www.securitybank.com
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Submitted URL: http://www.securitybank.com/sbcards-preselected2-oct2022
Effective URL: https://www.securitybank.com/personal/credit-cards/online-application/?utm_source=special-list&utm_medium=email&utm_campaign=...
Submission: On October 27 via manual from SG — Scanned from DE
Effective URL: https://www.securitybank.com/personal/credit-cards/online-application/?utm_source=special-list&utm_medium=email&utm_campaign=...
Submission: On October 27 via manual from SG — Scanned from DE
Form analysis 4 forms found in the DOM
POST https://forms.securitybank.com/formassembly/responses/processor
<form method="post" action="https://forms.securitybank.com/formassembly/responses/processor" class="hintsBelow labelsLeftAligned" id="tfa_0" enctype="multipart/form-data">
<div class="wfCurrentPage" id="wfPgIndex-1">
<div class="section pageSection" id="tfa_24069">
<div class="htmlSection" id="tfa_35494">
<div class="htmlContent" id="tfa_35494-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2019/07/header-simple-steps.png" width="450px"></div>
</div>
</div>
<div class="htmlSection" id="tfa_24087">
<div class="htmlContent" id="tfa_24087-HTML">
<div style="text-align: center;"> <img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/CC-Step-1-header.png" width="400px"></div>
</div>
</div>
<div id="tfa_35657" class="section group" style="display: none;">
<div id="tfa_35658" class="section group offstate" data-condition="`#tfa_8292`">
<div class="htmlSection" id="tfa_35659">
<div class="htmlContent" id="tfa_35659-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35660">
<div class="htmlContent" id="tfa_35660-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/cashback-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35664" class="section group offstate" data-condition="`#tfa_4`">
<div class="htmlSection" id="tfa_35665">
<div class="htmlContent" id="tfa_35665-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35666">
<div class="htmlContent" id="tfa_35666-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/gold-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35667" class="section group offstate" data-condition="`#tfa_5`">
<div class="htmlSection" id="tfa_35668">
<div class="htmlContent" id="tfa_35668-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35669">
<div class="htmlContent" id="tfa_35669-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/plat-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35673" class="section group offstate" data-condition="`#tfa_35653`">
<div class="htmlSection" id="tfa_35674">
<div class="htmlContent" id="tfa_35674-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35675">
<div class="htmlContent" id="tfa_35675-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/next-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35676" class="section group offstate" data-condition="`#tfa_8423`">
<div class="htmlSection" id="tfa_35677">
<div class="htmlContent" id="tfa_35677-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35678">
<div class="htmlContent" id="tfa_35678-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/cc-click-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35783" class="section group">
<div class="htmlSection" id="tfa_35784">
<div class="htmlContent" id="tfa_35784-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_35785">
<div class="htmlContent" id="tfa_35785-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2022/09/fwdsbcplat-app-header-2022.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36172" class="section group offstate" data-condition="`#tfa_36168`">
<div class="htmlSection" id="tfa_36173">
<div class="htmlContent" id="tfa_36173-HTML">
<div style="text-align: center;">You are applying for</div>
</div>
</div>
<div class="htmlSection" id="tfa_36174">
<div class="htmlContent" id="tfa_36174-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2022/05/cards-header-cashback-plat.png" width="400px"></div>
</div>
</div>
</div>
</div>
<div id="tfa_35598-D" class="oneField labelsRemoved hintsBelow">
<div class="inputWrapper"><span id="tfa_35598" class="choices vertical " data-condition="NOT (`#tfa_35786`)"><span class="oneChoice"><input type="checkbox" value="tfa_35599" class="" id="tfa_35599" name="tfa_35599"><label
class="label postField" id="tfa_35599-L" for="tfa_35599">I want to apply for another card</label></span></span></div>
</div>
<div id="tfa_2-D" class="oneField labelsRemoved " style="display: block;">
<div class="inputWrapper"><span id="tfa_2" class="choices vertical required"><span class="oneChoice" style="display: block;"><input type="radio" value="tfa_4" class="calc-card calcval-gold" id="tfa_4" name="tfa_2"
data-conditionals="#tfa_35664,#tfa_35686,#tfa_35721,#tfa_35751"><label class="label postField" id="tfa_4-L" for="tfa_4">Mastercard Gold</label></span><span class="oneChoice" style="display: block;"><input type="radio"
value="tfa_35653" class="calc-card calcval-next" id="tfa_35653" name="tfa_2" data-conditionals="#tfa_35673,#tfa_35764,#tfa_35695,#tfa_35727,#tfa_35757,#tfa_36159"><label class="label postField" id="tfa_35653-L" for="tfa_35653">Next
Mastercard</label></span><span class="oneChoice" style="display: block;"><input type="radio" value="tfa_5" class="calc-card calcval-platinum" id="tfa_5" name="tfa_2"
data-conditionals="#tfa_35667,#tfa_10,#tfa_35689,#tfa_35723,#tfa_35753"><label class="label postField" id="tfa_5-L" for="tfa_5">Mastercard Platinum</label></span><span class="oneChoice" style="display: none;"><input type="radio"
value="tfa_8292" class="calc-card calcval-cashback" id="tfa_8292" name="tfa_2" data-conditionals="#tfa_35658,#tfa_374,#tfa_35680,#tfa_35717,#tfa_35747"><label class="label postField" id="tfa_8292-L" for="tfa_8292">Mastercard Complete
Cashback</label></span><span class="oneChoice" style="display: block;"><input type="radio" value="tfa_8423" class="calc-card calcval-click" id="tfa_8423" name="tfa_2"
data-conditionals="#tfa_35676,#tfa_35698,#tfa_35729,#tfa_35759"><label class="label postField" id="tfa_8423-L" for="tfa_8423">Click Mastercard</label></span><span class="oneChoice" style="display: none;"><input type="radio"
value="tfa_35786" class="calc-card calcval-fwd" id="tfa_35786" name="tfa_2" data-conditionals="#tfa_35598,#tfa_36144,#tfa_36140,#tfa_36136"><label class="label postField" id="tfa_35786-L" for="tfa_35786">FWD Platinum
Mastercard</label></span><span class="oneChoice"><input type="radio" value="tfa_36168" class="calc-card calcval-cashplat" id="tfa_36168" name="tfa_2" data-conditionals="#tfa_36172,#tfa_36175,#tfa_36178,#tfa_36181"><label
class="label postField" id="tfa_36168-L" for="tfa_36168">Mastercard Cashback Platinum</label></span></span></div>
</div>
<div id="tfa_35602-D" class="oneField ">
<label id="tfa_35602-L" for="tfa_35602" class="label preField ">Card Pre-Selected</label>
<div class="inputWrapper"><span id="tfa_35602" class="choices vertical "><span class="oneChoice"><input type="radio" value="tfa_35603" class="" id="tfa_35603" name="tfa_35602"><label class="label postField" id="tfa_35603-L"
for="tfa_35603">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_35604" class="" id="tfa_35604" name="tfa_35602"><label class="label postField" id="tfa_35604-L" for="tfa_35604">No</label></span></span></div>
</div>
<div id="tfa_35538-D" class="oneField ">
<label id="tfa_35538-L" for="tfa_35538" class="label preField ">card type</label>
<div class="inputWrapper"><input type="text" id="tfa_35538" name="tfa_35538" value="none" placeholder="" default="none" class="calc-CardType form-control"></div>
</div>
<div id="tfa_35536-D" class="oneField ">
<label id="tfa_35536-L" for="tfa_35536" class="label preField ">card selector</label>
<div class="inputWrapper"><input type="text" id="tfa_35536" name="tfa_35536" value="" placeholder="" readonly="" class="formula=CardSelector(CardType) readonly form-control"></div>
</div>
<div id="tfa_35615-D" class="oneField ">
<label id="tfa_35615-L" for="tfa_35615" class="label preField ">radio button checker</label>
<div class="inputWrapper"><input type="text" id="tfa_35615" name="tfa_35615" value="" placeholder="" class="form-control"></div>
</div>
<div id="tfa_35764" class="section group offstate" data-condition="`#tfa_35653`">
<div class="htmlSection" id="tfa_35765">
<div class="htmlContent" id="tfa_35765-HTML">
<p class="next-note">
<i>Next Mastercard feature is auto-installment. Please refer to Supplemental T&C for Next Mastercard for the full description. <a href="/personal/credit-cards/next-mastercard">Click here</a> to learn more.</i></p>
</div>
</div>
</div>
<div class="htmlSection" id="tfa_35629">
<div class="htmlContent" id="tfa_35629-HTML"><span
style="color: rgb(32, 31, 30); font-family: Calibri, sans-serif; font-size: 14.6667px;"><i style=""><span style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-stretch: inherit; font-size: 10pt; line-height: inherit; font-family: Arial, sans-serif; vertical-align: baseline; color: inherit;">There’s no guarantee that you will receive your card of choice. Your approved card type may vary based on our qualification requirements and credit assessment.<br><br>If you are an existing Security Bank credit cardholder, you may apply for a second card by emailing us at <b>customercare@securitybank.com.ph</b> or by calling our Customer Service hotline at <b>(+632) 8887-9188</b>.<br><br></span></i></span>
</div>
</div>
<div class="htmlSection" id="tfa_36167">
<div class="htmlContent" id="tfa_36167-HTML">
<center>
<a href="https://www.securitybank.com/promos/welcome-gift/acquisition/q2-omnibus-acquisition-promo/"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" width="auto" style="cursor: pointer" data-lazy-src="https://forms.securitybank.com/formassembly/forms/get_image/2/68820cda1bce7d4ee95d0424675a7196-cc-ol-app-form_1130.png"><noscript><img src="https://forms.securitybank.com/formassembly/forms/get_image/2/68820cda1bce7d4ee95d0424675a7196-cc-ol-app-form_1130.png" width="auto" style="cursor: pointer"></noscript></a>
