kano">Kano</option>
              <option value="Kogi">Kogi</option>
              <option value="Katsina">Katsina</option>
              <option value="Kwara">Kwara</option>
              <option value="Lagos">Lagos</option>
              <option value="Maradi">Maradi</option>
              <option value="Nassarawa">Nassarawa</option>
              <option value="Niger">Niger</option>
              <option value="Niamey">Niamey</option>
              <option value="Ogun">Ogun</option>
              <option value="Ondo">Ondo</option>
              <option value="Osun">Osun</option>
              <option value="Oyo">Oyo</option>
              <option value="Plateau">Plateau</option>
              <option value="Rivers">Rivers</option>
              <option value="Sokoto">Sokoto</option>
              <option value="Taraba">Taraba</option>
              <option value="Tahoua">Tahoua</option>
              <option value="Tillaberi">Tillaberi</option>
              <option value="Yobe">Yobe</option>
              <option value="Zamfara">Zamfara</option>
              <option value="Zinder">Zinder</option>
              <option value=""></option>
              <option value="Northern Islands">Northern Islands</option>
              <option value="Rota">Rota</option>
              <option value="Saipan">Saipan</option>
              <option value="Tinian">Tinian</option>
              <option value="Aust-Agder">Aust-Agder</option>
              <option value="Akershus">Akershus</option>
              <option value="Buskerud">Buskerud</option>
              <option value="Finnmark">Finnmark</option>
              <option value="Hordaland">Hordaland</option>
              <option value="Hedmark">Hedmark</option>
              <option value="More og Romdal">More og Romdal</option>
              <option value="Nordland">Nordland</option>
              <option value="Nord-Trondelag">Nord-Trondelag</option>
              <option value="Ostfold">Ostfold</option>
              <option value="Oslo">Oslo</option>
              <option value="Oppland">Oppland</option>
              <option value="Rogaland">Rogaland</option>
              <option value="Sogn og Fjordane">Sogn og Fjordane</option>
              <option value="Sor-Trondelag">Sor-Trondelag</option>
              <option value="Telemark">Telemark</option>
              <option value="Troms">Troms</option>
              <option value="Vest-Agder">Vest-Agder</option>
              <option value="Vestfold">Vestfold</option>
              <option value="Al Batinah">Al Batinah</option>
              <option value="Ad Dakhiliyah">Ad Dakhiliyah</option>
              <option value="Masqat">Masqat</option>
              <option value="Musandam">Musandam</option>
              <option value="Ash Sharqiyah">Ash Sharqiyah</option>
              <option value="Al Wusta">Al Wusta</option>
              <option value="Az Zahirah">Az Zahirah</option>
              <option value="Zufar">Zufar</option>
              <option value="Balochistan">Balochistan</option>
              <option value="Islamabad Capital Territory">Islamabad Capital Territory</option>
              <option value="North-West Frontier Province">North-West Frontier Province</option>
              <option value="Punjab">Punjab</option>
              <option value="Sindh">Sindh</option>
              <option value="Federally Administered Tribal Areas">Federally Administered Tribal Areas</option>
              <option value="Aimeliik">Aimeliik</option>
              <option value="Angaur">Angaur</option>
              <option value="Airai">Airai</option>
              <option value="Hatohobei">Hatohobei</option>
              <option value="Kayangel">Kayangel</option>
              <option value="Koror">Koror</option>
              <option value="Melekeok">Melekeok</option>
              <option value="Ngaraard">Ngaraard</option>
              <option value="Ngchesar">Ngchesar</option>
              <option value="Ngardmau">Ngardmau</option>
              <option value="Ngarchelong">Ngarchelong</option>
              <option value="Ngeremlengui">Ngeremlengui</option>
              <option value="Ngatpang">Ngatpang</option>
              <option value="Ngiwal">Ngiwal</option>
              <option value="Peleliu">Peleliu</option>
              <option value="Sonsorol">Sonsorol</option>
              <option value=""></option>
              <option value="Bocas del Toro">Bocas del Toro</option>
              <option value="Cocle">Cocle</option>
              <option value="Chiriqui">Chiriqui</option>
              <option value="Colon">Colon</option>
              <option value="Darien">Darien</option>
              <option value="Herrera">Herrera</option>
              <option value="Los Santos">Los Santos</option>
              <option value="Panama">Panama</option>
              <option value="San Blas">San Blas</option>
              <option value="Veraguas">Veraguas</option>
              <option value="Bougainville">Bougainville</option>
              <option value="Central">Central</option>
              <option value="Chimbu">Chimbu</option>
              <option value="East New Britain">East New Britain</option>
              <option value="Eastern Highlands">Eastern Highlands</option>
              <option value="Enga">Enga</option>
              <option value="East Sepik">East Sepik</option>
              <option value="Gulf">Gulf</option>
              <option value="Milne Bay">Milne Bay</option>
              <option value="Madang">Madang</option>
              <option value="Manus">Manus</option>
              <option value="Morobe">Morobe</option>
              <option value="National Capital">National Capital</option>
              <option value="New Ireland">New Ireland</option>
              <option value="Northern">Northern</option>
              <option value="Sandaun">Sandaun</option>
              <option value="Southern Highlands">Southern Highlands</option>
              <option value="West New Britain">West New Britain</option>
              <option value="Western">Western</option>
              <option value="Western Highlands">Western Highlands</option>
              <option value="Alto Paraguay">Alto Paraguay</option>
              <option value="Amambay">Amambay</option>
              <option value="Alto Parana">Alto Parana</option>
              <option value="Asuncion">Asuncion</option>
              <option value="Boqueron">Boqueron</option>
              <option value="Concepcion">Concepcion</option>
              <option value="Cordillera">Cordillera</option>
              <option value="Central">Central</option>
              <option value="Caaguazu">Caaguazu</option>
              <option value="Canindeyu">Canindeyu</option>
              <option value="Caazapa">Caazapa</option>
              <option value="Guaira">Guaira</option>
              <option value="Itapua">Itapua</option>
              <option value="Misiones">Misiones</option>
              <option value="Neembucu">Neembucu</option>
              <option value="Paraguari">Paraguari</option>
              <option value="Presidente Hayes">Presidente Hayes</option>
              <option value="San Pedro">San Pedro</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Ancash">Ancash</option>
              <option value="Apurimac">Apurimac</option>
              <option value="Arequipa">Arequipa</option>
              <option value="Ayacucho">Ayacucho</option>
              <option value="Cajamarca">Cajamarca</option>
              <option value="Callao">Callao</option>
              <option value="Cusco">Cusco</option>
              <option value="Huanuco">Huanuco</option>
              <option value="Huancavelica">Huancavelica</option>
              <option value="Ica">Ica</option>
              <option value="Junin">Junin</option>
              <option value="La Libertad">La Libertad</option>
              <option value="Lima">Lima</option>
              <option value="Loreto">Loreto</option>
              <option value="Lambayeque">Lambayeque</option>
              <option value="Madre de Dios">Madre de Dios</option>
              <option value="Moquegua">Moquegua</option>
              <option value="Pasco">Pasco</option>
              <option value="Piura">Piura</option>
              <option value="Puno">Puno</option>
              <option value="San Martin">San Martin</option>
              <option value="Tacna">Tacna</option>
              <option value="Tumbes">Tumbes</option>
              <option value="Ucayali">Ucayali</option>
              <option value="Abra">Abra</option>
              <option value="Aklan">Aklan</option>
              <option value="Albay">Albay</option>
              <option value="Agusan del Norte">Agusan del Norte</option>
              <option value="Antique">Antique</option>
              <option value="Apayao">Apayao</option>
              <option value="Agusan del Sur">Agusan del Sur</option>
              <option value="Aurora">Aurora</option>
              <option value="Basilan">Basilan</option>
              <option value="Benguet">Benguet</option>
              <option value="Biliran">Biliran</option>
              <option value="Bohol">Bohol</option>
              <option value="Bataan">Bataan</option>
              <option value="Batanes">Batanes</option>
              <option value="Batangas">Batangas</option>
              <option value="Bukidnon">Bukidnon</option>
              <option value="Bulacan">Bulacan</option>
              <option value="Cagayan">Cagayan</option>
              <option value="Camiguin">Camiguin</option>
              <option value="Capiz">Capiz</option>
              <option value="Catanduanes">Catanduanes</option>
              <option value="Cavite">Cavite</option>
              <option value="Cebu">Cebu</option>
              <option value="Compostela">Compostela</option>
              <option value="Camarines Norte">Camarines Norte</option>
              <option value="Camarines Sur">Camarines Sur</option>
              <option value="Davao del Norte">Davao del Norte</option>
              <option value="Davao Oriental">Davao Oriental</option>
              <option value="Davao del Sur">Davao del Sur</option>
              <option value="Eastern Samar">Eastern Samar</option>
              <option value="Guimaras">Guimaras</option>
              <option value="Ifugao">Ifugao</option>
              <option value="Iloilo">Iloilo</option>
              <option value="Ilocos Norte">Ilocos Norte</option>
              <option value="Isabela">Isabela</option>
              <option value="Ilocos Sur">Ilocos Sur</option>
              <option value="Kalinga">Kalinga</option>
              <option value="Laguna">Laguna</option>
              <option value="Leyte">Leyte</option>
              <option value="Lanao del Norte">Lanao del Norte</option>
              <option value="Lanao del Sur">Lanao del Sur</option>
              <option value="Maguindanao">Maguindanao</option>
              <option value="Mindoro Occidental">Mindoro Occidental</option>
              <option value="Mindoro Oriental">Mindoro Oriental</option>
              <option value="Mountain Province">Mountain Province</option>
              <option value="Misamis Oriental">Misamis Oriental</option>
              <option value="Marinduque">Marinduque</option>
              <option value="Masbate">Masbate</option>
              <option value="Misamis Occidental">Misamis Occidental</option>
              <option value="North Cotabato">North Cotabato</option>
              <option value="Nueva Ecija">Nueva Ecija</option>
              <option value="Negros Occidental">Negros Occidental</option>
              <option value="Negros Oriental">Negros Oriental</option>
              <option value="Northern Samar">Northern Samar</option>
              <option value="Nueva Vizcaya">Nueva Vizcaya</option>
              <option value="Palawan">Palawan</option>
              <option value="Pampanga">Pampanga</option>
              <option value="Pangasinan">Pangasinan</option>
              <option value="Quirino">Quirino</option>
              <option value="Quezon">Quezon</option>
              <option value="Rizal">Rizal</option>
              <option value="Romblon">Romblon</option>
              <option value="South Cotabato">South Cotabato</option>
              <option value="Sultan Kudarat">Sultan Kudarat</option>
              <option value="Southern Leyte">Southern Leyte</option>
              <option value="Sulu">Sulu</option>
              <option value="Samar">Samar</option>
              <option value="Surigao del Norte">Surigao del Norte</option>
              <option value="Siquijor">Siquijor</option>
              <option value="Sarangani">Sarangani</option>
              <option value="Sorsogon">Sorsogon</option>
              <option value="Surigao del Sur">Surigao del Sur</option>
              <option value="Tarlac">Tarlac</option>
              <option value="Tawi-Tawi">Tawi-Tawi</option>
              <option value="La Union">La Union</option>
              <option value="Zambales">Zambales</option>
              <option value="Zamboanga del Norte">Zamboanga del Norte</option>
              <option value="Zamboanga Sibugay">Zamboanga Sibugay</option>
              <option value="Zamboanga del Sur">Zamboanga del Sur</option>
              <option value=""></option>
              <option value="Dolnoslaskie">Dolnoslaskie</option>
              <option value="Kujawsko-Pomorskie">Kujawsko-Pomorskie</option>
              <option value="Lubelskie">Lubelskie</option>
              <option value="Lodzkie">Lodzkie</option>
              <option value="Lubuskie">Lubuskie</option>
              <option value="Malopolskie">Malopolskie</option>
              <option value="Mazowieckie">Mazowieckie</option>
              <option value="Opolskie">Opolskie</option>
              <option value="Podlaskie">Podlaskie</option>
              <option value="Pomorskie">Pomorskie</option>
              <option value="Podkarpackie">Podkarpackie</option>
              <option value="Slaskie">Slaskie</option>
              <option value="Swietokrzyskie">Swietokrzyskie</option>
              <option value="Warminsko-Mazurskie">Warminsko-Mazurskie</option>
              <option value="Wielkopolskie">Wielkopolskie</option>
              <option value="Zachodniopomorskie">Zachodniopomorskie</option>
              <option value="Acores (Azores)">Acores (Azores)</option>
              <option value="Aveiro">Aveiro</option>
              <option value="Braga">Braga</option>
              <option value="Beja">Beja</option>
              <option value="Braganca">Braganca</option>
              <option value="Castelo Branco">Castelo Branco</option>
              <option value="Coimbra">Coimbra</option>
              <option value="Evora">Evora</option>
              <option value="Faro">Faro</option>
              <option value="Guarda">Guarda</option>
              <option value="Leiria">Leiria</option>
              <option value="Lisboa">Lisboa</option>
              <option value="Madeira">Madeira</option>
              <option value="Portalegre">Portalegre</option>
              <option value="Porto">Porto</option>
              <option value="Santarem">Santarem</option>
              <option value="Setubal">Setubal</option>
              <option value="Viana do Castelo">Viana do Castelo</option>
              <option value="Vila Real">Vila Real</option>
              <option value="Viseu">Viseu</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Ad Dawhah">Ad Dawhah</option>
              <option value="Al Ghuwayriyah">Al Ghuwayriyah</option>
              <option value="Jarayan al Batinah">Jarayan al Batinah</option>
              <option value="Al Jumayliyah">Al Jumayliyah</option>
              <option value="Al Khawr">Al Khawr</option>
              <option value="Madinat ash Shamal">Madinat ash Shamal</option>
              <option value="Ar Rayyan">Ar Rayyan</option>
              <option value="Umm Said">Umm Said</option>
              <option value="Umm Salal">Umm Salal</option>
              <option value="Al Wakrah">Al Wakrah</option>
              <option value=""></option>
              <option value="Arad">Arad</option>
              <option value="Arges">Arges</option>
              <option value="Alba">Alba</option>
              <option value="Bacau">Bacau</option>
              <option value="Bucuresti">Bucuresti</option>
              <option value="Bihor">Bihor</option>
              <option value="Braila">Braila</option>
              <option value="Bistrita-Nasaud">Bistrita-Nasaud</option>
              <option value="Botosani">Botosani</option>
              <option value="Brasov">Brasov</option>
              <option value="Buzau">Buzau</option>
              <option value="Cluj">Cluj</option>
              <option value="Calarasi">Calarasi</option>
              <option value="Caras-Severin">Caras-Severin</option>
              <option value="Constanta">Constanta</option>
              <option value="Covasna">Covasna</option>
              <option value="Dimbovita">Dimbovita</option>
              <option value="Dolj">Dolj</option>
              <option value="Giurgiu">Giurgiu</option>
              <option value="Gorj">Gorj</option>
              <option value="Galati">Galati</option>
              <option value="Harghita">Harghita</option>
              <option value="Hunedoara">Hunedoara</option>
              <option value="Ilfov">Ilfov</option>
              <option value="Ialomita">Ialomita</option>
              <option value="Iasi">Iasi</option>
              <option value="Maramures">Maramures</option>
              <option value="Mehedinti">Mehedinti</option>
              <option value="Mures">Mures</option>
              <option value="Neamt">Neamt</option>
              <option value="Olt">Olt</option>
              <option value="Prahova">Prahova</option>
              <option value="Timis">Timis</option>
              <option value="Salaj">Salaj</option>
              <option value="Satu Mare">Satu Mare</option>
              <option value="Sibiu">Sibiu</option>
              <option value="Suceava">Suceava</option>
              <option value="Teleorman">Teleorman</option>
              <option value="Tulcea">Tulcea</option>
              <option value="Vaslui">Vaslui</option>
              <option value="Vilcea">Vilcea</option>
              <option value="Vrancea">Vrancea</option>
              <option value="Adygeya">Adygeya</option>
              <option value="Aga Buryatia">Aga Buryatia</option>
              <option value="Altai Republic">Altai Republic</option>
              <option value="Altai Krai">Altai Krai</option>
              <option value="Amur">Amur</option>
              <option value="Arkhangelsk">Arkhangelsk</option>
              <option value="Astrakhan">Astrakhan</option>
              <option value="Bashkortostan">Bashkortostan</option>
              <option value="Belgorod">Belgorod</option>
              <option value="Bryansk">Bryansk</option>
              <option value="Buryatia">Buryatia</option>
              <option value="Chechnya">Chechnya</option>
              <option value="Chelyabinsk">Chelyabinsk</option>
              <option value="Chita">Chita</option>
              <option value="Chukotka">Chukotka</option>
              <option value="Chuvashia">Chuvashia</option>
              <option value="Dagestan">Dagestan</option>
              <option value="Evenkia">Evenkia</option>
              <option value="Ingushetia">Ingushetia</option>
              <option value="Irkutsk">Irkutsk</option>
              <option value="Ivanovo">Ivanovo</option>
              <option value="Kamchatka">Kamchatka</option>
              <option value="Kabardino-Balkaria">Kabardino-Balkaria</option>
              <option value="Karachay-Cherkessia">Karachay-Cherkessia</option>
              <option value="Krasnodar">Krasnodar</option>
              <option value="Kemerovo">Kemerovo</option>
              <option value="Kaliningrad">Kaliningrad</option>
              <option value="Kurgan">Kurgan</option>
              <option value="Khabarovsk">Khabarovsk</option>
              <option value="Khantia-Mansia">Khantia-Mansia</option>
              <option value="Kirov">Kirov</option>
              <option value="Khakassia">Khakassia</option>
              <option value="Kalmykia">Kalmykia</option>
              <option value="Kaluga">Kaluga</option>
              <option value="Komi">Komi</option>
              <option value="Permyakia">Permyakia</option>
              <option value="Koryakia">Koryakia</option>
              <option value="Kostroma">Kostroma</option>
              <option value="Karelia">Karelia</option>
              <option value="Kursk">Kursk</option>
              <option value="Krasnoyarsk">Krasnoyarsk</option>
              <option value="Leningrad">Leningrad</option>
              <option value="Lipetsk">Lipetsk</option>
              <option value="Magadan">Magadan</option>
              <option value="Mari El">Mari El</option>
              <option value="Mordovia">Mordovia</option>
              <option value="Moscow (Province)">Moscow (Province)</option>
              <option value="Moscow (City)">Moscow (City)</option>
              <option value="Murmansk">Murmansk</option>
              <option value="Nenetsia">Nenetsia</option>
              <option value="Novgorod">Novgorod</option>
              <option value="Nizhny Novgorod">Nizhny Novgorod</option>
              <option value="Novosibirsk">Novosibirsk</option>
              <option value="Omsk">Omsk</option>
              <option value="Orenburg">Orenburg</option>
              <option value="Oryol">Oryol</option>
              <option value="Perm">Perm</option>
              <option value="Penza">Penza</option>
              <option value="Primorsky">Primorsky</option>
              <option value="Pskov">Pskov</option>
              <option value="Rostov">Rostov</option>
              <option value="Ryazan">Ryazan</option>
              <option value="Sakha">Sakha</option>
              <option value="Sakhalin">Sakhalin</option>
              <option value="Samara">Samara</option>
              <option value="Saratov">Saratov</option>
              <option value="North Ossetia">North Ossetia</option>
              <option value="Smolensk">Smolensk</option>
              <option value="St. Petersburg">St. Petersburg</option>
              <option value="Stavropol">Stavropol</option>
              <option value="Sverdlovsk">Sverdlovsk</option>
              <option value="Tatarstan">Tatarstan</option>
              <option value="Tambov">Tambov</option>
              <option value="Taymyria">Taymyria</option>
              <option value="Tomsk">Tomsk</option>
              <option value="Tula">Tula</option>
              <option value="Tver">Tver</option>
              <option value="Tuva">Tuva</option>
              <option value="Tyumen">Tyumen</option>
              <option value="Udmurtia">Udmurtia</option>
              <option value="Ulynovsk">Ulynovsk</option>
              <option value="Ust-Orda Buryatia">Ust-Orda Buryatia</option>
              <option value="Volgograd">Volgograd</option>
              <option value="Vladimir">Vladimir</option>
              <option value="Vologda">Vologda</option>
              <option value="Voronezh">Voronezh</option>
              <option value="Yamalia">Yamalia</option>
              <option value="Yaroslavl">Yaroslavl</option>
              <option value="Jewish Oblast">Jewish Oblast</option>
              <option value="Butare">Butare</option>
              <option value="Byumba">Byumba</option>
              <option value="Cyangugu">Cyangugu</option>
              <option value="Gikongoro">Gikongoro</option>
              <option value="Gisenyi">Gisenyi</option>
              <option value="Gitarama">Gitarama</option>
              <option value="Kibungo">Kibungo</option>
              <option value="Kigali Rurale">Kigali Rurale</option>
              <option value="Kigali-ville">Kigali-ville</option>
              <option value="Kibuye">Kibuye</option>
              <option value="Ruhengeri">Ruhengeri</option>
              <option value="Umutara">Umutara</option>
              <option value="Ascension">Ascension</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Tristan da Cunha">Tristan da Cunha</option>
              <option value="Saint Paul Capesterre">Saint Paul Capesterre</option>
              <option value="Christ Church Nichola Town">Christ Church Nichola Town</option>
              <option value="Saint Paul Charlestown">Saint Paul Charlestown</option>
              <option value="Saint Anne Sandy Point">Saint Anne Sandy Point</option>
              <option value="Saint George Basseterre">Saint George Basseterre</option>
              <option value="Saint George Gingerland">Saint George Gingerland</option>
              <option value="Saint John Capesterre">Saint John Capesterre</option>
              <option value="Saint John Figtree">Saint John Figtree</option>
              <option value="Saint James Windward">Saint James Windward</option>
              <option value="Saint Mary Cayon">Saint Mary Cayon</option>
              <option value="Saint Peter Basseterre">Saint Peter Basseterre</option>
              <option value="Saint Thomas Lowland">Saint Thomas Lowland</option>
              <option value="Saint Thomas Middle Island">Saint Thomas Middle Island</option>
              <option value="Trinity Palmetto Point">Trinity Palmetto Point</option>
              <option value="Anse-la-Raye">Anse-la-Raye</option>
              <option value="Castries">Castries</option>
              <option value="Choiseul">Choiseul</option>
              <option value="Dauphin">Dauphin</option>
              <option value="Dennery">Dennery</option>
              <option value="Gros-Islet">Gros-Islet</option>
              <option value="Laborie">Laborie</option>
              <option value="Micoud">Micoud</option>
              <option value="Praslin">Praslin</option>
              <option value="Soufriere">Soufriere</option>
              <option value="Vieux-Fort">Vieux-Fort</option>
              <option value="Miquelon">Miquelon</option>
              <option value="Saint Pierre">Saint Pierre</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Charlotte">Charlotte</option>
              <option value="Saint David">Saint David</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint Patrick">Saint Patrick</option>
              <option value="Grenadines">Grenadines</option>
              <option value="Aiga-i-le-Tai">Aiga-i-le-Tai</option>
              <option value="Aana">Aana</option>
              <option value="Atua">Atua</option>
              <option value="Faasaleleaga">Faasaleleaga</option>
              <option value="Gagaemauga">Gagaemauga</option>
              <option value="Gagaifomauga">Gagaifomauga</option>
              <option value="Palauli">Palauli</option>
              <option value="Satupaitea">Satupaitea</option>
              <option value="Tuamasaga">Tuamasaga</option>
              <option value="Vaa-o-Fonoti">Vaa-o-Fonoti</option>
              <option value="Vaisigano">Vaisigano</option>
              <option value="Acquaviva">Acquaviva</option>
              <option value="Borgo Maggiore">Borgo Maggiore</option>
              <option value="Chiesanuova">Chiesanuova</option>
              <option value="Domagnano">Domagnano</option>
              <option value="Faetano">Faetano</option>
              <option value="Fiorentino">Fiorentino</option>
              <option value="Montegiardino">Montegiardino</option>
              <option value="Serravalle">Serravalle</option>
              <option value="Citta di San Marino">Citta di San Marino</option>
              <option value="Principe">Principe</option>
              <option value="Sao Tome">Sao Tome</option>
              <option value="Ash Sharqiyah (Eastern Province)">Ash Sharqiyah (Eastern Province)</option>
              <option value="Asir">Asir</option>
              <option value="Al Bahah">Al Bahah</option>
              <option value="Hail">Hail</option>
              <option value="Al Hudud ash Shamaliyah">Al Hudud ash Shamaliyah</option>
              <option value="Al Jawf">Al Jawf</option>
              <option value="Jizan">Jizan</option>
              <option value="Al Madinah">Al Madinah</option>
              <option value="Makkah">Makkah</option>
              <option value="Najran">Najran</option>
              <option value="Al Qasim">Al Qasim</option>
              <option value="Ar Riyad">Ar Riyad</option>
              <option value="Tabuk">Tabuk</option>
              <option value="Dakar">Dakar</option>
              <option value="Diourbel">Diourbel</option>
              <option value="Fatick">Fatick</option>
              <option value="Kaolack">Kaolack</option>
              <option value="Kolda">Kolda</option>
              <option value="Louga">Louga</option>
              <option value="Matam">Matam</option>
              <option value="Saint-Louis">Saint-Louis</option>
              <option value="Tambacounda">Tambacounda</option>
              <option value="Thies">Thies</option>
              <option value="Ziguinchor">Ziguinchor</option>
              <option value=""></option>
              <option value="Anse Boileau">Anse Boileau</option>
              <option value="Anse Etoile">Anse Etoile</option>
              <option value="Anse Louis">Anse Louis</option>
              <option value="Anse aux Pins">Anse aux Pins</option>
              <option value="Anse Royale">Anse Royale</option>
              <option value="Bel Air">Bel Air</option>
              <option value="Baie Lazare">Baie Lazare</option>
              <option value="Bel Ombre">Bel Ombre</option>
              <option value="Baie Sainte Anne">Baie Sainte Anne</option>
              <option value="Beau Vallon">Beau Vallon</option>
              <option value="Cascade">Cascade</option>
              <option value="La Digue">La Digue</option>
              <option value="Glacis">Glacis</option>
              <option value="Grand Anse (on Mahe)">Grand Anse (on Mahe)</option>
              <option value="Grand Anse (on Praslin)">Grand Anse (on Praslin)</option>
              <option value="Mont Buxton">Mont Buxton</option>
              <option value="Mont Fleuri">Mont Fleuri</option>
              <option value="Port Glaud">Port Glaud</option>
              <option value="Plaisance">Plaisance</option>
              <option value="Pointe La Rue">Pointe La Rue</option>
              <option value="La Riviere Anglaise">La Riviere Anglaise</option>
              <option value="Saint Louis">Saint Louis</option>
              <option value="Takamaka">Takamaka</option>
              <option value="Eastern">Eastern</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Western">Western</option>
              <option value=""></option>
              <option value="Banskobystricky">Banskobystricky</option>
              <option value="Bratislavsky">Bratislavsky</option>
              <option value="Kosicky">Kosicky</option>
              <option value="Nitriansky">Nitriansky</option>
              <option value="Presovsky">Presovsky</option>
              <option value="Trenciansky">Trenciansky</option>
              <option value="Trnavsky">Trnavsky</option>
              <option value="Zilinsky">Zilinsky</option>
              <option value=""></option>
              <option value="Central">Central</option>
              <option value="Choiseul">Choiseul</option>
              <option value="Guadalcanal">Guadalcanal</option>
              <option value="Honiara">Honiara</option>
              <option value="Isabel">Isabel</option>
              <option value="Makira">Makira</option>
              <option value="Malaita">Malaita</option>
              <option value="Rennell and Bellona">Rennell and Bellona</option>
              <option value="Temotu">Temotu</option>
              <option value="Western">Western</option>
              <option value="Awdal">Awdal</option>
              <option value="Bakool">Bakool</option>
              <option value="Banaadir">Banaadir</option>
              <option value="Bari">Bari</option>
              <option value="Bay">Bay</option>
              <option value="Galguduud">Galguduud</option>
              <option value="Gedo">Gedo</option>
              <option value="Hiiraan">Hiiraan</option>
              <option value="Jubbada Dhexe">Jubbada Dhexe</option>
              <option value="Jubbada Hoose">Jubbada Hoose</option>
              <option value="Mudug">Mudug</option>
              <option value="Nugaal">Nugaal</option>
              <option value="Sanaag">Sanaag</option>
              <option value="Shabeellaha Dhexe">Shabeellaha Dhexe</option>
              <option value="Shabeellaha Hoose">Shabeellaha Hoose</option>
              <option value="Sool">Sool</option>
              <option value="Somaliland">Somaliland</option>
              <option value="Togdheer">Togdheer</option>
              <option value="Woqooyi Galbeed">Woqooyi Galbeed</option>
              <option value="Eastern Cape">Eastern Cape</option>
              <option value="Free State">Free State</option>
              <option value="Gauteng">Gauteng</option>
              <option value="KwaZulu-Natal">KwaZulu-Natal</option>
              <option value="Limpopo">Limpopo</option>
              <option value="Mpumalanga">Mpumalanga</option>
              <option value="Northern Cape">Northern Cape</option>
              <option value="North West">North West</option>
              <option value="Western Cape">Western Cape</option>
              <option value=""></option>
              <option value="Albacete">Albacete</option>
              <option value="Alicante">Alicante</option>
              <option value="Alava">Alava</option>
              <option value="Almeria">Almeria</option>
              <option value="Asturias">Asturias</option>
              <option value="Avila">Avila</option>
              <option value="Barcelona">Barcelona</option>
              <option value="Badajoz">Badajoz</option>
              <option value="Burgos">Burgos</option>
              <option value="A Coruna">A Coruna</option>
              <option value="Caceres">Caceres</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Castellon">Castellon</option>
              <option value="Ciudad Real">Ciudad Real</option>
              <option value="Cantabria">Cantabria</option>
              <option value="Cuenca">Cuenca</option>
              <option value="Cadiz">Cadiz</option>
              <option value="Granada">Granada</option>
              <option value="Girona">Girona</option>
              <option value="Guadalajara">Guadalajara</option>
              <option value="Guipuzcoa">Guipuzcoa</option>
              <option value="Huelva">Huelva</option>
              <option value="Huesca">Huesca</option>
              <option value="Illes Balears">Illes Balears</option>
              <option value="Jaen">Jaen</option>
              <option value="Leon">Leon</option>
              <option value="Lugo">Lugo</option>
              <option value="Lleida">Lleida</option>
              <option value="Madrid">Madrid</option>
              <option value="Malaga">Malaga</option>
              <option value="Murcia">Murcia</option>
              <option value="Navarra">Navarra</option>
              <option value="Ourense">Ourense</option>
              <option value="Palencia">Palencia</option>
              <option value="Las Palmas">Las Palmas</option>
              <option value="Pontevedra">Pontevedra</option>
              <option value="La Rioja">La Rioja</option>
              <option value="Santa Cruz de Tererife">Santa Cruz de Tererife</option>
              <option value="Segovia">Segovia</option>
              <option value="Salamanca">Salamanca</option>
              <option value="Soria">Soria</option>
              <option value="Sevilla">Sevilla</option>
              <option value="Tarragona">Tarragona</option>
              <option value="Teruel">Teruel</option>
              <option value="Toledo">Toledo</option>
              <option value="Valencia">Valencia</option>
              <option value="Valladolid">Valladolid</option>
              <option value="Vizcaya">Vizcaya</option>
              <option value="Zamora">Zamora</option>
              <option value="Zaragoza">Zaragoza</option>
              <option value="Central">Central</option>
              <option value="Eastern">Eastern</option>
              <option value="North Central">North Central</option>
              <option value="Northern">Northern</option>
              <option value="North Western">North Western</option>
              <option value="Sabaragamuwa">Sabaragamuwa</option>
              <option value="Southern">Southern</option>
              <option value="Uva">Uva</option>
              <option value="Western">Western</option>
              <option value="An Nil al Abyad">An Nil al Abyad</option>
              <option value="Aali an Nil">Aali an Nil</option>
              <option value="An Nil al Azraq">An Nil al Azraq</option>
              <option value="Ash Shamaliyah">Ash Shamaliyah</option>
              <option value="Al Bahr al Ahmar">Al Bahr al Ahmar</option>
              <option value="Bahr al Jabal">Bahr al Jabal</option>
              <option value="Al Buhayrat">Al Buhayrat</option>
              <option value="Gharb Bahr al Ghazal">Gharb Bahr al Ghazal</option>
              <option value="Gharb Darfur">Gharb Darfur</option>
              <option value="Gharb al Istiwaiyah">Gharb al Istiwaiyah</option>
              <option value="Gharb Kurdufan">Gharb Kurdufan</option>
              <option value="Janub Darfur">Janub Darfur</option>
              <option value="Janub Kurdufan">Janub Kurdufan</option>
              <option value="Junqali">Junqali</option>
              <option value="Al Jazirah">Al Jazirah</option>
              <option value="Al Khartum">Al Khartum</option>
              <option value="Kassala">Kassala</option>
              <option value="Nahr an Nil">Nahr an Nil</option>
              <option value="Al Qadarif">Al Qadarif</option>
              <option value="Shamal Bahr al Ghazal">Shamal Bahr al Ghazal</option>
              <option value="Shamal Darfur">Shamal Darfur</option>
              <option value="Sharq al Istiwaiyah">Sharq al Istiwaiyah</option>
              <option value="Shamal Kurdufan">Shamal Kurdufan</option>
              <option value="Sinnar">Sinnar</option>
              <option value="Al Wahdah">Al Wahdah</option>
              <option value="Warab">Warab</option>
              <option value="Brokopondo">Brokopondo</option>
              <option value="Commewijne">Commewijne</option>
              <option value="Coronie">Coronie</option>
              <option value="Marowijne">Marowijne</option>
              <option value="Nickerie">Nickerie</option>
              <option value="Para">Para</option>
              <option value="Paramaribo">Paramaribo</option>
              <option value="Saramacca">Saramacca</option>
              <option value="Sipaliwini">Sipaliwini</option>
              <option value="Wanica">Wanica</option>
              <option value=""></option>
              <option value="Hhohho">Hhohho</option>
              <option value="Lubombo">Lubombo</option>
              <option value="Manzini">Manzini</option>
              <option value="Shishelweni">Shishelweni</option>
              <option value="Blekinge">Blekinge</option>
              <option value="Dalama">Dalama</option>
              <option value="Gavleborg">Gavleborg</option>
              <option value="Gotland">Gotland</option>
              <option value="Halland">Halland</option>
              <option value="Jamtland">Jamtland</option>
              <option value="Jonkping">Jonkping</option>
              <option value="Kalmar">Kalmar</option>
              <option value="Kronoberg">Kronoberg</option>
              <option value="Norrbotten">Norrbotten</option>
              <option value="Ostergotland">Ostergotland</option>
              <option value="Orebro">Orebro</option>
              <option value="Skane">Skane</option>
              <option value="Sodermanland">Sodermanland</option>
              <option value="Stockholm">Stockholm</option>
              <option value="Uppdala">Uppdala</option>
              <option value="Vasterbotten">Vasterbotten</option>
              <option value="Vastra Gotaland">Vastra Gotaland</option>
              <option value="Varmland">Varmland</option>
              <option value="Vastmanland">Vastmanland</option>
              <option value="Vasternorrland">Vasternorrland</option>
              <option value="Aargau">Aargau</option>
              <option value="Appenzell Innerhoden">Appenzell Innerhoden</option>
              <option value="Appenzell Ausserrhoden">Appenzell Ausserrhoden</option>
              <option value="Bern">Bern</option>
              <option value="Basel-Landschaft">Basel-Landschaft</option>
              <option value="Basel-Stadt">Basel-Stadt</option>
              <option value="Fribourg">Fribourg</option>
              <option value="Geneva">Geneva</option>
              <option value="Glarus">Glarus</option>
              <option value="Graubunden">Graubunden</option>
              <option value="Jura">Jura</option>
              <option value="Lucerne">Lucerne</option>
              <option value="NeuchO?l S">NeuchO?l S</option>
              <option value="Nidwalden">Nidwalden</option>
              <option value="Obwalden">Obwalden</option>
              <option value="St. Gallen">St. Gallen</option>
              <option value="Schaffhausen">Schaffhausen</option>
              <option value="Solothurn">Solothurn</option>
              <option value="Schwyz">Schwyz</option>
              <option value="Thurgau">Thurgau</option>
              <option value="Ticino">Ticino</option>
              <option value="Uri">Uri</option>
              <option value="Vaud">Vaud</option>
              <option value="Valais">Valais</option>
              <option value="Zug">Zug</option>
              <option value="Zurich">Zurich</option>
              <option value="Dara">Dara</option>
              <option value="Dimashq">Dimashq</option>
              <option value="Dayr az Zawr">Dayr az Zawr</option>
              <option value="Al Hasakah">Al Hasakah</option>
              <option value="Hims">Hims</option>
              <option value="Halab">Halab</option>
              <option value="Hamah">Hamah</option>
              <option value="Idlib">Idlib</option>
              <option value="Al Ladhiqiyah">Al Ladhiqiyah</option>
              <option value="Al Qunaytirah">Al Qunaytirah</option>
              <option value="Rif Dimashq">Rif Dimashq</option>
              <option value="Ar Raqqah">Ar Raqqah</option>
              <option value="As Suwayda">As Suwayda</option>
              <option value="Tartus">Tartus</option>
              <option value="Chia-i city">Chia-i city</option>
              <option value="Chang-hua">Chang-hua</option>
              <option value="Chia-i">Chia-i</option>
              <option value="Chi-lung">Chi-lung</option>
              <option value="Hsin-chu">Hsin-chu</option>
              <option value="Hua-lien">Hua-lien</option>
              <option value="Hsin-chu">Hsin-chu</option>
              <option value="I-lan">I-lan</option>
              <option value="Kao-hsiung city">Kao-hsiung city</option>
              <option value="Kao-hsiung county">Kao-hsiung county</option>
              <option value="Kin-men">Kin-men</option>
              <option value="Lien-chiang">Lien-chiang</option>