</center>
</div>
</div>
<fieldset id="tfa_1" class="section">
<legend id="tfa_1-L" align="center">Before we begin, let’s confirm if these apply to you.</legend>
<div class="htmlSection" id="tfa_35437">
<div class="htmlContent" id="tfa_35437-HTML">
<h5>Check all that applies to you:</h5>
</div>
</div>
<div id="tfa_35438-D" class="oneField labelsRemoved hintsBelow">
<div class="inputWrapper">
<span id="tfa_35438" class="choices vertical " data-condition="NOT (`#tfa_35465`)"><span class="oneChoice"><input type="checkbox" value="tfa_35439" class="" id="tfa_35439" name="tfa_35439"
data-conditionals="#tfa_358,#tfa_35464,#tfa_36148,#tfa_644,#tfa_8284,#tfa_8287,#tfa_35589,#tfa_36152,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label
class="label postField" id="tfa_35439-L" for="tfa_35439">I am an existing Security Bank account holder or I have other SBC products (loans or investment)</label></span></span><span class="field-hint-inactive" id="tfa_35438-H"><span
id="tfa_35438-HH" class="hint"><span style="background-color: rgb(255, 255, 255);">If you have a Deposit/Payroll Account or have an existing other products with Security Bank like Personal/Auto/Home Loan, Time Deposit,
etc.</span></span></span>
</div>
</div>
<div id="tfa_35440-D" class="oneField labelsRemoved ">
<div class="inputWrapper">
<span id="tfa_35440" class="choices vertical " data-condition="NOT (`#tfa_35465`)"><span class="oneChoice"><input type="checkbox" value="tfa_35441" class="" id="tfa_35441" name="tfa_35441"
data-conditionals="#tfa_8216,#tfa_35464,#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label class="label postField"
id="tfa_35441-L" for="tfa_35441">I have an existing credit card</label></span></span><span class="field-hint-inactive" id="tfa_35440-H"><span id="tfa_35440-HH" class="hint"><span style="background-color: rgb(255, 255, 255);">With
any other bank</span></span></span>
</div>
</div>
<div id="tfa_35464-D" class="oneField labelsRemoved ">
<div class="inputWrapper"><span id="tfa_35464" class="choices vertical " data-condition="NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)"><span class="oneChoice"><input type="checkbox" value="tfa_35465" class="" id="tfa_35465" name="tfa_35465"
data-conditionals="#tfa_35438,#tfa_35440,#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label
class="label postField" id="tfa_35465-L" for="tfa_35465">None of the above</label></span></span></div>
</div>
<div id="tfa_10-D" class="oneField text-center labelsAbove offstate">
<label id="tfa_10-L" for="tfa_10" class="label preField reqMark" style="width: 110px; min-width:0">Billing Type</label><br>
<div class="inputWrapper"><span id="tfa_10" class="choices horizontal required" data-condition="`#tfa_5`"><span class="oneChoice"><input type="radio" value="tfa_11" class="" id="tfa_11" name="tfa_10" disabled=""><label
class="label postField" id="tfa_11-L" for="tfa_11">Single Currency (Peso)</label></span><span class="oneChoice"><input type="radio" value="tfa_12" class="" checked="" id="tfa_12" name="tfa_10" disabled=""><label
class="label postField" id="tfa_12-L" for="tfa_12">Dual Currency (Dollar/Peso)</label></span></span></div>
</div>
</fieldset>
<fieldset id="tfa_358" class="section column offstate" data-condition="`#tfa_35439`">
<legend id="tfa_358-L" align="center">Account Information</legend>
<div id="tfa_353" class="section column group">
<div id="tfa_35639-D" class="oneField labelsRightAligned ">
<label id="tfa_35639-L" for="tfa_35639" class="label preField reqMark" style="width: 220px; min-width:0">Type of Account</label>
<div class="inputWrapper"><span id="tfa_35639" class="choices required"><span class="oneChoice"><input type="radio" value="tfa_35640" class="" id="tfa_35640" name="tfa_35639" disabled=""><label class="label postField" id="tfa_35640-L"
for="tfa_35640">Personal</label></span><span class="oneChoice"><input type="radio" value="tfa_35641" class="" id="tfa_35641" name="tfa_35639" disabled=""><label class="label postField" id="tfa_35641-L"
for="tfa_35641">Payroll</label></span></span></div>
</div>
<div id="tfa_8332-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_8332-L" for="tfa_8332" class="label preField reqMark" style="width: 220px; min-width:0">Account Number</label>
<div class="inputWrapper">
<input type="text" id="tfa_8332" name="tfa_8332" value="" style="width: 280px" placeholder="" class="required form-control" disabled=""><span class="field-hint-inactive" id="tfa_8332-H"><span id="tfa_8332-HH" class="hint">If not a
depositor, please input your loan account number.</span></span>
</div>
</div>
<div id="tfa_8333-D" class="oneField labelsRightAligned ">
<label id="tfa_8333-L" for="tfa_8333" class="label preField reqMark" style="width: 220px; min-width:0">Account Type</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_8333" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Checking</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Savings (Non-payroll)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Savings (Payroll)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Others</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_8333" name="tfa_8333" class="required selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_8337" id="tfa_8337" class="">Checking</option>
<option value="tfa_8338" id="tfa_8338" class="">Savings (Non-payroll)</option>
<option value="tfa_8339" id="tfa_8339" class="">Savings (Payroll)</option>
<option value="tfa_8340" id="tfa_8340" class="">Others</option>
</select>
</div><span class="field-hint-inactive" id="tfa_8333-H"><span id="tfa_8333-HH" class="hint">Please select "Others" if you have availed of other SBC product/s.</span></span>
</div>
</div>
<div id="tfa_352-D" class="oneField labelsRightAligned hintsSide">
<label id="tfa_352-L" for="tfa_352" class="label preField reqMark" style="width: 220px; min-width:0">Branch</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_352" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">168 Mall</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">A. Arnaiz Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">A. Linao - Paco</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">A. Roces Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Acropolis</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">ADB Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Adriatico - P. Faura</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang - Insular</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang Acacia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="11">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang Northgate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alicia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alimall</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angeles</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angeles - Sto. Rosario</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angeles – McArthur Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Annapolis - Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antipolo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aseana City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aseana Square</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ayala Alabang</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="22">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ayala Malls Manila Bay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ayala-Rufino</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baclaran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bacolod 1</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bacolod-Lacson</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="27">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bacolod-Mandalagan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baguio</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baguio BGH Rotonda</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Balagtas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Balanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baliwag</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Balut Tondo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bambang</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe - Kitanlad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe-Malaya</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="37">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe-Quezon Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bangkal-Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="39">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bangoy-Chinatown</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas-Pallocan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bel-Air</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benavidez</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">BF Paranaque</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="46">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">BF Paranaque - Aguirre</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bicutan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Binan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Binondo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Blumentritt</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="51"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Boni Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Buendia-Dian</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="53">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bukidnon Valencia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Butuan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">C. Palanca - Quiapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cabanatuan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="57">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cabanatuan - Maharlika Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calamba LISP</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="59">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calamba-Crossing</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calamba-Real</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="61"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calapan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan 10th Ave</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan Mabini</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capitol Commons</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capitol Hills</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="66"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmelray 1</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmelray 2</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="68"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmona</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Catarman</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cauayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">CDO - Georgetown</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">CDO - Limketkai</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">CDO - Osmena</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">CDO - Velez</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="75">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu - A. S. Fortuna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu - Danao</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu - Mactan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu - Osme</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="79">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu Business Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu IT Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="81"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu Juan Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="82">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu-Uptown Osme</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chino Roces - Don Bosco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Circuit City - Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clark - Angeles</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clark-Medical City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Commonwealth</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="88"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Concepcion</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="89"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congressional</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="90">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congressional Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Connecticut - Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cotabato City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="93"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cubao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dagupan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dagupan - Lucao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dasmarinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="97">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dasmariñas – FCIE</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="98"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Bajada</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="99">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Magsaysay (Main)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="100">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Monteverde</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="101">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Panabo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="102"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="103"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao - Toril</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="104">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Matina IT Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="105"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao- Lanang</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="106"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Del Monte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="107"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dela Rosa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="108"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Digos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="109">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Diliman - Matalino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="110"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dipolog</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="111">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Divisoria - Sto. Cristo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="112"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Divisoria 1</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="113">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Don Antonio Heights</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="114"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dumaguete</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="115"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="116">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez - New York Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="117">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez-SLMC</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="118"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastwood</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="119"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Edsa Central</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="120"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">EDSA-Kalookan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="121">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">EDSA-Magallanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="122"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Elcano</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="123"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Emerald Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="124"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ermita</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="125"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Espana Blvd</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="126"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eton Centris</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="127">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Evangelista-Quiapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="128">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fairview-Commonwealth</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="129">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort - Fairways Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="130">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort - Grand Hamptons II</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="131">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort - Panorama</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="132">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort - W City Center</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="133">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio - Infinity</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="134">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio - NAC Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="135">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio - Net Cube</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="136">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio-SLMC</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="137">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Triangle Drive</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="138">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">FPIP - Sto. Tomas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="139"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">G. Araneta</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="140"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gamboa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="141"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gen. Santos</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="142">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gen. Santos - National Highway </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="143"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">General Trias</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="144"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gil Puyat</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="145"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gramercy</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="146">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenhills West</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="147"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadalupe</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="148">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadalupe Commercial