              <option value="Miao-li">Miao-li</option>
              <option value="Nan-tou">Nan-tou</option>
              <option value="Peng-hu">Peng-hu</option>
              <option value="Ping-tung">Ping-tung</option>
              <option value="Tai-nan">Tai-nan</option>
              <option value="Tai-pei city">Tai-pei city</option>
              <option value="Tai-chung">Tai-chung</option>
              <option value="Tai-chung">Tai-chung</option>
              <option value="Tai-nan">Tai-nan</option>
              <option value="Tai-pei county">Tai-pei county</option>
              <option value="Tai-tung">Tai-tung</option>
              <option value="Tao-yuan">Tao-yuan</option>
              <option value="Yun-lin">Yun-lin</option>
              <option value="Gorno-Badakhstan">Gorno-Badakhstan</option>
              <option value="Khatlon">Khatlon</option>
              <option value="Sughd">Sughd</option>
              <option value="Arusha">Arusha</option>
              <option value="Dodoma">Dodoma</option>
              <option value="Dar es Salaam">Dar es Salaam</option>
              <option value="Iringa">Iringa</option>
              <option value="Kagera">Kagera</option>
              <option value="Kigoma">Kigoma</option>
              <option value="Kilimanjaro">Kilimanjaro</option>
              <option value="Lindi">Lindi</option>
              <option value="Mbeya">Mbeya</option>
              <option value="Morogoro">Morogoro</option>
              <option value="Mara">Mara</option>
              <option value="Mtwara">Mtwara</option>
              <option value="Mwanza">Mwanza</option>
              <option value="Manyara">Manyara</option>
              <option value="Pemba North">Pemba North</option>
              <option value="Pemba South">Pemba South</option>
              <option value="Pwani">Pwani</option>
              <option value="Rukwa">Rukwa</option>
              <option value="Ruvuma">Ruvuma</option>
              <option value="Shinyanga">Shinyanga</option>
              <option value="Singida">Singida</option>
              <option value="Tabora">Tabora</option>
              <option value="Tanga">Tanga</option>
              <option value="Zanzibar Central/South">Zanzibar Central/South</option>
              <option value="Zanzibar North">Zanzibar North</option>
              <option value="Zanzibar Urban/West">Zanzibar Urban/West</option>
              <option value="Bangkok">Bangkok</option>
              <option value="Samut Prakan">Samut Prakan</option>
              <option value="Nonthaburi">Nonthaburi</option>
              <option value="Pathum Thani">Pathum Thani</option>
              <option value="Phra Nakhon Si Ayutthaya">Phra Nakhon Si Ayutthaya</option>
              <option value="Ang Thong">Ang Thong</option>
              <option value="Lop Buri">Lop Buri</option>
              <option value="Sing Buri">Sing Buri</option>
              <option value="Chai Nat">Chai Nat</option>
              <option value="Saraburi">Saraburi</option>
              <option value="Chon Buri">Chon Buri</option>
              <option value="Rayong">Rayong</option>
              <option value="Chanthaburi">Chanthaburi</option>
              <option value="Trat">Trat</option>
              <option value="Chachoengsao">Chachoengsao</option>
              <option value="Prachin Buri">Prachin Buri</option>
              <option value="Nakhon Nayok">Nakhon Nayok</option>
              <option value="Sa Kaeo">Sa Kaeo</option>
              <option value="Nakhon Ratchasima">Nakhon Ratchasima</option>
              <option value="Buri Ram">Buri Ram</option>
              <option value="Surin">Surin</option>
              <option value="Si Sa Ket">Si Sa Ket</option>
              <option value="Ubon Ratchathani">Ubon Ratchathani</option>
              <option value="Yasothon">Yasothon</option>
              <option value="Chaiyaphum">Chaiyaphum</option>
              <option value="Amnat Charoen">Amnat Charoen</option>
              <option value="Nong Bua Lam Phu">Nong Bua Lam Phu</option>
              <option value="Khon Kaen">Khon Kaen</option>
              <option value="Udon Thani">Udon Thani</option>
              <option value="Loei">Loei</option>
              <option value="Nong Khai">Nong Khai</option>
              <option value="Maha Sarakham">Maha Sarakham</option>
              <option value="Roi Et">Roi Et</option>
              <option value="Kalasin">Kalasin</option>
              <option value="Sakon Nakhon">Sakon Nakhon</option>
              <option value="Nakhon Phanom">Nakhon Phanom</option>
              <option value="Mukdahan">Mukdahan</option>
              <option value="Chiang Mai">Chiang Mai</option>
              <option value="Lamphun">Lamphun</option>
              <option value="Lampang">Lampang</option>
              <option value="Uttaradit">Uttaradit</option>
              <option value="Phrae">Phrae</option>
              <option value="Nan">Nan</option>
              <option value="Phayao">Phayao</option>
              <option value="Chiang Rai">Chiang Rai</option>
              <option value="Mae Hong Son">Mae Hong Son</option>
              <option value="Nakhon Sawan">Nakhon Sawan</option>
              <option value="Uthai Thani">Uthai Thani</option>
              <option value="Kamphaeng Phet">Kamphaeng Phet</option>
              <option value="Tak">Tak</option>
              <option value="Sukhothai">Sukhothai</option>
              <option value="Phitsanulok">Phitsanulok</option>
              <option value="Phichit">Phichit</option>
              <option value="Ratchaburi">Ratchaburi</option>
              <option value="Kanchanaburi">Kanchanaburi</option>
              <option value="Suphanburi">Suphanburi</option>
              <option value="Nakhon Pathom">Nakhon Pathom</option>
              <option value="Samut Sakhon">Samut Sakhon</option>
              <option value="Samut Songkhram">Samut Songkhram</option>
              <option value="Phetchabun">Phetchabun</option>
              <option value="Prachuap Khiri Khan">Prachuap Khiri Khan</option>
              <option value="Phetchaburi">Phetchaburi</option>
              <option value="Nakhon Si Thammarat">Nakhon Si Thammarat</option>
              <option value="Krabi">Krabi</option>
              <option value="Phang Nga">Phang Nga</option>
              <option value="Phuket">Phuket</option>
              <option value="Surat Thani">Surat Thani</option>
              <option value="Ranong">Ranong</option>
              <option value="Chumpon">Chumpon</option>
              <option value="Songkhla">Songkhla</option>
              <option value="Satun">Satun</option>
              <option value="Trang">Trang</option>
              <option value="Phattalung">Phattalung</option>
              <option value="Pattani">Pattani</option>
              <option value="Yala">Yala</option>
              <option value="Narathiwat">Narathiwat</option>
              <option value="Pattaya">Pattaya</option>
              <option value="Aileu">Aileu</option>
              <option value="Ainaro">Ainaro</option>
              <option value="Baucau">Baucau</option>
              <option value="Bobonaro">Bobonaro</option>
              <option value="Cova Lima">Cova Lima</option>
              <option value="Dili">Dili</option>
              <option value="Ermera">Ermera</option>
              <option value="Lautem">Lautem</option>
              <option value="Liquica">Liquica</option>
              <option value="Manufahi">Manufahi</option>
              <option value="Manatuto">Manatuto</option>
              <option value="Oecussi">Oecussi</option>
              <option value="Viqueque">Viqueque</option>
              <option value="Centrale">Centrale</option>
              <option value="Kara">Kara</option>
              <option value="Maritime">Maritime</option>
              <option value="Plateaux">Plateaux</option>
              <option value="Savanes">Savanes</option>
              <option value="Atafu">Atafu</option>
              <option value="Fakaofo">Fakaofo</option>
              <option value="Nukunonu">Nukunonu</option>
              <option value="Haapai">Haapai</option>
              <option value="Tongatapu">Tongatapu</option>
              <option value="Vavau">Vavau</option>
              <option value="Arima">Arima</option>
              <option value="Chaguanas">Chaguanas</option>
              <option value="Couva/Tabaquite/Talparo">Couva/Tabaquite/Talparo</option>
              <option value="Diego Martin">Diego Martin</option>
              <option value="Mayaro/Rio Claro">Mayaro/Rio Claro</option>
              <option value="Penal/Debe">Penal/Debe</option>
              <option value="Point Fortin">Point Fortin</option>
              <option value="Port of Spain">Port of Spain</option>
              <option value="Princes Town">Princes Town</option>
              <option value="San Fernando">San Fernando</option>
              <option value="Sangre Grande">Sangre Grande</option>
              <option value="Siparia">Siparia</option>
              <option value="San Juan/Laventille">San Juan/Laventille</option>
              <option value="Tobago">Tobago</option>
              <option value="Tunapuna/Piarco">Tunapuna/Piarco</option>
              <option value=""></option>
              <option value="Ariana">Ariana</option>
              <option value="Ben Arous">Ben Arous</option>
              <option value="Bizerte">Bizerte</option>
              <option value="Beja">Beja</option>
              <option value="Gabes">Gabes</option>
              <option value="Gafsa">Gafsa</option>
              <option value="Jendouba">Jendouba</option>
              <option value="Kebili">Kebili</option>
              <option value="Kef">Kef</option>
              <option value="Kairouan">Kairouan</option>
              <option value="Kasserine">Kasserine</option>
              <option value="Medenine">Medenine</option>
              <option value="Mahdia">Mahdia</option>
              <option value="Manouba">Manouba</option>
              <option value="Monastir">Monastir</option>
              <option value="Nabeul">Nabeul</option>
              <option value="Sidi">Sidi</option>
              <option value="Sfax">Sfax</option>
              <option value="Siliana">Siliana</option>
              <option value="Sousse">Sousse</option>
              <option value="Tataouine">Tataouine</option>
              <option value="Tozeur">Tozeur</option>
              <option value="Tunis">Tunis</option>
              <option value="Zaghouan">Zaghouan</option>
              <option value="Adana">Adana</option>
              <option value="Adiyaman">Adiyaman</option>
              <option value="Afyonkarahisar">Afyonkarahisar</option>
              <option value="Agri">Agri</option>
              <option value="Aksaray">Aksaray</option>
              <option value="Amasya">Amasya</option>
              <option value="Ankara">Ankara</option>
              <option value="Antalya">Antalya</option>
              <option value="Ardahan">Ardahan</option>
              <option value="Artvin">Artvin</option>
              <option value="Aydin">Aydin</option>
              <option value="Balikesir">Balikesir</option>
              <option value="Bartin">Bartin</option>
              <option value="Batman">Batman</option>
              <option value="Bayburt">Bayburt</option>
              <option value="Bilecik">Bilecik</option>
              <option value="Bingol">Bingol</option>
              <option value="Bitlis">Bitlis</option>
              <option value="Bolu">Bolu</option>
              <option value="Burdur">Burdur</option>
              <option value="Bursa">Bursa</option>
              <option value="Canakkale">Canakkale</option>
              <option value="Cankiri">Cankiri</option>
              <option value="Corum">Corum</option>
              <option value="Denizli">Denizli</option>
              <option value="Diyarbakir">Diyarbakir</option>
              <option value="Duzce">Duzce</option>
              <option value="Edirne">Edirne</option>
              <option value="Elazig">Elazig</option>
              <option value="Eskisehir">Eskisehir</option>
              <option value="Erzincan">Erzincan</option>
              <option value="Erzurum">Erzurum</option>
              <option value="Gaziantep">Gaziantep</option>
              <option value="Giresun">Giresun</option>
              <option value="Gumushane">Gumushane</option>
              <option value="Hakkari">Hakkari</option>
              <option value="Hatay">Hatay</option>
              <option value="Igdir">Igdir</option>
              <option value="Isparta">Isparta</option>
              <option value="Istanbul">Istanbul</option>
              <option value="Izmir">Izmir</option>
              <option value="Kahramanmaras">Kahramanmaras</option>
              <option value="Kastamonu">Kastamonu</option>
              <option value="Kayseri">Kayseri</option>
              <option value="Kirklareli">Kirklareli</option>
              <option value="Kilis">Kilis</option>
              <option value="Kocaeli">Kocaeli</option>
              <option value="Konya">Konya</option>
              <option value="Karabuk">Karabuk</option>
              <option value="Kirsehir">Kirsehir</option>
              <option value="Kirikkale">Kirikkale</option>
              <option value="Karaman">Karaman</option>
              <option value="Kars">Kars</option>
              <option value="Kutahya">Kutahya</option>
              <option value="Malatya">Malatya</option>
              <option value="Manisa">Manisa</option>
              <option value="Mardin">Mardin</option>
              <option value="Mersin">Mersin</option>
              <option value="Mugla">Mugla</option>
              <option value="Mus">Mus</option>
              <option value="Nevsehir">Nevsehir</option>
              <option value="Nigde">Nigde</option>
              <option value="Ordu">Ordu</option>
              <option value="Osmaniye">Osmaniye</option>
              <option value="Rize">Rize</option>
              <option value="Sakarya">Sakarya</option>
              <option value="Samsun">Samsun</option>
              <option value="Sanliurfa">Sanliurfa</option>
              <option value="Siirt">Siirt</option>
              <option value="Sinop">Sinop</option>
              <option value="Sirnak">Sirnak</option>
              <option value="Sivas">Sivas</option>
              <option value="Tekirdag">Tekirdag</option>
              <option value="Tokat">Tokat</option>
              <option value="Trabzon">Trabzon</option>
              <option value="Tunceli">Tunceli</option>
              <option value="Usak">Usak</option>
              <option value="Van">Van</option>
              <option value="Yalova">Yalova</option>
              <option value="Yozgat">Yozgat</option>
              <option value="Zonguldak">Zonguldak</option>
              <option value="Ahal Welayaty">Ahal Welayaty</option>
              <option value="Balkan Welayaty">Balkan Welayaty</option>
              <option value="Dashhowuz Welayaty">Dashhowuz Welayaty</option>
              <option value="Lebap Welayaty">Lebap Welayaty</option>
              <option value="Mary Welayaty">Mary Welayaty</option>
              <option value="Ambergris Cays">Ambergris Cays</option>
              <option value="Dellis Cay">Dellis Cay</option>
              <option value="East Caicos">East Caicos</option>
              <option value="French Cay">French Cay</option>
              <option value="Grand Turk">Grand Turk</option>
              <option value="Little Water Cay">Little Water Cay</option>
              <option value="Middle Caicos">Middle Caicos</option>
              <option value="North Caicos">North Caicos</option>
              <option value="Pine Cay">Pine Cay</option>
              <option value="Providenciales">Providenciales</option>
              <option value="Parrot Cay">Parrot Cay</option>
              <option value="South Caicos">South Caicos</option>
              <option value="Salt Cay">Salt Cay</option>
              <option value="West Caicos">West Caicos</option>
              <option value="Funafuti">Funafuti</option>
              <option value="Nukufetau">Nukufetau</option>
              <option value="Niulakita">Niulakita</option>
              <option value="Nukulaelae">Nukulaelae</option>
              <option value="Nanumea">Nanumea</option>
              <option value="Nanumanga">Nanumanga</option>
              <option value="Niutao">Niutao</option>
              <option value="Nui">Nui</option>
              <option value="Vaitupu">Vaitupu</option>
              <option value="Saint Croix">Saint Croix</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Thomas">Saint Thomas</option>
              <option value="Adjumani">Adjumani</option>
              <option value="Apac">Apac</option>
              <option value="Arua">Arua</option>
              <option value="Bushenyi">Bushenyi</option>
              <option value="Bugiri">Bugiri</option>
              <option value="Bundibugyo">Bundibugyo</option>
              <option value="Busia">Busia</option>
              <option value="Gulu">Gulu</option>
              <option value="Hoima">Hoima</option>
              <option value="Iganga">Iganga</option>
              <option value="Jinja">Jinja</option>
              <option value="Kaberamaido">Kaberamaido</option>
              <option value="Kalangala">Kalangala</option>
              <option value="Kamwenge">Kamwenge</option>
              <option value="Kanungu">Kanungu</option>
              <option value="Kabarole">Kabarole</option>
              <option value="Kasese">Kasese</option>
              <option value="Kayunga">Kayunga</option>
              <option value="Kibaale">Kibaale</option>
              <option value="Kabale">Kabale</option>
              <option value="Kiboga">Kiboga</option>
              <option value="Kisoro">Kisoro</option>
              <option value="Kitgum">Kitgum</option>
              <option value="Kamuli">Kamuli</option>
              <option value="Kampala">Kampala</option>
              <option value="Kotido">Kotido</option>
              <option value="Kapchorwa">Kapchorwa</option>
              <option value="Katakwi">Katakwi</option>
              <option value="Kumi">Kumi</option>
              <option value="Kyenjojo">Kyenjojo</option>
              <option value="Lira">Lira</option>
              <option value="Luwero">Luwero</option>
              <option value="Masaka">Masaka</option>
              <option value="Mayuge">Mayuge</option>
              <option value="Mbale">Mbale</option>
              <option value="Mbarara">Mbarara</option>
              <option value="Moyo">Moyo</option>
              <option value="Mpigi">Mpigi</option>
              <option value="Moroto">Moroto</option>
              <option value="Masindi">Masindi</option>
              <option value="Mubende">Mubende</option>
              <option value="Mukono">Mukono</option>
              <option value="Nakapiripirit">Nakapiripirit</option>
              <option value="Nebbi">Nebbi</option>
              <option value="Nakasongola">Nakasongola</option>
              <option value="Ntungamo">Ntungamo</option>
              <option value="Pader">Pader</option>
              <option value="Pallisa">Pallisa</option>
              <option value="Rakai">Rakai</option>
              <option value="Rukungiri">Rukungiri</option>
              <option value="Sembabule">Sembabule</option>
              <option value="Sironko">Sironko</option>
              <option value="Soroti">Soroti</option>
              <option value="Tororo">Tororo</option>
              <option value="Wakiso">Wakiso</option>
              <option value="Yumbe">Yumbe</option>
              <option value="Chernihiv">Chernihiv</option>
              <option value="Cherkasy">Cherkasy</option>
              <option value="Crimea">Crimea</option>
              <option value="Chernivtsi">Chernivtsi</option>
              <option value="Dnipropetrovsk">Dnipropetrovsk</option>
              <option value="Donetsk">Donetsk</option>
              <option value="Ivano-Frankivsk">Ivano-Frankivsk</option>
              <option value="Kharkiv Kherson">Kharkiv Kherson</option>
              <option value="Khmelnytskyy">Khmelnytskyy</option>
              <option value="Kirovohrad">Kirovohrad</option>
              <option value="Kiev">Kiev</option>
              <option value="Kyyiv">Kyyiv</option>
              <option value="Luhansk">Luhansk</option>
              <option value="Lviv">Lviv</option>
              <option value="Mykolayiv">Mykolayiv</option>
              <option value="Odesa">Odesa</option>
              <option value="Poltava">Poltava</option>
              <option value="Rivne">Rivne</option>
              <option value="Sevastopol">Sevastopol</option>
              <option value="Sumy">Sumy</option>
              <option value="Ternopil">Ternopil</option>
              <option value="Vinnytsya">Vinnytsya</option>
              <option value="Volyn">Volyn</option>
              <option value="Zaporizhzhya">Zaporizhzhya</option>
              <option value="Zhytomyr">Zhytomyr</option>
              <option value="Zakarpattya">Zakarpattya</option>
              <option value="Ajman">Ajman</option>
              <option value="Abu Zaby">Abu Zaby</option>
              <option value="Dubayy">Dubayy</option>
              <option value="Al Fujayrah">Al Fujayrah</option>
              <option value="R as al Khaymah">R as al Khaymah</option>
              <option value="Ash Shariqah">Ash Shariqah</option>
              <option value="Umm al Qaywayn">Umm al Qaywayn</option>
              <option value="Aberdeenshire">Aberdeenshire</option>
              <option value="Aberdeen">Aberdeen</option>
              <option value="Argyll and Bute">Argyll and Bute</option>
              <option value="Isle of Anglesey">Isle of Anglesey</option>
              <option value="Angus">Angus</option>
              <option value="Antrim">Antrim</option>
              <option value="Ards">Ards</option>
              <option value="Armagh">Armagh</option>
              <option value="Bath and North East Somerset">Bath and North East Somerset</option>
              <option value="Blackburn with Darwen">Blackburn with Darwen</option>
              <option value="Bedfordshire">Bedfordshire</option>
              <option value="Barking and Dagenham">Barking and Dagenham</option>
              <option value="Brent">Brent</option>
              <option value="Bexley">Bexley</option>
              <option value="Belfast">Belfast</option>
              <option value="Bridgend">Bridgend</option>
              <option value="Blaenau Gwent">Blaenau Gwent</option>
              <option value="Birmingham">Birmingham</option>
              <option value="Buckinghamshire">Buckinghamshire</option>
              <option value="Ballymena">Ballymena</option>
              <option value="Ballymoney">Ballymoney</option>
              <option value="Bournemouth">Bournemouth</option>
              <option value="Banbridge">Banbridge</option>
              <option value="Barnet">Barnet</option>
              <option value="Brighton and Hove">Brighton and Hove</option>
              <option value="Barnsley">Barnsley</option>
              <option value="Bolton">Bolton</option>
              <option value="Blackpool">Blackpool</option>
              <option value="Bracknell Forest">Bracknell Forest</option>
              <option value="Bradford">Bradford</option>
              <option value="Bromley">Bromley</option>
              <option value="Bristol City of">Bristol City of</option>
              <option value="Bury">Bury</option>
              <option value="Cambridgeshire">Cambridgeshire</option>
              <option value="Caerphilly">Caerphilly</option>
              <option value="Ceredigion">Ceredigion</option>
              <option value="Craigavon">Craigavon</option>
              <option value="Cheshire">Cheshire</option>
              <option value="Carrickfergus">Carrickfergus</option>
              <option value="Cookstown">Cookstown</option>
              <option value="Calderdale">Calderdale</option>
              <option value="Clackmannanshire">Clackmannanshire</option>
              <option value="Coleraine">Coleraine</option>
              <option value="Cumbria">Cumbria</option>
              <option value="Camden">Camden</option>
              <option value="Carmarthenshire">Carmarthenshire</option>
              <option value="Cornwall">Cornwall</option>
              <option value="Coventry (West Midlands district)">Coventry (West Midlands district)</option>
              <option value="Cardiff">Cardiff</option>
              <option value="Croydon">Croydon</option>
              <option value="Castlereagh">Castlereagh</option>
              <option value="Conwy">Conwy</option>
              <option value="Darlington">Darlington</option>
              <option value="Derbyshire">Derbyshire</option>
              <option value="Denbighshire">Denbighshire</option>
              <option value="Derby">Derby</option>
              <option value="Devon">Devon</option>
              <option value="Dungannon and South Tyrone">Dungannon and South Tyrone</option>
              <option value="Dumfries and Galloway">Dumfries and Galloway</option>
              <option value="Doncaster">Doncaster</option>
              <option value="Dundee">Dundee</option>
              <option value="Dorset">Dorset</option>
              <option value="Down">Down</option>
              <option value="Derry">Derry</option>
              <option value="Dudley (West Midlands district)">Dudley (West Midlands district)</option>
              <option value="Durham">Durham</option>
              <option value="Ealing">Ealing</option>
              <option value="East Ayrshire">East Ayrshire</option>
              <option value="Edinburgh">Edinburgh</option>
              <option value="East Dunbartonshire">East Dunbartonshire</option>
              <option value="East Lothian">East Lothian</option>
              <option value="Eilean Siar">Eilean Siar</option>
              <option value="Enfield">Enfield</option>
              <option value="East Renfrewshire">East Renfrewshire</option>
              <option value="East Riding of Yorkshire">East Riding of Yorkshire</option>
              <option value="Essex">Essex</option>
              <option value="East Sussex">East Sussex</option>
              <option value="Falkirk">Falkirk</option>
              <option value="Fermanagh">Fermanagh</option>
              <option value="Fife">Fife</option>
              <option value="Flintshire">Flintshire</option>
              <option value="Gateshead (Tyne &amp; Wear district)">Gateshead (Tyne &amp; Wear district)</option>
              <option value="Glasgow">Glasgow</option>
              <option value="Gloucestershire">Gloucestershire</option>
              <option value="Greenwich">Greenwich</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Gwynedd">Gwynedd</option>
              <option value="Halton">Halton</option>
              <option value="Hampshire">Hampshire</option>
              <option value="Havering">Havering</option>
              <option value="Hackney">Hackney</option>
              <option value="Herefordshire County of">Herefordshire County of</option>
              <option value="Hillingdon">Hillingdon</option>
              <option value="Highland">Highland</option>
              <option value="Hammersmith and Fulham">Hammersmith and Fulham</option>
              <option value="Hounslow">Hounslow</option>
              <option value="Hartlepool">Hartlepool</option>
              <option value="Hertfordshire">Hertfordshire</option>
              <option value="Harrow">Harrow</option>
              <option value="Haringey">Haringey</option>
              <option value="Isles of Scilly">Isles of Scilly</option>
              <option value="Isle of Wight">Isle of Wight</option>
              <option value="Islington">Islington</option>
              <option value="Inverclyde">Inverclyde</option>
              <option value="Jersey">Jersey</option>
              <option value="Kensington and Chelsea">Kensington and Chelsea</option>
              <option value="Kent">Kent</option>
              <option value="Kingston upon Hull City of">Kingston upon Hull City of</option>
              <option value="Kirklees">Kirklees</option>
              <option value="Kingston upon Thames">Kingston upon Thames</option>
              <option value="Knowsley">Knowsley</option>
              <option value="Lancashire">Lancashire</option>
              <option value="Lambeth">Lambeth</option>
              <option value="Leicester">Leicester</option>
              <option value="Leeds">Leeds</option>
              <option value="Leicestershire">Leicestershire</option>
              <option value="Lewisham">Lewisham</option>
              <option value="Lincolnshire">Lincolnshire</option>
              <option value="Liverpool">Liverpool</option>
              <option value="Limavady">Limavady</option>
              <option value="London City of">London City of</option>
              <option value="Larne">Larne</option>
              <option value="Lisburn">Lisburn</option>
              <option value="Luton">Luton</option>
              <option value="Manchester">Manchester</option>
              <option value="Middlesbrough">Middlesbrough</option>
              <option value="Medway">Medway</option>
              <option value="Magherafelt">Magherafelt</option>
              <option value="Milton Keynes">Milton Keynes</option>
              <option value="Midlothian">Midlothian</option>
              <option value="Monmouthshire">Monmouthshire</option>
              <option value="Merton">Merton</option>
              <option value="Moray">Moray</option>
              <option value="Merthyr Tydfil">Merthyr Tydfil</option>
              <option value="Moyle">Moyle</option>
              <option value="North Ayrshire">North Ayrshire</option>
              <option value="Northumberland">Northumberland</option>
              <option value="North Down">North Down</option>
              <option value="North East Lincolnshire">North East Lincolnshire</option>
              <option value="Newcastle upon Tyne">Newcastle upon Tyne</option>
              <option value="Norfolk">Norfolk</option>
              <option value="Nottingham">Nottingham</option>
              <option value="North Lanarkshire">North Lanarkshire</option>
              <option value="North Lincolnshire">North Lincolnshire</option>
              <option value="North Somerset">North Somerset</option>
              <option value="Newtownabbey">Newtownabbey</option>
              <option value="Northamptonshire">Northamptonshire</option>
              <option value="Neath Port Talbot">Neath Port Talbot</option>
              <option value="Nottinghamshire">Nottinghamshire</option>
              <option value="North Tyneside">North Tyneside</option>
              <option value="Newham">Newham</option>
              <option value="Newport">Newport</option>
              <option value="North Yorkshire">North Yorkshire</option>
              <option value="Newry and Mourne">Newry and Mourne</option>
              <option value="Oldham">Oldham</option>
              <option value="Omagh">Omagh</option>
              <option value="Orkney Islands">Orkney Islands</option>
              <option value="Oxfordshire">Oxfordshire</option>
              <option value="Pembrokeshire">Pembrokeshire</option>
              <option value="Perth and Kinross">Perth and Kinross</option>
              <option value="Plymouth">Plymouth</option>
              <option value="Poole">Poole</option>
              <option value="Portsmouth">Portsmouth</option>
              <option value="Powys">Powys</option>
              <option value="Peterborough">Peterborough</option>
              <option value="Redcar and Cleveland">Redcar and Cleveland</option>
              <option value="Rochdale">Rochdale</option>
              <option value="Rhondda Cynon Taf">Rhondda Cynon Taf</option>
              <option value="Redbridge">Redbridge</option>
              <option value="Reading">Reading</option>
              <option value="Renfrewshire">Renfrewshire</option>
              <option value="Richmond upon Thames">Richmond upon Thames</option>
              <option value="Rotherham">Rotherham</option>
              <option value="Rutland">Rutland</option>
              <option value="Sandwell">Sandwell</option>
              <option value="South Ayrshire">South Ayrshire</option>
              <option value="Scottish Borders The">Scottish Borders The</option>
              <option value="Suffolk">Suffolk</option>
              <option value="Sefton">Sefton</option>
              <option value="South Gloucestershire">South Gloucestershire</option>
              <option value="Sheffield">Sheffield</option>
              <option value="St Helens">St Helens</option>
              <option value="Shropshire">Shropshire</option>
              <option value="Stockport">Stockport</option>
              <option value="Salford">Salford</option>
              <option value="Slough">Slough</option>
              <option value="South Lanarkshire">South Lanarkshire</option>
              <option value="Sunderland">Sunderland</option>
              <option value="Solihull">Solihull</option>
              <option value="Somerset">Somerset</option>
              <option value="Southend-on-Sea">Southend-on-Sea</option>
              <option value="Surrey">Surrey</option>
              <option value="Strabane">Strabane</option>
              <option value="Stoke-on-Trent">Stoke-on-Trent</option>
              <option value="Stirling">Stirling</option>
              <option value="Southampton">Southampton</option>
              <option value="Sutton">Sutton</option>
              <option value="Staffordshire">Staffordshire</option>
              <option value="Stockton-on-Tees">Stockton-on-Tees</option>
              <option value="South Tyneside">South Tyneside</option>
              <option value="Swansea">Swansea</option>
              <option value="Swindon">Swindon</option>
              <option value="Southwark">Southwark</option>
              <option value="Tameside">Tameside</option>
              <option value="Telford and Wrekin">Telford and Wrekin</option>
              <option value="Thurrock">Thurrock</option>
              <option value="Torbay">Torbay</option>
              <option value="Torfaen">Torfaen</option>
              <option value="Trafford">Trafford</option>
              <option value="Tower Hamlets">Tower Hamlets</option>
              <option value="Vale of Glamorgan">Vale of Glamorgan</option>
              <option value="Warwickshire">Warwickshire</option>
              <option value="West Berkshire">West Berkshire</option>
              <option value="West Dunbartonshire">West Dunbartonshire</option>
              <option value="Waltham Forest">Waltham Forest</option>
              <option value="Wigan">Wigan</option>
              <option value="Wiltshire">Wiltshire</option>
              <option value="Wakefield">Wakefield</option>
              <option value="Walsall">Walsall</option>
              <option value="West Lothian">West Lothian</option>
              <option value="Wolverhampton">Wolverhampton</option>
              <option value="Wandsworth">Wandsworth</option>
              <option value="Windsor and Maidenhead">Windsor and Maidenhead</option>
              <option value="Wokingham">Wokingham</option>
              <option value="Worcestershire">Worcestershire</option>
              <option value="Wirral">Wirral</option>
              <option value="Warrington">Warrington</option>
              <option value="Wrexham">Wrexham</option>
              <option value="Westminster">Westminster</option>
              <option value="West Sussex">West Sussex</option>
              <option value="York">York</option>
              <option value="Shetland Islands">Shetland Islands</option>
              <option value="Alaska">Alaska</option>
              <option value="Alabama">Alabama</option>
              <option value="Arkansas">Arkansas</option>
              <option value="Arizona">Arizona</option>
              <option value="California">California</option>
              <option value="Colorado">Colorado</option>
              <option value="Connecticut">Connecticut</option>
              <option value="District of Columbia">District of Columbia</option>
              <option value="Delaware">Delaware</option>
              <option value="Florida">Florida</option>
              <option value="Georgia">Georgia</option>
              <option value="Hawaii">Hawaii</option>
              <option value="Iowa">Iowa</option>
              <option value="Idaho">Idaho</option>
              <option value="Illinois">Illinois</option>
              <option value="Indiana">Indiana</option>
              <option value="Kansas">Kansas</option>
              <option value="Kentucky">Kentucky</option>
              <option value="Louisiana">Louisiana</option>
              <option value="Massachusetts">Massachusetts</option>
              <option value="Maryland">Maryland</option>
              <option value="Maine">Maine</option>
              <option value="Michigan">Michigan</option>
              <option value="Minnesota">Minnesota</option>
              <option value="Missouri">Missouri</option>
              <option value="Mississippi">Mississippi</option>
              <option value="Montana">Montana</option>
              <option value="North Carolina">North Carolina</option>
              <option value="North Dakota">North Dakota</option>
              <option value="Nebraska">Nebraska</option>
              <option value="New Hampshire">New Hampshire</option>
              <option value="New Jersey">New Jersey</option>
              <option value="New Mexico">New Mexico</option>
              <option value="Nevada">Nevada</option>
              <option value="New York">New York</option>
              <option value="Ohio">Ohio</option>
              <option value="Oklahoma">Oklahoma</option>
              <option value="Oregon">Oregon</option>
              <option value="Pennsylvania">Pennsylvania</option>
              <option value="Rhode Island">Rhode Island</option>
              <option value="South Carolina">South Carolina</option>
              <option value="South Dakota">South Dakota</option>
              <option value="Tennessee">Tennessee</option>
              <option value="Texas">Texas</option>
              <option value="Utah">Utah</option>
              <option value="Virginia">Virginia</option>
              <option value="Vermont">Vermont</option>
              <option value="Washington">Washington</option>
              <option value="Wisconsin">Wisconsin</option>
              <option value="West Virginia">West Virginia</option>
              <option value="Wyoming">Wyoming</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Virgin Islands of the U.S.">Virgin Islands of the U.S.</option>
              <option value="Guam">Guam</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="U.S. Minor Outlying Islands">U.S. Minor Outlying Islands</option>
              <option value="Baker Island">Baker Island</option>
              <option value="Howland Island">Howland Island</option>
              <option value="Johnston Atoll">Johnston Atoll</option>
              <option value="Jarvis Island">Jarvis Island</option>
              <option value="Kingman Reef">Kingman Reef</option>
              <option value="Midway Atoll">Midway Atoll</option>
              <option value="Navassa Island">Navassa Island</option>
              <option value="Palmyra Atoll">Palmyra Atoll</option>
              <option value="Wake Island">Wake Island</option>
              <option value="Artigas">Artigas</option>
              <option value="Canelones">Canelones</option>
              <option value="Cerro Largo">Cerro Largo</option>
              <option value="Colonia">Colonia</option>
              <option value="Durazno">Durazno</option>
              <option value="Florida">Florida</option>
              <option value="Flores">Flores</option>
              <option value="Lavalleja">Lavalleja</option>
              <option value="Maldonado">Maldonado</option>
              <option value="Montevideo">Montevideo</option>
              <option value="Paysandu">Paysandu</option>
              <option value="Rio Negro">Rio Negro</option>
              <option value="Rocha">Rocha</option>
              <option value="Rivera">Rivera</option>
              <option value="San Jose">San Jose</option>
              <option value="Salto">Salto</option>
              <option value="Soriano">Soriano</option>
              <option value="Treinta y Tres">Treinta y Tres</option>
              <option value="Andijon">Andijon</option>
              <option value="Buxoro">Buxoro</option>
              <option value="Fargona">Fargona</option>
              <option value="Jizzax">Jizzax</option>
              <option value="Namangan">Namangan</option>
              <option value="Navoiy">Navoiy</option>
              <option value="Qashqadaryo">Qashqadaryo</option>
              <option value="Qoraqalpogiston Republikasi">Qoraqalpogiston Republikasi</option>
              <option value="Samarqand">Samarqand</option>
              <option value="Sirdaryo">Sirdaryo</option>
              <option value="Surxondaryo">Surxondaryo</option>
              <option value="Toshkent city">Toshkent city</option>
              <option value="Toshkent region">Toshkent region</option>
              <option value="Xorazm">Xorazm</option>
              <option value="Malampa">Malampa</option>
              <option value="Penama">Penama</option>
              <option value="Sanma">Sanma</option>
              <option value="Shefa">Shefa</option>
              <option value="Tafea">Tafea</option>
              <option value="Torba">Torba</option>
              <option value=""></option>
              <option value="Federal District">Federal District</option>
              <option value="Anzoategui">Anzoategui</option>
              <option value="Apure">Apure</option>
              <option value="Aragua">Aragua</option>
              <option value="Barinas">Barinas</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Carabobo">Carabobo</option>
              <option value="Cojedes">Cojedes</option>
              <option value="Falcon">Falcon</option>
              <option value="Guarico">Guarico</option>
              <option value="Lara">Lara</option>
              <option value="Merida">Merida</option>
              <option value="Miranda">Miranda</option>
              <option value="Monagas">Monagas</option>
              <option value="Nueva Esparta">Nueva Esparta</option>
              <option value="Portuguesa">Portuguesa</option>
              <option value="Sucre">Sucre</option>
              <option value="Tachira">Tachira</option>
              <option value="Trujillo">Trujillo</option>
              <option value="Yaracuy">Yaracuy</option>
              <option value="Zulia">Zulia</option>
              <option value="Federal Dependency">Federal Dependency</option>
              <option value="Vargas">Vargas</option>
              <option value="Delta Amacuro">Delta Amacuro</option>
              <option value="Amazonas">Amazonas</option>
              <option value="An Giang">An Giang</option>
              <option value="Bac Ninh">Bac Ninh</option>
              <option value="Bac Giang">Bac Giang</option>