Complex</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="149"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Herrera</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="150"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">HV dela Costa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="151">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">HV Dela Costa - Valero</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="152"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iligan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="153"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="154">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo - General Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="155">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo - Iznart</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="156">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo Business Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="157"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo Jaro</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="158"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Imus</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="159">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">J. Abad Santos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="160"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Juan Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="161"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kabankalan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="162"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalentong</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="163"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalibo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="164"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalookan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="165"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kamias</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="166"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Karuhatan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="167"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Katipunan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="168">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Katipunan Blue Ridge</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="169">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Keyland Valero</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="170"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Koronadal</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="171"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Trinidad</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="172"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Union</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="173"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lagro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="174"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laoag</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="175"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lapu-Lapu</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="176"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Las Pinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="177"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Legazpi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="178"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lemery</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="179"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">LIMA </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="180"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lipa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="181">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lipa Medix Hospital</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="182"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lucena</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="183"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Magdalena</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="184">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Main Office Branch</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="185">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati Ave. - Constellation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="186">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati Avenue - Zuellig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="187"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="188">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon - Tugatog</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="189">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon-Potrero</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="190"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="191">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malinta - Paso de Blas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="192"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malolos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="193"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="194">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong - EDSA</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="195">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong - Libertad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="196">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong - Pioneer</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="197"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="198">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaue North Road</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="199"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="200">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina - Gil Fernando Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="201">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Market! Market!</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="202">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maypajo Kalookan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="203"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">McKinley Hill</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="204"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Medical City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="205"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Medical Plaza</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="206"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mendiola</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="207"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Meralco Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="208"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Meycauayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="209">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindanao Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="210"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Molino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="211"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montalban</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="212">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Morgan Suites - McKinley</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="213"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Naga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="214">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Naga Diversion Road</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="215"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">NAIA</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="216">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">NAIA Terminal 3</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="217"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Navotas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="218"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nieva</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="219">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ninoy Aquino Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="220"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Novaliches</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="221">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Novaliches - Bayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="222">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nuvo City Aspire</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="223"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Olongapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="224"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ongpin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="225"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ormoc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="226">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ortigas - Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="227">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ortigas - Pearl Drive</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="228"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ozamiz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="229">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">P. Guevarra - Wilson</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="230"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pagadian</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="231"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pandacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="232">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay - Libertad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="233"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay - Taft</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="234">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay City Mall</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="235">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay Macapagal Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="236">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paseo De Roxas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="237">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - C. Raymundo Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="238">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - Mabini</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="239">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - Malayan Plaza</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="240">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - Mercedez</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="241">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - Santolan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="242">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig - Shaw Blvd.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="243">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig Boulevard</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="244"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasong Tamo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="245">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasong Tamo-La Paz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="246"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Plaridel</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="247">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Promenade - Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="248">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Puerto Princesa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="249">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon Ave. - Capitol Medical</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="250">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon Ave. - South Triangle</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="251">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quirino Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="252">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Regalado - Fairview</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="253"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Reina Regente</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="254">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Reposo - J.P. Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="255"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Retiro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="256">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Robinsons Magnolia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="257"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roman Square</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="258"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roosevelt</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="259"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rosario</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="260">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roxas Boulevard</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="261"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roxas City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="262"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Salcedo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="263"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sampaloc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="264"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="265">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando - Dolores</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="266">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando - Sindalan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="267">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Francisco - Agusan del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="268">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Jose - Nueva Ecija</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="269">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan - F. Blumentritt</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="270">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan - Pinaglabanan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="271">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Miguel Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="272"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pablo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="273"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pedro</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="274">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pedro-Pacita Complex</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="275"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sangandaan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="276"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Santiago</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="277">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Shangri-la Plaza East Wing</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="278"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Silver City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="279"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Solano</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="280"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Soler</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="281">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">St. Ignatius - Katipunan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="282">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Cruz - Laguna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="283"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Elena</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="284">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Maria - Bulacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="285"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Rosa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="286">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Rosa - Balibago</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="287">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Rosa - Greenfield</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="288">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Starmall Las Pinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="289">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Subic Olongapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="290"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sucat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="291">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sucat-San Isidro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="292"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sumulong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="293"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="294"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tacloban</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="295">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tacloban - Veteranos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="296"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tacurong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="297"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taft - Nakpil</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="298">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taft - Vito Cruz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="299"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tagaytay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="300"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tagbilaran</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="301"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tagum</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="302"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tandang Sora</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="303"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="304">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac - Tanedo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="305"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taytay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="306">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taytay - Manila East</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="307">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taytay - Ortigas Extension</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="308"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tektite</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="309"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Timog Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="310"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tomas Morato</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="311"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuguegarao</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="312">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuguegarao Buntun - Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="313"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UN Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="314"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Urdaneta</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="315"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UST</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="316"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="317">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela - One Mall</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="318"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valle Verde</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="319"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Victorias</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="320"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vigan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="321">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Visayas Avenue-Project 6</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="322"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wack - Wack</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="323"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">West Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="324"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ylaya Tondo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="325"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="326">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga - Canelar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_352" name="tfa_352" class="required selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_35147" id="tfa_35147" class="">168 Mall</option>
<option value="tfa_35193" id="tfa_35193" class="">A. Arnaiz Ave.</option>
<option value="tfa_35297" id="tfa_35297" class="">A. Linao - Paco</option>
<option value="tfa_35763" id="tfa_35763" class="">A. Roces Avenue</option>
<option value="tfa_35113" id="tfa_35113" class="">Acropolis</option>
<option value="tfa_35127" id="tfa_35127" class="">ADB Avenue</option>
<option value="tfa_35231" id="tfa_35231" class="">Adriatico - P. Faura</option>
<option value="tfa_35239" id="tfa_35239" class="">Alabang</option>
<option value="tfa_35227" id="tfa_35227" class="">Alabang - Insular</option>
<option value="tfa_35228" id="tfa_35228" class="">Alabang Acacia</option>
<option value="tfa_35278" id="tfa_35278" class="">Alabang Northgate</option>
<option value="tfa_35096" id="tfa_35096" class="">Alicia</option>
<option value="tfa_35045" id="tfa_35045" class="">Alimall</option>
<option value="tfa_35023" id="tfa_35023" class="">Angeles</option>
<option value="tfa_35025" id="tfa_35025" class="">Angeles - Sto. Rosario</option>
<option value="tfa_35617" id="tfa_35617" class="">Angeles – McArthur Highway</option>
<option value="tfa_35081" id="tfa_35081" class="">Annapolis - Greenhills</option>
<option value="tfa_35253" id="tfa_35253" class="">Antipolo</option>
<option value="tfa_35057" id="tfa_35057" class="">Aseana City</option>
<option value="tfa_35320" id="tfa_35320" class="">Aseana Square</option>
<option value="tfa_35219" id="tfa_35219" class="">Ayala Alabang</option>
<option value="tfa_36188" id="tfa_36188" class="">Ayala Malls Manila Bay</option>
<option value="tfa_35262" id="tfa_35262" class="">Ayala-Rufino</option>
<option value="tfa_35251" id="tfa_35251" class="">Baclaran</option>
<option value="tfa_35075" id="tfa_35075" class="">Bacolod 1</option>
<option value="tfa_35076" id="tfa_35076" class="">Bacolod-Lacson</option>
<option value="tfa_35077" id="tfa_35077" class="">Bacolod-Mandalagan</option>
<option value="tfa_35144" id="tfa_35144" class="">Baguio</option>
<option value="tfa_35282" id="tfa_35282" class="">Baguio BGH Rotonda</option>
<option value="tfa_35254" id="tfa_35254" class="">Balagtas</option>
<option value="tfa_35232" id="tfa_35232" class="">Balanga</option>
<option value="tfa_35213" id="tfa_35213" class="">Baliwag</option>
<option value="tfa_35183" id="tfa_35183" class="">Balut Tondo</option>
<option value="tfa_35248" id="tfa_35248" class="">Bambang</option>
<option value="tfa_35017" id="tfa_35017" class="">Banawe - Kitanlad</option>
<option value="tfa_35018" id="tfa_35018" class="">Banawe-Malaya</option>
<option value="tfa_35264" id="tfa_35264" class="">Banawe-Quezon Ave.</option>
<option value="tfa_35189" id="tfa_35189" class="">Bangkal-Makati</option>
<option value="tfa_35275" id="tfa_35275" class="">Bangoy-Chinatown</option>
<option value="tfa_35162" id="tfa_35162" class="">Batangas</option>
<option value="tfa_35160" id="tfa_35160" class="">Batangas-Pallocan</option>
<option value="tfa_35068" id="tfa_35068" class="">Batino</option>
<option value="tfa_35174" id="tfa_35174" class="">Bel-Air</option>
<option value="tfa_35029" id="tfa_35029" class="">Benavidez</option>
<option value="tfa_35106" id="tfa_35106" class="">BF Paranaque</option>
<option value="tfa_35300" id="tfa_35300" class="">BF Paranaque - Aguirre</option>
<option value="tfa_35130" id="tfa_35130" class="">Bicutan</option>
<option value="tfa_35150" id="tfa_35150" class="">Binan</option>
<option value="tfa_35178" id="tfa_35178" class="">Binondo</option>
<option value="tfa_35019" id="tfa_35019" class="">Blumentritt</option>
<option value="tfa_35244" id="tfa_35244" class="">Boni Avenue</option>
<option value="tfa_35186" id="tfa_35186" class="">Buendia-Dian</option>
<option value="tfa_35298" id="tfa_35298" class="">Bukidnon Valencia</option>
<option value="tfa_35071" id="tfa_35071" class="">Butuan</option>
<option value="tfa_35028" id="tfa_35028" class="">C. Palanca - Quiapo</option>
<option value="tfa_35078" id="tfa_35078" class="">Cabanatuan</option>
<option value="tfa_35079" id="tfa_35079" class="">Cabanatuan - Maharlika Highway</option>
<option value="tfa_35281" id="tfa_35281" class="">Calamba LISP</option>
<option value="tfa_35065" id="tfa_35065" class="">Calamba-Crossing</option>
<option value="tfa_35259" id="tfa_35259" class="">Calamba-Real</option>
<option value="tfa_35161" id="tfa_35161" class="">Calapan</option>
<option value="tfa_35315" id="tfa_35315" class="">Caloocan 10th Ave</option>
<option value="tfa_35302" id="tfa_35302" class="">Caloocan Mabini</option>
<option value="tfa_36163" id="tfa_36163" class="">Capitol Commons</option>
<option value="tfa_35200" id="tfa_35200" class="">Capitol Hills</option>
<option value="tfa_35294" id="tfa_35294" class="">Carmelray 1</option>
<option value="tfa_35289" id="tfa_35289" class="">Carmelray 2</option>
<option value="tfa_35290" id="tfa_35290" class="">Carmona</option>
<option value="tfa_35099" id="tfa_35099" class="">Catarman</option>
<option value="tfa_35095" id="tfa_35095" class="">Cauayan</option>
<option value="tfa_35273" id="tfa_35273" class="">CDO - Georgetown</option>
<option value="tfa_35074" id="tfa_35074" class="">CDO - Limketkai</option>
<option value="tfa_35072" id="tfa_35072" class="">CDO - Osmena</option>
<option value="tfa_35073" id="tfa_35073" class="">CDO - Velez</option>
<option value="tfa_35119" id="tfa_35119" class="">Cebu - A. S. Fortuna</option>
<option value="tfa_35311" id="tfa_35311" class="">Cebu - Danao</option>
<option value="tfa_35308" id="tfa_35308" class="">Cebu - Mactan</option>
<option value="tfa_35121" id="tfa_35121" class="">Cebu - Osme</option>
<option value="tfa_35117" id="tfa_35117" class="">Cebu Business Park</option>
<option value="tfa_35762" id="tfa_35762" class="">Cebu IT Park</option>
<option value="tfa_35049" id="tfa_35049" class="">Cebu Juan Luna</option>
<option value="tfa_35122" id="tfa_35122" class="">Cebu-Uptown Osme</option>
<option value="tfa_35190" id="tfa_35190" class="">Chino Roces - Don Bosco</option>
<option value="tfa_35772" id="tfa_35772" class="">Circuit City - Makati</option>
<option value="tfa_35024" id="tfa_35024" class="">Clark - Angeles</option>
<option value="tfa_35234" id="tfa_35234" class="">Clark-Medical City</option>
<option value="tfa_35199" id="tfa_35199" class="">Commonwealth</option>
<option value="tfa_35246" id="tfa_35246" class="">Concepcion</option>
<option value="tfa_35060" id="tfa_35060" class="">Congressional</option>
<option value="tfa_35059" id="tfa_35059" class="">Congressional Tower</option>
<option value="tfa_35086" id="tfa_35086" class="">Connecticut - Greenhills</option>
<option value="tfa_35651" id="tfa_35651" class="">Cotabato City</option>
<option value="tfa_35046" id="tfa_35046" class="">Cubao</option>
<option value="tfa_35159" id="tfa_35159" class="">Dagupan</option>
<option value="tfa_35293" id="tfa_35293" class="">Dagupan - Lucao</option>
<option value="tfa_35223" id="tfa_35223" class="">Dasmarinas</option>
<option value="tfa_35305" id="tfa_35305" class="">Dasmariñas – FCIE</option>
<option value="tfa_35055" id="tfa_35055" class="">Davao - Bajada</option>
<option value="tfa_35050" id="tfa_35050" class="">Davao - Magsaysay (Main)</option>
<option value="tfa_35143" id="tfa_35143" class="">Davao - Monteverde</option>
<option value="tfa_35051" id="tfa_35051" class="">Davao - Panabo</option>
<option value="tfa_35138" id="tfa_35138" class="">Davao - Rizal</option>
<option value="tfa_35054" id="tfa_35054" class="">Davao - Toril</option>
<option value="tfa_35625" id="tfa_35625" class="">Davao Matina IT Park</option>
<option value="tfa_35053" id="tfa_35053" class="">Davao- Lanang</option>
<option value="tfa_35062" id="tfa_35062" class="">Del Monte</option>
<option value="tfa_35187" id="tfa_35187" class="">Dela Rosa</option>
<option value="tfa_35140" id="tfa_35140" class="">Digos</option>
<option value="tfa_35201" id="tfa_35201" class="">Diliman - Matalino</option>
<option value="tfa_35044" id="tfa_35044" class="">Dipolog</option>
<option value="tfa_35022" id="tfa_35022" class="">Divisoria - Sto. Cristo</option>