              <option value="Binh Dinh">Binh Dinh</option>
              <option value="Bac Kan">Bac Kan</option>
              <option value="Bac Lieu">Bac Lieu</option>
              <option value="Ben Tre">Ben Tre</option>
              <option value="Binh Phuoc">Binh Phuoc</option>
              <option value="Ba Ria-Vung Tau">Ba Ria-Vung Tau</option>
              <option value="Binh Thuan">Binh Thuan</option>
              <option value="Binh Duong">Binh Duong</option>
              <option value="Cao Bang">Cao Bang</option>
              <option value="Ca Mau">Ca Mau</option>
              <option value="Can Tho">Can Tho</option>
              <option value="Dien Bien">Dien Bien</option>
              <option value="Dak Nong">Dak Nong</option>
              <option value="Dong Nai">Dong Nai</option>
              <option value="Dak Lak">Dak Lak</option>
              <option value="Da Nang">Da Nang</option>
              <option value="Dong Thap">Dong Thap</option>
              <option value="Gia Lai">Gia Lai</option>
              <option value="Hoa Binh">Hoa Binh</option>
              <option value="Ho Chin Minh">Ho Chin Minh</option>
              <option value="Hai Duong">Hai Duong</option>
              <option value="Ha Giang">Ha Giang</option>
              <option value="Ha Tinh">Ha Tinh</option>
              <option value="Ha Noi">Ha Noi</option>
              <option value="Ha Nam">Ha Nam</option>
              <option value="Hai Phong">Hai Phong</option>
              <option value="Ha Tay">Ha Tay</option>
              <option value="Hau Giang">Hau Giang</option>
              <option value="Hung Yen">Hung Yen</option>
              <option value="Alo">Alo</option>
              <option value="Sigave">Sigave</option>
              <option value="Wallis">Wallis</option>
              <option value=""></option>
              <option value="Abyan">Abyan</option>
              <option value="Adan">Adan</option>
              <option value="Amran">Amran</option>
              <option value="Al Bayda">Al Bayda</option>
              <option value="Ad Dali">Ad Dali</option>
              <option value="Dhamar">Dhamar</option>
              <option value="Hadramawt">Hadramawt</option>
              <option value="Hajjah">Hajjah</option>
              <option value="Al Hudaydah">Al Hudaydah</option>
              <option value="Ibb">Ibb</option>
              <option value="Al Jawf">Al Jawf</option>
              <option value="Lahij">Lahij</option>
              <option value="Marib">Marib</option>
              <option value="Al Mahrah">Al Mahrah</option>
              <option value="Al Mahwit">Al Mahwit</option>
              <option value="Sadah">Sadah</option>
              <option value="Shabwah">Shabwah</option>
              <option value="Sana">Sana</option>
              <option value="Taizz">Taizz</option>
              <option value="Copperbelt Province">Copperbelt Province</option>
              <option value="Central Province">Central Province</option>
              <option value="Eastern Province">Eastern Province</option>
              <option value="Lusaka Province">Lusaka Province</option>
              <option value="Luapula Province">Luapula Province</option>
              <option value="Northern Province">Northern Province</option>
              <option value="North-Western Province">North-Western Province</option>
              <option value="Southern Province">Southern Province</option>
              <option value="Western Province">Western Province</option>
              <option value="Bulawayo (city)">Bulawayo (city)</option>
              <option value="Harare (city)">Harare (city)</option>
              <option value="Mashonaland Central">Mashonaland Central</option>
              <option value="Midlands">Midlands</option>
              <option value="Mashonaland East">Mashonaland East</option>
              <option value="Manicaland">Manicaland</option>
              <option value="Matabeleland North">Matabeleland North</option>
              <option value="Matabeleland South">Matabeleland South</option>
              <option value="Masvingo">Masvingo</option>
              <option value="Mashonaland West">Mashonaland West</option>
            </select><label for="input_12_24_2" id="input_12_24_2_label" class="hidden_sub_label">Please select your State/Region/Province</label></span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <div id="field_12_10" class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_10" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_10">Contact Work Email Address<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_10" id="input_12_10" type="email" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled">
        </div>
      </div>
      <div id="field_12_11" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_11" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_11">Contact Work Phone Number<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_11" id="input_12_11" type="tel" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"></div>
      </div>
      <div id="field_12_12" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_12" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_12">Education Institution Name<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_12" id="input_12_12" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </div>
      <div id="field_12_15" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_15" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_15">Education Institution ABN/Business Number<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_15" id="input_12_15" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </div>
      <fieldset id="field_12_16"
        class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_16" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Education Facility Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row" id="input_12_16">
          <span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_12_16_1_container">
            <input type="text" name="input_16.1" id="input_12_16_1" value="" placeholder="Street" aria-required="true" disabled="disabled">
            <label for="input_12_16_1" id="input_12_16_1_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Street Address</label>
          </span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_12_16_3_container">
            <input type="text" name="input_16.3" id="input_12_16_3" value="" placeholder="City/Town/Suburb" aria-required="true" disabled="disabled">
            <label for="input_12_16_3" id="input_12_16_3_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">City</label>
          </span><input type="hidden" class="gform_hidden" name="input_16.4" id="input_12_16_4" value="" disabled="disabled"><span class="ginput_right address_zip ginput_address_zip gform-grid-col" id="input_12_16_5_container">
            <input type="text" name="input_16.5" id="input_12_16_5" value="" placeholder="Zip/Postal Cose" aria-required="true" disabled="disabled">
            <label for="input_12_16_5" id="input_12_16_5_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">ZIP / Postal Code</label>
          </span><input type="hidden" class="gform_hidden" name="input_16.6" id="input_12_16_6" value="" disabled="disabled">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <fieldset id="field_12_25"
        class="gfield gfield--type-countrywisestate gfield--input-type-countrywisestate gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_25" data-conditional-logic="hidden" style="display: none;">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Lookup<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_state has_country ginput_container_address" name="country_state_fliter" id="input_12_25">
          <span class="ginput_left address_country ginput_address_country" id="input_12_25_1_container"><select class="large" data-show-subtext="true" data-live-search="true" name="input_25.1" id="input_12_25_1" disabled="disabled">
              <option name="country_input_placeholders" value="Please select your Country">Please select your Country</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Aland">Aland</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Ascension">Ascension</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="British Virgin Islands">British Virgin Islands</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo">Congo</option>
              <option value="Congo (DRC)">Congo (DRC)</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Cote d" ivoire'="">Cote d'Ivoire</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Isle of Man">Isle of Man</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jersey">Jersey</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="Korea (North Korea)">Korea (North Korea)</option>
              <option value="Korea (South Korea)">Korea (South Korea)</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macau">Macau</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Martinique">Martinique</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mayotte">Mayotte</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Montserrat">Montserrat</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar (Burma)">Myanmar (Burma)</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="Netherlands Antilles">Netherlands Antilles</option>
              <option value="New Caledonia">New Caledonia</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Niue">Niue</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestinian Territories (Gaza Strip and West Bank)">Palestinian Territories (Gaza Strip and West Bank)</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Pitcairn Islands">Pitcairn Islands</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Reunion">Reunion</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Suriname">Suriname</option>
              <option value="Svalbard">Svalbard</option>
              <option value="Swaziland">Swaziland</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria">Syria</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Timor-Leste (East Timor)">Timor-Leste (East Timor)</option>
              <option value="Togo">Togo</option>
              <option value="Tokelau">Tokelau</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tristan da Cunha">Tristan da Cunha</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkey">Turkey</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States">United States</option>
              <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Vatican City">Vatican City</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Vietnam">Vietnam</option>
              <option value="Wallis and Futuna">Wallis and Futuna</option>
              <option value="Western Sahara">Western Sahara</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
            </select><label for="input_12_25_1" id="input_12_25_1_label" class="hidden_sub_label">Country</label></span><span class="ginput_right gfcws_stateload address_state ginput_address_state" id="input_12_25_2_container"><select class="large"
              data-custom-input="" name="input_25.2" id="input_12_25_2" disabled="disabled">
              <option name="states_input_placeholders" value="Please select your State/Region/Province">Please select your State/Region/Province</option>
              <option value="Balkh province">Balkh province</option>
              <option value="Bamian province">Bamian province</option>
              <option value="Badghis province">Badghis province</option>
              <option value="Badakhshan province">Badakhshan province</option>
              <option value="Baghlan province">Baghlan province</option>
              <option value="Farah province">Farah province</option>
              <option value="Faryab province">Faryab province</option>
              <option value="Ghazni province">Ghazni province</option>
              <option value="Ghowr province">Ghowr province</option>
              <option value="Helmand province">Helmand province</option>
              <option value="Herat province">Herat province</option>
              <option value="Jowzjan province">Jowzjan province</option>
              <option value="Kabul province">Kabul province</option>
              <option value="Kandahar province">Kandahar province</option>
              <option value="Kapisa province">Kapisa province</option>
              <option value="Kondoz province">Kondoz province</option>
              <option value="Khost province">Khost province</option>
              <option value="Konar province">Konar province</option>
              <option value="Laghman province">Laghman province</option>
              <option value="Lowgar province">Lowgar province</option>
              <option value="Nangrahar province">Nangrahar province</option>
              <option value="Nimruz province">Nimruz province</option>
              <option value="Nurestan province">Nurestan province</option>
              <option value="Oruzgan province">Oruzgan province</option>
              <option value="Parwan province">Parwan province</option>
              <option value="Paktia province">Paktia province</option>
              <option value="Paktika province">Paktika province</option>
              <option value="Samangan province">Samangan province</option>
              <option value="Sar-e Pol province">Sar-e Pol province</option>
              <option value="Takhar province">Takhar province</option>
              <option value="Wardak province">Wardak province</option>
              <option value="Zabol province">Zabol province</option>
              <option value=""></option>
              <option value="Berat">Berat</option>
              <option value="Bulqize">Bulqize</option>
              <option value="Diber">Diber</option>
              <option value="Delvine">Delvine</option>
              <option value="Durres">Durres</option>
              <option value="Devoll">Devoll</option>
              <option value="Elbasan">Elbasan</option>
              <option value="Kolonje">Kolonje</option>
              <option value="Fier">Fier</option>
              <option value="Gjirokaster">Gjirokaster</option>
              <option value="Gramsh">Gramsh</option>
              <option value="Has">Has</option>
              <option value="Kavaje">Kavaje</option>
              <option value="Kurbin">Kurbin</option>
              <option value="Kucove">Kucove</option>
              <option value="Korce">Korce</option>
              <option value="Kruje">Kruje</option>
              <option value="Kukes">Kukes</option>
              <option value="Librazhd">Librazhd</option>
              <option value="Lezhe">Lezhe</option>
              <option value="Lushnje">Lushnje</option>
              <option value="Mallakaster">Mallakaster</option>
              <option value="Malesi e Madhe">Malesi e Madhe</option>
              <option value="Mirdite">Mirdite</option>
              <option value="Mat">Mat</option>
              <option value="Pogradec">Pogradec</option>
              <option value="Peqin">Peqin</option>
              <option value="Permet">Permet</option>
              <option value="Puke">Puke</option>
              <option value="Shkoder">Shkoder</option>
              <option value="Skrapar">Skrapar</option>
              <option value="Sarande">Sarande</option>
              <option value="Tepelene">Tepelene</option>
              <option value="Tropoje">Tropoje</option>
              <option value="Tirane">Tirane</option>
              <option value="Vlore">Vlore</option>
              <option value="Ain Defla">Ain Defla</option>
              <option value="Adrar">Adrar</option>
              <option value="Alger">Alger</option>
              <option value="Annaba">Annaba</option>
              <option value="Ain Temouchent">Ain Temouchent</option>
              <option value="Batna">Batna</option>
              <option value="Bordj Bou Arreridj">Bordj Bou Arreridj</option>
              <option value="Bechar">Bechar</option>
              <option value="Bejaia">Bejaia</option>
              <option value="Biskra">Biskra</option>
              <option value="Blida">Blida</option>
              <option value="Boumerdes">Boumerdes</option>
              <option value="Bouira">Bouira</option>
              <option value="Chlef">Chlef</option>
              <option value="Constantine">Constantine</option>
              <option value="Djelfa">Djelfa</option>
              <option value="El Bayadh">El Bayadh</option>
              <option value="El Oued">El Oued</option>
              <option value="El Tarf">El Tarf</option>
              <option value="Ghardaia">Ghardaia</option>
              <option value="Guelma">Guelma</option>
              <option value="Illizi">Illizi</option>
              <option value="Jijel">Jijel</option>
              <option value="Khenchela">Khenchela</option>
              <option value="Laghouat">Laghouat</option>
              <option value="Medea">Medea</option>
              <option value="Mila">Mila</option>
              <option value="Mostaganem">Mostaganem</option>
              <option value="MSila">MSila</option>
              <option value="Muaskar">Muaskar</option>
              <option value="Naama">Naama</option>
              <option value="Oum el-Bouaghi">Oum el-Bouaghi</option>
              <option value="Oran">Oran</option>
              <option value="Ouargla">Ouargla</option>
              <option value="Relizane">Relizane</option>
              <option value="Souk Ahras">Souk Ahras</option>
              <option value="Saida">Saida</option>
              <option value="Sidi Bel Abbes">Sidi Bel Abbes</option>
              <option value="Setif">Setif</option>
              <option value="Skikda">Skikda</option>
              <option value="Tamanghasset">Tamanghasset</option>
              <option value="Tebessa">Tebessa</option>
              <option value="Tiaret">Tiaret</option>
              <option value="Tindouf">Tindouf</option>
              <option value="Tipaza">Tipaza</option>
              <option value="Tissemsilt">Tissemsilt</option>
              <option value="Tlemcen">Tlemcen</option>
              <option value="Tizi Ouzou">Tizi Ouzou</option>
              <option value="Eastern">Eastern</option>
              <option value="Manu a">Manu a</option>
              <option value="Rose Island">Rose Island</option>
              <option value="Swains Island">Swains Island</option>
              <option value="Western">Western</option>
              <option value="Andorra la Vella">Andorra la Vella</option>
              <option value="Canillo">Canillo</option>
              <option value="Encamp">Encamp</option>
              <option value="Escaldes-Engordany">Escaldes-Engordany</option>
              <option value="La Massana">La Massana</option>
              <option value="Ordino">Ordino</option>
              <option value="Sant Julia de LOA">Sant Julia de LOA</option>
              <option value="Bengo">Bengo</option>
              <option value="Benguela province">Benguela province</option>
              <option value="Bie">Bie</option>
              <option value="Cabinda">Cabinda</option>
              <option value="Cuando-Cubango">Cuando-Cubango</option>
              <option value="Cunene">Cunene</option>
              <option value="Cuanza Norte">Cuanza Norte</option>
              <option value="Cuanza Sul">Cuanza Sul</option>
              <option value="Huambo province">Huambo province</option>
              <option value="Huila province">Huila province</option>
              <option value="Lunda Norte">Lunda Norte</option>
              <option value="Lunda Sul">Lunda Sul</option>
              <option value="Luanda">Luanda</option>
              <option value="Malange">Malange</option>
              <option value="Moxico">Moxico</option>
              <option value="Namibe">Namibe</option>
              <option value="Uige">Uige</option>
              <option value="Zaire">Zaire</option>
              <option value=""></option>
              <option value="Australian Antarctic Territory">Australian Antarctic Territory</option>
              <option value="Ross Dependency">Ross Dependency</option>
              <option value="Peter I Island">Peter I Island</option>
              <option value="Queen Maud Land">Queen Maud Land</option>
              <option value="British Antarctic Territory">British Antarctic Territory</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint Philip">Saint Philip</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Paul">Saint Paul</option>
              <option value="Saint Mary">Saint Mary</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Barbuda">Barbuda</option>
              <option value="Redonda">Redonda</option>
              <option value="Salta">Salta</option>
              <option value="Buenos Aires Province">Buenos Aires Province</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="San Luis">San Luis</option>
              <option value="Entre Rios">Entre Rios</option>
              <option value="La Rioja">La Rioja</option>
              <option value="Santiago del Estero">Santiago del Estero</option>
              <option value="Chaco">Chaco</option>
              <option value="San Juan">San Juan</option>
              <option value="Catamarca">Catamarca</option>
              <option value="La Pampa">La Pampa</option>
              <option value="Mendoza">Mendoza</option>
              <option value="Misiones">Misiones</option>
              <option value="Formosa">Formosa</option>
              <option value="Neuquen">Neuquen</option>
              <option value="Rio Negro">Rio Negro</option>
              <option value="Santa Fe">Santa Fe</option>
              <option value="Tucuman">Tucuman</option>
              <option value="Chubut">Chubut</option>
              <option value="Tierra del Fuego">Tierra del Fuego</option>
              <option value="Corrientes">Corrientes</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Jujuy">Jujuy</option>
              <option value="Santa Cruz">Santa Cruz</option>
              <option value="Aragatsotn">Aragatsotn</option>
              <option value="Armavir">Armavir</option>
              <option value="Ararat">Ararat</option>
              <option value="Geghark unik">Geghark unik</option>
              <option value="Kotayk">Kotayk</option>
              <option value="Lorri">Lorri</option>
              <option value="Shirak">Shirak</option>
              <option value="Syunik">Syunik</option>
              <option value="Tavush">Tavush</option>
              <option value="Vayots Dzor">Vayots Dzor</option>
              <option value="Yerevan">Yerevan</option>
              <option value=""></option>
              <option value=""></option>
              <option value="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option>
              <option value="Australian Capital Territory">Australian Capital Territory</option>
              <option value="Coral Sea Islands">Coral Sea Islands</option>
              <option value="New South Wales">New South Wales</option>
              <option value="Northern Territory">Northern Territory</option>
              <option value="Queensland">Queensland</option>
              <option value="South Australia">South Australia</option>
              <option value="Tasmania">Tasmania</option>
              <option value="Victoria">Victoria</option>
              <option value="Western Australia">Western Australia</option>
              <option value="Burgenland">Burgenland</option>
              <option value="Karnten">Karnten</option>
              <option value="Niederosterreich">Niederosterreich</option>
              <option value="Oberosterreich">Oberosterreich</option>
              <option value="Salzburg">Salzburg</option>
              <option value="Steiermark">Steiermark</option>
              <option value="Tirol">Tirol</option>
              <option value="Vorarlberg">Vorarlberg</option>
              <option value="Wien">Wien</option>
              <option value="Ali Bayramli">Ali Bayramli</option>
              <option value="Abseron">Abseron</option>
              <option value="Agstafa">Agstafa</option>
              <option value="AgcabAdi">AgcabAdi</option>
              <option value="Agdam">Agdam</option>
              <option value="Agdas">Agdas</option>
              <option value="Agsu">Agsu</option>
              <option value="Astara">Astara</option>
              <option value="Baki">Baki</option>
              <option value="Babak">Babak</option>
              <option value="Balakan">Balakan</option>
              <option value="Barda">Barda</option>
              <option value="Beylaqan">Beylaqan</option>
              <option value="Bilasuvar">Bilasuvar</option>
              <option value="Cabrayil">Cabrayil</option>
              <option value="Calilabab">Calilabab</option>
              <option value="Culfa">Culfa</option>
              <option value="Daskasan">Daskasan</option>
              <option value="Davaci">Davaci</option>
              <option value="Fuzuli">Fuzuli</option>
              <option value="Ganca">Ganca</option>
              <option value="Gadabay">Gadabay</option>
              <option value="Goranboy">Goranboy</option>
              <option value="Goycay">Goycay</option>
              <option value="Haciqabul">Haciqabul</option>
              <option value="Imisli">Imisli</option>
              <option value="Ismayilli">Ismayilli</option>
              <option value="Kalbacar">Kalbacar</option>
              <option value="Kurdamir">Kurdamir</option>
              <option value="Lacin">Lacin</option>
              <option value="Lankaran">Lankaran</option>
              <option value="Lerik">Lerik</option>
              <option value="Masalli">Masalli</option>
              <option value="Mingacevir">Mingacevir</option>
              <option value="Naftalan">Naftalan</option>
              <option value="Neftcala">Neftcala</option>
              <option value="Naxcivan">Naxcivan</option>
              <option value="Nagorno-Karabakh">Nagorno-Karabakh</option>
              <option value="Oguz">Oguz</option>
              <option value="Ordubad">Ordubad</option>
              <option value="Qabala">Qabala</option>
              <option value="Qax">Qax</option>
              <option value="Qazax">Qazax</option>
              <option value="Quba">Quba</option>
              <option value="Qubadli">Qubadli</option>
              <option value="Qobustan">Qobustan</option>
              <option value="Qusar">Qusar</option>
              <option value="Saki">Saki</option>
              <option value="Sabirabad">Sabirabad</option>
              <option value="Sadarak">Sadarak</option>
              <option value="Sahbuz">Sahbuz</option>
              <option value="Saki">Saki</option>
              <option value="Salyan">Salyan</option>
              <option value="Sarur">Sarur</option>
              <option value="Saatli">Saatli</option>
              <option value="Siyazan">Siyazan</option>
              <option value="Samkir">Samkir</option>
              <option value="Sumqayit">Sumqayit</option>
              <option value="Samaxi">Samaxi</option>
              <option value="Samux">Samux</option>
              <option value="Susa">Susa</option>
              <option value="Susa">Susa</option>
              <option value="Tartar">Tartar</option>
              <option value="Tovuz">Tovuz</option>
              <option value="Ucar">Ucar</option>
              <option value="Xankandi">Xankandi</option>
              <option value="Xacmaz">Xacmaz</option>
              <option value="Xanlar">Xanlar</option>
              <option value="Xocali">Xocali</option>
              <option value="Xizi">Xizi</option>
              <option value="Xocavand">Xocavand</option>
              <option value="Yardimli">Yardimli</option>
              <option value="Yevlax">Yevlax</option>
              <option value="Zangilan">Zangilan</option>
              <option value="Zaqatala">Zaqatala</option>
              <option value="Zardab">Zardab</option>
              <option value="Acklins">Acklins</option>
              <option value="Berry Islands">Berry Islands</option>
              <option value="Bimini">Bimini</option>
              <option value="Black Point">Black Point</option>
              <option value="Central Abaco">Central Abaco</option>
              <option value="Central Andros">Central Andros</option>
              <option value="Cat Island">Cat Island</option>
              <option value="Central Eleuthera">Central Eleuthera</option>
              <option value="Crooked Island">Crooked Island</option>
              <option value="East Grand Bahama">East Grand Bahama</option>
              <option value="Exuma">Exuma</option>
              <option value="City of Freeport">City of Freeport</option>
              <option value="Grand Cay">Grand Cay</option>
              <option value="Harbour Island">Harbour Island</option>
              <option value="Hope Town">Hope Town</option>
              <option value="Inagua">Inagua</option>
              <option value="Long Island">Long Island</option>
              <option value="Mangrove Cay">Mangrove Cay</option>
              <option value="Mayaguana">Mayaguana</option>
              <option value="Moores Island">Moores Island</option>
              <option value="North Abaco">North Abaco</option>
              <option value="North Andros">North Andros</option>
              <option value="North Eleuthera">North Eleuthera</option>
              <option value="Ragged Island">Ragged Island</option>
              <option value="Rum Cay">Rum Cay</option>
              <option value="South Abaco">South Abaco</option>
              <option value="San Salvador">San Salvador</option>
              <option value="South Andros">South Andros</option>
              <option value="South Eleuthera">South Eleuthera</option>
              <option value="Spanish Wells">Spanish Wells</option>
              <option value="West Grand Bahama">West Grand Bahama</option>
              <option value="Capital">Capital</option>
              <option value="Central">Central</option>
              <option value="Muharraq">Muharraq</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Barisal">Barisal</option>
              <option value="Chittagong">Chittagong</option>
              <option value="Dhaka">Dhaka</option>
              <option value="Khulna">Khulna</option>
              <option value="Rajshahi">Rajshahi</option>
              <option value="Sylhet">Sylhet</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Christ Church">Christ Church</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint James">Saint James</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Joseph">Saint Joseph</option>
              <option value="Saint Lucy">Saint Lucy</option>
              <option value="Saint Michael">Saint Michael</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Saint Philip">Saint Philip</option>
              <option value="Saint Thomas">Saint Thomas</option>
              <option value="Brest voblast">Brest voblast</option>
              <option value="Homyel voblast">Homyel voblast</option>
              <option value="Hrodna voblast">Hrodna voblast</option>
              <option value="Mahilyow voblast">Mahilyow voblast</option>
              <option value="Minsk voblast">Minsk voblast</option>
              <option value="Vitsebsk voblast">Vitsebsk voblast</option>
              <option value="Antwerpen">Antwerpen</option>
              <option value="Vlaams Brabant">Vlaams Brabant</option>
              <option value="Limburg">Limburg</option>
              <option value="Oost-Vlaanderen">Oost-Vlaanderen</option>
              <option value="West-Vlaanderen">West-Vlaanderen</option>
              <option value="Brabant Wallon">Brabant Wallon</option>
              <option value="Hainaut">Hainaut</option>
              <option value="Liege">Liege</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Namur">Namur</option>
              <option value="Belize District">Belize District</option>
              <option value="Corozal District">Corozal District</option>
              <option value="Cayo District">Cayo District</option>
              <option value="Orange Walk District">Orange Walk District</option>
              <option value="Stann Creek District">Stann Creek District</option>
              <option value="Toledo District">Toledo District</option>
              <option value="Atakora">Atakora</option>
              <option value="Alibori">Alibori</option>
              <option value="Atlantique">Atlantique</option>
              <option value="Borgou">Borgou</option>
              <option value="Collines">Collines</option>
              <option value="Donga">Donga</option>
              <option value="Kouffo">Kouffo</option>
              <option value="Littoral">Littoral</option>
              <option value="Mono">Mono</option>
              <option value="Oueme">Oueme</option>
              <option value="Plateau">Plateau</option>
              <option value="Zou">Zou</option>
              <option value="Devonshire">Devonshire</option>
              <option value="Saint George City">Saint George City</option>
              <option value="Hamilton">Hamilton</option>
              <option value="Hamilton City">Hamilton City</option>
              <option value="Pembroke">Pembroke</option>
              <option value="Paget">Paget</option>
              <option value="Sandys">Sandys</option>
              <option value="Saint Georges">Saint Georges</option>
              <option value="Southampton">Southampton</option>
              <option value="Smiths">Smiths</option>
              <option value="Warwick">Warwick</option>
              <option value="Bumthang">Bumthang</option>
              <option value="Chukha">Chukha</option>
              <option value="Dagana">Dagana</option>
              <option value="Gasa">Gasa</option>
              <option value="Haa">Haa</option>
              <option value="Lhuntse">Lhuntse</option>
              <option value="Mongar">Mongar</option>
              <option value="Paro">Paro</option>
              <option value="Pemagatshel">Pemagatshel</option>
              <option value="Punakha">Punakha</option>
              <option value="Sarpang">Sarpang</option>
              <option value="Samtse">Samtse</option>
              <option value="Samdrup Jongkhar">Samdrup Jongkhar</option>
              <option value="Thimphu">Thimphu</option>
              <option value="Trashigang">Trashigang</option>
              <option value="Trongsa">Trongsa</option>
              <option value="Trashiyangste">Trashiyangste</option>
              <option value="Tsirang">Tsirang</option>
              <option value="Wangdue Phodrang">Wangdue Phodrang</option>
              <option value="Zhemgang">Zhemgang</option>
              <option value="Departmento Beni">Departmento Beni</option>
              <option value="Departmento Chuquisaca">Departmento Chuquisaca</option>
              <option value="Departmento Cochabamba">Departmento Cochabamba</option>
              <option value="Departmento La Paz">Departmento La Paz</option>
              <option value="Departmento Oruro">Departmento Oruro</option>
              <option value="Departmento Pando">Departmento Pando</option>
              <option value="Departmento Potosi">Departmento Potosi</option>
              <option value="Departmento Santa Cruz">Departmento Santa Cruz</option>
              <option value="Departmento Tarija">Departmento Tarija</option>
              <option value="Brcko district">Brcko district</option>
              <option value="Bosanskopodrinjski Kanton">Bosanskopodrinjski Kanton</option>
              <option value="Hercegovacko-neretvanski Kanton">Hercegovacko-neretvanski Kanton</option>
              <option value="Posavski Kanton">Posavski Kanton</option>
              <option value="Kanton Sarajevo">Kanton Sarajevo</option>
              <option value="Srednjebosanski Kanton">Srednjebosanski Kanton</option>
              <option value="Tuzlanski Kanton">Tuzlanski Kanton</option>
              <option value="Unsko-Sanski Kanton">Unsko-Sanski Kanton</option>
              <option value="Zapadnobosanska">Zapadnobosanska</option>
              <option value="Zenicko-Dobojski Kanton">Zenicko-Dobojski Kanton</option>
              <option value="Zapadnohercegovacka Zupanija">Zapadnohercegovacka Zupanija</option>
              <option value="Bijeljina">Bijeljina</option>
              <option value="Banja Luka">Banja Luka</option>
              <option value="Doboj">Doboj</option>
              <option value="Foca">Foca</option>
              <option value="Sarajevo-Romanija or Sokolac">Sarajevo-Romanija or Sokolac</option>
              <option value="Trebinje">Trebinje</option>
              <option value="Vlasenica">Vlasenica</option>
              <option value="Central">Central</option>
              <option value="Ghanzi">Ghanzi</option>
              <option value="Kgalagadi">Kgalagadi</option>
              <option value="Kgatleng">Kgatleng</option>
              <option value="Kweneng">Kweneng</option>
              <option value="North East">North East</option>
              <option value="Ngamiland">Ngamiland</option>
              <option value="North West">North West</option>
              <option value="South East">South East</option>
              <option value="Southern">Southern</option>
              <option value=""></option>
              <option value="Acre">Acre</option>
              <option value="Alagoas">Alagoas</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Amapa">Amapa</option>
              <option value="Bahia">Bahia</option>
              <option value="Ceara">Ceara</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="Espirito Santo">Espirito Santo</option>
              <option value="Goias">Goias</option>
              <option value="Maranhao">Maranhao</option>
              <option value="Minas Gerais">Minas Gerais</option>
              <option value="Mato Grosso do Sul">Mato Grosso do Sul</option>
              <option value="Mato Grosso">Mato Grosso</option>
              <option value="Para">Para</option>
              <option value="Paraiba">Paraiba</option>
              <option value="Pernambuco">Pernambuco</option>
              <option value="Piaui">Piaui</option>
              <option value="Parana">Parana</option>
              <option value="Rio de Janeiro">Rio de Janeiro</option>
              <option value="Rio Grande do Norte">Rio Grande do Norte</option>
              <option value="Rondonia">Rondonia</option>
              <option value="Roraima">Roraima</option>
              <option value="Rio Grande do Sul">Rio Grande do Sul</option>
              <option value="Santa Catarina">Santa Catarina</option>
              <option value="Sergipe">Sergipe</option>
              <option value="Sao Paulo">Sao Paulo</option>
              <option value="Tocantins">Tocantins</option>
              <option value="Diego Garcia">Diego Garcia</option>
              <option value="Danger Island">Danger Island</option>
              <option value="Eagle Islands">Eagle Islands</option>
              <option value="Egmont Islands">Egmont Islands</option>
              <option value="Nelsons Island">Nelsons Island</option>
              <option value="Peros Banhos">Peros Banhos</option>
              <option value="Salomon Islands">Salomon Islands</option>
              <option value="Three Brothers">Three Brothers</option>
              <option value=""></option>
              <option value="Belait">Belait</option>
              <option value="Brunei and Muara">Brunei and Muara</option>
              <option value="Temburong">Temburong</option>
              <option value="Tutong">Tutong</option>
              <option value="Blagoevgrad">Blagoevgrad</option>
              <option value="Burgas">Burgas</option>
              <option value="Varna">Varna</option>
              <option value="Veliko Turnovo">Veliko Turnovo</option>
              <option value="Vidin">Vidin</option>
              <option value="Vratsa">Vratsa</option>
              <option value="Gabrovo">Gabrovo</option>
              <option value="Dobrich">Dobrich</option>
              <option value="Kurdzhali">Kurdzhali</option>
              <option value="Kyustendil">Kyustendil</option>
              <option value="Lovech">Lovech</option>
              <option value="Montana">Montana</option>
              <option value="Pazardzhik">Pazardzhik</option>
              <option value="Pernik">Pernik</option>
              <option value="Pleven">Pleven</option>
              <option value="Plovdiv">Plovdiv</option>
              <option value="Razgrad">Razgrad</option>
              <option value="Ruse">Ruse</option>
              <option value="Silistra">Silistra</option>
              <option value="Sliven">Sliven</option>
              <option value="Smolyan">Smolyan</option>
              <option value="Sofia Region">Sofia Region</option>
              <option value="Sofia">Sofia</option>
              <option value="Stara Zagora">Stara Zagora</option>
              <option value="Turgovishte">Turgovishte</option>
              <option value="Khaskovo">Khaskovo</option>
              <option value="Shumen">Shumen</option>
              <option value="Yambol">Yambol</option>
              <option value="Bale">Bale</option>
              <option value="Bam">Bam</option>
              <option value="Banwa">Banwa</option>
              <option value="Bazega">Bazega</option>
              <option value="Boulgou">Boulgou</option>
              <option value="Boulkiemde">Boulkiemde</option>
              <option value="Bougouriba">Bougouriba</option>
              <option value="Comoe">Comoe</option>
              <option value="Ganzourgou">Ganzourgou</option>
              <option value="Gnagna">Gnagna</option>
              <option value="Gourma">Gourma</option>
              <option value="Houet">Houet</option>
              <option value="Ioba">Ioba</option>
              <option value="Kadiogo">Kadiogo</option>
              <option value="Kenedougou">Kenedougou</option>
              <option value="Komondjari">Komondjari</option>
              <option value="Koulpelogo">Koulpelogo</option>
              <option value="Kompienga">Kompienga</option>
              <option value="Kossi">Kossi</option>
              <option value="Kouritenga">Kouritenga</option>
              <option value="Kourweogo">Kourweogo</option>
              <option value="Leraba">Leraba</option>
              <option value="Loroum">Loroum</option>
              <option value="Mouhoun">Mouhoun</option>
              <option value="Nahouri">Nahouri</option>
              <option value="Namentenga">Namentenga</option>
              <option value="Nayala">Nayala</option>
              <option value="Noumbiel">Noumbiel</option>
              <option value="Oubritenga">Oubritenga</option>
              <option value="Oudalan">Oudalan</option>
              <option value="Passore">Passore</option>
              <option value="Poni">Poni</option>
              <option value="Sanguie">Sanguie</option>
              <option value="Sanmatenga">Sanmatenga</option>
              <option value="Seno">Seno</option>
              <option value="Sissili">Sissili</option>
              <option value="Soum">Soum</option>
              <option value="Sourou">Sourou</option>
              <option value="Tapoa">Tapoa</option>
              <option value="Tuy">Tuy</option>
              <option value="Yagha">Yagha</option>
              <option value="Yatenga">Yatenga</option>