<option value="tfa_35021" id="tfa_35021" class="">Divisoria 1</option>
<option value="tfa_35202" id="tfa_35202" class="">Don Antonio Heights</option>
<option value="tfa_35100" id="tfa_35100" class="">Dumaguete</option>
<option value="tfa_35089" id="tfa_35089" class="">E. Rodriguez</option>
<option value="tfa_35265" id="tfa_35265" class="">E. Rodriguez - New York Ave.</option>
<option value="tfa_35090" id="tfa_35090" class="">E. Rodriguez-SLMC</option>
<option value="tfa_35112" id="tfa_35112" class="">Eastwood</option>
<option value="tfa_35151" id="tfa_35151" class="">Edsa Central</option>
<option value="tfa_35109" id="tfa_35109" class="">EDSA-Kalookan</option>
<option value="tfa_35240" id="tfa_35240" class="">EDSA-Magallanes</option>
<option value="tfa_35034" id="tfa_35034" class="">Elcano</option>
<option value="tfa_35125" id="tfa_35125" class="">Emerald Ave.</option>
<option value="tfa_35033" id="tfa_35033" class="">Ermita</option>
<option value="tfa_35296" id="tfa_35296" class="">Espana Blvd</option>
<option value="tfa_36166" id="tfa_36166" class="">Eton Centris</option>
<option value="tfa_35027" id="tfa_35027" class="">Evangelista-Quiapo</option>
<option value="tfa_35203" id="tfa_35203" class="">Fairview-Commonwealth</option>
<option value="tfa_35139" id="tfa_35139" class="">Fort - Fairways Tower</option>
<option value="tfa_35304" id="tfa_35304" class="">Fort - Grand Hamptons II</option>
<option value="tfa_35295" id="tfa_35295" class="">Fort - Panorama</option>
<option value="tfa_35301" id="tfa_35301" class="">Fort - W City Center</option>
<option value="tfa_35134" id="tfa_35134" class="">Fort Bonifacio - Infinity</option>
<option value="tfa_35136" id="tfa_35136" class="">Fort Bonifacio - NAC Tower</option>
<option value="tfa_35135" id="tfa_35135" class="">Fort Bonifacio - Net Cube</option>
<option value="tfa_35133" id="tfa_35133" class="">Fort Bonifacio-SLMC</option>
<option value="tfa_35128" id="tfa_35128" class="">Fort-Triangle Drive</option>
<option value="tfa_35261" id="tfa_35261" class="">FPIP - Sto. Tomas</option>
<option value="tfa_35091" id="tfa_35091" class="">G. Araneta</option>
<option value="tfa_36184" id="tfa_36184" class="">Gamboa</option>
<option value="tfa_35142" id="tfa_35142" class="">Gen. Santos</option>
<option value="tfa_35630" id="tfa_35630" class="">Gen. Santos - National Highway </option>
<option value="tfa_35318" id="tfa_35318" class="">General Trias</option>
<option value="tfa_35192" id="tfa_35192" class="">Gil Puyat</option>
<option value="tfa_35168" id="tfa_35168" class="">Gramercy</option>
<option value="tfa_35085" id="tfa_35085" class="">Greenhills West</option>
<option value="tfa_35191" id="tfa_35191" class="">Guadalupe</option>
<option value="tfa_35252" id="tfa_35252" class="">Guadalupe Commercial Complex</option>
<option value="tfa_35173" id="tfa_35173" class="">Herrera</option>
<option value="tfa_35171" id="tfa_35171" class="">HV dela Costa</option>
<option value="tfa_35176" id="tfa_35176" class="">HV Dela Costa - Valero</option>
<option value="tfa_35042" id="tfa_35042" class="">Iligan</option>
<option value="tfa_35097" id="tfa_35097" class="">Iloilo</option>
<option value="tfa_35277" id="tfa_35277" class="">Iloilo - General Luna</option>
<option value="tfa_35185" id="tfa_35185" class="">Iloilo - Iznart</option>
<option value="tfa_35306" id="tfa_35306" class="">Iloilo Business Park</option>
<option value="tfa_35761" id="tfa_35761" class="">Iloilo Jaro</option>
<option value="tfa_35225" id="tfa_35225" class="">Imus</option>
<option value="tfa_35266" id="tfa_35266" class="">J. Abad Santos</option>
<option value="tfa_35179" id="tfa_35179" class="">Juan Luna</option>
<option value="tfa_35314" id="tfa_35314" class="">Kabankalan</option>
<option value="tfa_35267" id="tfa_35267" class="">Kalentong</option>
<option value="tfa_35104" id="tfa_35104" class="">Kalibo</option>
<option value="tfa_35107" id="tfa_35107" class="">Kalookan</option>
<option value="tfa_35269" id="tfa_35269" class="">Kamias</option>
<option value="tfa_35209" id="tfa_35209" class="">Karuhatan</option>
<option value="tfa_35205" id="tfa_35205" class="">Katipunan</option>
<option value="tfa_36164" id="tfa_36164" class="">Katipunan Blue Ridge</option>
<option value="tfa_35317" id="tfa_35317" class="">Keyland Valero</option>
<option value="tfa_35141" id="tfa_35141" class="">Koronadal</option>
<option value="tfa_35207" id="tfa_35207" class="">La Trinidad</option>
<option value="tfa_35092" id="tfa_35092" class="">La Union</option>
<option value="tfa_35197" id="tfa_35197" class="">Lagro</option>
<option value="tfa_35217" id="tfa_35217" class="">Laoag</option>
<option value="tfa_35120" id="tfa_35120" class="">Lapu-Lapu</option>
<option value="tfa_35238" id="tfa_35238" class="">Las Pinas</option>
<option value="tfa_35165" id="tfa_35165" class="">Legazpi</option>
<option value="tfa_35280" id="tfa_35280" class="">Lemery</option>
<option value="tfa_35616" id="tfa_35616" class="">LIMA </option>
<option value="tfa_35080" id="tfa_35080" class="">Lipa</option>
<option value="tfa_35292" id="tfa_35292" class="">Lipa Medix Hospital</option>
<option value="tfa_35163" id="tfa_35163" class="">Lucena</option>
<option value="tfa_35036" id="tfa_35036" class="">Magdalena</option>
<option value="tfa_35020" id="tfa_35020" class="">Main Office Branch</option>
<option value="tfa_35175" id="tfa_35175" class="">Makati Ave. - Constellation</option>
<option value="tfa_35309" id="tfa_35309" class="">Makati Avenue - Zuellig</option>
<option value="tfa_35194" id="tfa_35194" class="">Malabon</option>
<option value="tfa_35195" id="tfa_35195" class="">Malabon - Tugatog</option>
<option value="tfa_35237" id="tfa_35237" class="">Malabon-Potrero</option>
<option value="tfa_35230" id="tfa_35230" class="">Malate</option>
<option value="tfa_35215" id="tfa_35215" class="">Malinta - Paso de Blas</option>
<option value="tfa_35211" id="tfa_35211" class="">Malolos</option>
<option value="tfa_35038" id="tfa_35038" class="">Mandaluyong</option>
<option value="tfa_35039" id="tfa_35039" class="">Mandaluyong - EDSA</option>
<option value="tfa_35040" id="tfa_35040" class="">Mandaluyong - Libertad</option>
<option value="tfa_35087" id="tfa_35087" class="">Mandaluyong - Pioneer</option>
<option value="tfa_35116" id="tfa_35116" class="">Mandaue</option>
<option value="tfa_35118" id="tfa_35118" class="">Mandaue North Road</option>
<option value="tfa_35153" id="tfa_35153" class="">Marikina</option>
<option value="tfa_35152" id="tfa_35152" class="">Marikina - Gil Fernando Ave.</option>
<option value="tfa_35131" id="tfa_35131" class="">Market! Market!</option>
<option value="tfa_35108" id="tfa_35108" class="">Maypajo Kalookan</option>
<option value="tfa_35137" id="tfa_35137" class="">McKinley Hill</option>
<option value="tfa_35124" id="tfa_35124" class="">Medical City</option>
<option value="tfa_35188" id="tfa_35188" class="">Medical Plaza</option>
<option value="tfa_35110" id="tfa_35110" class="">Mendiola</option>
<option value="tfa_35126" id="tfa_35126" class="">Meralco Ave.</option>
<option value="tfa_35212" id="tfa_35212" class="">Meycauayan</option>
<option value="tfa_35058" id="tfa_35058" class="">Mindanao Avenue</option>
<option value="tfa_35226" id="tfa_35226" class="">Molino</option>
<option value="tfa_35255" id="tfa_35255" class="">Montalban</option>
<option value="tfa_35285" id="tfa_35285" class="">Morgan Suites - McKinley</option>
<option value="tfa_35164" id="tfa_35164" class="">Naga</option>
<option value="tfa_35166" id="tfa_35166" class="">Naga Diversion Road</option>
<option value="tfa_35274" id="tfa_35274" class="">NAIA</option>
<option value="tfa_35276" id="tfa_35276" class="">NAIA Terminal 3</option>
<option value="tfa_35208" id="tfa_35208" class="">Navotas</option>
<option value="tfa_35172" id="tfa_35172" class="">Nieva</option>
<option value="tfa_35167" id="tfa_35167" class="">Ninoy Aquino Avenue</option>
<option value="tfa_35198" id="tfa_35198" class="">Novaliches</option>
<option value="tfa_35243" id="tfa_35243" class="">Novaliches - Bayan</option>
<option value="tfa_35114" id="tfa_35114" class="">Nuvo City Aspire</option>
<option value="tfa_35221" id="tfa_35221" class="">Olongapo</option>
<option value="tfa_35037" id="tfa_35037" class="">Ongpin</option>
<option value="tfa_35101" id="tfa_35101" class="">Ormoc</option>
<option value="tfa_35082" id="tfa_35082" class="">Ortigas - Greenhills</option>
<option value="tfa_35245" id="tfa_35245" class="">Ortigas - Pearl Drive</option>
<option value="tfa_35303" id="tfa_35303" class="">Ozamiz</option>
<option value="tfa_35088" id="tfa_35088" class="">P. Guevarra - Wilson</option>
<option value="tfa_35043" id="tfa_35043" class="">Pagadian</option>
<option value="tfa_35041" id="tfa_35041" class="">Pandacan</option>
<option value="tfa_35015" id="tfa_35015" class="">Pasay - Libertad</option>
<option value="tfa_35016" id="tfa_35016" class="">Pasay - Taft</option>
<option value="tfa_35235" id="tfa_35235" class="">Pasay City Mall</option>
<option value="tfa_35056" id="tfa_35056" class="">Pasay Macapagal Ave.</option>
<option value="tfa_35169" id="tfa_35169" class="">Paseo De Roxas</option>
<option value="tfa_35155" id="tfa_35155" class="">Pasig - C. Raymundo Ave.</option>
<option value="tfa_35157" id="tfa_35157" class="">Pasig - Mabini</option>
<option value="tfa_35626" id="tfa_35626" class="">Pasig - Malayan Plaza</option>
<option value="tfa_35241" id="tfa_35241" class="">Pasig - Mercedez</option>
<option value="tfa_35154" id="tfa_35154" class="">Pasig - Santolan</option>
<option value="tfa_35158" id="tfa_35158" class="">Pasig - Shaw Blvd.</option>
<option value="tfa_35156" id="tfa_35156" class="">Pasig Boulevard</option>
<option value="tfa_35170" id="tfa_35170" class="">Pasong Tamo</option>
<option value="tfa_35271" id="tfa_35271" class="">Pasong Tamo-La Paz</option>
<option value="tfa_35257" id="tfa_35257" class="">Plaridel</option>