              <option value="Ziro">Ziro</option>
              <option value="Zondoma">Zondoma</option>
              <option value="Zoundweogo">Zoundweogo</option>
              <option value="Bubanza">Bubanza</option>
              <option value="Bujumbura">Bujumbura</option>
              <option value="Bururi">Bururi</option>
              <option value="Cankuzo">Cankuzo</option>
              <option value="Cibitoke">Cibitoke</option>
              <option value="Gitega">Gitega</option>
              <option value="Kirundo">Kirundo</option>
              <option value="Karuzi">Karuzi</option>
              <option value="Kayanza">Kayanza</option>
              <option value="Makamba">Makamba</option>
              <option value="Muramvya">Muramvya</option>
              <option value="Mwaro">Mwaro</option>
              <option value="Muyinga">Muyinga</option>
              <option value="Ngozi">Ngozi</option>
              <option value="Rutana">Rutana</option>
              <option value="Ruyigi">Ruyigi</option>
              <option value="Battambang">Battambang</option>
              <option value="Banteay Meanchey">Banteay Meanchey</option>
              <option value="Keb">Keb</option>
              <option value="Kaoh Kong">Kaoh Kong</option>
              <option value="Kandal">Kandal</option>
              <option value="Kampong Cham">Kampong Cham</option>
              <option value="Kampong Chhnang">Kampong Chhnang</option>
              <option value="Kampong Som">Kampong Som</option>
              <option value="Kampot">Kampot</option>
              <option value="Kratie">Kratie</option>
              <option value="Kampong Thom">Kampong Thom</option>
              <option value="Kampong Speu">Kampong Speu</option>
              <option value="Mondul Kiri">Mondul Kiri</option>
              <option value="Oddar Meancheay">Oddar Meancheay</option>
              <option value="Pailin">Pailin</option>
              <option value="Prey Veng">Prey Veng</option>
              <option value="Phnom Penh">Phnom Penh</option>
              <option value="Preah Vihear">Preah Vihear</option>
              <option value="Preah Seihanu (Kompong Som or Sihanoukville)">Preah Seihanu (Kompong Som or Sihanoukville)</option>
              <option value="Pursat">Pursat</option>
              <option value="Ratanak Kiri">Ratanak Kiri</option>
              <option value="Siemreap">Siemreap</option>
              <option value="Svay Rieng">Svay Rieng</option>
              <option value="Stung Treng">Stung Treng</option>
              <option value="Takeo">Takeo</option>
              <option value="Adamawa Province (Adamaoua)">Adamawa Province (Adamaoua)</option>
              <option value="Centre Province">Centre Province</option>
              <option value="East Province (Est)">East Province (Est)</option>
              <option value="Extreme North Province (ExtrO?-Nord) C">Extreme North Province (ExtrO?-Nord) C</option>
              <option value="Littoral Province">Littoral Province</option>
              <option value="North Province (Nord)">North Province (Nord)</option>
              <option value="Northwest Province (Nord-Ouest)">Northwest Province (Nord-Ouest)</option>
              <option value="West Province (Ouest)">West Province (Ouest)</option>
              <option value="Southwest Province (Sud-Ouest).">Southwest Province (Sud-Ouest).</option>
              <option value="South Province (Sud)">South Province (Sud)</option>
              <option value="Alberta">Alberta</option>
              <option value="British Columbia">British Columbia</option>
              <option value="Manitoba">Manitoba</option>
              <option value="New Brunswick">New Brunswick</option>
              <option value="Newfoundland and Labrador">Newfoundland and Labrador</option>
              <option value="Nova Scotia">Nova Scotia</option>
              <option value="Northwest Territories">Northwest Territories</option>
              <option value="Nunavut">Nunavut</option>
              <option value="Ontario">Ontario</option>
              <option value="Prince Edward Island">Prince Edward Island</option>
              <option value="Quebec">Quebec</option>
              <option value="Saskatchewan">Saskatchewan</option>
              <option value="Yukon Territory">Yukon Territory</option>
              <option value="Brava">Brava</option>
              <option value="Boa Vista">Boa Vista</option>
              <option value="Santa Catarina">Santa Catarina</option>
              <option value="Santa Cruz">Santa Cruz</option>
              <option value="Calheta de Sao Miguel">Calheta de Sao Miguel</option>
              <option value="Maio">Maio</option>
              <option value="Mosteiros">Mosteiros</option>
              <option value="Paul">Paul</option>
              <option value="Porto Novo">Porto Novo</option>
              <option value="Praia">Praia</option>
              <option value="Ribeira Grande">Ribeira Grande</option>
              <option value="Sao Domingos">Sao Domingos</option>
              <option value="Sao Filipe">Sao Filipe</option>
              <option value="Sal">Sal</option>
              <option value="Sao Nicolau">Sao Nicolau</option>
              <option value="Sao Vicente">Sao Vicente</option>
              <option value="Tarrafal">Tarrafal</option>
              <option value="Creek">Creek</option>
              <option value="Eastern">Eastern</option>
              <option value="Midland">Midland</option>
              <option value="Stake Bay">Stake Bay</option>
              <option value="Spot Bay">Spot Bay</option>
              <option value="South Town">South Town</option>
              <option value="West End">West End</option>
              <option value="Western">Western</option>
              <option value="Bangui">Bangui</option>
              <option value="Bamingui-Bangoran">Bamingui-Bangoran</option>
              <option value="Basse-Kotto">Basse-Kotto</option>
              <option value="Haute-Kotto">Haute-Kotto</option>
              <option value="Haut-Mbomou">Haut-Mbomou</option>
              <option value="Kemo">Kemo</option>
              <option value="Lobaye">Lobaye</option>
              <option value="Mbomou">Mbomou</option>
              <option value="Mambere-KadeOC">Mambere-KadeOC</option>
              <option value="Nana-Grebizi">Nana-Grebizi</option>
              <option value="Nana-Mambere">Nana-Mambere</option>
              <option value="Ombella-MPoko">Ombella-MPoko</option>
              <option value="Ouham-Pende">Ouham-Pende</option>
              <option value="Ouham">Ouham</option>
              <option value="Ouaka">Ouaka</option>
              <option value="Sangha-Mbaere">Sangha-Mbaere</option>
              <option value="Vakaga">Vakaga</option>
              <option value="Batha">Batha</option>
              <option value="Borkou-Ennedi-Tibesti">Borkou-Ennedi-Tibesti</option>
              <option value="Biltine">Biltine</option>
              <option value="Chari-Baguirmi">Chari-Baguirmi</option>
              <option value="Guera">Guera</option>
              <option value="Kanem">Kanem</option>
              <option value="Lac">Lac</option>
              <option value="Logone Occidental">Logone Occidental</option>
              <option value="Logone Oriental">Logone Oriental</option>
              <option value="Moyen-Chari">Moyen-Chari</option>
              <option value="Mayo-Kebbi">Mayo-Kebbi</option>
              <option value="Ouaddai">Ouaddai</option>
              <option value="Salamat">Salamat</option>
              <option value="Tandjile">Tandjile</option>
              <option value="Aisen del General Carlos Ibanez del Campo (XI)">Aisen del General Carlos Ibanez del Campo (XI)</option>
              <option value="Antofagasta (II)">Antofagasta (II)</option>
              <option value="Araucania (IX)">Araucania (IX)</option>
              <option value="Atacama (III)">Atacama (III)</option>
              <option value="Bio-Bio (VIII)">Bio-Bio (VIII)</option>
              <option value="Coquimbo (IV)">Coquimbo (IV)</option>
              <option value="Libertador General Bernardo OHiggins (VI)">Libertador General Bernardo OHiggins (VI)</option>
              <option value="Los Lagos (X)">Los Lagos (X)</option>
              <option value="Magallanes (XII)">Magallanes (XII)</option>
              <option value="Maule (VII)">Maule (VII)</option>
              <option value="Region Metropolitana (RM)">Region Metropolitana (RM)</option>
              <option value="Tarapaca (I)">Tarapaca (I)</option>
              <option value="Valparaiso (V)">Valparaiso (V)</option>
              <option value="Beijing">Beijing</option>
              <option value="Tianjin">Tianjin</option>
              <option value="Hebei">Hebei</option>
              <option value="Shanxi">Shanxi</option>
              <option value="Nei Mongol">Nei Mongol</option>
              <option value="Liaoning">Liaoning</option>
              <option value="Jilin">Jilin</option>
              <option value="Heilongjiang">Heilongjiang</option>
              <option value="Shanghai">Shanghai</option>
              <option value="Jiangsu">Jiangsu</option>
              <option value="Zhejiang">Zhejiang</option>
              <option value="Anhui">Anhui</option>
              <option value="Fujian">Fujian</option>
              <option value="Jiangxi">Jiangxi</option>
              <option value="Shandong">Shandong</option>
              <option value="Henan">Henan</option>
              <option value="Hubei">Hubei</option>
              <option value="Hunan">Hunan</option>
              <option value="Guangdong">Guangdong</option>
              <option value="Guangxi">Guangxi</option>
              <option value="Hainan">Hainan</option>
              <option value="Sichuan">Sichuan</option>
              <option value="Guizhou">Guizhou</option>
              <option value="Yunnan">Yunnan</option>
              <option value="Xizang ZO?O? (Tibet) CH">Xizang ZO?O? (Tibet) CH</option>
              <option value="Shaanxi">Shaanxi</option>
              <option value="Gansu">Gansu</option>
              <option value="Qinghai">Qinghai</option>
              <option value="Ningxia">Ningxia</option>
              <option value="Xinjiang">Xinjiang</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Xianggang">Xianggang</option>
              <option value="Aomen">Aomen</option>
              <option value="ChongqO? C">ChongqO? C</option>
              <option value="Gaoxiong">Gaoxiong</option>
              <option value="Taibei">Taibei</option>
              <option value=""></option>
              <option value="Direction Island">Direction Island</option>
              <option value="Home Island">Home Island</option>
              <option value="Horsburgh Island">Horsburgh Island</option>
              <option value="South Island">South Island</option>
              <option value="West Island">West Island</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Antioquia">Antioquia</option>
              <option value="Arauca">Arauca</option>
              <option value="Atlantico">Atlantico</option>
              <option value="Bogota D.C.">Bogota D.C.</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Boyaca">Boyaca</option>
              <option value="Caldas">Caldas</option>
              <option value="Cundinamarca">Cundinamarca</option>
              <option value="Caqueta">Caqueta</option>
              <option value="Casanare">Casanare</option>
              <option value="Cauca">Cauca</option>
              <option value="Cesar">Cesar</option>
              <option value="Choco">Choco</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Guajira">Guajira</option>
              <option value="Guainia">Guainia</option>
              <option value="Guaviare">Guaviare</option>
              <option value="Huila">Huila</option>
              <option value="Magdalena">Magdalena</option>
              <option value="Meta">Meta</option>
              <option value="Narino">Narino</option>
              <option value="Norte de Santander">Norte de Santander</option>
              <option value="Putumayo">Putumayo</option>
              <option value="Quindio">Quindio</option>
              <option value="Risaralda">Risaralda</option>
              <option value="Santander">Santander</option>
              <option value="San Andres y Providencia">San Andres y Providencia</option>
              <option value="Sucre">Sucre</option>
              <option value="Tolima">Tolima</option>
              <option value="Vaupes">Vaupes</option>
              <option value="Valle del Cauca">Valle del Cauca</option>
              <option value="Vichada">Vichada</option>
              <option value="Anjouan">Anjouan</option>
              <option value="Grande Comore">Grande Comore</option>
              <option value="Moheli">Moheli</option>
              <option value="Bouenza">Bouenza</option>
              <option value="Brazzaville">Brazzaville</option>
              <option value="Cuvette-Ouest">Cuvette-Ouest</option>
              <option value="Cuvette">Cuvette</option>
              <option value="Kouilou">Kouilou</option>
              <option value="Lekoumou">Lekoumou</option>
              <option value="Likouala">Likouala</option>
              <option value="Niari">Niari</option>
              <option value="Plateaux">Plateaux</option>
              <option value="Pool">Pool</option>
              <option value="Sangha">Sangha</option>
              <option value="Bas-Congo">Bas-Congo</option>
              <option value="Bandundu">Bandundu</option>
              <option value="Equateur">Equateur</option>
              <option value="Katanga">Katanga</option>
              <option value="Kasai-Oriental">Kasai-Oriental</option>
              <option value="Kinshasa">Kinshasa</option>
              <option value="Kasai-Occidental">Kasai-Occidental</option>
              <option value="Maniema">Maniema</option>
              <option value="Nord-Kivu">Nord-Kivu</option>
              <option value="Orientale">Orientale</option>
              <option value="Sud-Kivu">Sud-Kivu</option>
              <option value="Aitutaki">Aitutaki</option>
              <option value="Atiu">Atiu</option>
              <option value="Manuae">Manuae</option>
              <option value="Mangaia">Mangaia</option>
              <option value="Manihiki">Manihiki</option>
              <option value="Mitiaro">Mitiaro</option>
              <option value="Mauke">Mauke</option>
              <option value="Nassau Island">Nassau Island</option>
              <option value="Palmerston">Palmerston</option>
              <option value="Penrhyn">Penrhyn</option>
              <option value="Pukapuka">Pukapuka</option>
              <option value="Rakahanga">Rakahanga</option>
              <option value="Rarotonga">Rarotonga</option>
              <option value="Surwarrow">Surwarrow</option>
              <option value="Takutea">Takutea</option>
              <option value="Alajuela">Alajuela</option>
              <option value="Cartago">Cartago</option>
              <option value="Guanacaste">Guanacaste</option>
              <option value="Heredia">Heredia</option>
              <option value="Limon">Limon</option>
              <option value="Puntarenas">Puntarenas</option>
              <option value="San Jose">San Jose</option>
              <option value="Abengourou">Abengourou</option>
              <option value="Abidjan">Abidjan</option>
              <option value="Aboisso">Aboisso</option>
              <option value="Adiake">Adiake</option>
              <option value="Adzope">Adzope</option>
              <option value="Agboville">Agboville</option>
              <option value="Agnibilekrou">Agnibilekrou</option>
              <option value="Alepe">Alepe</option>
              <option value="Bangolo">Bangolo</option>
              <option value="Bondoukou">Bondoukou</option>
              <option value="Boundiali">Boundiali</option>
              <option value="Beoumi">Beoumi</option>
              <option value="Bouafle">Bouafle</option>
              <option value="Bongouanou">Bongouanou</option>
              <option value="Biankouma">Biankouma</option>
              <option value="Bouake">Bouake</option>
              <option value="Bouna">Bouna</option>
              <option value="Bocanda">Bocanda</option>
              <option value="Daloa">Daloa</option>
              <option value="Danane">Danane</option>
              <option value="Daoukro">Daoukro</option>
              <option value="Dabou">Dabou</option>
              <option value="Dimbokro">Dimbokro</option>
              <option value="Divo">Divo</option>
              <option value="Dabakala">Dabakala</option>
              <option value="Duekoue">Duekoue</option>
              <option value="Ferkessedougou">Ferkessedougou</option>
              <option value="Gagnoa">Gagnoa</option>
              <option value="Grand-Bassam">Grand-Bassam</option>
              <option value="Grand-Lahou">Grand-Lahou</option>
              <option value="Guiglo">Guiglo</option>
              <option value="Issia">Issia</option>
              <option value="Jacqueville">Jacqueville</option>
              <option value="Katiola">Katiola</option>
              <option value="Korhogo">Korhogo</option>
              <option value="Lakota">Lakota</option>
              <option value="Man">Man</option>
              <option value="Mbahiakro">Mbahiakro</option>
              <option value="Mankono">Mankono</option>
              <option value="Odienne">Odienne</option>
              <option value="Oume">Oume</option>
              <option value="Sakassou">Sakassou</option>
              <option value="Sassandra">Sassandra</option>
              <option value="Seguela">Seguela</option>
              <option value="Sinfra">Sinfra</option>
              <option value="Soubre">Soubre</option>
              <option value="San-Pedro">San-Pedro</option>
              <option value="Tabou">Tabou</option>
              <option value="Tanda">Tanda</option>
              <option value="Touba">Touba</option>
              <option value="Tiassale">Tiassale</option>
              <option value="Tiebissou">Tiebissou</option>
              <option value="Tingrela">Tingrela</option>
              <option value="Toulepleu">Toulepleu</option>
              <option value="Toumodi">Toumodi</option>
              <option value="Vavoua">Vavoua</option>
              <option value="Yamoussoukro">Yamoussoukro</option>
              <option value="Zuenoula">Zuenoula</option>
              <option value="Zagreb county">Zagreb county</option>
              <option value="Krapina-Zagorje county">Krapina-Zagorje county</option>
              <option value="Sisak-Moslavina county">Sisak-Moslavina county</option>
              <option value="Karlovac county">Karlovac county</option>
              <option value="Varazdin county">Varazdin county</option>
              <option value="Koprivnica-Krizevci county">Koprivnica-Krizevci county</option>
              <option value="Bjelovar-Bilogora county">Bjelovar-Bilogora county</option>
              <option value="Primorje-Gorski Kotar county">Primorje-Gorski Kotar county</option>
              <option value="Lika-Senj county">Lika-Senj county</option>
              <option value="Virovitica-Podravina county">Virovitica-Podravina county</option>
              <option value="Pozega-Slavonia county">Pozega-Slavonia county</option>
              <option value="Brod-Posavina county">Brod-Posavina county</option>
              <option value="Zadar county">Zadar county</option>
              <option value="Osijek-Baranja county">Osijek-Baranja county</option>
              <option value="Sibenik-Knin county">Sibenik-Knin county</option>
              <option value="Vukovar-Srijem county">Vukovar-Srijem county</option>
              <option value="Split-Dalmatia county">Split-Dalmatia county</option>
              <option value="Istria county">Istria county</option>
              <option value="Dubrovnik-Neretva county">Dubrovnik-Neretva county</option>
              <option value="Medjimurje county">Medjimurje county</option>
              <option value="Zagreb (city)">Zagreb (city)</option>
              <option value="Camaguey">Camaguey</option>
              <option value="Ciego de Avila">Ciego de Avila</option>
              <option value="Cienfuegos">Cienfuegos</option>
              <option value="Ciudad de La Habana">Ciudad de La Habana</option>
              <option value="Granma">Granma</option>
              <option value="Guantanamo">Guantanamo</option>
              <option value="Holguin">Holguin</option>
              <option value="Isla de la Juventud">Isla de la Juventud</option>
              <option value="La Habana">La Habana</option>
              <option value="Las Tunas">Las Tunas</option>
              <option value="Matanzas">Matanzas</option>
              <option value="Pinar del Rio">Pinar del Rio</option>
              <option value="Santiago de Cuba">Santiago de Cuba</option>
              <option value="Sancti Spiritus">Sancti Spiritus</option>
              <option value="Villa Clara">Villa Clara</option>
              <option value="Larnaca">Larnaca</option>
              <option value="Famagusta">Famagusta</option>
              <option value="Limassol">Limassol</option>
              <option value="Kyrenia">Kyrenia</option>
              <option value="Nicosia">Nicosia</option>
              <option value="Northern Cyprus">Northern Cyprus</option>
              <option value="Paphos">Paphos</option>
              <option value="South Bohemian Region (Jihocesky kraj)">South Bohemian Region (Jihocesky kraj)</option>
              <option value="South Moravian Region (Jihomoravsky kraj)">South Moravian Region (Jihomoravsky kraj)</option>
              <option value="Carlsbad Region (Karlovarsky kraj)">Carlsbad Region (Karlovarsky kraj)</option>
              <option value="Hradec Kralove Region (Kralovehradecky kraj)">Hradec Kralove Region (Kralovehradecky kraj)</option>
              <option value="Liberec Region (Liberecky kraj)">Liberec Region (Liberecky kraj)</option>
              <option value="Moravian-Silesian Region (Moravskoslezsky kraj)">Moravian-Silesian Region (Moravskoslezsky kraj)</option>
              <option value="Olomouc Region (Olomoucky kraj)">Olomouc Region (Olomoucky kraj)</option>
              <option value="Pardubice Region (Pardubicky kraj)">Pardubice Region (Pardubicky kraj)</option>
              <option value="Plzen( Region Plzensky kraj)">Plzen( Region Plzensky kraj)</option>
              <option value="Prague - the Capital (Praha - hlavni mesto)">Prague - the Capital (Praha - hlavni mesto)</option>
              <option value="Central Bohemian Region (Stredocesky kraj)">Central Bohemian Region (Stredocesky kraj)</option>
              <option value="Usti nad Labem Region (Ustecky kraj)">Usti nad Labem Region (Ustecky kraj)</option>
              <option value="Vysoc(ina Region (kraj Vysoc(ina)">Vysoc(ina Region (kraj Vysoc(ina)</option>
              <option value="Zlin Region (Zlinsky kraj)">Zlin Region (Zlinsky kraj)</option>
              <option value="Arhus">Arhus</option>
              <option value="Bornholm">Bornholm</option>
              <option value="Copenhagen (municipality)">Copenhagen (municipality)</option>
              <option value="Copenhagen">Copenhagen</option>
              <option value="Frederiksberg (municipality)">Frederiksberg (municipality)</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Frederiksborg">Frederiksborg</option>
              <option value="Funen">Funen</option>
              <option value="Greenland">Greenland</option>
              <option value="North Jutland">North Jutland</option>
              <option value="Ribe">Ribe</option>
              <option value="Ringkjobing">Ringkjobing</option>
              <option value="Roskilde">Roskilde</option>
              <option value="South Jutland">South Jutland</option>
              <option value="Storstrom">Storstrom</option>
              <option value="Viborg">Viborg</option>
              <option value="Vejle">Vejle</option>
              <option value="West Zealand">West Zealand</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dikhil">Dikhil</option>
              <option value="Obock">Obock</option>
              <option value="Ali Sabih">Ali Sabih</option>
              <option value="Tadjoura">Tadjoura</option>
              <option value="Saint Andrew Parish">Saint Andrew Parish</option>
              <option value="Saint David Parish">Saint David Parish</option>
              <option value="Saint George Parish">Saint George Parish</option>
              <option value="Saint John Parish">Saint John Parish</option>
              <option value="Saint Joseph Parish">Saint Joseph Parish</option>
              <option value="Saint Luke Parish">Saint Luke Parish</option>
              <option value="Saint Mark Parish">Saint Mark Parish</option>
              <option value="Saint Patrick Parish">Saint Patrick Parish</option>
              <option value="Saint Paul Parish">Saint Paul Parish</option>
              <option value="Saint Peter Parish">Saint Peter Parish</option>
              <option value="La Altagracia">La Altagracia</option>
              <option value="Azua">Azua</option>
              <option value="Baoruco">Baoruco</option>
              <option value="Barahona">Barahona</option>
              <option value="Dajabon">Dajabon</option>
              <option value="Distrito Nacional">Distrito Nacional</option>
              <option value="Duarte">Duarte</option>
              <option value="Elias Pina">Elias Pina</option>
              <option value="Espaillat">Espaillat</option>
              <option value="Hato Mayor">Hato Mayor</option>
              <option value="Independencia">Independencia</option>
              <option value="San Jose de Ocoa">San Jose de Ocoa</option>
              <option value="Monte Cristi">Monte Cristi</option>
              <option value="Monsenor Nouel">Monsenor Nouel</option>
              <option value="Monte Plata">Monte Plata</option>
              <option value="Maria Trinidad Sanchez">Maria Trinidad Sanchez</option>
              <option value="Pedernales">Pedernales</option>
              <option value="San Pedro de Macoris">San Pedro de Macoris</option>
              <option value="Puerto Plata">Puerto Plata</option>
              <option value="Peravia (Bani)">Peravia (Bani)</option>
              <option value="La Romana">La Romana</option>
              <option value="Santiago">Santiago</option>
              <option value="San Cristobal">San Cristobal</option>
              <option value="Santo Domingo">Santo Domingo</option>
              <option value="Sanchez Ramirez">Sanchez Ramirez</option>
              <option value="San Juan">San Juan</option>
              <option value="Salcedo">Salcedo</option>
              <option value="Samana">Samana</option>
              <option value="Santiago Rodriguez">Santiago Rodriguez</option>
              <option value="El Seybo">El Seybo</option>
              <option value="Valverde">Valverde</option>
              <option value="La Vega">La Vega</option>
              <option value="Azuay">Azuay</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Carchi">Carchi</option>
              <option value="Orellana">Orellana</option>
              <option value="Esmeraldas">Esmeraldas</option>
              <option value="Canar">Canar</option>
              <option value="Guayas">Guayas</option>
              <option value="Chimborazo">Chimborazo</option>
              <option value="Imbabura">Imbabura</option>
              <option value="Loja">Loja</option>
              <option value="Manabi">Manabi</option>
              <option value="Napo">Napo</option>
              <option value="El Oro">El Oro</option>
              <option value="Pichincha">Pichincha</option>
              <option value="Los Rios">Los Rios</option>
              <option value="Morona-Santiago">Morona-Santiago</option>
              <option value="Tungurahua">Tungurahua</option>
              <option value="Sucumbios">Sucumbios</option>
              <option value="Galapagos">Galapagos</option>
              <option value="Cotopaxi">Cotopaxi</option>
              <option value="Pastaza">Pastaza</option>
              <option value="Zamora-Chinchipe">Zamora-Chinchipe</option>
              <option value="Aswan">Aswan</option>
              <option value="Asyut">Asyut</option>
              <option value="Al Bahr al Ahmar">Al Bahr al Ahmar</option>
              <option value="Al Buhayrah">Al Buhayrah</option>
              <option value="Bur Said">Bur Said</option>
              <option value="Bani Suwayf">Bani Suwayf</option>
              <option value="Ad Daqahliyah">Ad Daqahliyah</option>
              <option value="Dumyat">Dumyat</option>
              <option value="Al Fayyum">Al Fayyum</option>
              <option value="Al Gharbiyah">Al Gharbiyah</option>
              <option value="Al Iskandariyah">Al Iskandariyah</option>
              <option value="Al Ismailiyah">Al Ismailiyah</option>
              <option value="Janub Sina">Janub Sina</option>
              <option value="Al Jizah">Al Jizah</option>
              <option value="Kafr ash Shaykh">Kafr ash Shaykh</option>
              <option value="Matruh">Matruh</option>
              <option value="Al Minufiyah">Al Minufiyah</option>
              <option value="Al Minya">Al Minya</option>
              <option value="Al Qahirah">Al Qahirah</option>
              <option value="Qina">Qina</option>
              <option value="Al Qalyubiyah">Al Qalyubiyah</option>
              <option value="Ash Sharqiyah">Ash Sharqiyah</option>
              <option value="Shamal Sina">Shamal Sina</option>
              <option value="Suhaj">Suhaj</option>
              <option value="As Suways">As Suways</option>
              <option value="Al Wadi al Jadid">Al Wadi al Jadid</option>
              <option value="Ahuachapan">Ahuachapan</option>
              <option value="Cabanas">Cabanas</option>
              <option value="Chalatenango">Chalatenango</option>
              <option value="Cuscatlan">Cuscatlan</option>
              <option value="La Libertad">La Libertad</option>
              <option value="Morazan">Morazan</option>
              <option value="La Paz">La Paz</option>
              <option value="Santa Ana">Santa Ana</option>
              <option value="San Miguel">San Miguel</option>
              <option value="Sonsonate">Sonsonate</option>
              <option value="San Salvador">San Salvador</option>
              <option value="San Vicente">San Vicente</option>
              <option value="La Union">La Union</option>
              <option value="Usulutan">Usulutan</option>
              <option value="Provincia Annobon">Provincia Annobon</option>
              <option value="Provincia Bioko Norte">Provincia Bioko Norte</option>
              <option value="Provincia Bioko Sur">Provincia Bioko Sur</option>
              <option value="Provincia Centro Sur">Provincia Centro Sur</option>
              <option value="Provincia Kie-Ntem">Provincia Kie-Ntem</option>
              <option value="Provincia Litoral">Provincia Litoral</option>
              <option value="Provincia Wele-Nzas">Provincia Wele-Nzas</option>
              <option value="Gash-Barka (Barentu)">Gash-Barka (Barentu)</option>
              <option value="Southern (Debub)">Southern (Debub)</option>
              <option value="Southern Red Sea (Debub-Keih-Bahri)">Southern Red Sea (Debub-Keih-Bahri)</option>
              <option value="Anseba (Keren)">Anseba (Keren)</option>
              <option value="Central (Maekel)">Central (Maekel)</option>
              <option value="Northern Red Sea (Semien-Keih-Bahri)">Northern Red Sea (Semien-Keih-Bahri)</option>
              <option value="Harju County">Harju County</option>
              <option value="Hiiu County">Hiiu County</option>
              <option value="Ida-Viru County">Ida-Viru County</option>
              <option value="JOAa County">JOAa County</option>
              <option value="JArva County">JArva County</option>
              <option value="LAAne County">LAAne County</option>
              <option value="LAAne-Viru County">LAAne-Viru County</option>
              <option value="POA County">POA County</option>
              <option value="PArnu County">PArnu County</option>
              <option value="Rapla County">Rapla County</option>
              <option value="Saare County">Saare County</option>
              <option value="Tartu County">Tartu County</option>
              <option value="Valga County">Valga County</option>
              <option value="Viljandi County">Viljandi County</option>
              <option value="VOACounty">VOACounty</option>
              <option value="Addis Ababa">Addis Ababa</option>
              <option value="Afar">Afar</option>
              <option value="Amhara">Amhara</option>
              <option value="Benishangul-Gumaz">Benishangul-Gumaz</option>
              <option value="Dire Dawa">Dire Dawa</option>
              <option value="Gambela">Gambela</option>
              <option value="Hariai">Hariai</option>
              <option value="Oromia">Oromia</option>
              <option value="Somali">Somali</option>
              <option value="Southern Nations - Nationalities and Peoples Region">Southern Nations - Nationalities and Peoples Region</option>
              <option value="Tigray">Tigray</option>
              <option value=""></option>
              <option value=""></option>
              <option value="Central Division">Central Division</option>
              <option value="Eastern Division">Eastern Division</option>
              <option value="Northern Division">Northern Division</option>
              <option value="Rotuma">Rotuma</option>
              <option value="Western Division">Western Division</option>
              <option value="Ahvenanmaan laani">Ahvenanmaan laani</option>
              <option value="Etela-Suomen laani">Etela-Suomen laani</option>
              <option value="Ita-Suomen laani">Ita-Suomen laani</option>
              <option value="Lapin laani">Lapin laani</option>
              <option value="Lansi-Suomen laani">Lansi-Suomen laani</option>
              <option value="Oulun laani">Oulun laani</option>
              <option value="Bas-Rhin - Alsace">Bas-Rhin - Alsace</option>
              <option value="Haut-Rhin - Alsace">Haut-Rhin - Alsace</option>
              <option value="Dordogne - Aquitaine">Dordogne - Aquitaine</option>
              <option value="Gironde - Aquitaine">Gironde - Aquitaine</option>
              <option value="Landes - Aquitaine">Landes - Aquitaine</option>
              <option value="Lot-et-Garonne - Aquitaine">Lot-et-Garonne - Aquitaine</option>
              <option value="Pyrenees-Atlantiques - Aquitaine">Pyrenees-Atlantiques - Aquitaine</option>
              <option value="Deux-Sevres - Aquitaine">Deux-Sevres - Aquitaine</option>
              <option value="Allier - Auvergne">Allier - Auvergne</option>
              <option value="Cantal - Auvergne">Cantal - Auvergne</option>
              <option value="Haute-Loire - Auvergne">Haute-Loire - Auvergne</option>
              <option value="Pu-de-Dme - Auvergne">Pu-de-Dme - Auvergne</option>
              <option value="Cote-dOr - Bourgogne">Cote-dOr - Bourgogne</option>
              <option value="Nievre - Bourgogne">Nievre - Bourgogne</option>
              <option value="Saone-et-Loire - Bourgogne">Saone-et-Loire - Bourgogne</option>
              <option value="Yonne - Bourgogne">Yonne - Bourgogne</option>
              <option value="Cotes-dArmor - Bretagne">Cotes-dArmor - Bretagne</option>
              <option value="Finistere - Bretagne">Finistere - Bretagne</option>
              <option value="Ille-et-Vilaine - Bretagne">Ille-et-Vilaine - Bretagne</option>
              <option value="Morbihan - Bretagne">Morbihan - Bretagne</option>
              <option value="Cher - Centre">Cher - Centre</option>
              <option value="Eure-et-Loir - Centre">Eure-et-Loir - Centre</option>
              <option value="Indre - Centre">Indre - Centre</option>
              <option value="Indre-et-Loire - Centre">Indre-et-Loire - Centre</option>
              <option value="Loir-et-Cher - Centre">Loir-et-Cher - Centre</option>
              <option value="Loiret - Centre">Loiret - Centre</option>
              <option value="Ardennes - Champagne-Ardenne">Ardennes - Champagne-Ardenne</option>
              <option value="Aube - Champagne-Ardenne">Aube - Champagne-Ardenne</option>
              <option value="Marne - Champagne-Ardenne">Marne - Champagne-Ardenne</option>
              <option value="Haute-Marne - Champagne-Ardenne">Haute-Marne - Champagne-Ardenne</option>
              <option value="Corse-du-Sud - Corse">Corse-du-Sud - Corse</option>
              <option value="Haute-Corse - Corse">Haute-Corse - Corse</option>
              <option value="Doubs - Franche-Comte">Doubs - Franche-Comte</option>
              <option value="Jura - Franche-Comte">Jura - Franche-Comte</option>
              <option value="Haute-Saone - Franche-Comte">Haute-Saone - Franche-Comte</option>
              <option value="Haute-Saone - Territoire de Belfort">Haute-Saone - Territoire de Belfort</option>
              <option value="Paris - Ile-de-France">Paris - Ile-de-France</option>
              <option value="Seine-et-Marne - Ile-de-France">Seine-et-Marne - Ile-de-France</option>
              <option value="Yvelines - Ile-de-France">Yvelines - Ile-de-France</option>
              <option value="Essonne - Ile-de-France">Essonne - Ile-de-France</option>
              <option value="Hauts-de-Seine - Ile-de-France">Hauts-de-Seine - Ile-de-France</option>
              <option value="Seine-Saint-Denis - Ile-de-France">Seine-Saint-Denis - Ile-de-France</option>
              <option value="Val-de-Marne - Ile-de-France">Val-de-Marne - Ile-de-France</option>
              <option value="Val-dOise - Ile-de-France">Val-dOise - Ile-de-France</option>
              <option value="Alpes-de-Haute-Provence">Alpes-de-Haute-Provence</option>
              <option value="Hautes-Alpes">Hautes-Alpes</option>
              <option value="Alpes-Maritimes">Alpes-Maritimes</option>
              <option value="Bouches-du-Rhne">Bouches-du-Rhne</option>
              <option value="Var">Var</option>
              <option value="Vaucluse">Vaucluse</option>
              <option value=""></option>
              <option value="Archipel des Tubuai">Archipel des Tubuai</option>
              <option value="Archipel des Marquises">Archipel des Marquises</option>
              <option value="Iles Sous-le-Vent">Iles Sous-le-Vent</option>
              <option value="Archipel des Tuamotu">Archipel des Tuamotu</option>
              <option value="Iles du Vent">Iles du Vent</option>
              <option value="Ile Amsterdam">Ile Amsterdam</option>
              <option value="Iles Crozet">Iles Crozet</option>
              <option value="Adelie Land">Adelie Land</option>
              <option value="Iles Kerguelen">Iles Kerguelen</option>
              <option value="Ile Saint-Paul">Ile Saint-Paul</option>
              <option value="Estuaire">Estuaire</option>
              <option value="Haut-Ogooue">Haut-Ogooue</option>
              <option value="Moyen-Ogooue">Moyen-Ogooue</option>
              <option value="Ngounie">Ngounie</option>
              <option value="Nyanga">Nyanga</option>
              <option value="Ogooue-Ivindo">Ogooue-Ivindo</option>
              <option value="Ogooue-Lolo">Ogooue-Lolo</option>
              <option value="Ogooue-Maritime">Ogooue-Maritime</option>
              <option value="Woleu-Ntem">Woleu-Ntem</option>
              <option value="Banjul">Banjul</option>
              <option value="Brikama">Brikama</option>
              <option value="Basse">Basse</option>
              <option value="Central River">Central River</option>
              <option value="Janjangbure">Janjangbure</option>
              <option value="Kanifeng">Kanifeng</option>
              <option value="Kerewan">Kerewan</option>
              <option value="Kuntaur">Kuntaur</option>
              <option value="Lower River">Lower River</option>
              <option value="Mansakonko">Mansakonko</option>
              <option value="North Bank">North Bank</option>
              <option value="Upper River">Upper River</option>
              <option value="Western">Western</option>
              <option value="Abkhazia">Abkhazia</option>
              <option value="Ajaria">Ajaria</option>
              <option value="Guria">Guria</option>
              <option value="Imereti">Imereti</option>
              <option value="Kakheti">Kakheti</option>
              <option value="Kvemo Kartli">Kvemo Kartli</option>
              <option value="Mtskheta-Mtianeti">Mtskheta-Mtianeti</option>
              <option value="Racha Lechkhumi and Kvemo Svaneti">Racha Lechkhumi and Kvemo Svaneti</option>
              <option value="Samtskhe-Javakheti">Samtskhe-Javakheti</option>
              <option value="Shida Kartli">Shida Kartli</option>
              <option value="Samegrelo-Zemo Svaneti">Samegrelo-Zemo Svaneti</option>
              <option value="South Ossetia">South Ossetia</option>
              <option value="Tbilisi">Tbilisi</option>
              <option value="Berlin">Berlin</option>
              <option value="Brandenburg">Brandenburg</option>
              <option value="Baden-Wurttemberg">Baden-Wurttemberg</option>
              <option value="Bayern">Bayern</option>
              <option value="Bremen">Bremen</option>
              <option value="Hessen">Hessen</option>
              <option value="Hamburg">Hamburg</option>
              <option value="Mecklenburg-Vorpommern">Mecklenburg-Vorpommern</option>
              <option value="Niedersachsen">Niedersachsen</option>
              <option value="Nordrhein-Westfalen">Nordrhein-Westfalen</option>
              <option value="Rheinland-Pfalz">Rheinland-Pfalz</option>
              <option value="Schleswig-Holstein">Schleswig-Holstein</option>
              <option value="Saarland">Saarland</option>
              <option value="Sachsen">Sachsen</option>
              <option value="Sachsen-Anhalt">Sachsen-Anhalt</option>
              <option value="Thuringen">Thuringen</option>
              <option value="Ashanti Region">Ashanti Region</option>
              <option value="Brong-Ahafo Region">Brong-Ahafo Region</option>
              <option value="Central Region">Central Region</option>
              <option value="Eastern Region">Eastern Region</option>
              <option value="Greater Accra Region">Greater Accra Region</option>
              <option value="Northern Region">Northern Region</option>
              <option value="Upper East Region">Upper East Region</option>
              <option value="Upper West Region">Upper West Region</option>
              <option value="Volta Region">Volta Region</option>
              <option value="Western Region">Western Region</option>
              <option value=""></option>
              <option value="Attica">Attica</option>
              <option value="Central Macedonia">Central Macedonia</option>
              <option value="Central Greece">Central Greece</option>
              <option value="Crete">Crete</option>
              <option value="East Macedonia and Thrace">East Macedonia and Thrace</option>
              <option value="Epirus">Epirus</option>
              <option value="Ionian Islands">Ionian Islands</option>
              <option value="North Aegean">North Aegean</option>
              <option value="Peloponnesos">Peloponnesos</option>
              <option value="South Aegean">South Aegean</option>
              <option value="Thessaly">Thessaly</option>
              <option value="West Greece">West Greece</option>
              <option value="West Macedonia">West Macedonia</option>
              <option value="Avannaa">Avannaa</option>
              <option value="Kitaa">Kitaa</option>
              <option value="Tunu">Tunu</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Carriacou">Carriacou</option>
              <option value="Saint David">Saint David</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Mark">Saint Mark</option>
              <option value="Saint Patrick">Saint Patrick</option>
              <option value="Petit Martinique">Petit Martinique</option>
              <option value="Saint Barthelemy">Saint Barthelemy</option>
              <option value="Saint Martin">Saint Martin</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Alta Verapaz">Alta Verapaz</option>
              <option value="Baja Verapaz">Baja Verapaz</option>
              <option value="Chimaltenango">Chimaltenango</option>
              <option value="Chiquimula">Chiquimula</option>
              <option value="Escuintla">Escuintla</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Huehuetenango">Huehuetenango</option>
              <option value="Izabal">Izabal</option>
              <option value="Jalapa">Jalapa</option>
              <option value="Jutiapa">Jutiapa</option>
              <option value="El Peten">El Peten</option>
              <option value="El Progreso">El Progreso</option>
              <option value="El Quiche">El Quiche</option>
              <option value="Quetzaltenango">Quetzaltenango</option>
              <option value="Retalhuleu">Retalhuleu</option>
              <option value="San Marcos">San Marcos</option>
              <option value="Solola">Solola</option>
              <option value="Santa Rosa">Santa Rosa</option>
              <option value="Sacatepequez">Sacatepequez</option>
              <option value="Suchitepequez">Suchitepequez</option>
              <option value="Totonicapan">Totonicapan</option>
              <option value="Zacapa">Zacapa</option>
              <option value=""></option>
              <option value="Boffa">Boffa</option>
              <option value="Boke">Boke</option>
              <option value="Beyla">Beyla</option>
              <option value="Conakry">Conakry</option>
              <option value="Coyah">Coyah</option>
              <option value="Dabola">Dabola</option>
              <option value="Dubreka">Dubreka</option>
              <option value="Dinguiraye">Dinguiraye</option>
              <option value="Dalaba">Dalaba</option>
              <option value="Forecariah">Forecariah</option>
              <option value="Fria">Fria</option>
              <option value="Faranah">Faranah</option>
              <option value="Gaoual">Gaoual</option>
              <option value="Gueckedou">Gueckedou</option>
              <option value="Koubia">Koubia</option>
              <option value="Koundara">Koundara</option>
              <option value="Kindia">Kindia</option>
              <option value="Kankan">Kankan</option>
              <option value="Kouroussa">Kouroussa</option>
              <option value="Kerouane">Kerouane</option>
              <option value="Kissidougou">Kissidougou</option>
              <option value="Labe">Labe</option>
              <option value="Lelouma">Lelouma</option>
              <option value="Lola">Lola</option>
              <option value="Mali">Mali</option>
              <option value="Mamou">Mamou</option>
              <option value="Mandiana">Mandiana</option>
              <option value="Macenta">Macenta</option>
              <option value="Nzerekore">Nzerekore</option>
              <option value="Pita">Pita</option>
              <option value="Siguiri">Siguiri</option>
              <option value="Telimele">Telimele</option>
              <option value="Tougue">Tougue</option>
              <option value="Yomou">Yomou</option>
              <option value="Biombo Region">Biombo Region</option>
              <option value="Bafata Region">Bafata Region</option>
              <option value="Bolama Region">Bolama Region</option>
              <option value="Bissau Region">Bissau Region</option>
              <option value="Cacheu Region">Cacheu Region</option>
              <option value="Gabu Region">Gabu Region</option>
              <option value="Oio Region">Oio Region</option>
              <option value="Quinara Region">Quinara Region</option>
              <option value="Tombali Region">Tombali Region</option>
              <option value="Barima-Waini">Barima-Waini</option>
              <option value="Cuyuni-Mazaruni">Cuyuni-Mazaruni</option>
              <option value="Demerara-Mahaica">Demerara-Mahaica</option>
              <option value="East Berbice-Corentyne">East Berbice-Corentyne</option>
              <option value="Essequibo Islands-West Demerara">Essequibo Islands-West Demerara</option>
              <option value="Mahaica-Berbice">Mahaica-Berbice</option>
              <option value="Potaro-Siparuni">Potaro-Siparuni</option>
              <option value="Pomeroon-Supenaam">Pomeroon-Supenaam</option>
              <option value="Upper Demerara-Berbice">Upper Demerara-Berbice</option>
              <option value="Upper Takutu-Upper Essequibo">Upper Takutu-Upper Essequibo</option>
              <option value="Artibonite">Artibonite</option>
              <option value="Centre">Centre</option>
              <option value="GrandAnse">GrandAnse</option>
              <option value="Nord">Nord</option>
              <option value="Nord-Est">Nord-Est</option>
              <option value="Nord-Ouest">Nord-Ouest</option>
              <option value="Ouest">Ouest</option>
              <option value="Sud">Sud</option>
              <option value="Sud-Est">Sud-Est</option>
              <option value="Flat Island">Flat Island</option>
              <option value="Heard Island">Heard Island</option>
              <option value="McDonald Island">McDonald Island</option>
              <option value="Shag Island">Shag Island</option>
              <option value="Atlantida">Atlantida</option>
              <option value="Choluteca">Choluteca</option>
              <option value="Colon">Colon</option>
              <option value="Comayagua">Comayagua</option>
              <option value="Copan">Copan</option>
              <option value="Cortes">Cortes</option>
              <option value="Francisco Morazan">Francisco Morazan</option>
              <option value="Gracias a Dios">Gracias a Dios</option>
              <option value="Islas de la Bahia (Bay Islands)">Islas de la Bahia (Bay Islands)</option>
              <option value="Intibuca">Intibuca</option>
              <option value="Lempira">Lempira</option>
              <option value="Ocotepeque">Ocotepeque</option>
              <option value="Olancho">Olancho</option>
              <option value="El Paraiso">El Paraiso</option>
              <option value="La Paz">La Paz</option>
              <option value="Santa Barbara">Santa Barbara</option>
              <option value="Valle">Valle</option>
              <option value="Yoro">Yoro</option>
              <option value="Central and Western Hong Kong Island">Central and Western Hong Kong Island</option>
              <option value="Eastern Hong Kong Island">Eastern Hong Kong Island</option>
              <option value="Southern Hong Kong Island">Southern Hong Kong Island</option>
              <option value="Wan Chai Hong Kong Island">Wan Chai Hong Kong Island</option>
              <option value="Kowloon City Kowloon">Kowloon City Kowloon</option>
              <option value="Kwun Tong Kowloon">Kwun Tong Kowloon</option>
              <option value="Sham Shui Po Kowloon">Sham Shui Po Kowloon</option>
              <option value="Wong Tai Sin Kowloon">Wong Tai Sin Kowloon</option>
              <option value="Yau Tsim Mong Kowloon">Yau Tsim Mong Kowloon</option>
              <option value="Islands New Territories">Islands New Territories</option>
              <option value="Kwai Tsing New Territories">Kwai Tsing New Territories</option>
              <option value="North New Territories">North New Territories</option>
              <option value="Sai Kung New Territories">Sai Kung New Territories</option>
              <option value="Sha Tin New Territories">Sha Tin New Territories</option>
              <option value="Tuen Mun New Territories">Tuen Mun New Territories</option>
              <option value="Tai Po New Territories">Tai Po New Territories</option>
              <option value="Tsuen Wan New Territories">Tsuen Wan New Territories</option>
              <option value="Yuen Long New Territories">Yuen Long New Territories</option>
              <option value="Borsod-Abauj-Zemplen">Borsod-Abauj-Zemplen</option>
              <option value="Bekescsaba">Bekescsaba</option>
              <option value="Bacs-Kiskun">Bacs-Kiskun</option>
              <option value="Baranya">Baranya</option>
              <option value="Bekes">Bekes</option>
              <option value="Budapest">Budapest</option>
              <option value="Csongrad">Csongrad</option>
              <option value="Debrecen">Debrecen</option>
              <option value="Dunaujvaros">Dunaujvaros</option>
              <option value="Eger">Eger</option>
              <option value="Fejer">Fejer</option>
              <option value="Gyor-Moson-Sopron">Gyor-Moson-Sopron</option>
              <option value="Gyor">Gyor</option>
              <option value="Hajdu-Bihar">Hajdu-Bihar</option>
              <option value="Hodmezovasarhely">Hodmezovasarhely</option>
              <option value="Heves">Heves</option>
              <option value="Jasz-Nagykun-Szolnok">Jasz-Nagykun-Szolnok</option>
              <option value="Kecskemet">Kecskemet</option>
              <option value="Komarom-Esztergom">Komarom-Esztergom</option>
              <option value="Kaposvar">Kaposvar</option>
              <option value="Miskolc">Miskolc</option>
              <option value="Nograd">Nograd</option>
              <option value="Nagykanizsa">Nagykanizsa</option>
              <option value="Nyiregyhaza">Nyiregyhaza</option>
              <option value="Pecs">Pecs</option>
              <option value="Pest">Pest</option>
              <option value="Szombathely">Szombathely</option>
              <option value="Szeged">Szeged</option>
              <option value="Szekesfehervar">Szekesfehervar</option>
              <option value="Szolnok">Szolnok</option>
              <option value="Somogy">Somogy</option>
              <option value="Sopron">Sopron</option>
              <option value="Szabolcs-Szatmar-Bereg">Szabolcs-Szatmar-Bereg</option>
              <option value="Tatabanya">Tatabanya</option>
              <option value="Tolna">Tolna</option>
              <option value="Vas">Vas</option>
              <option value="Veszprem">Veszprem</option>
              <option value="Zala">Zala</option>
              <option value="Zalaegerszeg">Zalaegerszeg</option>
              <option value="Austurland">Austurland</option>
              <option value="Hofuoborgarsvaeoi">Hofuoborgarsvaeoi</option>
              <option value="Norourland eystra">Norourland eystra</option>
              <option value="Norourland vestra">Norourland vestra</option>
              <option value="Suourland">Suourland</option>
              <option value="Suournes">Suournes</option>
              <option value="Vestfiroir">Vestfiroir</option>
              <option value="Vesturland">Vesturland</option>
              <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
              <option value="Andhra Pradesh">Andhra Pradesh</option>
              <option value="Arunachal Pradesh">Arunachal Pradesh</option>
              <option value="Assam">Assam</option>
              <option value="Bihar">Bihar</option>
              <option value="Chandigarh">Chandigarh</option>
              <option value="Chhattisgarh">Chhattisgarh</option>
              <option value="Daman and Diu">Daman and Diu</option>
              <option value="Delhi">Delhi</option>
              <option value="Dadra and Nagar Haveli">Dadra and Nagar Haveli</option>
              <option value="Goa">Goa</option>
              <option value="Gujarat">Gujarat</option>
              <option value="Himachal Pradesh">Himachal Pradesh</option>
              <option value="Haryana">Haryana</option>
              <option value="Jharkhand">Jharkhand</option>
              <option value="Jammu and Kashmir">Jammu and Kashmir</option>
              <option value="Karnataka">Karnataka</option>
              <option value="Kerala">Kerala</option>
              <option value="Lakshadweep">Lakshadweep</option>
              <option value="Meghalaya">Meghalaya</option>
              <option value="Maharashtra">Maharashtra</option>
              <option value="Manipur">Manipur</option>
              <option value="Madhya Pradesh">Madhya Pradesh</option>
              <option value="Mizoram">Mizoram</option>
              <option value="Nagaland">Nagaland</option>
              <option value="Orissa">Orissa</option>
              <option value="Punjab">Punjab</option>
              <option value="Pondicherry">Pondicherry</option>
              <option value="Rajasthan">Rajasthan</option>
              <option value="Sikkim">Sikkim</option>
              <option value="Tamil Nadu">Tamil Nadu</option>
              <option value="Tripura">Tripura</option>
              <option value="Uttaranchal">Uttaranchal</option>
              <option value="Uttar Pradesh">Uttar Pradesh</option>
              <option value="West Bengal">West Bengal</option>
              <option value="Aceh">Aceh</option>
              <option value="Bali">Bali</option>
              <option value="Bangka-Belitung">Bangka-Belitung</option>
              <option value="Bengkulu">Bengkulu</option>
              <option value="Banten">Banten</option>
              <option value="Gorontalo">Gorontalo</option>
              <option value="Papua">Papua</option>
              <option value="Jambi">Jambi</option>
              <option value="Jawa Timur">Jawa Timur</option>
              <option value="Jakarta Raya">Jakarta Raya</option>
              <option value="Jawa Barat">Jawa Barat</option>
              <option value="Jawa Tengah">Jawa Tengah</option>
              <option value="Kalimantan Barat">Kalimantan Barat</option>
              <option value="Kalimantan Timur">Kalimantan Timur</option>
              <option value="Kalimantan Selatan">Kalimantan Selatan</option>
              <option value="Kalimantan Tengah">Kalimantan Tengah</option>
              <option value="Lampung">Lampung</option>
              <option value="Maluku">Maluku</option>
              <option value="Maluku Utara">Maluku Utara</option>
              <option value="Nusa Tenggara Barat">Nusa Tenggara Barat</option>
              <option value="Nusa Tenggara Timur">Nusa Tenggara Timur</option>
              <option value="Riau">Riau</option>
              <option value="Sumatera Barat">Sumatera Barat</option>
              <option value="Sulawesi Tenggara">Sulawesi Tenggara</option>
              <option value="Sumatera Selatan">Sumatera Selatan</option>
              <option value="Sulawesi Selatan">Sulawesi Selatan</option>
              <option value="Sulawesi Tengah">Sulawesi Tengah</option>
              <option value="Sumatera Utara">Sumatera Utara</option>
              <option value="Sulawesi Utara">Sulawesi Utara</option>
              <option value="Yogyakarta">Yogyakarta</option>
              <option value="Ardabil">Ardabil</option>
              <option value="Bushehr">Bushehr</option>
              <option value="Chahar Mahaal and Bakhtiari">Chahar Mahaal and Bakhtiari</option>
              <option value="East Azarbaijan">East Azarbaijan</option>
              <option value="Esfahan">Esfahan</option>
              <option value="Fars">Fars</option>
              <option value="Gilan">Gilan</option>
              <option value="Golestan">Golestan</option>
              <option value="Hamadan">Hamadan</option>
              <option value="Hormozgan">Hormozgan</option>
              <option value="Ilam">Ilam</option>
              <option value="Kohkiluyeh and Buyer Ahmad">Kohkiluyeh and Buyer Ahmad</option>
              <option value="Kerman">Kerman</option>
              <option value="Kurdistan">Kurdistan</option>
              <option value="Kermanshah">Kermanshah</option>
              <option value="Khuzestan">Khuzestan</option>
              <option value="Lorestan">Lorestan</option>
              <option value="Markazi">Markazi</option>
              <option value="Mazandaran">Mazandaran</option>
              <option value="North Khorasan">North Khorasan</option>
              <option value="Qazvin">Qazvin</option>
              <option value="Qom">Qom</option>
              <option value="Razavi Khorasan">Razavi Khorasan</option>
              <option value="Sistan and Baluchistan">Sistan and Baluchistan</option>
              <option value="South Khorasan">South Khorasan</option>
              <option value="Semnan">Semnan</option>
              <option value="Tehran">Tehran</option>
              <option value="West Azarbaijan">West Azarbaijan</option>
              <option value="Yazd">Yazd</option>
              <option value="Zanjan">Zanjan</option>
              <option value="Al Anbar">Al Anbar</option>
              <option value="Arbil">Arbil</option>
              <option value="Al Basrah">Al Basrah</option>
              <option value="Babil">Babil</option>
              <option value="Baghdad">Baghdad</option>
              <option value="Dahuk">Dahuk</option>
              <option value="Dhi Qar">Dhi Qar</option>
              <option value="Diyala">Diyala</option>
              <option value="Al Karbala">Al Karbala</option>
              <option value="Al Muthanna">Al Muthanna</option>
              <option value="Maysan">Maysan</option>
              <option value="An Najaf">An Najaf</option>
              <option value="Ninawa">Ninawa</option>
              <option value="Al Qadisyah">Al Qadisyah</option>
              <option value="Salah ad Din">Salah ad Din</option>
              <option value="As Sulaymaniyah">As Sulaymaniyah</option>
              <option value="At Tamim">At Tamim</option>
              <option value="Wasit">Wasit</option>
              <option value="Cork">Cork</option>
              <option value="Clare">Clare</option>
              <option value="Cavan">Cavan</option>
              <option value="Carlow">Carlow</option>
              <option value="Dublin">Dublin</option>
              <option value="Donegal">Donegal</option>
              <option value="Galway">Galway</option>
              <option value="Kildare">Kildare</option>
              <option value="Kilkenny">Kilkenny</option>
              <option value="Kerry">Kerry</option>
              <option value="Laois">Laois</option>
              <option value="Longford">Longford</option>
              <option value="Limerick">Limerick</option>
              <option value="Leitrim">Leitrim</option>
              <option value="Louth">Louth</option>
              <option value="Monaghan">Monaghan</option>
              <option value="Meath">Meath</option>
              <option value="Mayo">Mayo</option>
              <option value="Offaly">Offaly</option>
              <option value="Roscommon">Roscommon</option>
              <option value="Sligo">Sligo</option>
              <option value="Tipperary">Tipperary</option>
              <option value="Waterford">Waterford</option>
              <option value="Wicklow">Wicklow</option>
              <option value="Westmeath">Westmeath</option>
              <option value="Wexford">Wexford</option>
              <option value=""></option>
              <option value="Central">Central</option>
              <option value="Haifa">Haifa</option>
              <option value="Jerusalem">Jerusalem</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Tel Aviv">Tel Aviv</option>
              <option value="Agrigento">Agrigento</option>
              <option value="Alessandria">Alessandria</option>
              <option value="Ancona">Ancona</option>
              <option value="Aosta">Aosta</option>
              <option value="Ascoli Piceno">Ascoli Piceno</option>
              <option value="LAquila">LAquila</option>
              <option value="Arezzo">Arezzo</option>
              <option value="Asti">Asti</option>
              <option value="Avellino">Avellino</option>
              <option value="Bari">Bari</option>
              <option value="Bergamo">Bergamo</option>
              <option value="Biella">Biella</option>
              <option value="Belluno">Belluno</option>
              <option value="Benevento">Benevento</option>
              <option value="Bologna">Bologna</option>
              <option value="Brindisi">Brindisi</option>
              <option value="Brescia">Brescia</option>
              <option value="Bolzano">Bolzano</option>
              <option value="Cagliari">Cagliari</option>
              <option value="Campobasso">Campobasso</option>
              <option value="Caserta">Caserta</option>
              <option value="Chieti">Chieti</option>
              <option value="Caltanissetta">Caltanissetta</option>
              <option value="Cuneo">Cuneo</option>
              <option value="Como">Como</option>
              <option value="Cremona">Cremona</option>
              <option value="Cosenza">Cosenza</option>
              <option value="Catania">Catania</option>
              <option value="Catanzaro">Catanzaro</option>
              <option value="Enna">Enna</option>
              <option value="Ferrara">Ferrara</option>
              <option value="Foggia">Foggia</option>
              <option value="Firenze">Firenze</option>
              <option value="ForlO?esena">ForlO?esena</option>
              <option value="Frosinone">Frosinone</option>
              <option value="Genova">Genova</option>
              <option value="Gorizia">Gorizia</option>
              <option value="Grosseto">Grosseto</option>
              <option value="Imperia">Imperia</option>
              <option value="Isernia">Isernia</option>
              <option value="Crotone">Crotone</option>
              <option value="Lecco">Lecco</option>
              <option value="Lecce">Lecce</option>
              <option value="Livorno">Livorno</option>
              <option value="Lodi">Lodi</option>
              <option value="Latina">Latina</option>
              <option value="Lucca">Lucca</option>
              <option value="Macerata">Macerata</option>
              <option value="Messina">Messina</option>
              <option value="Milano">Milano</option>
              <option value="Mantova">Mantova</option>
              <option value="Modena">Modena</option>
              <option value="Massa-Carrara">Massa-Carrara</option>
              <option value="Matera">Matera</option>
              <option value="Naploli">Naploli</option>
              <option value="Novara">Novara</option>
              <option value="Nuoro">Nuoro</option>
              <option value="Oristano">Oristano</option>
              <option value="Palermo">Palermo</option>
              <option value="Piacenza">Piacenza</option>
              <option value="Padova">Padova</option>
              <option value="Pescara">Pescara</option>
              <option value="Perugia">Perugia</option>
              <option value="Pisa">Pisa</option>
              <option value="Pordenone">Pordenone</option>
              <option value="Prato">Prato</option>
              <option value="Parma">Parma</option>
              <option value="Pesaro e Urbino">Pesaro e Urbino</option>
              <option value="Pistoia">Pistoia</option>
              <option value="Pavia">Pavia</option>
              <option value="Potenza">Potenza</option>
              <option value="Ravenna">Ravenna</option>
              <option value="Reggio Calabria">Reggio Calabria</option>
              <option value="Reggio Emilia">Reggio Emilia</option>
              <option value="Ragusa">Ragusa</option>
              <option value="Rieti">Rieti</option>
              <option value="Roma">Roma</option>
              <option value="Rimini">Rimini</option>
              <option value="Rovigo">Rovigo</option>
              <option value="Salerno">Salerno</option>
              <option value="Siena">Siena</option>
              <option value="Sondrio">Sondrio</option>
              <option value="La Spezia">La Spezia</option>
              <option value="Siracusa">Siracusa</option>
              <option value="Sassari">Sassari</option>
              <option value="Savona">Savona</option>
              <option value="Taranto">Taranto</option>
              <option value="Teramo">Teramo</option>
              <option value="Trento">Trento</option>
              <option value="Torino">Torino</option>
              <option value="Trapani">Trapani</option>
              <option value="Terni">Terni</option>
              <option value="Trieste">Trieste</option>
              <option value="Treviso">Treviso</option>
              <option value="Udine">Udine</option>
              <option value="Varese">Varese</option>
              <option value="Verbano-Cusio-Ossola">Verbano-Cusio-Ossola</option>
              <option value="Vercelli">Vercelli</option>
              <option value="Venezia">Venezia</option>
              <option value="Vicenza">Vicenza</option>
              <option value="Verona">Verona</option>
              <option value="Viterbo">Viterbo</option>
              <option value="Vibo Valentia">Vibo Valentia</option>
              <option value="Saint Andrew Parish">Saint Andrew Parish</option>
              <option value="Saint Ann Parish">Saint Ann Parish</option>
              <option value="Saint Catherine Parish">Saint Catherine Parish</option>
              <option value="Clarendon Parish">Clarendon Parish</option>
              <option value="Saint Elizabeth Parish">Saint Elizabeth Parish</option>
              <option value="Hanover Parish">Hanover Parish</option>
              <option value="Saint James Parish">Saint James Parish</option>
              <option value="Kingston Parish">Kingston Parish</option>
              <option value="Manchester Parish">Manchester Parish</option>
              <option value="Saint Mary Parish">Saint Mary Parish</option>
              <option value="Portland Parish">Portland Parish</option>
              <option value="Saint Thomas Parish">Saint Thomas Parish</option>
              <option value="Trelawny Parish">Trelawny Parish</option>
              <option value="Westmoreland Parish">Westmoreland Parish</option>
              <option value="Hokkaido">Hokkaido</option>
              <option value="Aomori">Aomori</option>
              <option value="Iwate">Iwate</option>
              <option value="Miyagi">Miyagi</option>
              <option value="Akita">Akita</option>
              <option value="Yamagata">Yamagata</option>
              <option value="Hukusima (Fukushima)">Hukusima (Fukushima)</option>
              <option value="Ibaraki">Ibaraki</option>
              <option value="Totigi (Tochigi)">Totigi (Tochigi)</option>
              <option value="Gunma">Gunma</option>
              <option value="Saitama">Saitama</option>
              <option value="Tiba (Chiba)">Tiba (Chiba)</option>
              <option value="Tokyo">Tokyo</option>
              <option value="Kanagawa">Kanagawa</option>
              <option value="Niigata">Niigata</option>
              <option value="Toyama">Toyama</option>
              <option value="Isikawa (Ishikawa)">Isikawa (Ishikawa)</option>
              <option value="Hukui (Fukui)">Hukui (Fukui)</option>
              <option value="Yamanasi (Yamanashi)">Yamanasi (Yamanashi)</option>
              <option value="Nagano">Nagano</option>
              <option value="Gihu (Gifu)">Gihu (Gifu)</option>
              <option value="Sizuoka (Shizuoka)">Sizuoka (Shizuoka)</option>
              <option value="Aiti (Aichi)">Aiti (Aichi)</option>
              <option value="Mie">Mie</option>
              <option value="Siga (Shiga)">Siga (Shiga)</option>
              <option value="Kyoto">Kyoto</option>
              <option value="Osaka">Osaka</option>
              <option value="Hyogo">Hyogo</option>
              <option value="Nara">Nara</option>
              <option value="Wakayama">Wakayama</option>
              <option value="Tottori">Tottori</option>
              <option value="Simane (Shimane)">Simane (Shimane)</option>
              <option value="Okayama">Okayama</option>
              <option value="Hirosima (Hiroshima)">Hirosima (Hiroshima)</option>
              <option value="Yamaguti (Yamaguchi)">Yamaguti (Yamaguchi)</option>
              <option value="Tokusima (Tokushima)">Tokusima (Tokushima)</option>
              <option value="Kagawa">Kagawa</option>
              <option value="Ehime">Ehime</option>
              <option value="Koti (Kochi)">Koti (Kochi)</option>
              <option value="Hukuoka (Fukuoka)">Hukuoka (Fukuoka)</option>
              <option value="Saga">Saga</option>
              <option value="Nagasaki">Nagasaki</option>
              <option value="Kumamoto">Kumamoto</option>
              <option value="Oita">Oita</option>
              <option value="Miyazaki">Miyazaki</option>
              <option value="Kagosima (Kagoshima)">Kagosima (Kagoshima)</option>
              <option value="Okinawa">Okinawa</option>
              <option value=""></option>
              <option value="Ajlun">Ajlun</option>
              <option value="Amman">Amman</option>
              <option value="Al Aqabah">Al Aqabah</option>
              <option value="Al Balqa">Al Balqa</option>
              <option value="Irbid">Irbid</option>
              <option value="Jarash">Jarash</option>
              <option value="Al Karak">Al Karak</option>
              <option value="Madaba">Madaba</option>
              <option value="Al Mafraq">Al Mafraq</option>
              <option value="Maan">Maan</option>
              <option value="At Tafilah">At Tafilah</option>
              <option value="Az Zarqa">Az Zarqa</option>
              <option value="Aqmola">Aqmola</option>
              <option value="Aqtobe">Aqtobe</option>
              <option value="Almaty">Almaty</option>
              <option value="Almaty">Almaty</option>
              <option value="Astana">Astana</option>
              <option value="Atyrau">Atyrau</option>
              <option value="Qaraghandy">Qaraghandy</option>
              <option value="Qustanay">Qustanay</option>
              <option value="Qyzylorda">Qyzylorda</option>
              <option value="Mangghystau">Mangghystau</option>
              <option value="Paylodar">Paylodar</option>
              <option value="Soltustik Qazaqstan">Soltustik Qazaqstan</option>
              <option value="Shyghys Qazaqstan">Shyghys Qazaqstan</option>
              <option value="Ongtustik Qazaqstan">Ongtustik Qazaqstan</option>
              <option value="Baty Qazaqstan">Baty Qazaqstan</option>
              <option value="Zhambyl">Zhambyl</option>
              <option value="Central">Central</option>
              <option value="Coast">Coast</option>
              <option value="Eastern">Eastern</option>
              <option value="Nairobi Area">Nairobi Area</option>
              <option value="North Eastern">North Eastern</option>
              <option value="Nyanza">Nyanza</option>
              <option value="Rift Valley">Rift Valley</option>
              <option value="Western">Western</option>
              <option value="Abaiang">Abaiang</option>
              <option value="Aranuka">Aranuka</option>
              <option value="Abemama">Abemama</option>
              <option value="Arorae">Arorae</option>
              <option value="Banaba">Banaba</option>
              <option value="Beru">Beru</option>
              <option value="Kanton">Kanton</option>
              <option value="Kiritimati">Kiritimati</option>
              <option value="Kuria">Kuria</option>
              <option value="Marakei">Marakei</option>
              <option value="Maiana">Maiana</option>
              <option value="Makin">Makin</option>
              <option value="Nikunau">Nikunau</option>
              <option value="Nonouti">Nonouti</option>
              <option value="Onotoa">Onotoa</option>
              <option value="Teraina">Teraina</option>
              <option value="Tamana">Tamana</option>
              <option value="Tabuaeran">Tabuaeran</option>
              <option value="Tabiteuea">Tabiteuea</option>
              <option value="Tarawa">Tarawa</option>
              <option value="Butaritari">Butaritari</option>
              <option value="Chagang-do">Chagang-do</option>
              <option value="Hamgyong-bukto">Hamgyong-bukto</option>
              <option value="Hamgyong-namdo">Hamgyong-namdo</option>
              <option value="Hwanghae-bukto">Hwanghae-bukto</option>
              <option value="Hwanghae-namdo">Hwanghae-namdo</option>
              <option value="Kangwon-do">Kangwon-do</option>
              <option value="Rason Directly Governed City">Rason Directly Governed City</option>
              <option value="Pyongan-bukto">Pyongan-bukto</option>
              <option value="Pyongan-namdo">Pyongan-namdo</option>
              <option value="Pyongyang Special City">Pyongyang Special City</option>
              <option value="Ryanggang-do (Yanggang-do)">Ryanggang-do (Yanggang-do)</option>
              <option value="Seoul Special City">Seoul Special City</option>
              <option value="Busan Metropolitan City">Busan Metropolitan City</option>
              <option value="Daegu Metropolitan City">Daegu Metropolitan City</option>
              <option value="Incheon Metropolitan City">Incheon Metropolitan City</option>
              <option value="Gwangju Metropolitan City">Gwangju Metropolitan City</option>
              <option value="Daejeon Metropolitan City">Daejeon Metropolitan City</option>
              <option value="Ulsan Metropolitan City">Ulsan Metropolitan City</option>
              <option value="Gyeonggi-do">Gyeonggi-do</option>
              <option value="Gangwon-do">Gangwon-do</option>
              <option value="Chungcheongbuk-do">Chungcheongbuk-do</option>
              <option value="Chungcheongnam-do">Chungcheongnam-do</option>
              <option value="Jeollabuk-do">Jeollabuk-do</option>
              <option value="Jeollanam-do">Jeollanam-do</option>
              <option value="Gyeongsangbuk-do">Gyeongsangbuk-do</option>
              <option value="Gyeongsangnam-do">Gyeongsangnam-do</option>
              <option value="Jeju-do">Jeju-do</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Serbia">Serbia</option>
              <option value="Vojvodina">Vojvodina</option>
              <option value="Al Ahmadi">Al Ahmadi</option>
              <option value="Al Farwaniyah">Al Farwaniyah</option>
              <option value="Hawalli">Hawalli</option>
              <option value="Al Jahra">Al Jahra</option>
              <option value="Al Asimah">Al Asimah</option>
              <option value="Batken">Batken</option>
              <option value="Chu">Chu</option>
              <option value="Bishkek">Bishkek</option>
              <option value="Jalal-Abad">Jalal-Abad</option>
              <option value="Naryn">Naryn</option>
              <option value="Osh">Osh</option>
              <option value="Talas">Talas</option>
              <option value="Ysyk-Kol">Ysyk-Kol</option>
              <option value="Attapu">Attapu</option>
              <option value="Bokeo">Bokeo</option>
              <option value="Bolikhamxai">Bolikhamxai</option>
              <option value="Champasak">Champasak</option>
              <option value="Houaphan">Houaphan</option>
              <option value="Khammouan">Khammouan</option>
              <option value="Louang Namtha">Louang Namtha</option>
              <option value="Louangphabang">Louangphabang</option>
              <option value="Oudomxai">Oudomxai</option>
              <option value="Phongsali">Phongsali</option>
              <option value="Salavan">Salavan</option>
              <option value="Savannakhet">Savannakhet</option>
              <option value="Vientiane">Vientiane</option>
              <option value="Vientiane">Vientiane</option>
              <option value="Xaignabouli">Xaignabouli</option>
              <option value="Xekong">Xekong</option>
              <option value="Xiangkhoang">Xiangkhoang</option>
              <option value="Xaisomboun">Xaisomboun</option>
              <option value="Aizkraukles Rajons">Aizkraukles Rajons</option>
              <option value="Aluksnes Rajons">Aluksnes Rajons</option>
              <option value="Balvu Rajons">Balvu Rajons</option>
              <option value="Bauskas Rajons">Bauskas Rajons</option>
              <option value="Cesu Rajons">Cesu Rajons</option>
              <option value="Daugavpils Rajons">Daugavpils Rajons</option>
              <option value="Daugavpils">Daugavpils</option>
              <option value="Dobeles Rajons">Dobeles Rajons</option>
              <option value="Gulbenes Rajons">Gulbenes Rajons</option>
              <option value="Jekabpils Rajons">Jekabpils Rajons</option>
              <option value="Jelgavas Rajons">Jelgavas Rajons</option>
              <option value="Jelgava">Jelgava</option>
              <option value="Jurmala">Jurmala</option>
              <option value="Kraslavas Rajons">Kraslavas Rajons</option>
              <option value="Kuldigas Rajons">Kuldigas Rajons</option>
              <option value="Limbazu Rajons">Limbazu Rajons</option>
              <option value="Liepaja">Liepaja</option>
              <option value="Liepajas Rajons">Liepajas Rajons</option>
              <option value="Ludzas Rajons">Ludzas Rajons</option>
              <option value="Madonas Rajons">Madonas Rajons</option>
              <option value="Ogres Rajons">Ogres Rajons</option>
              <option value="Preilu Rajons">Preilu Rajons</option>
              <option value="Riga">Riga</option>
              <option value="Rigas Rajons">Rigas Rajons</option>
              <option value="Rezekne">Rezekne</option>
              <option value="Rezeknes Rajons">Rezeknes Rajons</option>
              <option value="Saldus Rajons">Saldus Rajons</option>
              <option value="Talsu Rajons">Talsu Rajons</option>
              <option value="Tukuma Rajons">Tukuma Rajons</option>
              <option value="Valkas Rajons">Valkas Rajons</option>
              <option value="Valmieras Rajons">Valmieras Rajons</option>
              <option value="Ventspils">Ventspils</option>
              <option value="Ventspils Rajons">Ventspils Rajons</option>
              <option value=""></option>
              <option value="Butha-Buthe">Butha-Buthe</option>
              <option value="Berea">Berea</option>
              <option value="Leribe">Leribe</option>
              <option value="Mafeteng">Mafeteng</option>
              <option value="Mohales Hoek">Mohales Hoek</option>
              <option value="Mokhotlong">Mokhotlong</option>
              <option value="Maseru">Maseru</option>
              <option value="Qachas Nek">Qachas Nek</option>
              <option value="Quthing">Quthing</option>
              <option value="Thaba-Tseka">Thaba-Tseka</option>
              <option value="Bong">Bong</option>
              <option value="Bomi">Bomi</option>
              <option value="Grand Cape Mount">Grand Cape Mount</option>
              <option value="Grand Bassa">Grand Bassa</option>
              <option value="Grand Gedeh">Grand Gedeh</option>
              <option value="Grand Kru">Grand Kru</option>
              <option value="Lofa">Lofa</option>
              <option value="Margibi">Margibi</option>
              <option value="Maryland">Maryland</option>
              <option value="Montserrado">Montserrado</option>
              <option value="Nimba">Nimba</option>
              <option value="River Cess">River Cess</option>
              <option value="Sinoe">Sinoe</option>
              <option value="Ajdabiya">Ajdabiya</option>
              <option value="Ash Shati">Ash Shati</option>
              <option value="Awbari">Awbari</option>
              <option value="Al Aziziyah">Al Aziziyah</option>
              <option value="Banghazi">Banghazi</option>
              <option value="Darnah">Darnah</option>
              <option value="Al Fatih">Al Fatih</option>
              <option value="Ghadamis">Ghadamis</option>
              <option value="Gharyan">Gharyan</option>
              <option value="Al Jabal al Akhdar">Al Jabal al Akhdar</option>
              <option value="Al Jufrah">Al Jufrah</option>
              <option value="Al Khums">Al Khums</option>
              <option value="Al Kufrah">Al Kufrah</option>
              <option value="Misratah">Misratah</option>
              <option value="Murzuq">Murzuq</option>
              <option value="An Nuqat al Khams">An Nuqat al Khams</option>
              <option value="Sabha">Sabha</option>
              <option value="Surt">Surt</option>
              <option value="Sawfajjin">Sawfajjin</option>
              <option value="Tarhunah">Tarhunah</option>
              <option value="Tarabulus (Tripoli)">Tarabulus (Tripoli)</option>
              <option value="Tubruq">Tubruq</option>
              <option value="Yafran">Yafran</option>
              <option value="Az Zawiyah">Az Zawiyah</option>
              <option value="Zlitan">Zlitan</option>
              <option value="Schaan">Schaan</option>
              <option value="Balzers">Balzers</option>
              <option value="Eschen">Eschen</option>
              <option value="Gamprin">Gamprin</option>
              <option value="Mauren">Mauren</option>
              <option value="Triesen">Triesen</option>
              <option value="Planken">Planken</option>
              <option value="Ruggell">Ruggell</option>
              <option value="Triesenberg">Triesenberg</option>
              <option value="Vaduz">Vaduz</option>
              <option value="Schellenberg">Schellenberg</option>
              <option value="Alytus">Alytus</option>
              <option value="Kaunas">Kaunas</option>
              <option value="Klaipeda">Klaipeda</option>
              <option value="Marijampole">Marijampole</option>
              <option value="Panevezys">Panevezys</option>
              <option value="Siauliai">Siauliai</option>
              <option value="Taurage">Taurage</option>
              <option value="Telsiai">Telsiai</option>
              <option value="Utena">Utena</option>
              <option value="Vilnius">Vilnius</option>
              <option value="Clervaux">Clervaux</option>
              <option value="Diekirch">Diekirch</option>
              <option value="Redange">Redange</option>
              <option value="Vianden">Vianden</option>
              <option value="Wiltz">Wiltz</option>
              <option value="Echternach">Echternach</option>
              <option value="Grevenmacher">Grevenmacher</option>
              <option value="Remich">Remich</option>
              <option value="Capellen">Capellen</option>
              <option value="Esch-sur-Alzette">Esch-sur-Alzette</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Mersch">Mersch</option>
              <option value="St. Anthony Parish">St. Anthony Parish</option>
              <option value="Cathedral Parish">Cathedral Parish</option>
              <option value="St. Lawrence Parish">St. Lawrence Parish</option>
              <option value="St. Lazarus Parish">St. Lazarus Parish</option>
              <option value="Our Lady Fatima Parish">Our Lady Fatima Parish</option>
              <option value=""></option>
              <option value="Antananarivo province">Antananarivo province</option>
              <option value="Antsiranana province">Antsiranana province</option>
              <option value="Fianarantsoa province">Fianarantsoa province</option>
              <option value="Mahajanga province">Mahajanga province</option>
              <option value="Toliara province">Toliara province</option>
              <option value="Toamasina province">Toamasina province</option>
              <option value="Balaka">Balaka</option>
              <option value="Blantyre">Blantyre</option>
              <option value="Chikwawa">Chikwawa</option>
              <option value="Chiradzulu">Chiradzulu</option>
              <option value="Chitipa">Chitipa</option>
              <option value="Dedza">Dedza</option>
              <option value="Dowa">Dowa</option>
              <option value="Karonga">Karonga</option>
              <option value="Kasungu">Kasungu</option>
              <option value="Likoma">Likoma</option>
              <option value="Lilongwe">Lilongwe</option>
              <option value="Machinga">Machinga</option>
              <option value="Mchinji">Mchinji</option>
              <option value="Mangochi">Mangochi</option>
              <option value="Mulanje">Mulanje</option>
              <option value="Mwanza">Mwanza</option>
              <option value="Mzimba">Mzimba</option>
              <option value="Nkhata Bay">Nkhata Bay</option>
              <option value="Nkhotakota">Nkhotakota</option>
              <option value="Nsanje">Nsanje</option>
              <option value="Ntchisi">Ntchisi</option>
              <option value="Ntcheu">Ntcheu</option>
              <option value="Phalombe">Phalombe</option>
              <option value="Rumphi">Rumphi</option>
              <option value="Salima">Salima</option>
              <option value="Thyolo">Thyolo</option>
              <option value="Zomba">Zomba</option>
              <option value="Johor">Johor</option>
              <option value="Kedah">Kedah</option>
              <option value="Kuala Lumpur">Kuala Lumpur</option>
              <option value="Kelantan">Kelantan</option>
              <option value="Labuan">Labuan</option>
              <option value="Malacca">Malacca</option>
              <option value="Negeri Sembilan">Negeri Sembilan</option>
              <option value="Penang">Penang</option>
              <option value="Pahang">Pahang</option>
              <option value="Perak">Perak</option>
              <option value="Perlis">Perlis</option>
              <option value="Sabah">Sabah</option>
              <option value="Selangor">Selangor</option>
              <option value="Sarawak">Sarawak</option>
              <option value="Terengganu">Terengganu</option>
              <option value="Wilayah Persekutuan">Wilayah Persekutuan</option>
              <option value="Ari Atoll Dheknu">Ari Atoll Dheknu</option>
              <option value="Ari Atoll Uthuru">Ari Atoll Uthuru</option>
              <option value="Addu">Addu</option>
              <option value="Faadhippolhu">Faadhippolhu</option>
              <option value="Felidhe Atoll">Felidhe Atoll</option>
              <option value="Fua Mulaku">Fua Mulaku</option>
              <option value="Huvadhu Atoll Dhekunu">Huvadhu Atoll Dhekunu</option>
              <option value="Huvadhu Atoll Uthuru">Huvadhu Atoll Uthuru</option>
              <option value="Hadhdhunmathi">Hadhdhunmathi</option>
              <option value="Kolhumadulu">Kolhumadulu</option>
              <option value="Male Atoll">Male Atoll</option>
              <option value="Maalhosmadulu Dhekunu">Maalhosmadulu Dhekunu</option>
              <option value="Maalhosmadulu Uthuru">Maalhosmadulu Uthuru</option>
              <option value="Miladhunmadulu Dhekunu">Miladhunmadulu Dhekunu</option>
              <option value="Miladhunmadulu Uthuru">Miladhunmadulu Uthuru</option>
              <option value="Mulaku Atoll">Mulaku Atoll</option>
              <option value="Nilandhe Atoll Dhekunu">Nilandhe Atoll Dhekunu</option>
              <option value="Nilandhe Atoll Uthuru">Nilandhe Atoll Uthuru</option>
              <option value="Thiladhunmathi Dhekunu">Thiladhunmathi Dhekunu</option>
              <option value="Thiladhunmathi Uthuru">Thiladhunmathi Uthuru</option>
              <option value="Bamako Capital District">Bamako Capital District</option>
              <option value="Gao">Gao</option>
              <option value="Kidal">Kidal</option>
              <option value="Koulikoro">Koulikoro</option>
              <option value="Kayes">Kayes</option>
              <option value="Mopti">Mopti</option>
              <option value="Segou">Segou</option>
              <option value="Sikasso">Sikasso</option>
              <option value="Tombouctou">Tombouctou</option>
              <option value="Attard">Attard</option>
              <option value="Balzan">Balzan</option>
              <option value="Birgu">Birgu</option>
              <option value="Birkirkara">Birkirkara</option>
              <option value="Bormla">Bormla</option>
              <option value="Birzebbuga">Birzebbuga</option>
              <option value="Dingli">Dingli</option>
              <option value="Fgura">Fgura</option>
              <option value="Floriana">Floriana</option>
              <option value="Fontana">Fontana</option>
              <option value="Gudja">Gudja</option>
              <option value="Ghajnsielem">Ghajnsielem</option>
              <option value="Gharb">Gharb</option>
              <option value="Ghasri">Ghasri</option>
              <option value="Gargur">Gargur</option>
              <option value="Gaxaq">Gaxaq</option>
              <option value="Gzira">Gzira</option>
              <option value="Hamrun">Hamrun</option>
              <option value="Iklin">Iklin</option>
              <option value="Isla">Isla</option>
              <option value="Kalkara">Kalkara</option>
              <option value="Kercem">Kercem</option>
              <option value="Kirkop">Kirkop</option>
              <option value="Lija">Lija</option>
              <option value="Luqa">Luqa</option>
              <option value="Mdina">Mdina</option>
              <option value="Melliea">Melliea</option>
              <option value="Mgarr">Mgarr</option>
              <option value="Marsaskala">Marsaskala</option>
              <option value="Mqabba">Mqabba</option>
              <option value="Marsa">Marsa</option>
              <option value="Msida">Msida</option>
              <option value="Mosta">Mosta</option>
              <option value="Mtarfa">Mtarfa</option>
              <option value="Munxar">Munxar</option>
              <option value="Marsaxlokk">Marsaxlokk</option>
              <option value="Nadur">Nadur</option>
              <option value="Naxxar">Naxxar</option>
              <option value="Paola">Paola</option>
              <option value="Pembroke">Pembroke</option>
              <option value="Pieta">Pieta</option>
              <option value="Qala">Qala</option>
              <option value="Qormi">Qormi</option>
              <option value="Qrendi">Qrendi</option>
              <option value="Rabat">Rabat</option>
              <option value="Safi">Safi</option>
              <option value="San Giljan">San Giljan</option>
              <option value="San Gwann">San Gwann</option>
              <option value="Siggiewi">Siggiewi</option>
              <option value="San Lawrenz">San Lawrenz</option>
              <option value="Sliema">Sliema</option>
              <option value="Santa Lucija">Santa Lucija</option>
              <option value="Sannat">Sannat</option>
              <option value="San Pawl il-Bahar">San Pawl il-Bahar</option>
              <option value="Santa Venera">Santa Venera</option>
              <option value="Swieqi">Swieqi</option>
              <option value="Tarxien">Tarxien</option>
              <option value="Ta Xbiex">Ta Xbiex</option>
              <option value="Victoria">Victoria</option>
              <option value="Valletta">Valletta</option>
              <option value="Xewkija">Xewkija</option>
              <option value="Xgajra">Xgajra</option>
              <option value="Xagra">Xagra</option>
              <option value="Zebbug">Zebbug</option>
              <option value="Zabbar">Zabbar</option>
              <option value="Zebbug">Zebbug</option>
              <option value="Zejtun">Zejtun</option>
              <option value="Zurrieq">Zurrieq</option>
              <option value="Ailinginae">Ailinginae</option>
              <option value="Ailuk">Ailuk</option>
              <option value="Ailinglaplap">Ailinglaplap</option>
              <option value="Arno">Arno</option>
              <option value="Aur">Aur</option>
              <option value="Bokak">Bokak</option>
              <option value="Bikini">Bikini</option>
              <option value="Bikar">Bikar</option>
              <option value="Ebon">Ebon</option>
              <option value="Erikub">Erikub</option>
              <option value="Enewetak">Enewetak</option>
              <option value="Jabat">Jabat</option>
              <option value="Jemo">Jemo</option>
              <option value="Jaluit">Jaluit</option>
              <option value="Kili">Kili</option>
              <option value="Kwajalein">Kwajalein</option>
              <option value="Lae">Lae</option>
              <option value="Lib">Lib</option>
              <option value="Likiep">Likiep</option>
              <option value="Mili">Mili</option>
              <option value="Majuro">Majuro</option>
              <option value="Mejit">Mejit</option>
              <option value="Maloelap">Maloelap</option>
              <option value="Namu">Namu</option>
              <option value="Namorik">Namorik</option>
              <option value="Rongrik">Rongrik</option>
              <option value="Rongelap">Rongelap</option>
              <option value="Toke">Toke</option>
              <option value="Ujae">Ujae</option>
              <option value="Ujelang">Ujelang</option>
              <option value="Utirik">Utirik</option>
              <option value="Wotho">Wotho</option>
              <option value="Wotje">Wotje</option>
              <option value=""></option>
              <option value="Adrar">Adrar</option>
              <option value="Assaba">Assaba</option>
              <option value="Brakna">Brakna</option>
              <option value="Dakhlet Nouadhibou">Dakhlet Nouadhibou</option>
              <option value="Guidimaka">Guidimaka</option>
              <option value="Gorgol">Gorgol</option>
              <option value="Hodh Ech Chargui">Hodh Ech Chargui</option>
              <option value="Hodh El Gharbi">Hodh El Gharbi</option>
              <option value="Inchiri">Inchiri</option>
              <option value="Nouakchott">Nouakchott</option>
              <option value="Tagant">Tagant</option>
              <option value="Trarza">Trarza</option>
              <option value="Tiris Zemmour">Tiris Zemmour</option>
              <option value="Agalega Islands">Agalega Islands</option>
              <option value="Black River">Black River</option>
              <option value="Beau Bassin-Rose Hill">Beau Bassin-Rose Hill</option>
              <option value="Cargados Carajos Shoals (Saint Brandon Islands)">Cargados Carajos Shoals (Saint Brandon Islands)</option>
              <option value="Curepipe">Curepipe</option>
              <option value="Flacq">Flacq</option>
              <option value="Grand Port">Grand Port</option>
              <option value="Moka">Moka</option>
              <option value="Pamplemousses">Pamplemousses</option>
              <option value="Port Louis">Port Louis</option>
              <option value="Port Louis">Port Louis</option>
              <option value="Plaines Wilhems">Plaines Wilhems</option>
              <option value="Quatre Bornes">Quatre Bornes</option>
              <option value="Rodrigues">Rodrigues</option>
              <option value="Riviere du Rempart">Riviere du Rempart</option>
              <option value="Savanne">Savanne</option>
              <option value="Vacoas-Phoenix">Vacoas-Phoenix</option>
              <option value=""></option>
              <option value="Aguascalientes">Aguascalientes</option>
              <option value="Baja California">Baja California</option>
              <option value="Baja California Sur">Baja California Sur</option>
              <option value="Campeche">Campeche</option>
              <option value="Chihuahua">Chihuahua</option>
              <option value="Chiapas">Chiapas</option>
              <option value="Coahuila">Coahuila</option>
              <option value="Colima">Colima</option>
              <option value="Distrito Federal">Distrito Federal</option>
              <option value="Durango">Durango</option>
              <option value="Guerrero">Guerrero</option>
              <option value="Guanajuato">Guanajuato</option>
              <option value="Hidalgo">Hidalgo</option>
              <option value="Jalisco">Jalisco</option>
              <option value="Mexico">Mexico</option>
              <option value="Michoacan">Michoacan</option>
              <option value="Morelos">Morelos</option>
              <option value="Nayarit">Nayarit</option>
              <option value="Nuevo Leon">Nuevo Leon</option>
              <option value="Oaxaca">Oaxaca</option>
              <option value="Puebla">Puebla</option>
              <option value="Queretaro">Queretaro</option>
              <option value="Quintana Roo">Quintana Roo</option>
              <option value="Sinaloa">Sinaloa</option>
              <option value="San Luis Potosi">San Luis Potosi</option>
              <option value="Sonora">Sonora</option>
              <option value="Tabasco">Tabasco</option>
              <option value="Tamaulipas">Tamaulipas</option>
              <option value="Tlaxcala">Tlaxcala</option>
              <option value="Veracruz">Veracruz</option>
              <option value="Yucatan">Yucatan</option>
              <option value="Zacatecas">Zacatecas</option>
              <option value="Chuuk">Chuuk</option>
              <option value="Kosrae">Kosrae</option>
              <option value="Pohnpei">Pohnpei</option>
              <option value="Yap">Yap</option>
              <option value="Balti">Balti</option>
              <option value="Cahul">Cahul</option>
              <option value="Chisinau">Chisinau</option>
              <option value="Edinet">Edinet</option>
              <option value="Gagauzia">Gagauzia</option>
              <option value="Lapusna">Lapusna</option>
              <option value="Orhei">Orhei</option>
              <option value="Pridnestrovie (Transnistria)">Pridnestrovie (Transnistria)</option>
              <option value="StO?a Nistrului">StO?a Nistrului</option>
              <option value="Soroca">Soroca</option>
              <option value="Tighina">Tighina</option>
              <option value="Ungheni">Ungheni</option>
              <option value="Fontvieille">Fontvieille</option>
              <option value="La Condamine">La Condamine</option>
              <option value="Monte-Carlo">Monte-Carlo</option>
              <option value="Monaco-Ville">Monaco-Ville</option>
              <option value="Orhon">Orhon</option>
              <option value="Darhan uul">Darhan uul</option>
              <option value="Hentiy">Hentiy</option>
              <option value="Hovsgol">Hovsgol</option>
              <option value="Hovd">Hovd</option>
              <option value="Uvs">Uvs</option>
              <option value="Tov">Tov</option>
              <option value="Selenge">Selenge</option>
              <option value="Suhbaatar">Suhbaatar</option>
              <option value="Omnogovi">Omnogovi</option>
              <option value="Ovorhangay">Ovorhangay</option>
              <option value="Dzavhan">Dzavhan</option>
              <option value="DundgovL">DundgovL</option>
              <option value="Dornod">Dornod</option>
              <option value="Dornogov">Dornogov</option>
              <option value="Govi-Sumber">Govi-Sumber</option>
              <option value="Govi-Altay">Govi-Altay</option>
              <option value="Bulgan">Bulgan</option>
              <option value="Bayanhongor">Bayanhongor</option>
              <option value="Bayan-Olgiy">Bayan-Olgiy</option>
              <option value="Arhangay">Arhangay</option>
              <option value="Ulanbaatar">Ulanbaatar</option>
              <option value=""></option>
              <option value="Saint Anthony">Saint Anthony</option>
              <option value="Saint Georges">Saint Georges</option>
              <option value="Saint Peter">Saint Peter</option>
              <option value="Ad Dakhla">Ad Dakhla</option>
              <option value="Agadir">Agadir</option>
              <option value="Azilal">Azilal</option>
              <option value="Boujdour">Boujdour</option>
              <option value="Boulemane">Boulemane</option>
              <option value="Beni Mellal">Beni Mellal</option>
              <option value="Ben Slimane">Ben Slimane</option>
              <option value="Casablanca">Casablanca</option>
              <option value="Chaouen">Chaouen</option>
              <option value="El Jadida">El Jadida</option>
              <option value="El Kelaa des Sraghna">El Kelaa des Sraghna</option>
              <option value="Er Rachidia">Er Rachidia</option>
              <option value="Es Smara">Es Smara</option>
              <option value="Essaouira">Essaouira</option>
              <option value="Fes">Fes</option>
              <option value="Figuig">Figuig</option>
              <option value="Guelmim">Guelmim</option>
              <option value="Al Hoceima">Al Hoceima</option>
              <option value="Ifrane">Ifrane</option>
              <option value="Kenitra">Kenitra</option>
              <option value="Khemisset">Khemisset</option>
              <option value="Khenifra">Khenifra</option>
              <option value="Khouribga">Khouribga</option>
              <option value="Larache">Larache</option>
              <option value="Laayoune">Laayoune</option>
              <option value="Meknes">Meknes</option>
              <option value="Marrakech">Marrakech</option>
              <option value="Nador">Nador</option>
              <option value="Ouarzazate">Ouarzazate</option>
              <option value="Oujda">Oujda</option>
              <option value="Rabat-Sale">Rabat-Sale</option>
              <option value="Safi">Safi</option>
              <option value="Settat">Settat</option>
              <option value="Sidi Kacem">Sidi Kacem</option>
              <option value="Tan-Tan">Tan-Tan</option>
              <option value="Taounate">Taounate</option>
              <option value="Tata">Tata</option>
              <option value="Taza">Taza</option>
              <option value="Tetouan">Tetouan</option>
              <option value="Tangier">Tangier</option>
              <option value="Tiznit">Tiznit</option>
              <option value="Taroudannt">Taroudannt</option>
              <option value="Cabo Delgado">Cabo Delgado</option>
              <option value="Gaza">Gaza</option>
              <option value="Inhambane">Inhambane</option>
              <option value="Maputo (city)">Maputo (city)</option>
              <option value="Manica">Manica</option>
              <option value="Maputo">Maputo</option>
              <option value="Nampula">Nampula</option>
              <option value="Niassa">Niassa</option>
              <option value="Sofala">Sofala</option>
              <option value="Tete">Tete</option>
              <option value="Zambezia">Zambezia</option>
              <option value="Ayeyarwady">Ayeyarwady</option>
              <option value="Bago">Bago</option>
              <option value="Chin State">Chin State</option>
              <option value="Kachin State">Kachin State</option>
              <option value="Kayah State">Kayah State</option>
              <option value="Kayin State">Kayin State</option>
              <option value="Mandalay">Mandalay</option>
              <option value="Magway">Magway</option>
              <option value="Mon State">Mon State</option>
              <option value="Rakhine State">Rakhine State</option>
              <option value="Sagaing">Sagaing</option>
              <option value="Shan State">Shan State</option>
              <option value="Tanintharyi">Tanintharyi</option>
              <option value="Yangon">Yangon</option>
              <option value="Caprivi">Caprivi</option>
              <option value="Erongo">Erongo</option>
              <option value="Hardap">Hardap</option>
              <option value="Khomas">Khomas</option>
              <option value="Karas">Karas</option>
              <option value="Kunene">Kunene</option>
              <option value="Kavango">Kavango</option>
              <option value="Otjozondjupa">Otjozondjupa</option>
              <option value="Omaheke">Omaheke</option>
              <option value="Oshana">Oshana</option>
              <option value="Oshikoto">Oshikoto</option>
              <option value="Omusati">Omusati</option>
              <option value="Ohangwena">Ohangwena</option>
              <option value="Anabar">Anabar</option>
              <option value="Anibare">Anibare</option>
              <option value="Aiwo">Aiwo</option>
              <option value="Anetan">Anetan</option>
              <option value="Baiti">Baiti</option>
              <option value="Boe">Boe</option>
              <option value="Buada">Buada</option>
              <option value="Denigomodu">Denigomodu</option>
              <option value="Ewa">Ewa</option>
              <option value="Ijuw">Ijuw</option>
              <option value="Meneng">Meneng</option>
              <option value="Nibok">Nibok</option>
              <option value="Uaboe">Uaboe</option>
              <option value="Yaren">Yaren</option>
              <option value="Bagmati">Bagmati</option>
              <option value="Bheri">Bheri</option>
              <option value="Dhawalagiri">Dhawalagiri</option>
              <option value="Gandaki">Gandaki</option>
              <option value="Janakpur">Janakpur</option>
              <option value="Karnali">Karnali</option>
              <option value="Kosi">Kosi</option>
              <option value="Lumbini">Lumbini</option>
              <option value="Mahakali">Mahakali</option>
              <option value="Mechi">Mechi</option>
              <option value="Narayani">Narayani</option>
              <option value="Rapti">Rapti</option>
              <option value="Sagarmatha">Sagarmatha</option>
              <option value="Seti">Seti</option>
              <option value="Drenthe">Drenthe</option>
              <option value="Flevoland">Flevoland</option>
              <option value="Friesland">Friesland</option>
              <option value="Gelderland">Gelderland</option>
              <option value="Groningen">Groningen</option>
              <option value="Limburg">Limburg</option>
              <option value="Noord Brabant">Noord Brabant</option>
              <option value="Noord Holland">Noord Holland</option>
              <option value="Overijssel">Overijssel</option>
              <option value="Utrecht">Utrecht</option>
              <option value="Zeeland">Zeeland</option>
              <option value="Zuid Holland">Zuid Holland</option>
              <option value=""></option>
              <option value="Iles Loyaute">Iles Loyaute</option>
              <option value="Nord">Nord</option>
              <option value="Sud">Sud</option>
              <option value="Auckland">Auckland</option>
              <option value="Bay of Plenty">Bay of Plenty</option>
              <option value="Canterbury">Canterbury</option>
              <option value="Gisborne">Gisborne</option>
              <option value="Hawkes Bay">Hawkes Bay</option>
              <option value="Marlborough">Marlborough</option>
              <option value="Manawatu-Wanganui">Manawatu-Wanganui</option>
              <option value="Nelson">Nelson</option>
              <option value="Northland">Northland</option>
              <option value="Otago">Otago</option>
              <option value="Southland">Southland</option>
              <option value="Tasman">Tasman</option>
              <option value="Taranaki">Taranaki</option>
              <option value="Wellington">Wellington</option>
              <option value="Waikato">Waikato</option>
              <option value="West Coast">West Coast</option>
              <option value="Region Autonoma del Atlantico Norte">Region Autonoma del Atlantico Norte</option>
              <option value="Region Autonoma del Atlantico Sur">Region Autonoma del Atlantico Sur</option>
              <option value="Boaco">Boaco</option>
              <option value="Carazo">Carazo</option>
              <option value="Chinandega">Chinandega</option>
              <option value="Chontales">Chontales</option>
              <option value="Esteli">Esteli</option>
              <option value="Granada">Granada</option>
              <option value="Jinotega">Jinotega</option>
              <option value="Leon">Leon</option>
              <option value="Madriz">Madriz</option>
              <option value="Managua">Managua</option>
              <option value="Masaya">Masaya</option>
              <option value="Matagalpa">Matagalpa</option>
              <option value="Nueva Segovia">Nueva Segovia</option>
              <option value="Rivas">Rivas</option>
              <option value="Rio San Juan">Rio San Juan</option>
              <option value=""></option>
              <option value="Abia">Abia</option>
              <option value="Adamawa">Adamawa</option>
              <option value="Agadez">Agadez</option>
              <option value="Akwa Ibom">Akwa Ibom</option>
              <option value="Anambra">Anambra</option>
              <option value="Bauchi">Bauchi</option>
              <option value="Benue">Benue</option>
              <option value="Borno">Borno</option>
              <option value="Bayelsa">Bayelsa</option>
              <option value="Cross River">Cross River</option>
              <option value="Federal Capital Territory">Federal Capital Territory</option>
              <option value="Delta">Delta</option>
              <option value="Diffa">Diffa</option>
              <option value="Dosso">Dosso</option>
              <option value="Ebonyi">Ebonyi</option>
              <option value="Edo">Edo</option>
              <option value="Ekiti">Ekiti</option>
              <option value="Enugu">Enugu</option>
              <option value="Gombe">Gombe</option>
              <option value="Imo">Imo</option>
              <option value="Jigawa">Jigawa</option>
              <option value="Kaduna">Kaduna</option>
              <option value="Kebbi">Kebbi</option>
              <option value="Kano">Kano</option>
              <option value="Kogi">Kogi</option>
              <option value="Katsina">Katsina</option>
              <option value="Kwara">Kwara</option>
              <option value="Lagos">Lagos</option>
              <option value="Maradi">Maradi</option>
              <option value="Nassarawa">Nassarawa</option>
              <option value="Niger">Niger</option>
              <option value="Niamey">Niamey</option>
              <option value="Ogun">Ogun</option>
              <option value="Ondo">Ondo</option>
              <option value="Osun">Osun</option>
              <option value="Oyo">Oyo</option>
              <option value="Plateau">Plateau</option>
              <option value="Rivers">Rivers</option>
              <option value="Sokoto">Sokoto</option>
              <option value="Taraba">Taraba</option>
              <option value="Tahoua">Tahoua</option>
              <option value="Tillaberi">Tillaberi</option>
              <option value="Yobe">Yobe</option>
              <option value="Zamfara">Zamfara</option>
              <option value="Zinder">Zinder</option>
              <option value=""></option>
              <option value="Northern Islands">Northern Islands</option>
              <option value="Rota">Rota</option>
              <option value="Saipan">Saipan</option>
              <option value="Tinian">Tinian</option>
              <option value="Aust-Agder">Aust-Agder</option>
              <option value="Akershus">Akershus</option>
              <option value="Buskerud">Buskerud</option>
              <option value="Finnmark">Finnmark</option>
              <option value="Hordaland">Hordaland</option>
              <option value="Hedmark">Hedmark</option>
              <option value="More og Romdal">More og Romdal</option>
              <option value="Nordland">Nordland</option>
              <option value="Nord-Trondelag">Nord-Trondelag</option>
              <option value="Ostfold">Ostfold</option>
              <option value="Oslo">Oslo</option>
              <option value="Oppland">Oppland</option>
              <option value="Rogaland">Rogaland</option>
              <option value="Sogn og Fjordane">Sogn og Fjordane</option>
              <option value="Sor-Trondelag">Sor-Trondelag</option>
              <option value="Telemark">Telemark</option>
              <option value="Troms">Troms</option>
              <option value="Vest-Agder">Vest-Agder</option>
              <option value="Vestfold">Vestfold</option>
              <option value="Al Batinah">Al Batinah</option>
              <option value="Ad Dakhiliyah">Ad Dakhiliyah</option>
              <option value="Masqat">Masqat</option>
              <option value="Musandam">Musandam</option>
              <option value="Ash Sharqiyah">Ash Sharqiyah</option>
              <option value="Al Wusta">Al Wusta</option>
              <option value="Az Zahirah">Az Zahirah</option>
              <option value="Zufar">Zufar</option>
              <option value="Balochistan">Balochistan</option>
              <option value="Islamabad Capital Territory">Islamabad Capital Territory</option>
              <option value="North-West Frontier Province">North-West Frontier Province</option>
              <option value="Punjab">Punjab</option>
              <option value="Sindh">Sindh</option>
              <option value="Federally Administered Tribal Areas">Federally Administered Tribal Areas</option>
              <option value="Aimeliik">Aimeliik</option>
              <option value="Angaur">Angaur</option>
              <option value="Airai">Airai</option>
              <option value="Hatohobei">Hatohobei</option>
              <option value="Kayangel">Kayangel</option>
              <option value="Koror">Koror</option>
              <option value="Melekeok">Melekeok</option>
              <option value="Ngaraard">Ngaraard</option>
              <option value="Ngchesar">Ngchesar</option>
              <option value="Ngardmau">Ngardmau</option>
              <option value="Ngarchelong">Ngarchelong</option>
              <option value="Ngeremlengui">Ngeremlengui</option>
              <option value="Ngatpang">Ngatpang</option>
              <option value="Ngiwal">Ngiwal</option>
              <option value="Peleliu">Peleliu</option>
              <option value="Sonsorol">Sonsorol</option>
              <option value=""></option>
              <option value="Bocas del Toro">Bocas del Toro</option>
              <option value="Cocle">Cocle</option>
              <option value="Chiriqui">Chiriqui</option>
              <option value="Colon">Colon</option>
              <option value="Darien">Darien</option>
              <option value="Herrera">Herrera</option>
              <option value="Los Santos">Los Santos</option>
              <option value="Panama">Panama</option>
              <option value="San Blas">San Blas</option>
              <option value="Veraguas">Veraguas</option>
              <option value="Bougainville">Bougainville</option>
              <option value="Central">Central</option>
              <option value="Chimbu">Chimbu</option>
              <option value="East New Britain">East New Britain</option>
              <option value="Eastern Highlands">Eastern Highlands</option>
              <option value="Enga">Enga</option>
              <option value="East Sepik">East Sepik</option>
              <option value="Gulf">Gulf</option>
              <option value="Milne Bay">Milne Bay</option>
              <option value="Madang">Madang</option>
              <option value="Manus">Manus</option>
              <option value="Morobe">Morobe</option>
              <option value="National Capital">National Capital</option>
              <option value="New Ireland">New Ireland</option>
              <option value="Northern">Northern</option>
              <option value="Sandaun">Sandaun</option>
              <option value="Southern Highlands">Southern Highlands</option>
              <option value="West New Britain">West New Britain</option>
              <option value="Western">Western</option>
              <option value="Western Highlands">Western Highlands</option>
              <option value="Alto Paraguay">Alto Paraguay</option>
              <option value="Amambay">Amambay</option>
              <option value="Alto Parana">Alto Parana</option>
              <option value="Asuncion">Asuncion</option>
              <option value="Boqueron">Boqueron</option>
              <option value="Concepcion">Concepcion</option>
              <option value="Cordillera">Cordillera</option>
              <option value="Central">Central</option>
              <option value="Caaguazu">Caaguazu</option>
              <option value="Canindeyu">Canindeyu</option>
              <option value="Caazapa">Caazapa</option>
              <option value="Guaira">Guaira</option>
              <option value="Itapua">Itapua</option>
              <option value="Misiones">Misiones</option>
              <option value="Neembucu">Neembucu</option>
              <option value="Paraguari">Paraguari</option>
              <option value="Presidente Hayes">Presidente Hayes</option>
              <option value="San Pedro">San Pedro</option>
              <option value="Amazonas">Amazonas</option>
              <option value="Ancash">Ancash</option>
              <option value="Apurimac">Apurimac</option>
              <option value="Arequipa">Arequipa</option>
              <option value="Ayacucho">Ayacucho</option>
              <option value="Cajamarca">Cajamarca</option>
              <option value="Callao">Callao</option>
              <option value="Cusco">Cusco</option>
              <option value="Huanuco">Huanuco</option>
              <option value="Huancavelica">Huancavelica</option>
              <option value="Ica">Ica</option>
              <option value="Junin">Junin</option>
              <option value="La Libertad">La Libertad</option>
              <option value="Lima">Lima</option>
              <option value="Loreto">Loreto</option>
              <option value="Lambayeque">Lambayeque</option>
              <option value="Madre de Dios">Madre de Dios</option>
              <option value="Moquegua">Moquegua</option>
              <option value="Pasco">Pasco</option>
              <option value="Piura">Piura</option>
              <option value="Puno">Puno</option>
              <option value="San Martin">San Martin</option>
              <option value="Tacna">Tacna</option>
              <option value="Tumbes">Tumbes</option>
              <option value="Ucayali">Ucayali</option>
              <option value="Abra">Abra</option>
              <option value="Aklan">Aklan</option>
              <option value="Albay">Albay</option>
              <option value="Agusan del Norte">Agusan del Norte</option>
              <option value="Antique">Antique</option>
              <option value="Apayao">Apayao</option>
              <option value="Agusan del Sur">Agusan del Sur</option>
              <option value="Aurora">Aurora</option>
              <option value="Basilan">Basilan</option>
              <option value="Benguet">Benguet</option>
              <option value="Biliran">Biliran</option>
              <option value="Bohol">Bohol</option>
              <option value="Bataan">Bataan</option>
              <option value="Batanes">Batanes</option>
              <option value="Batangas">Batangas</option>
              <option value="Bukidnon">Bukidnon</option>
              <option value="Bulacan">Bulacan</option>
              <option value="Cagayan">Cagayan</option>
              <option value="Camiguin">Camiguin</option>
              <option value="Capiz">Capiz</option>
              <option value="Catanduanes">Catanduanes</option>
              <option value="Cavite">Cavite</option>
              <option value="Cebu">Cebu</option>
              <option value="Compostela">Compostela</option>
              <option value="Camarines Norte">Camarines Norte</option>
              <option value="Camarines Sur">Camarines Sur</option>
              <option value="Davao del Norte">Davao del Norte</option>
              <option value="Davao Oriental">Davao Oriental</option>
              <option value="Davao del Sur">Davao del Sur</option>
              <option value="Eastern Samar">Eastern Samar</option>
              <option value="Guimaras">Guimaras</option>
              <option value="Ifugao">Ifugao</option>
              <option value="Iloilo">Iloilo</option>
              <option value="Ilocos Norte">Ilocos Norte</option>
              <option value="Isabela">Isabela</option>
              <option value="Ilocos Sur">Ilocos Sur</option>
              <option value="Kalinga">Kalinga</option>
              <option value="Laguna">Laguna</option>
              <option value="Leyte">Leyte</option>
              <option value="Lanao del Norte">Lanao del Norte</option>
              <option value="Lanao del Sur">Lanao del Sur</option>
              <option value="Maguindanao">Maguindanao</option>
              <option value="Mindoro Occidental">Mindoro Occidental</option>
              <option value="Mindoro Oriental">Mindoro Oriental</option>
              <option value="Mountain Province">Mountain Province</option>
              <option value="Misamis Oriental">Misamis Oriental</option>
              <option value="Marinduque">Marinduque</option>
              <option value="Masbate">Masbate</option>
              <option value="Misamis Occidental">Misamis Occidental</option>
              <option value="North Cotabato">North Cotabato</option>
              <option value="Nueva Ecija">Nueva Ecija</option>
              <option value="Negros Occidental">Negros Occidental</option>
              <option value="Negros Oriental">Negros Oriental</option>
              <option value="Northern Samar">Northern Samar</option>
              <option value="Nueva Vizcaya">Nueva Vizcaya</option>
              <option value="Palawan">Palawan</option>
              <option value="Pampanga">Pampanga</option>
              <option value="Pangasinan">Pangasinan</option>
              <option value="Quirino">Quirino</option>
              <option value="Quezon">Quezon</option>
              <option value="Rizal">Rizal</option>
              <option value="Romblon">Romblon</option>
              <option value="South Cotabato">South Cotabato</option>
              <option value="Sultan Kudarat">Sultan Kudarat</option>
              <option value="Southern Leyte">Southern Leyte</option>
              <option value="Sulu">Sulu</option>
              <option value="Samar">Samar</option>
              <option value="Surigao del Norte">Surigao del Norte</option>
              <option value="Siquijor">Siquijor</option>
              <option value="Sarangani">Sarangani</option>
              <option value="Sorsogon">Sorsogon</option>
              <option value="Surigao del Sur">Surigao del Sur</option>
              <option value="Tarlac">Tarlac</option>
              <option value="Tawi-Tawi">Tawi-Tawi</option>
              <option value="La Union">La Union</option>
              <option value="Zambales">Zambales</option>
              <option value="Zamboanga del Norte">Zamboanga del Norte</option>
              <option value="Zamboanga Sibugay">Zamboanga Sibugay</option>
              <option value="Zamboanga del Sur">Zamboanga del Sur</option>
              <option value=""></option>
              <option value="Dolnoslaskie">Dolnoslaskie</option>
              <option value="Kujawsko-Pomorskie">Kujawsko-Pomorskie</option>
              <option value="Lubelskie">Lubelskie</option>
              <option value="Lodzkie">Lodzkie</option>
              <option value="Lubuskie">Lubuskie</option>
              <option value="Malopolskie">Malopolskie</option>
              <option value="Mazowieckie">Mazowieckie</option>
              <option value="Opolskie">Opolskie</option>
              <option value="Podlaskie">Podlaskie</option>
              <option value="Pomorskie">Pomorskie</option>
              <option value="Podkarpackie">Podkarpackie</option>
              <option value="Slaskie">Slaskie</option>
              <option value="Swietokrzyskie">Swietokrzyskie</option>
              <option value="Warminsko-Mazurskie">Warminsko-Mazurskie</option>
              <option value="Wielkopolskie">Wielkopolskie</option>
              <option value="Zachodniopomorskie">Zachodniopomorskie</option>
              <option value="Acores (Azores)">Acores (Azores)</option>
              <option value="Aveiro">Aveiro</option>
              <option value="Braga">Braga</option>
              <option value="Beja">Beja</option>
              <option value="Braganca">Braganca</option>
              <option value="Castelo Branco">Castelo Branco</option>
              <option value="Coimbra">Coimbra</option>
              <option value="Evora">Evora</option>
              <option value="Faro">Faro</option>
              <option value="Guarda">Guarda</option>
              <option value="Leiria">Leiria</option>
              <option value="Lisboa">Lisboa</option>
              <option value="Madeira">Madeira</option>
              <option value="Portalegre">Portalegre</option>
              <option value="Porto">Porto</option>
              <option value="Santarem">Santarem</option>
              <option value="Setubal">Setubal</option>
              <option value="Viana do Castelo">Viana do Castelo</option>
              <option value="Vila Real">Vila Real</option>
              <option value="Viseu">Viseu</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Ad Dawhah">Ad Dawhah</option>
              <option value="Al Ghuwayriyah">Al Ghuwayriyah</option>
              <option value="Jarayan al Batinah">Jarayan al Batinah</option>
              <option value="Al Jumayliyah">Al Jumayliyah</option>
              <option value="Al Khawr">Al Khawr</option>
              <option value="Madinat ash Shamal">Madinat ash Shamal</option>
              <option value="Ar Rayyan">Ar Rayyan</option>
              <option value="Umm Said">Umm Said</option>
              <option value="Umm Salal">Umm Salal</option>
              <option value="Al Wakrah">Al Wakrah</option>
              <option value=""></option>
              <option value="Arad">Arad</option>
              <option value="Arges">Arges</option>
              <option value="Alba">Alba</option>
              <option value="Bacau">Bacau</option>
              <option value="Bucuresti">Bucuresti</option>
              <option value="Bihor">Bihor</option>
              <option value="Braila">Braila</option>
              <option value="Bistrita-Nasaud">Bistrita-Nasaud</option>
              <option value="Botosani">Botosani</option>
              <option value="Brasov">Brasov</option>
              <option value="Buzau">Buzau</option>
              <option value="Cluj">Cluj</option>
              <option value="Calarasi">Calarasi</option>
              <option value="Caras-Severin">Caras-Severin</option>
              <option value="Constanta">Constanta</option>
              <option value="Covasna">Covasna</option>
              <option value="Dimbovita">Dimbovita</option>
              <option value="Dolj">Dolj</option>
              <option value="Giurgiu">Giurgiu</option>
              <option value="Gorj">Gorj</option>
              <option value="Galati">Galati</option>
              <option value="Harghita">Harghita</option>
              <option value="Hunedoara">Hunedoara</option>
              <option value="Ilfov">Ilfov</option>
              <option value="Ialomita">Ialomita</option>
              <option value="Iasi">Iasi</option>
              <option value="Maramures">Maramures</option>
              <option value="Mehedinti">Mehedinti</option>
              <option value="Mures">Mures</option>
              <option value="Neamt">Neamt</option>
              <option value="Olt">Olt</option>
              <option value="Prahova">Prahova</option>
              <option value="Timis">Timis</option>
              <option value="Salaj">Salaj</option>
              <option value="Satu Mare">Satu Mare</option>
              <option value="Sibiu">Sibiu</option>
              <option value="Suceava">Suceava</option>
              <option value="Teleorman">Teleorman</option>
              <option value="Tulcea">Tulcea</option>
              <option value="Vaslui">Vaslui</option>
              <option value="Vilcea">Vilcea</option>
              <option value="Vrancea">Vrancea</option>
              <option value="Adygeya">Adygeya</option>
              <option value="Aga Buryatia">Aga Buryatia</option>
              <option value="Altai Republic">Altai Republic</option>
              <option value="Altai Krai">Altai Krai</option>
              <option value="Amur">Amur</option>
              <option value="Arkhangelsk">Arkhangelsk</option>
              <option value="Astrakhan">Astrakhan</option>
              <option value="Bashkortostan">Bashkortostan</option>
              <option value="Belgorod">Belgorod</option>
              <option value="Bryansk">Bryansk</option>
              <option value="Buryatia">Buryatia</option>
              <option value="Chechnya">Chechnya</option>
              <option value="Chelyabinsk">Chelyabinsk</option>
              <option value="Chita">Chita</option>
              <option value="Chukotka">Chukotka</option>
              <option value="Chuvashia">Chuvashia</option>
              <option value="Dagestan">Dagestan</option>
              <option value="Evenkia">Evenkia</option>
              <option value="Ingushetia">Ingushetia</option>
              <option value="Irkutsk">Irkutsk</option>
              <option value="Ivanovo">Ivanovo</option>
              <option value="Kamchatka">Kamchatka</option>
              <option value="Kabardino-Balkaria">Kabardino-Balkaria</option>
              <option value="Karachay-Cherkessia">Karachay-Cherkessia</option>
              <option value="Krasnodar">Krasnodar</option>
              <option value="Kemerovo">Kemerovo</option>
              <option value="Kaliningrad">Kaliningrad</option>
              <option value="Kurgan">Kurgan</option>
              <option value="Khabarovsk">Khabarovsk</option>
              <option value="Khantia-Mansia">Khantia-Mansia</option>
              <option value="Kirov">Kirov</option>
              <option value="Khakassia">Khakassia</option>
              <option value="Kalmykia">Kalmykia</option>
              <option value="Kaluga">Kaluga</option>
              <option value="Komi">Komi</option>
              <option value="Permyakia">Permyakia</option>
              <option value="Koryakia">Koryakia</option>
              <option value="Kostroma">Kostroma</option>
              <option value="Karelia">Karelia</option>
              <option value="Kursk">Kursk</option>
              <option value="Krasnoyarsk">Krasnoyarsk</option>
              <option value="Leningrad">Leningrad</option>
              <option value="Lipetsk">Lipetsk</option>
              <option value="Magadan">Magadan</option>
              <option value="Mari El">Mari El</option>
              <option value="Mordovia">Mordovia</option>
              <option value="Moscow (Province)">Moscow (Province)</option>
              <option value="Moscow (City)">Moscow (City)</option>
              <option value="Murmansk">Murmansk</option>
              <option value="Nenetsia">Nenetsia</option>
              <option value="Novgorod">Novgorod</option>
              <option value="Nizhny Novgorod">Nizhny Novgorod</option>
              <option value="Novosibirsk">Novosibirsk</option>
              <option value="Omsk">Omsk</option>
              <option value="Orenburg">Orenburg</option>
              <option value="Oryol">Oryol</option>
              <option value="Perm">Perm</option>
              <option value="Penza">Penza</option>
              <option value="Primorsky">Primorsky</option>
              <option value="Pskov">Pskov</option>
              <option value="Rostov">Rostov</option>
              <option value="Ryazan">Ryazan</option>
              <option value="Sakha">Sakha</option>
              <option value="Sakhalin">Sakhalin</option>
              <option value="Samara">Samara</option>
              <option value="Saratov">Saratov</option>
              <option value="North Ossetia">North Ossetia</option>
              <option value="Smolensk">Smolensk</option>
              <option value="St. Petersburg">St. Petersburg</option>
              <option value="Stavropol">Stavropol</option>
              <option value="Sverdlovsk">Sverdlovsk</option>
              <option value="Tatarstan">Tatarstan</option>
              <option value="Tambov">Tambov</option>
              <option value="Taymyria">Taymyria</option>
              <option value="Tomsk">Tomsk</option>
              <option value="Tula">Tula</option>
              <option value="Tver">Tver</option>
              <option value="Tuva">Tuva</option>
              <option value="Tyumen">Tyumen</option>
              <option value="Udmurtia">Udmurtia</option>
              <option value="Ulynovsk">Ulynovsk</option>
              <option value="Ust-Orda Buryatia">Ust-Orda Buryatia</option>
              <option value="Volgograd">Volgograd</option>
              <option value="Vladimir">Vladimir</option>
              <option value="Vologda">Vologda</option>
              <option value="Voronezh">Voronezh</option>
              <option value="Yamalia">Yamalia</option>
              <option value="Yaroslavl">Yaroslavl</option>
              <option value="Jewish Oblast">Jewish Oblast</option>
              <option value="Butare">Butare</option>
              <option value="Byumba">Byumba</option>
              <option value="Cyangugu">Cyangugu</option>
              <option value="Gikongoro">Gikongoro</option>
              <option value="Gisenyi">Gisenyi</option>
              <option value="Gitarama">Gitarama</option>
              <option value="Kibungo">Kibungo</option>
              <option value="Kigali Rurale">Kigali Rurale</option>
              <option value="Kigali-ville">Kigali-ville</option>
              <option value="Kibuye">Kibuye</option>
              <option value="Ruhengeri">Ruhengeri</option>
              <option value="Umutara">Umutara</option>
              <option value="Ascension">Ascension</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Tristan da Cunha">Tristan da Cunha</option>
              <option value="Saint Paul Capesterre">Saint Paul Capesterre</option>
              <option value="Christ Church Nichola Town">Christ Church Nichola Town</option>
              <option value="Saint Paul Charlestown">Saint Paul Charlestown</option>
              <option value="Saint Anne Sandy Point">Saint Anne Sandy Point</option>
              <option value="Saint George Basseterre">Saint George Basseterre</option>
              <option value="Saint George Gingerland">Saint George Gingerland</option>
              <option value="Saint John Capesterre">Saint John Capesterre</option>
              <option value="Saint John Figtree">Saint John Figtree</option>
              <option value="Saint James Windward">Saint James Windward</option>
              <option value="Saint Mary Cayon">Saint Mary Cayon</option>
              <option value="Saint Peter Basseterre">Saint Peter Basseterre</option>
              <option value="Saint Thomas Lowland">Saint Thomas Lowland</option>
              <option value="Saint Thomas Middle Island">Saint Thomas Middle Island</option>
              <option value="Trinity Palmetto Point">Trinity Palmetto Point</option>
              <option value="Anse-la-Raye">Anse-la-Raye</option>
              <option value="Castries">Castries</option>
              <option value="Choiseul">Choiseul</option>
              <option value="Dauphin">Dauphin</option>
              <option value="Dennery">Dennery</option>
              <option value="Gros-Islet">Gros-Islet</option>
              <option value="Laborie">Laborie</option>
              <option value="Micoud">Micoud</option>
              <option value="Praslin">Praslin</option>
              <option value="Soufriere">Soufriere</option>
              <option value="Vieux-Fort">Vieux-Fort</option>
              <option value="Miquelon">Miquelon</option>
              <option value="Saint Pierre">Saint Pierre</option>
              <option value="Saint Andrew">Saint Andrew</option>
              <option value="Charlotte">Charlotte</option>
              <option value="Saint David">Saint David</option>
              <option value="Saint George">Saint George</option>
              <option value="Saint Patrick">Saint Patrick</option>
              <option value="Grenadines">Grenadines</option>
              <option value="Aiga-i-le-Tai">Aiga-i-le-Tai</option>
              <option value="Aana">Aana</option>
              <option value="Atua">Atua</option>
              <option value="Faasaleleaga">Faasaleleaga</option>
              <option value="Gagaemauga">Gagaemauga</option>
              <option value="Gagaifomauga">Gagaifomauga</option>
              <option value="Palauli">Palauli</option>
              <option value="Satupaitea">Satupaitea</option>
              <option value="Tuamasaga">Tuamasaga</option>
              <option value="Vaa-o-Fonoti">Vaa-o-Fonoti</option>
              <option value="Vaisigano">Vaisigano</option>
              <option value="Acquaviva">Acquaviva</option>
              <option value="Borgo Maggiore">Borgo Maggiore</option>
              <option value="Chiesanuova">Chiesanuova</option>
              <option value="Domagnano">Domagnano</option>
              <option value="Faetano">Faetano</option>
              <option value="Fiorentino">Fiorentino</option>
              <option value="Montegiardino">Montegiardino</option>
              <option value="Serravalle">Serravalle</option>
              <option value="Citta di San Marino">Citta di San Marino</option>
              <option value="Principe">Principe</option>
              <option value="Sao Tome">Sao Tome</option>
              <option value="Ash Sharqiyah (Eastern Province)">Ash Sharqiyah (Eastern Province)</option>
              <option value="Asir">Asir</option>
              <option value="Al Bahah">Al Bahah</option>
              <option value="Hail">Hail</option>
              <option value="Al Hudud ash Shamaliyah">Al Hudud ash Shamaliyah</option>
              <option value="Al Jawf">Al Jawf</option>
              <option value="Jizan">Jizan</option>
              <option value="Al Madinah">Al Madinah</option>
              <option value="Makkah">Makkah</option>
              <option value="Najran">Najran</option>
              <option value="Al Qasim">Al Qasim</option>
              <option value="Ar Riyad">Ar Riyad</option>
              <option value="Tabuk">Tabuk</option>
              <option value="Dakar">Dakar</option>
              <option value="Diourbel">Diourbel</option>
              <option value="Fatick">Fatick</option>
              <option value="Kaolack">Kaolack</option>
              <option value="Kolda">Kolda</option>
              <option value="Louga">Louga</option>
              <option value="Matam">Matam</option>
              <option value="Saint-Louis">Saint-Louis</option>
              <option value="Tambacounda">Tambacounda</option>
              <option value="Thies">Thies</option>
              <option value="Ziguinchor">Ziguinchor</option>
              <option value=""></option>
              <option value="Anse Boileau">Anse Boileau</option>
              <option value="Anse Etoile">Anse Etoile</option>
              <option value="Anse Louis">Anse Louis</option>
              <option value="Anse aux Pins">Anse aux Pins</option>
              <option value="Anse Royale">Anse Royale</option>
              <option value="Bel Air">Bel Air</option>
              <option value="Baie Lazare">Baie Lazare</option>
              <option value="Bel Ombre">Bel Ombre</option>
              <option value="Baie Sainte Anne">Baie Sainte Anne</option>
              <option value="Beau Vallon">Beau Vallon</option>
              <option value="Cascade">Cascade</option>
              <option value="La Digue">La Digue</option>
              <option value="Glacis">Glacis</option>
              <option value="Grand Anse (on Mahe)">Grand Anse (on Mahe)</option>
              <option value="Grand Anse (on Praslin)">Grand Anse (on Praslin)</option>
              <option value="Mont Buxton">Mont Buxton</option>
              <option value="Mont Fleuri">Mont Fleuri</option>
              <option value="Port Glaud">Port Glaud</option>
              <option value="Plaisance">Plaisance</option>
              <option value="Pointe La Rue">Pointe La Rue</option>
              <option value="La Riviere Anglaise">La Riviere Anglaise</option>
              <option value="Saint Louis">Saint Louis</option>
              <option value="Takamaka">Takamaka</option>
              <option value="Eastern">Eastern</option>
              <option value="Northern">Northern</option>
              <option value="Southern">Southern</option>
              <option value="Western">Western</option>
              <option value=""></option>
              <option value="Banskobystricky">Banskobystricky</option>
              <option value="Bratislavsky">Bratislavsky</option>
              <option value="Kosicky">Kosicky</option>
              <option value="Nitriansky">Nitriansky</option>
              <option value="Presovsky">Presovsky</option>
              <option value="Trenciansky">Trenciansky</option>
              <option value="Trnavsky">Trnavsky</option>
              <option value="Zilinsky">Zilinsky</option>
              <option value=""></option>
              <option value="Central">Central</option>
              <option value="Choiseul">Choiseul</option>
              <option value="Guadalcanal">Guadalcanal</option>
              <option value="Honiara">Honiara</option>
              <option value="Isabel">Isabel</option>
              <option value="Makira">Makira</option>
              <option value="Malaita">Malaita</option>
              <option value="Rennell and Bellona">Rennell and Bellona</option>
              <option value="Temotu">Temotu</option>
              <option value="Western">Western</option>
              <option value="Awdal">Awdal</option>
              <option value="Bakool">Bakool</option>
              <option value="Banaadir">Banaadir</option>
              <option value="Bari">Bari</option>
              <option value="Bay">Bay</option>
              <option value="Galguduud">Galguduud</option>
              <option value="Gedo">Gedo</option>
              <option value="Hiiraan">Hiiraan</option>
              <option value="Jubbada Dhexe">Jubbada Dhexe</option>
              <option value="Jubbada Hoose">Jubbada Hoose</option>
              <option value="Mudug">Mudug</option>
              <option value="Nugaal">Nugaal</option>
              <option value="Sanaag">Sanaag</option>
              <option value="Shabeellaha Dhexe">Shabeellaha Dhexe</option>
              <option value="Shabeellaha Hoose">Shabeellaha Hoose</option>
              <option value="Sool">Sool</option>
              <option value="Somaliland">Somaliland</option>
              <option value="Togdheer">Togdheer</option>
              <option value="Woqooyi Galbeed">Woqooyi Galbeed</option>
              <option value="Eastern Cape">Eastern Cape</option>
              <option value="Free State">Free State</option>
              <option value="Gauteng">Gauteng</option>
              <option value="KwaZulu-Natal">KwaZulu-Natal</option>
              <option value="Limpopo">Limpopo</option>
              <option value="Mpumalanga">Mpumalanga</option>
              <option value="Northern Cape">Northern Cape</option>
              <option value="North West">North West</option>
              <option value="Western Cape">Western Cape</option>
              <option value=""></option>
              <option value="Albacete">Albacete</option>
              <option value="Alicante">Alicante</option>
              <option value="Alava">Alava</option>
              <option value="Almeria">Almeria</option>
              <option value="Asturias">Asturias</option>
              <option value="Avila">Avila</option>
              <option value="Barcelona">Barcelona</option>
              <option value="Badajoz">Badajoz</option>
              <option value="Burgos">Burgos</option>
              <option value="A Coruna">A Coruna</option>
              <option value="Caceres">Caceres</option>
              <option value="Cordoba">Cordoba</option>
              <option value="Castellon">Castellon</option>
              <option value="Ciudad Real">Ciudad Real</option>
              <option value="Cantabria">Cantabria</option>
              <option value="Cuenca">Cuenca</option>
              <option value="Cadiz">Cadiz</option>
              <option value="Granada">Granada</option>
              <option value="Girona">Girona</option>
              <option value="Guadalajara">Guadalajara</option>
              <option value="Guipuzcoa">Guipuzcoa</option>
              <option value="Huelva">Huelva</option>
              <option value="Huesca">Huesca</option>
              <option value="Illes Balears">Illes Balears</option>
              <option value="Jaen">Jaen</option>
              <option value="Leon">Leon</option>
              <option value="Lugo">Lugo</option>
              <option value="Lleida">Lleida</option>
              <option value="Madrid">Madrid</option>
              <option value="Malaga">Malaga</option>
              <option value="Murcia">Murcia</option>
              <option value="Navarra">Navarra</option>
              <option value="Ourense">Ourense</option>
              <option value="Palencia">Palencia</option>
              <option value="Las Palmas">Las Palmas</option>
              <option value="Pontevedra">Pontevedra</option>
              <option value="La Rioja">La Rioja</option>
              <option value="Santa Cruz de Tererife">Santa Cruz de Tererife</option>
              <option value="Segovia">Segovia</option>
              <option value="Salamanca">Salamanca</option>
              <option value="Soria">Soria</option>
              <option value="Sevilla">Sevilla</option>
              <option value="Tarragona">Tarragona</option>
              <option value="Teruel">Teruel</option>
              <option value="Toledo">Toledo</option>
              <option value="Valencia">Valencia</option>
              <option value="Valladolid">Valladolid</option>
              <option value="Vizcaya">Vizcaya</option>
              <option value="Zamora">Zamora</option>
              <option value="Zaragoza">Zaragoza</option>
              <option value="Central">Central</option>
              <option value="Eastern">Eastern</option>
              <option value="North Central">North Central</option>
              <option value="Northern">Northern</option>
              <option value="North Western">North Western</option>
              <option value="Sabaragamuwa">Sabaragamuwa</option>
              <option value="Southern">Southern</option>
              <option value="Uva">Uva</option>
              <option value="Western">Western</option>
              <option value="An Nil al Abyad">An Nil al Abyad</option>
              <option value="Aali an Nil">Aali an Nil</option>
              <option value="An Nil al Azraq">An Nil al Azraq</option>
              <option value="Ash Shamaliyah">Ash Shamaliyah</option>
              <option value="Al Bahr al Ahmar">Al Bahr al Ahmar</option>
              <option value="Bahr al Jabal">Bahr al Jabal</option>
              <option value="Al Buhayrat">Al Buhayrat</option>
              <option value="Gharb Bahr al Ghazal">Gharb Bahr al Ghazal</option>
              <option value="Gharb Darfur">Gharb Darfur</option>
              <option value="Gharb al Istiwaiyah">Gharb al Istiwaiyah</option>
              <option value="Gharb Kurdufan">Gharb Kurdufan</option>
              <option value="Janub Darfur">Janub Darfur</option>
              <option value="Janub Kurdufan">Janub Kurdufan</option>
              <option value="Junqali">Junqali</option>
              <option value="Al Jazirah">Al Jazirah</option>
              <option value="Al Khartum">Al Khartum</option>
              <option value="Kassala">Kassala</option>
              <option value="Nahr an Nil">Nahr an Nil</option>
              <option value="Al Qadarif">Al Qadarif</option>
              <option value="Shamal Bahr al Ghazal">Shamal Bahr al Ghazal</option>
              <option value="Shamal Darfur">Shamal Darfur</option>
              <option value="Sharq al Istiwaiyah">Sharq al Istiwaiyah</option>
              <option value="Shamal Kurdufan">Shamal Kurdufan</option>
              <option value="Sinnar">Sinnar</option>
              <option value="Al Wahdah">Al Wahdah</option>
              <option value="Warab">Warab</option>
              <option value="Brokopondo">Brokopondo</option>
              <option value="Commewijne">Commewijne</option>
              <option value="Coronie">Coronie</option>
              <option value="Marowijne">Marowijne</option>
              <option value="Nickerie">Nickerie</option>
              <option value="Para">Para</option>
              <option value="Paramaribo">Paramaribo</option>
              <option value="Saramacca">Saramacca</option>
              <option value="Sipaliwini">Sipaliwini</option>
              <option value="Wanica">Wanica</option>
              <option value=""></option>
              <option value="Hhohho">Hhohho</option>
              <option value="Lubombo">Lubombo</option>
              <option value="Manzini">Manzini</option>
              <option value="Shishelweni">Shishelweni</option>
              <option value="Blekinge">Blekinge</option>
              <option value="Dalama">Dalama</option>
              <option value="Gavleborg">Gavleborg</option>
              <option value="Gotland">Gotland</option>
              <option value="Halland">Halland</option>
              <option value="Jamtland">Jamtland</option>
              <option value="Jonkping">Jonkping</option>
              <option value="Kalmar">Kalmar</option>
              <option value="Kronoberg">Kronoberg</option>
              <option value="Norrbotten">Norrbotten</option>
              <option value="Ostergotland">Ostergotland</option>
              <option value="Orebro">Orebro</option>
              <option value="Skane">Skane</option>
              <option value="Sodermanland">Sodermanland</option>
              <option value="Stockholm">Stockholm</option>
              <option value="Uppdala">Uppdala</option>
              <option value="Vasterbotten">Vasterbotten</option>
              <option value="Vastra Gotaland">Vastra Gotaland</option>
              <option value="Varmland">Varmland</option>
              <option value="Vastmanland">Vastmanland</option>
              <option value="Vasternorrland">Vasternorrland</option>
              <option value="Aargau">Aargau</option>
              <option value="Appenzell Innerhoden">Appenzell Innerhoden</option>
              <option value="Appenzell Ausserrhoden">Appenzell Ausserrhoden</option>
              <option value="Bern">Bern</option>
              <option value="Basel-Landschaft">Basel-Landschaft</option>
              <option value="Basel-Stadt">Basel-Stadt</option>
              <option value="Fribourg">Fribourg</option>
              <option value="Geneva">Geneva</option>
              <option value="Glarus">Glarus</option>
              <option value="Graubunden">Graubunden</option>
              <option value="Jura">Jura</option>
              <option value="Lucerne">Lucerne</option>
              <option value="NeuchO?l S">NeuchO?l S</option>
              <option value="Nidwalden">Nidwalden</option>
              <option value="Obwalden">Obwalden</option>
              <option value="St. Gallen">St. Gallen</option>
              <option value="Schaffhausen">Schaffhausen</option>
              <option value="Solothurn">Solothurn</option>
              <option value="Schwyz">Schwyz</option>
              <option value="Thurgau">Thurgau</option>
              <option value="Ticino">Ticino</option>
              <option value="Uri">Uri</option>
              <option value="Vaud">Vaud</option>
              <option value="Valais">Valais</option>
              <option value="Zug">Zug</option>
              <option value="Zurich">Zurich</option>
              <option value="Dara">Dara</option>
              <option value="Dimashq">Dimashq</option>
              <option value="Dayr az Zawr">Dayr az Zawr</option>
              <option value="Al Hasakah">Al Hasakah</option>
              <option value="Hims">Hims</option>
              <option value="Halab">Halab</option>
              <option value="Hamah">Hamah</option>
              <option value="Idlib">Idlib</option>
              <option value="Al Ladhiqiyah">Al Ladhiqiyah</option>
              <option value="Al Qunaytirah">Al Qunaytirah</option>
              <option value="Rif Dimashq">Rif Dimashq</option>
              <option value="Ar Raqqah">Ar Raqqah</option>
              <option value="As Suwayda">As Suwayda</option>
              <option value="Tartus">Tartus</option>
              <option value="Chia-i city">Chia-i city</option>
              <option value="Chang-hua">Chang-hua</option>
              <option value="Chia-i">Chia-i</option>
              <option value="Chi-lung">Chi-lung</option>
              <option value="Hsin-chu">Hsin-chu</option>
              <option value="Hua-lien">Hua-lien</option>
              <option value="Hsin-chu">Hsin-chu</option>
              <option value="I-lan">I-lan</option>
              <option value="Kao-hsiung city">Kao-hsiung city</option>
              <option value="Kao-hsiung county">Kao-hsiung county</option>
              <option value="Kin-men">Kin-men</option>
              <option value="Lien-chiang">Lien-chiang</option>
              <option value="Miao-li">Miao-li</option>
              <option value="Nan-tou">Nan-tou</option>
              <option value="Peng-hu">Peng-hu</option>
              <option value="Ping-tung">Ping-tung</option>
              <option value="Tai-nan">Tai-nan</option>
              <option value="Tai-pei city">Tai-pei city</option>
              <option value="Tai-chung">Tai-chung</option>
              <option value="Tai-chung">Tai-chung</option>
              <option value="Tai-nan">Tai-nan</option>
              <option value="Tai-pei county">Tai-pei county</option>
              <option value="Tai-tung">Tai-tung</option>
              <option value="Tao-yuan">Tao-yuan</option>
              <option value="Yun-lin">Yun-lin</option>
              <option value="Gorno-Badakhstan">Gorno-Badakhstan</option>
              <option value="Khatlon">Khatlon</option>
              <option value="Sughd">Sughd</option>
              <option value="Arusha">Arusha</option>
              <option value="Dodoma">Dodoma</option>
              <option value="Dar es Salaam">Dar es Salaam</option>
              <option value="Iringa">Iringa</option>
              <option value="Kagera">Kagera</option>
              <option value="Kigoma">Kigoma</option>
              <option value="Kilimanjaro">Kilimanjaro</option>
              <option value="Lindi">Lindi</option>
              <option value="Mbeya">Mbeya</option>
              <option value="Morogoro">Morogoro</option>
              <option value="Mara">Mara</option>
              <option value="Mtwara">Mtwara</option>
              <option value="Mwanza">Mwanza</option>
              <option value="Manyara">Manyara</option>
              <option value="Pemba North">Pemba North</option>
              <option value="Pemba South">Pemba South</option>
              <option value="Pwani">Pwani</option>
              <option value="Rukwa">Rukwa</option>
              <option value="Ruvuma">Ruvuma</option>
              <option value="Shinyanga">Shinyanga</option>
              <option value="Singida">Singida</option>
              <option value="Tabora">Tabora</option>
              <option value="Tanga">Tanga</option>
              <option value="Zanzibar Central/South">Zanzibar Central/South</option>
              <option value="Zanzibar North">Zanzibar North</option>
              <option value="Zanzibar Urban/West">Zanzibar Urban/West</option>
              <option value="Bangkok">Bangkok</option>
              <option value="Samut Prakan">Samut Prakan</option>
              <option value="Nonthaburi">Nonthaburi</option>
              <option value="Pathum Thani">Pathum Thani</option>
              <option value="Phra Nakhon Si Ayutthaya">Phra Nakhon Si Ayutthaya</option>
              <option value="Ang Thong">Ang Thong</option>
              <option value="Lop Buri">Lop Buri</option>
              <option value="Sing Buri">Sing Buri</option>
              <option value="Chai Nat">Chai Nat</option>
              <option value="Saraburi">Saraburi</option>
              <option value="Chon Buri">Chon Buri</option>
              <option value="Rayong">Rayong</option>
              <option value="Chanthaburi">Chanthaburi</option>
              <option value="Trat">Trat</option>
              <option value="Chachoengsao">Chachoengsao</option>
              <option value="Prachin Buri">Prachin Buri</option>
              <option value="Nakhon Nayok">Nakhon Nayok</option>
              <option value="Sa Kaeo">Sa Kaeo</option>
              <option value="Nakhon Ratchasima">Nakhon Ratchasima</option>
              <option value="Buri Ram">Buri Ram</option>
              <option value="Surin">Surin</option>
              <option value="Si Sa Ket">Si Sa Ket</option>
              <option value="Ubon Ratchathani">Ubon Ratchathani</option>
              <option value="Yasothon">Yasothon</option>
              <option value="Chaiyaphum">Chaiyaphum</option>
              <option value="Amnat Charoen">Amnat Charoen</option>
              <option value="Nong Bua Lam Phu">Nong Bua Lam Phu</option>
              <option value="Khon Kaen">Khon Kaen</option>
              <option value="Udon Thani">Udon Thani</option>
              <option value="Loei">Loei</option>
              <option value="Nong Khai">Nong Khai</option>
              <option value="Maha Sarakham">Maha Sarakham</option>
              <option value="Roi Et">Roi Et</option>
              <option value="Kalasin">Kalasin</option>
              <option value="Sakon Nakhon">Sakon Nakhon</option>
              <option value="Nakhon Phanom">Nakhon Phanom</option>
              <option value="Mukdahan">Mukdahan</option>
              <option value="Chiang Mai">Chiang Mai</option>
              <option value="Lamphun">Lamphun</option>
              <option value="Lampang">Lampang</option>
              <option value="Uttaradit">Uttaradit</option>
              <option value="Phrae">Phrae</option>
              <option value="Nan">Nan</option>
              <option value="Phayao">Phayao</option>
              <option value="Chiang Rai">Chiang Rai</option>
              <option value="Mae Hong Son">Mae Hong Son</option>
              <option value="Nakhon Sawan">Nakhon Sawan</option>
              <option value="Uthai Thani">Uthai Thani</option>
              <option value="Kamphaeng Phet">Kamphaeng Phet</option>
              <option value="Tak">Tak</option>
              <option value="Sukhothai">Sukhothai</option>
              <option value="Phitsanulok">Phitsanulok</option>
              <option value="Phichit">Phichit</option>
              <option value="Ratchaburi">Ratchaburi</option>
              <option value="Kanchanaburi">Kanchanaburi</option>
              <option value="Suphanburi">Suphanburi</option>
              <option value="Nakhon Pathom">Nakhon Pathom</option>
              <option value="Samut Sakhon">Samut Sakhon</option>
              <option value="Samut Songkhram">Samut Songkhram</option>
              <option value="Phetchabun">Phetchabun</option>
              <option value="Prachuap Khiri Khan">Prachuap Khiri Khan</option>
              <option value="Phetchaburi">Phetchaburi</option>
              <option value="Nakhon Si Thammarat">Nakhon Si Thammarat</option>
              <option value="Krabi">Krabi</option>
              <option value="Phang Nga">Phang Nga</option>
              <option value="Phuket">Phuket</option>
              <option value="Surat Thani">Surat Thani</option>
              <option value="Ranong">Ranong</option>
              <option value="Chumpon">Chumpon</option>
              <option value="Songkhla">Songkhla</option>
              <option value="Satun">Satun</option>
              <option value="Trang">Trang</option>
              <option value="Phattalung">Phattalung</option>
              <option value="Pattani">Pattani</option>
              <option value="Yala">Yala</option>
              <option value="Narathiwat">Narathiwat</option>
              <option value="Pattaya">Pattaya</option>
              <option value="Aileu">Aileu</option>
              <option value="Ainaro">Ainaro</option>
              <option value="Baucau">Baucau</option>
              <option value="Bobonaro">Bobonaro</option>
              <option value="Cova Lima">Cova Lima</option>
              <option value="Dili">Dili</option>
              <option value="Ermera">Ermera</option>
              <option value="Lautem">Lautem</option>
              <option value="Liquica">Liquica</option>
              <option value="Manufahi">Manufahi</option>
              <option value="Manatuto">Manatuto</option>
              <option value="Oecussi">Oecussi</option>
              <option value="Viqueque">Viqueque</option>
              <option value="Centrale">Centrale</option>
              <option value="Kara">Kara</option>
              <option value="Maritime">Maritime</option>
              <option value="Plateaux">Plateaux</option>
              <option value="Savanes">Savanes</option>
              <option value="Atafu">Atafu</option>
              <option value="Fakaofo">Fakaofo</option>
              <option value="Nukunonu">Nukunonu</option>
              <option value="Haapai">Haapai</option>
              <option value="Tongatapu">Tongatapu</option>
              <option value="Vavau">Vavau</option>
              <option value="Arima">Arima</option>
              <option value="Chaguanas">Chaguanas</option>
              <option value="Couva/Tabaquite/Talparo">Couva/Tabaquite/Talparo</option>
              <option value="Diego Martin">Diego Martin</option>
              <option value="Mayaro/Rio Claro">Mayaro/Rio Claro</option>
              <option value="Penal/Debe">Penal/Debe</option>
              <option value="Point Fortin">Point Fortin</option>
              <option value="Port of Spain">Port of Spain</option>
              <option value="Princes Town">Princes Town</option>
              <option value="San Fernando">San Fernando</option>
              <option value="Sangre Grande">Sangre Grande</option>
              <option value="Siparia">Siparia</option>
              <option value="San Juan/Laventille">San Juan/Laventille</option>
              <option value="Tobago">Tobago</option>
              <option value="Tunapuna/Piarco">Tunapuna/Piarco</option>
              <option value=""></option>
              <option value="Ariana">Ariana</option>
              <option value="Ben Arous">Ben Arous</option>
              <option value="Bizerte">Bizerte</option>
              <option value="Beja">Beja</option>
              <option value="Gabes">Gabes</option>
              <option value="Gafsa">Gafsa</option>
              <option value="Jendouba">Jendouba</option>
              <option value="Kebili">Kebili</option>
              <option value="Kef">Kef</option>
              <option value="Kairouan">Kairouan</option>
              <option value="Kasserine">Kasserine</option>
              <option value="Medenine">Medenine</option>
              <option value="Mahdia">Mahdia</option>
              <option value="Manouba">Manouba</option>
              <option value="Monastir">Monastir</option>
              <option value="Nabeul">Nabeul</option>
              <option value="Sidi">Sidi</option>
              <option value="Sfax">Sfax</option>
              <option value="Siliana">Siliana</option>
              <option value="Sousse">Sousse</option>
              <option value="Tataouine">Tataouine</option>
              <option value="Tozeur">Tozeur</option>
              <option value="Tunis">Tunis</option>
              <option value="Zaghouan">Zaghouan</option>
              <option value="Adana">Adana</option>
              <option value="Adiyaman">Adiyaman</option>
              <option value="Afyonkarahisar">Afyonkarahisar</option>
              <option value="Agri">Agri</option>
              <option value="Aksaray">Aksaray</option>
              <option value="Amasya">Amasya</option>
              <option value="Ankara">Ankara</option>
              <option value="Antalya">Antalya</option>
              <option value="Ardahan">Ardahan</option>
              <option value="Artvin">Artvin</option>
              <option value="Aydin">Aydin</option>
              <option value="Balikesir">Balikesir</option>
              <option value="Bartin">Bartin</option>
              <option value="Batman">Batman</option>
              <option value="Bayburt">Bayburt</option>
              <option value="Bilecik">Bilecik</option>
              <option value="Bingol">Bingol</option>
              <option value="Bitlis">Bitlis</option>
              <option value="Bolu">Bolu</option>
              <option value="Burdur">Burdur</option>
              <option value="Bursa">Bursa</option>
              <option value="Canakkale">Canakkale</option>
              <option value="Cankiri">Cankiri</option>
              <option value="Corum">Corum</option>
              <option value="Denizli">Denizli</option>
              <option value="Diyarbakir">Diyarbakir</option>
              <option value="Duzce">Duzce</option>
              <option value="Edirne">Edirne</option>
              <option value="Elazig">Elazig</option>
              <option value="Eskisehir">Eskisehir</option>
              <option value="Erzincan">Erzincan</option>
              <option value="Erzurum">Erzurum</option>
              <option value="Gaziantep">Gaziantep</option>
              <option value="Giresun">Giresun</option>
              <option value="Gumushane">Gumushane</option>
              <option value="Hakkari">Hakkari</option>
              <option value="Hatay">Hatay</option>
              <option value="Igdir">Igdir</option>
              <option value="Isparta">Isparta</option>
              <option value="Istanbul">Istanbul</option>
              <option value="Izmir">Izmir</option>
              <option value="Kahramanmaras">Kahramanmaras</option>
              <option value="Kastamonu">Kastamonu</option>
              <option value="Kayseri">Kayseri</option>
              <option value="Kirklareli">Kirklareli</option>
              <option value="Kilis">Kilis</option>
              <option value="Kocaeli">Kocaeli</option>
              <option value="Konya">Konya</option>
              <option value="Karabuk">Karabuk</option>
              <option value="Kirsehir">Kirsehir</option>
              <option value="Kirikkale">Kirikkale</option>
              <option value="Karaman">Karaman</option>
              <option value="Kars">Kars</option>
              <option value="Kutahya">Kutahya</option>
              <option value="Malatya">Malatya</option>
              <option value="Manisa">Manisa</option>
              <option value="Mardin">Mardin</option>
              <option value="Mersin">Mersin</option>
              <option value="Mugla">Mugla</option>
              <option value="Mus">Mus</option>
              <option value="Nevsehir">Nevsehir</option>
              <option value="Nigde">Nigde</option>
              <option value="Ordu">Ordu</option>
              <option value="Osmaniye">Osmaniye</option>
              <option value="Rize">Rize</option>
              <option value="Sakarya">Sakarya</option>
              <option value="Samsun">Samsun</option>
              <option value="Sanliurfa">Sanliurfa</option>
              <option value="Siirt">Siirt</option>
              <option value="Sinop">Sinop</option>
              <option value="Sirnak">Sirnak</option>
              <option value="Sivas">Sivas</option>
              <option value="Tekirdag">Tekirdag</option>
              <option value="Tokat">Tokat</option>
              <option value="Trabzon">Trabzon</option>
              <option value="Tunceli">Tunceli</option>
              <option value="Usak">Usak</option>
              <option value="Van">Van</option>
              <option value="Yalova">Yalova</option>
              <option value="Yozgat">Yozgat</option>
              <option value="Zonguldak">Zonguldak</option>
              <option value="Ahal Welayaty">Ahal Welayaty</option>
              <option value="Balkan Welayaty">Balkan Welayaty</option>
              <option value="Dashhowuz Welayaty">Dashhowuz Welayaty</option>
              <option value="Lebap Welayaty">Lebap Welayaty</option>
              <option value="Mary Welayaty">Mary Welayaty</option>
              <option value="Ambergris Cays">Ambergris Cays</option>
              <option value="Dellis Cay">Dellis Cay</option>
              <option value="East Caicos">East Caicos</option>
              <option value="French Cay">French Cay</option>
              <option value="Grand Turk">Grand Turk</option>
              <option value="Little Water Cay">Little Water Cay</option>
              <option value="Middle Caicos">Middle Caicos</option>
              <option value="North Caicos">North Caicos</option>
              <option value="Pine Cay">Pine Cay</option>
              <option value="Providenciales">Providenciales</option>
              <option value="Parrot Cay">Parrot Cay</option>
              <option value="South Caicos">South Caicos</option>
              <option value="Salt Cay">Salt Cay</option>
              <option value="West Caicos">West Caicos</option>
              <option value="Funafuti">Funafuti</option>
              <option value="Nukufetau">Nukufetau</option>
              <option value="Niulakita">Niulakita</option>
              <option value="Nukulaelae">Nukulaelae</option>
              <option value="Nanumea">Nanumea</option>
              <option value="Nanumanga">Nanumanga</option>
              <option value="Niutao">Niutao</option>
              <option value="Nui">Nui</option>
              <option value="Vaitupu">Vaitupu</option>
              <option value="Saint Croix">Saint Croix</option>
              <option value="Saint John">Saint John</option>
              <option value="Saint Thomas">Saint Thomas</option>
              <option value="Adjumani">Adjumani</option>
              <option value="Apac">Apac</option>
              <option value="Arua">Arua</option>
              <option value="Bushenyi">Bushenyi</option>
              <option value="Bugiri">Bugiri</option>
              <option value="Bundibugyo">Bundibugyo</option>
              <option value="Busia">Busia</option>
              <option value="Gulu">Gulu</option>
              <option value="Hoima">Hoima</option>
              <option value="Iganga">Iganga</option>
              <option value="Jinja">Jinja</option>
              <option value="Kaberamaido">Kaberamaido</option>
              <option value="Kalangala">Kalangala</option>
              <option value="Kamwenge">Kamwenge</option>
              <option value="Kanungu">Kanungu</option>
              <option value="Kabarole">Kabarole</option>
              <option value="Kasese">Kasese</option>
              <option value="Kayunga">Kayunga</option>
              <option value="Kibaale">Kibaale</option>
              <option value="Kabale">Kabale</option>
              <option value="Kiboga">Kiboga</option>
              <option value="Kisoro">Kisoro</option>
              <option value="Kitgum">Kitgum</option>
              <option value="Kamuli">Kamuli</option>
              <option value="Kampala">Kampala</option>
              <option value="Kotido">Kotido</option>
              <option value="Kapchorwa">Kapchorwa</option>
              <option value="Katakwi">Katakwi</option>
              <option value="Kumi">Kumi</option>
              <option value="Kyenjojo">Kyenjojo</option>
              <option value="Lira">Lira</option>
              <option value="Luwero">Luwero</option>
              <option value="Masaka">Masaka</option>
              <option value="Mayuge">Mayuge</option>
              <option value="Mbale">Mbale</option>
              <option value="Mbarara">Mbarara</option>
              <option value="Moyo">Moyo</option>
              <option value="Mpigi">Mpigi</option>
              <option value="Moroto">Moroto</option>
              <option value="Masindi">Masindi</option>
              <option value="Mubende">Mubende</option>
              <option value="Mukono">Mukono</option>
              <option value="Nakapiripirit">Nakapiripirit</option>
              <option value="Nebbi">Nebbi</option>
              <option value="Nakasongola">Nakasongola</option>
              <option value="Ntungamo">Ntungamo</option>
              <option value="Pader">Pader</option>
              <option value="Pallisa">Pallisa</option>
              <option value="Rakai">Rakai</option>
              <option value="Rukungiri">Rukungiri</option>
              <option value="Sembabule">Sembabule</option>
              <option value="Sironko">Sironko</option>
              <option value="Soroti">Soroti</option>
              <option value="Tororo">Tororo</option>
              <option value="Wakiso">Wakiso</option>
              <option value="Yumbe">Yumbe</option>
              <option value="Chernihiv">Chernihiv</option>
              <option value="Cherkasy">Cherkasy</option>
              <option value="Crimea">Crimea</option>
              <option value="Chernivtsi">Chernivtsi</option>
              <option value="Dnipropetrovsk">Dnipropetrovsk</option>
              <option value="Donetsk">Donetsk</option>
              <option value="Ivano-Frankivsk">Ivano-Frankivsk</option>
              <option value="Kharkiv Kherson">Kharkiv Kherson</option>
              <option value="Khmelnytskyy">Khmelnytskyy</option>
              <option value="Kirovohrad">Kirovohrad</option>
              <option value="Kiev">Kiev</option>
              <option value="Kyyiv">Kyyiv</option>
              <option value="Luhansk">Luhansk</option>
              <option value="Lviv">Lviv</option>
              <option value="Mykolayiv">Mykolayiv</option>
              <option value="Odesa">Odesa</option>
              <option value="Poltava">Poltava</option>
              <option value="Rivne">Rivne</option>
              <option value="Sevastopol">Sevastopol</option>
              <option value="Sumy">Sumy</option>
              <option value="Ternopil">Ternopil</option>
              <option value="Vinnytsya">Vinnytsya</option>
              <option value="Volyn">Volyn</option>
              <option value="Zaporizhzhya">Zaporizhzhya</option>
              <option value="Zhytomyr">Zhytomyr</option>
              <option value="Zakarpattya">Zakarpattya</option>
              <option value="Ajman">Ajman</option>
              <option value="Abu Zaby">Abu Zaby</option>
              <option value="Dubayy">Dubayy</option>
              <option value="Al Fujayrah">Al Fujayrah</option>
              <option value="R as al Khaymah">R as al Khaymah</option>
              <option value="Ash Shariqah">Ash Shariqah</option>
              <option value="Umm al Qaywayn">Umm al Qaywayn</option>
              <option value="Aberdeenshire">Aberdeenshire</option>
              <option value="Aberdeen">Aberdeen</option>
              <option value="Argyll and Bute">Argyll and Bute</option>
              <option value="Isle of Anglesey">Isle of Anglesey</option>
              <option value="Angus">Angus</option>
              <option value="Antrim">Antrim</option>
              <option value="Ards">Ards</option>
              <option value="Armagh">Armagh</option>
              <option value="Bath and North East Somerset">Bath and North East Somerset</option>
              <option value="Blackburn with Darwen">Blackburn with Darwen</option>
              <option value="Bedfordshire">Bedfordshire</option>
              <option value="Barking and Dagenham">Barking and Dagenham</option>
              <option value="Brent">Brent</option>
              <option value="Bexley">Bexley</option>
              <option value="Belfast">Belfast</option>
              <option value="Bridgend">Bridgend</option>
              <option value="Blaenau Gwent">Blaenau Gwent</option>
              <option value="Birmingham">Birmingham</option>
              <option value="Buckinghamshire">Buckinghamshire</option>
              <option value="Ballymena">Ballymena</option>
              <option value="Ballymoney">Ballymoney</option>
              <option value="Bournemouth">Bournemouth</option>
              <option value="Banbridge">Banbridge</option>
              <option value="Barnet">Barnet</option>
              <option value="Brighton and Hove">Brighton and Hove</option>
              <option value="Barnsley">Barnsley</option>
              <option value="Bolton">Bolton</option>
              <option value="Blackpool">Blackpool</option>
              <option value="Bracknell Forest">Bracknell Forest</option>
              <option value="Bradford">Bradford</option>
              <option value="Bromley">Bromley</option>
              <option value="Bristol City of">Bristol City of</option>
              <option value="Bury">Bury</option>
              <option value="Cambridgeshire">Cambridgeshire</option>
              <option value="Caerphilly">Caerphilly</option>
              <option value="Ceredigion">Ceredigion</option>
              <option value="Craigavon">Craigavon</option>
              <option value="Cheshire">Cheshire</option>
              <option value="Carrickfergus">Carrickfergus</option>
              <option value="Cookstown">Cookstown</option>
              <option value="Calderdale">Calderdale</option>
              <option value="Clackmannanshire">Clackmannanshire</option>
              <option value="Coleraine">Coleraine</option>
              <option value="Cumbria">Cumbria</option>
              <option value="Camden">Camden</option>
              <option value="Carmarthenshire">Carmarthenshire</option>
              <option value="Cornwall">Cornwall</option>
              <option value="Coventry (West Midlands district)">Coventry (West Midlands district)</option>
              <option value="Cardiff">Cardiff</option>
              <option value="Croydon">Croydon</option>
              <option value="Castlereagh">Castlereagh</option>
              <option value="Conwy">Conwy</option>
              <option value="Darlington">Darlington</option>
              <option value="Derbyshire">Derbyshire</option>
              <option value="Denbighshire">Denbighshire</option>
              <option value="Derby">Derby</option>
              <option value="Devon">Devon</option>
              <option value="Dungannon and South Tyrone">Dungannon and South Tyrone</option>
              <option value="Dumfries and Galloway">Dumfries and Galloway</option>
              <option value="Doncaster">Doncaster</option>
              <option value="Dundee">Dundee</option>
              <option value="Dorset">Dorset</option>
              <option value="Down">Down</option>
              <option value="Derry">Derry</option>
              <option value="Dudley (West Midlands district)">Dudley (West Midlands district)</option>
              <option value="Durham">Durham</option>
              <option value="Ealing">Ealing</option>
              <option value="East Ayrshire">East Ayrshire</option>
              <option value="Edinburgh">Edinburgh</option>
              <option value="East Dunbartonshire">East Dunbartonshire</option>
              <option value="East Lothian">East Lothian</option>
              <option value="Eilean Siar">Eilean Siar</option>
              <option value="Enfield">Enfield</option>
              <option value="East Renfrewshire">East Renfrewshire</option>
              <option value="East Riding of Yorkshire">East Riding of Yorkshire</option>
              <option value="Essex">Essex</option>
              <option value="East Sussex">East Sussex</option>
              <option value="Falkirk">Falkirk</option>
              <option value="Fermanagh">Fermanagh</option>
              <option value="Fife">Fife</option>
              <option value="Flintshire">Flintshire</option>
              <option value="Gateshead (Tyne &amp; Wear district)">Gateshead (Tyne &amp; Wear district)</option>
              <option value="Glasgow">Glasgow</option>
              <option value="Gloucestershire">Gloucestershire</option>
              <option value="Greenwich">Greenwich</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Gwynedd">Gwynedd</option>
              <option value="Halton">Halton</option>
              <option value="Hampshire">Hampshire</option>
              <option value="Havering">Havering</option>
              <option value="Hackney">Hackney</option>
              <option value="Herefordshire County of">Herefordshire County of</option>
              <option value="Hillingdon">Hillingdon</option>
              <option value="Highland">Highland</option>
              <option value="Hammersmith and Fulham">Hammersmith and Fulham</option>
              <option value="Hounslow">Hounslow</option>
              <option value="Hartlepool">Hartlepool</option>
              <option value="Hertfordshire">Hertfordshire</option>
              <option value="Harrow">Harrow</option>
              <option value="Haringey">Haringey</option>
              <option value="Isles of Scilly">Isles of Scilly</option>
              <option value="Isle of Wight">Isle of Wight</option>
              <option value="Islington">Islington</option>
              <option value="Inverclyde">Inverclyde</option>
              <option value="Jersey">Jersey</option>
              <option value="Kensington and Chelsea">Kensington and Chelsea</option>
              <option value="Kent">Kent</option>
              <option value="Kingston upon Hull City of">Kingston upon Hull City of</option>
              <option value="Kirklees">Kirklees</option>
              <option value="Kingston upon Thames">Kingston upon Thames</option>
              <option value="Knowsley">Knowsley</option>
              <option value="Lancashire">Lancashire</option>
              <option value="Lambeth">Lambeth</option>
              <option value="Leicester">Leicester</option>
              <option value="Leeds">Leeds</option>
              <option value="Leicestershire">Leicestershire</option>
              <option value="Lewisham">Lewisham</option>
              <option value="Lincolnshire">Lincolnshire</option>
              <option value="Liverpool">Liverpool</option>
              <option value="Limavady">Limavady</option>
              <option value="London City of">London City of</option>
              <option value="Larne">Larne</option>
              <option value="Lisburn">Lisburn</option>
              <option value="Luton">Luton</option>
              <option value="Manchester">Manchester</option>
              <option value="Middlesbrough">Middlesbrough</option>
              <option value="Medway">Medway</option>
              <option value="Magherafelt">Magherafelt</option>
              <option value="Milton Keynes">Milton Keynes</option>
              <option value="Midlothian">Midlothian</option>
              <option value="Monmouthshire">Monmouthshire</option>
              <option value="Merton">Merton</option>
              <option value="Moray">Moray</option>
              <option value="Merthyr Tydfil">Merthyr Tydfil</option>
              <option value="Moyle">Moyle</option>
              <option value="North Ayrshire">North Ayrshire</option>
              <option value="Northumberland">Northumberland</option>
              <option value="North Down">North Down</option>
              <option value="North East Lincolnshire">North East Lincolnshire</option>
              <option value="Newcastle upon Tyne">Newcastle upon Tyne</option>
              <option value="Norfolk">Norfolk</option>
              <option value="Nottingham">Nottingham</option>
              <option value="North Lanarkshire">North Lanarkshire</option>
              <option value="North Lincolnshire">North Lincolnshire</option>
              <option value="North Somerset">North Somerset</option>
              <option value="Newtownabbey">Newtownabbey</option>
              <option value="Northamptonshire">Northamptonshire</option>
              <option value="Neath Port Talbot">Neath Port Talbot</option>
              <option value="Nottinghamshire">Nottinghamshire</option>
              <option value="North Tyneside">North Tyneside</option>
              <option value="Newham">Newham</option>
              <option value="Newport">Newport</option>
              <option value="North Yorkshire">North Yorkshire</option>
              <option value="Newry and Mourne">Newry and Mourne</option>
              <option value="Oldham">Oldham</option>
              <option value="Omagh">Omagh</option>
              <option value="Orkney Islands">Orkney Islands</option>
              <option value="Oxfordshire">Oxfordshire</option>
              <option value="Pembrokeshire">Pembrokeshire</option>
              <option value="Perth and Kinross">Perth and Kinross</option>
              <option value="Plymouth">Plymouth</option>
              <option value="Poole">Poole</option>
              <option value="Portsmouth">Portsmouth</option>
              <option value="Powys">Powys</option>
              <option value="Peterborough">Peterborough</option>
              <option value="Redcar and Cleveland">Redcar and Cleveland</option>
              <option value="Rochdale">Rochdale</option>
              <option value="Rhondda Cynon Taf">Rhondda Cynon Taf</option>
              <option value="Redbridge">Redbridge</option>
              <option value="Reading">Reading</option>
              <option value="Renfrewshire">Renfrewshire</option>
              <option value="Richmond upon Thames">Richmond upon Thames</option>
              <option value="Rotherham">Rotherham</option>
              <option value="Rutland">Rutland</option>
              <option value="Sandwell">Sandwell</option>
              <option value="South Ayrshire">South Ayrshire</option>
              <option value="Scottish Borders The">Scottish Borders The</option>
              <option value="Suffolk">Suffolk</option>
              <option value="Sefton">Sefton</option>
              <option value="South Gloucestershire">South Gloucestershire</option>
              <option value="Sheffield">Sheffield</option>
              <option value="St Helens">St Helens</option>
              <option value="Shropshire">Shropshire</option>
              <option value="Stockport">Stockport</option>
              <option value="Salford">Salford</option>
              <option value="Slough">Slough</option>
              <option value="South Lanarkshire">South Lanarkshire</option>
              <option value="Sunderland">Sunderland</option>
              <option value="Solihull">Solihull</option>
              <option value="Somerset">Somerset</option>
              <option value="Southend-on-Sea">Southend-on-Sea</option>
              <option value="Surrey">Surrey</option>
              <option value="Strabane">Strabane</option>
              <option value="Stoke-on-Trent">Stoke-on-Trent</option>
              <option value="Stirling">Stirling</option>
              <option value="Southampton">Southampton</option>
              <option value="Sutton">Sutton</option>
              <option value="Staffordshire">Staffordshire</option>
              <option value="Stockton-on-Tees">Stockton-on-Tees</option>
              <option value="South Tyneside">South Tyneside</option>
              <option value="Swansea">Swansea</option>
              <option value="Swindon">Swindon</option>
              <option value="Southwark">Southwark</option>
              <option value="Tameside">Tameside</option>
              <option value="Telford and Wrekin">Telford and Wrekin</option>
              <option value="Thurrock">Thurrock</option>
              <option value="Torbay">Torbay</option>
              <option value="Torfaen">Torfaen</option>
              <option value="Trafford">Trafford</option>
              <option value="Tower Hamlets">Tower Hamlets</option>
              <option value="Vale of Glamorgan">Vale of Glamorgan</option>
              <option value="Warwickshire">Warwickshire</option>
              <option value="West Berkshire">West Berkshire</option>
              <option value="West Dunbartonshire">West Dunbartonshire</option>
              <option value="Waltham Forest">Waltham Forest</option>
              <option value="Wigan">Wigan</option>
              <option value="Wiltshire">Wiltshire</option>
              <option value="Wakefield">Wakefield</option>
              <option value="Walsall">Walsall</option>
              <option value="West Lothian">West Lothian</option>
              <option value="Wolverhampton">Wolverhampton</option>
              <option value="Wandsworth">Wandsworth</option>
              <option value="Windsor and Maidenhead">Windsor and Maidenhead</option>
              <option value="Wokingham">Wokingham</option>
              <option value="Worcestershire">Worcestershire</option>
              <option value="Wirral">Wirral</option>
              <option value="Warrington">Warrington</option>
              <option value="Wrexham">Wrexham</option>
              <option value="Westminster">Westminster</option>
              <option value="West Sussex">West Sussex</option>
              <option value="York">York</option>
              <option value="Shetland Islands">Shetland Islands</option>
              <option value="Alaska">Alaska</option>
              <option value="Alabama">Alabama</option>
              <option value="Arkansas">Arkansas</option>
              <option value="Arizona">Arizona</option>
              <option value="California">California</option>
              <option value="Colorado">Colorado</option>
              <option value="Connecticut">Connecticut</option>
              <option value="District of Columbia">District of Columbia</option>
              <option value="Delaware">Delaware</option>
              <option value="Florida">Florida</option>
              <option value="Georgia">Georgia</option>
              <option value="Hawaii">Hawaii</option>
              <option value="Iowa">Iowa</option>
              <option value="Idaho">Idaho</option>
              <option value="Illinois">Illinois</option>
              <option value="Indiana">Indiana</option>
              <option value="Kansas">Kansas</option>
              <option value="Kentucky">Kentucky</option>
              <option value="Louisiana">Louisiana</option>
              <option value="Massachusetts">Massachusetts</option>
              <option value="Maryland">Maryland</option>
              <option value="Maine">Maine</option>
              <option value="Michigan">Michigan</option>
              <option value="Minnesota">Minnesota</option>
              <option value="Missouri">Missouri</option>
              <option value="Mississippi">Mississippi</option>
              <option value="Montana">Montana</option>
              <option value="North Carolina">North Carolina</option>
              <option value="North Dakota">North Dakota</option>
              <option value="Nebraska">Nebraska</option>
              <option value="New Hampshire">New Hampshire</option>
              <option value="New Jersey">New Jersey</option>
              <option value="New Mexico">New Mexico</option>
              <option value="Nevada">Nevada</option>
              <option value="New York">New York</option>
              <option value="Ohio">Ohio</option>
              <option value="Oklahoma">Oklahoma</option>
              <option value="Oregon">Oregon</option>
              <option value="Pennsylvania">Pennsylvania</option>
              <option value="Rhode Island">Rhode Island</option>
              <option value="South Carolina">South Carolina</option>
              <option value="South Dakota">South Dakota</option>
              <option value="Tennessee">Tennessee</option>
              <option value="Texas">Texas</option>
              <option value="Utah">Utah</option>
              <option value="Virginia">Virginia</option>
              <option value="Vermont">Vermont</option>
              <option value="Washington">Washington</option>
              <option value="Wisconsin">Wisconsin</option>
              <option value="West Virginia">West Virginia</option>
              <option value="Wyoming">Wyoming</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Virgin Islands of the U.S.">Virgin Islands of the U.S.</option>
              <option value="Guam">Guam</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="U.S. Minor Outlying Islands">U.S. Minor Outlying Islands</option>
              <option value="Baker Island">Baker Island</option>
              <option value="Howland Island">Howland Island</option>
              <option value="Johnston Atoll">Johnston Atoll</option>
              <option value="Jarvis Island">Jarvis Island</option>
              <option value="Kingman Reef">Kingman Reef</option>
              <option value="Midway Atoll">Midway Atoll</option>
              <option value="Navassa Island">Navassa Island</option>
              <option value="Palmyra Atoll">Palmyra Atoll</option>
              <option value="Wake Island">Wake Island</option>
              <option value="Artigas">Artigas</option>
              <option value="Canelones">Canelones</option>
              <option value="Cerro Largo">Cerro Largo</option>
              <option value="Colonia">Colonia</option>
              <option value="Durazno">Durazno</option>
              <option value="Florida">Florida</option>
              <option value="Flores">Flores</option>
              <option value="Lavalleja">Lavalleja</option>
              <option value="Maldonado">Maldonado</option>
              <option value="Montevideo">Montevideo</option>
              <option value="Paysandu">Paysandu</option>
              <option value="Rio Negro">Rio Negro</option>
              <option value="Rocha">Rocha</option>
              <option value="Rivera">Rivera</option>
              <option value="San Jose">San Jose</option>
              <option value="Salto">Salto</option>
              <option value="Soriano">Soriano</option>
              <option value="Treinta y Tres">Treinta y Tres</option>
              <option value="Andijon">Andijon</option>
              <option value="Buxoro">Buxoro</option>
              <option value="Fargona">Fargona</option>
              <option value="Jizzax">Jizzax</option>
              <option value="Namangan">Namangan</option>
              <option value="Navoiy">Navoiy</option>
              <option value="Qashqadaryo">Qashqadaryo</option>
              <option value="Qoraqalpogiston Republikasi">Qoraqalpogiston Republikasi</option>
              <option value="Samarqand">Samarqand</option>
              <option value="Sirdaryo">Sirdaryo</option>
              <option value="Surxondaryo">Surxondaryo</option>
              <option value="Toshkent city">Toshkent city</option>
              <option value="Toshkent region">Toshkent region</option>
              <option value="Xorazm">Xorazm</option>
              <option value="Malampa">Malampa</option>
              <option value="Penama">Penama</option>
              <option value="Sanma">Sanma</option>
              <option value="Shefa">Shefa</option>
              <option value="Tafea">Tafea</option>
              <option value="Torba">Torba</option>
              <option value=""></option>
              <option value="Federal District">Federal District</option>
              <option value="Anzoategui">Anzoategui</option>
              <option value="Apure">Apure</option>
              <option value="Aragua">Aragua</option>
              <option value="Barinas">Barinas</option>
              <option value="Bolivar">Bolivar</option>
              <option value="Carabobo">Carabobo</option>
              <option value="Cojedes">Cojedes</option>
              <option value="Falcon">Falcon</option>
              <option value="Guarico">Guarico</option>
              <option value="Lara">Lara</option>
              <option value="Merida">Merida</option>
              <option value="Miranda">Miranda</option>
              <option value="Monagas">Monagas</option>
              <option value="Nueva Esparta">Nueva Esparta</option>
              <option value="Portuguesa">Portuguesa</option>
              <option value="Sucre">Sucre</option>
              <option value="Tachira">Tachira</option>
              <option value="Trujillo">Trujillo</option>
              <option value="Yaracuy">Yaracuy</option>
              <option value="Zulia">Zulia</option>
              <option value="Federal Dependency">Federal Dependency</option>
              <option value="Vargas">Vargas</option>
              <option value="Delta Amacuro">Delta Amacuro</option>
              <option value="Amazonas">Amazonas</option>
              <option value="An Giang">An Giang</option>
              <option value="Bac Ninh">Bac Ninh</option>
              <option value="Bac Giang">Bac Giang</option>
              <option value="Binh Dinh">Binh Dinh</option>
              <option value="Bac Kan">Bac Kan</option>
              <option value="Bac Lieu">Bac Lieu</option>
              <option value="Ben Tre">Ben Tre</option>
              <option value="Binh Phuoc">Binh Phuoc</option>
              <option value="Ba Ria-Vung Tau">Ba Ria-Vung Tau</option>
              <option value="Binh Thuan">Binh Thuan</option>
              <option value="Binh Duong">Binh Duong</option>
              <option value="Cao Bang">Cao Bang</option>
              <option value="Ca Mau">Ca Mau</option>
              <option value="Can Tho">Can Tho</option>
              <option value="Dien Bien">Dien Bien</option>
              <option value="Dak Nong">Dak Nong</option>
              <option value="Dong Nai">Dong Nai</option>
              <option value="Dak Lak">Dak Lak</option>
              <option value="Da Nang">Da Nang</option>
              <option value="Dong Thap">Dong Thap</option>
              <option value="Gia Lai">Gia Lai</option>
              <option value="Hoa Binh">Hoa Binh</option>
              <option value="Ho Chin Minh">Ho Chin Minh</option>
              <option value="Hai Duong">Hai Duong</option>
              <option value="Ha Giang">Ha Giang</option>
              <option value="Ha Tinh">Ha Tinh</option>
              <option value="Ha Noi">Ha Noi</option>
              <option value="Ha Nam">Ha Nam</option>
              <option value="Hai Phong">Hai Phong</option>
              <option value="Ha Tay">Ha Tay</option>
              <option value="Hau Giang">Hau Giang</option>
              <option value="Hung Yen">Hung Yen</option>
              <option value="Alo">Alo</option>
              <option value="Sigave">Sigave</option>
              <option value="Wallis">Wallis</option>
              <option value=""></option>
              <option value="Abyan">Abyan</option>
              <option value="Adan">Adan</option>
              <option value="Amran">Amran</option>
              <option value="Al Bayda">Al Bayda</option>
              <option value="Ad Dali">Ad Dali</option>
              <option value="Dhamar">Dhamar</option>
              <option value="Hadramawt">Hadramawt</option>
              <option value="Hajjah">Hajjah</option>
              <option value="Al Hudaydah">Al Hudaydah</option>
              <option value="Ibb">Ibb</option>
              <option value="Al Jawf">Al Jawf</option>
              <option value="Lahij">Lahij</option>
              <option value="Marib">Marib</option>
              <option value="Al Mahrah">Al Mahrah</option>
              <option value="Al Mahwit">Al Mahwit</option>
              <option value="Sadah">Sadah</option>
              <option value="Shabwah">Shabwah</option>
              <option value="Sana">Sana</option>
              <option value="Taizz">Taizz</option>
              <option value="Copperbelt Province">Copperbelt Province</option>
              <option value="Central Province">Central Province</option>
              <option value="Eastern Province">Eastern Province</option>
              <option value="Lusaka Province">Lusaka Province</option>
              <option value="Luapula Province">Luapula Province</option>
              <option value="Northern Province">Northern Province</option>
              <option value="North-Western Province">North-Western Province</option>
              <option value="Southern Province">Southern Province</option>
              <option value="Western Province">Western Province</option>
              <option value="Bulawayo (city)">Bulawayo (city)</option>
              <option value="Harare (city)">Harare (city)</option>
              <option value="Mashonaland Central">Mashonaland Central</option>
              <option value="Midlands">Midlands</option>
              <option value="Mashonaland East">Mashonaland East</option>
              <option value="Manicaland">Manicaland</option>
              <option value="Matabeleland North">Matabeleland North</option>
              <option value="Matabeleland South">Matabeleland South</option>
              <option value="Masvingo">Masvingo</option>
              <option value="Mashonaland West">Mashonaland West</option>
            </select><label for="input_12_25_2" id="input_12_25_2_label" class="hidden_sub_label">State</label></span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <div id="field_12_18" class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_18" data-conditional-logic="visible"><label class="gfield_label gform-field-label" for="input_12_18">Contact Email Address<span class="gfield_required"><span
              class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_18" id="input_12_18" type="email" value="" class="large" placeholder="Contact Email Address" aria-required="true" aria-invalid="false" data-conditional-logic="visible">
        </div>
      </div>
      <fieldset id="field_12_19"
        class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_19" data-conditional-logic="visible">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Country<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_country ginput_container_address gform-grid-row" id="input_12_19">
          <input type="hidden" class="gform_hidden" name="input_19.4" id="input_12_19_4" value="" data-conditional-logic="visible"><span class="ginput_left address_country ginput_address_country gform-grid-col" id="input_12_19_6_container">
            <select name="input_19.6" id="input_12_19_6" aria-required="true" data-conditional-logic="visible">
              <option value="" selected="selected">Country</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="Brunei Darussalam">Brunei Darussalam</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos Islands">Cocos Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo">Congo</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Curaçao">Curaçao</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czechia">Czechia</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Eswatini">Eswatini</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern Territories">French Southern Territories</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
              <option value="Holy See">Holy See</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Isle of Man">Isle of Man</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jersey">Jersey</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
              <option value="Korea, Republic of">Korea, Republic of</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macau">Macau</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Martinique">Martinique</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mayotte">Mayotte</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Montserrat">Montserrat</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Caledonia">New Caledonia</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Niue">Niue</option>
              <option value="Norfolk Island">Norfolk Island</option>
              <option value="North Macedonia">North Macedonia</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Pitcairn">Pitcairn</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russian Federation">Russian Federation</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Réunion">Réunion</option>
              <option value="Saint Barthélemy">Saint Barthélemy</option>
              <option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Martin">Saint Martin</option>
              <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Sint Maarten">Sint Maarten</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
              <option value="South Sudan">South Sudan</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Suriname">Suriname</option>
              <option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria Arab Republic">Syria Arab Republic</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
              <option value="Thailand">Thailand</option>
              <option value="Timor-Leste">Timor-Leste</option>
              <option value="Togo">Togo</option>
              <option value="Tokelau">Tokelau</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="Türkiye">Türkiye</option>
              <option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Viet Nam">Viet Nam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
              <option value="Wallis and Futuna">Wallis and Futuna</option>
              <option value="Western Sahara">Western Sahara</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
              <option value="Åland Islands">Åland Islands</option>
            </select>
            <label for="input_12_19_6" id="input_12_19_6_label" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Country</label>
          </span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <div id="field_12_36" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_36" data-conditional-logic="visible"><label class="gfield_label gform-field-label" for="input_12_36">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_36" id="input_12_36" type="tel" value="" class="large" placeholder="Phone" aria-invalid="false" data-conditional-logic="visible"></div>
      </div>
      <div id="field_12_20"
        class="gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_20" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_20">Social Media</label>
        <div class="gfield_description" id="gfield_description_12_20">Please add in all of the Social Media accounts that you currently have. At least one entry is required</div>
        <div class="gpnf-nested-entries-container ginput_container">
          <table class="gpnf-nested-entries">
            <thead>
              <tr>
                <th class="gpnf-field-1"> Platform </th>
                <th class="gpnf-field-3"> Handle/Username/URL </th>
                <th class="gpnf-row-actions"><span class="screen-reader-text">Actions</span></th>
              </tr>
            </thead>
            <tbody data-bind="visible: entries().length, foreach: entries" style="display: none;"></tbody>
            <tbody data-bind="visible: entries().length <= 0">
              <tr class="gpnf-no-entries" data-bind="visible: entries().length <= 0" style="">
                <td colspan="3"> There are no <span>Entries.</span> </td>
              </tr>
            </tbody>
          </table>
          <button type="button" class="gpnf-add-entry" data-formid="12" data-nestedformid="13" data-bind="attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }" disabled="disabled"> Add Entry </button>
          <p class="gpnf-add-entry-max" data-bind="visible: isMaxed" style="display: none;"> Maximum number of entries reached. </p>
        </div>
        <input type="hidden" name="input_20" id="input_12_20" data-bind="value: entryIds" value="" disabled="disabled">
      </div>
      <div id="field_12_21" class="gfield gfield--type-website gfield--input-type-website gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_21" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_12_21">Website</label>
        <div class="gfield_description" id="gfield_description_12_21">If you currently have a website, please add the url below.</div>
        <div class="ginput_container ginput_container_website">
          <input name="input_21" id="input_12_21" type="url" value="" class="large" aria-describedby="gfield_description_12_21" placeholder="https://" aria-invalid="false" disabled="disabled">
        </div>
      </div>
      <div id="field_12_30" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible"
        data-js-reload="field_12_30" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="html5_1igc35gs712f21p4i1mkvuelmi33">Attachments</label>
        <div class="gfield_description" id="gfield_description_12_30">Please include any relevant files or screenshots of your statistics.</div>
        <div class="ginput_container ginput_container_fileupload">
          <div id="gform_multifile_upload_12_30"
            data-settings="{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_12_30&quot;,&quot;container&quot;:&quot;gform_multifile_upload_12_30&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_12_30&quot;,&quot;filelist&quot;:&quot;gform_preview_12_30&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\/\/connetixtiles.com\/?gf_page=19a4f789f239466&quot;,&quot;flash_swf_url&quot;:&quot;https:\/\/connetixtiles.com\/wp-includes\/js\/plupload\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\/\/connetixtiles.com\/wp-includes\/js\/plupload\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;5242880b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:12,&quot;field_id&quot;:30},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_12_30&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}"
            class="gform_fileupload_multifile" style="position: relative;">
            <div id="gform_drag_drop_area_12_30" class="gform_drop_area gform-theme-field-control" style="position: relative;">
              <span class="gform_drop_instructions">Drop files here or </span>
              <button type="button" id="gform_browse_button_12_30" class="button gform_button_select_files gform-theme-button gform-theme-button--control" aria-describedby="gfield_upload_rules_12_30 gfield_description_12_30" style="z-index: 1;"
                aria-label="select files, attachments">Select files</button>
            </div>
            <div id="html5_1igc35gs712f21p4i1mkvuelmi33_container" class="moxie-shim moxie-shim-html5" style="position: absolute; top: 0px; left: 0px; width: 0px; height: 0px; overflow: hidden; z-index: 0;"><input
                id="html5_1igc35gs712f21p4i1mkvuelmi33" type="file" style="font-size: 999px; opacity: 0; position: absolute; top: 0px; left: 0px; width: 100%; height: 100%;" multiple="" accept="image/jpeg,.jpg,image/png,.png,application/pdf,.pdf"
                tabindex="-1" aria-hidden="true"></div>
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Experience the CONNETIX difference with our innovative range of magnetic tiles,
expertly crafted with our unique bevel design to promote creativity and
exploration of STEAM learning through PLAY.

CONNETIX uniquely appeals to a wide range of ages and abilities, recommended for
age 3+.

All tiles are ultrasonically sealed and riveted, made from non-toxic ABS plastic
that is BPA and phthalate free for enhanced safety.

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ParishTrelawny ParishWestmoreland
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TerritoriesBorsod-Abauj-ZemplenBekescsabaBacs-KiskunBaranyaBekesBudapestCsongradDebrecenDunaujvarosEgerFejerGyor-Moson-SopronGyorHajdu-BiharHodmezovasarhelyHevesJasz-Nagykun-SzolnokKecskemetKomarom-EsztergomKaposvarMiskolcNogradNagykanizsaNyiregyhazaPecsPestSzombathelySzegedSzekesfehervarSzolnokSomogySopronSzabolcs-Szatmar-BeregTatabanyaTolnaVasVeszpremZalaZalaegerszegAusturlandHofuoborgarsvaeoiNorourland
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ValentiaSaint Andrew ParishSaint Ann ParishSaint Catherine ParishClarendon
ParishSaint Elizabeth ParishHanover ParishSaint James ParishKingston
ParishManchester ParishSaint Mary ParishPortland ParishSaint Thomas
ParishTrelawny ParishWestmoreland
ParishHokkaidoAomoriIwateMiyagiAkitaYamagataHukusima (Fukushima)IbarakiTotigi
(Tochigi)GunmaSaitamaTiba (Chiba)TokyoKanagawaNiigataToyamaIsikawa
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Metropolitan CityUlsan Metropolitan
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Anthony ParishCathedral ParishSt. Lawrence ParishSt. Lazarus ParishOur Lady
Fatima ParishAntananarivo provinceAntsiranana provinceFianarantsoa
provinceMahajanga provinceToliara provinceToamasina
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IbomAnambraBauchiBenueBornoBayelsaCross RiverFederal Capital
TerritoryDeltaDiffaDossoEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKebbiKanoKogiKatsinaKwaraLagosMaradiNassarawaNigerNiameyOgunOndoOsunOyoPlateauRiversSokotoTarabaTahouaTillaberiYobeZamfaraZinderNorthern
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