<option value="tfa_35634" id="tfa_35634" class="">Promenade - Greenhills</option>
<option value="tfa_35102" id="tfa_35102" class="">Puerto Princesa</option>
<option value="tfa_35061" id="tfa_35061" class="">Quezon Ave. - Capitol Medical</option>
<option value="tfa_35064" id="tfa_35064" class="">Quezon Ave. - South Triangle</option>
<option value="tfa_35115" id="tfa_35115" class="">Quirino Highway</option>
<option value="tfa_35270" id="tfa_35270" class="">Regalado - Fairview</option>
<option value="tfa_35148" id="tfa_35148" class="">Reina Regente</option>
<option value="tfa_35177" id="tfa_35177" class="">Reposo - J.P. Rizal</option>
<option value="tfa_35263" id="tfa_35263" class="">Retiro</option>
<option value="tfa_35779" id="tfa_35779" class="">Robinsons Magnolia</option>
<option value="tfa_35149" id="tfa_35149" class="">Roman Square</option>
<option value="tfa_35196" id="tfa_35196" class="">Roosevelt</option>
<option value="tfa_35224" id="tfa_35224" class="">Rosario</option>
<option value="tfa_35031" id="tfa_35031" class="">Roxas Boulevard</option>
<option value="tfa_35103" id="tfa_35103" class="">Roxas City</option>
<option value="tfa_35181" id="tfa_35181" class="">Salcedo</option>
<option value="tfa_35249" id="tfa_35249" class="">Sampaloc</option>
<option value="tfa_35233" id="tfa_35233" class="">San Fernando</option>
<option value="tfa_35272" id="tfa_35272" class="">San Fernando - Dolores</option>
<option value="tfa_35307" id="tfa_35307" class="">San Fernando - Sindalan</option>
<option value="tfa_35313" id="tfa_35313" class="">San Francisco - Agusan del Sur</option>
<option value="tfa_35316" id="tfa_35316" class="">San Jose - Nueva Ecija</option>
<option value="tfa_35288" id="tfa_35288" class="">San Juan - F. Blumentritt</option>
<option value="tfa_35026" id="tfa_35026" class="">San Juan - Pinaglabanan</option>
<option value="tfa_35123" id="tfa_35123" class="">San Miguel Ave.</option>
<option value="tfa_35067" id="tfa_35067" class="">San Pablo</option>
<option value="tfa_35180" id="tfa_35180" class="">San Pedro</option>
<option value="tfa_35250" id="tfa_35250" class="">San Pedro-Pacita Complex</option>
<option value="tfa_35247" id="tfa_35247" class="">Sangandaan</option>
<option value="tfa_35216" id="tfa_35216" class="">Santiago</option>
<option value="tfa_35633" id="tfa_35633" class="">Shangri-la Plaza East Wing</option>
<option value="tfa_35284" id="tfa_35284" class="">Silver City</option>
<option value="tfa_35310" id="tfa_35310" class="">Solano</option>
<option value="tfa_35035" id="tfa_35035" class="">Soler</option>
<option value="tfa_35206" id="tfa_35206" class="">St. Ignatius - Katipunan</option>
<option value="tfa_36165" id="tfa_36165" class="">Sta. Cruz - Laguna</option>
<option value="tfa_35014" id="tfa_35014" class="">Sta. Elena</option>
<option value="tfa_35214" id="tfa_35214" class="">Sta. Maria - Bulacan</option>
<option value="tfa_35066" id="tfa_35066" class="">Sta. Rosa</option>
<option value="tfa_35260" id="tfa_35260" class="">Sta. Rosa - Balibago</option>
<option value="tfa_35069" id="tfa_35069" class="">Sta. Rosa - Greenfield</option>
<option value="tfa_35229" id="tfa_35229" class="">Starmall Las Pinas</option>
<option value="tfa_35220" id="tfa_35220" class="">Subic Olongapo</option>
<option value="tfa_35105" id="tfa_35105" class="">Sucat</option>
<option value="tfa_35242" id="tfa_35242" class="">Sucat-San Isidro</option>
<option value="tfa_35132" id="tfa_35132" class="">Sumulong</option>
<option value="tfa_35070" id="tfa_35070" class="">Surigao</option>
<option value="tfa_35098" id="tfa_35098" class="">Tacloban</option>
<option value="tfa_35287" id="tfa_35287" class="">Tacloban - Veteranos</option>
<option value="tfa_35312" id="tfa_35312" class="">Tacurong</option>
<option value="tfa_35032" id="tfa_35032" class="">Taft - Nakpil</option>
<option value="tfa_35030" id="tfa_35030" class="">Taft - Vito Cruz</option>
<option value="tfa_35222" id="tfa_35222" class="">Tagaytay</option>
<option value="tfa_35184" id="tfa_35184" class="">Tagbilaran</option>
<option value="tfa_35052" id="tfa_35052" class="">Tagum</option>
<option value="tfa_35268" id="tfa_35268" class="">Tandang Sora</option>
<option value="tfa_35182" id="tfa_35182" class="">Tarlac</option>
<option value="tfa_35299" id="tfa_35299" class="">Tarlac - Tanedo</option>
<option value="tfa_35236" id="tfa_35236" class="">Taytay</option>
<option value="tfa_35291" id="tfa_35291" class="">Taytay - Manila East</option>
<option value="tfa_35129" id="tfa_35129" class="">Taytay - Ortigas Extension</option>
<option value="tfa_35083" id="tfa_35083" class="">Tektite</option>
<option value="tfa_35256" id="tfa_35256" class="">Timog Avenue</option>
<option value="tfa_35047" id="tfa_35047" class="">Tomas Morato</option>
<option value="tfa_35094" id="tfa_35094" class="">Tuguegarao</option>
<option value="tfa_35286" id="tfa_35286" class="">Tuguegarao Buntun - Highway</option>
<option value="tfa_35258" id="tfa_35258" class="">UN Avenue</option>
<option value="tfa_35093" id="tfa_35093" class="">Urdaneta</option>
<option value="tfa_35048" id="tfa_35048" class="">UST</option>
<option value="tfa_35210" id="tfa_35210" class="">Valenzuela</option>
<option value="tfa_35319" id="tfa_35319" class="">Valenzuela - One Mall</option>
<option value="tfa_35111" id="tfa_35111" class="">Valle Verde</option>
<option value="tfa_35283" id="tfa_35283" class="">Victorias</option>
<option value="tfa_35218" id="tfa_35218" class="">Vigan</option>
<option value="tfa_35204" id="tfa_35204" class="">Visayas Avenue-Project 6</option>
<option value="tfa_35084" id="tfa_35084" class="">Wack - Wack</option>
<option value="tfa_35063" id="tfa_35063" class="">West Avenue</option>
<option value="tfa_35279" id="tfa_35279" class="">Ylaya Tondo</option>
<option value="tfa_35145" id="tfa_35145" class="">Zamboanga</option>
<option value="tfa_35146" id="tfa_35146" class="">Zamboanga - Canelar</option>
</select>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset id="tfa_8216" class="section offstate" data-condition="`#tfa_35441`">
<legend id="tfa_8216-L" align="center">Credit Card Details</legend>
<div id="tfa_8267" class="section group">
<div id="tfa_8269" class="repeat section group" wfr_handled="true">
<div id="tfa_8220-D" class="oneField labelsRightAligned ">
<label id="tfa_8220-L" for="tfa_8220" class="label preField reqMark" style="width: 220px; min-width:0">Issuing Bank</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_8220" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banco de Oro Universal Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bank of Commerce</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bank of the Philippine Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Citibank N.A.</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="5">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">HongKong ShangHai Banking Corporation Limited</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="6">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Metrobank Card Corporation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Standard Chartered Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Equicom Savings Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Citibank Savings Inc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">HSBC Savings</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="11">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bankard, Inc.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">BPI Family Savings Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">RCBC Savings Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">SB Cards Corporation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">EastWest Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maybank Philippines</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Philippine National Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UnionBank of the Philippines</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">ChinaTrust Commercial Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Asia United Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">China Banking Corporation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_8220" name="tfa_8220" class="required selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_35359" id="tfa_35359" class="">Banco de Oro Universal Bank</option>
<option value="tfa_35637" id="tfa_35637" class="">Bank of Commerce</option>
<option value="tfa_35360" id="tfa_35360" class="">Bank of the Philippine Islands</option>
<option value="tfa_35361" id="tfa_35361" class="">Citibank N.A.</option>
<option value="tfa_35362" id="tfa_35362" class="">HongKong ShangHai Banking Corporation Limited</option>
<option value="tfa_35363" id="tfa_35363" class="">Metrobank Card Corporation</option>
<option value="tfa_35364" id="tfa_35364" class="">Standard Chartered Bank</option>
<option value="tfa_35365" id="tfa_35365" class="">Equicom Savings Bank</option>
<option value="tfa_35366" id="tfa_35366" class="">Citibank Savings Inc</option>
<option value="tfa_35367" id="tfa_35367" class="">HSBC Savings</option>
<option value="tfa_35368" id="tfa_35368" class="">Bankard, Inc.</option>
<option value="tfa_35369" id="tfa_35369" class="">BPI Family Savings Bank</option>
<option value="tfa_35370" id="tfa_35370" class="">RCBC Savings Bank</option>
<option value="tfa_35371" id="tfa_35371" class="">SB Cards Corporation</option>
<option value="tfa_35372" id="tfa_35372" class="">EastWest Bank</option>
<option value="tfa_35373" id="tfa_35373" class="">Maybank Philippines</option>
<option value="tfa_35374" id="tfa_35374" class="">Philippine National Bank</option>
<option value="tfa_35375" id="tfa_35375" class="">UnionBank of the Philippines</option>
<option value="tfa_35376" id="tfa_35376" class="">ChinaTrust Commercial Bank</option>
<option value="tfa_35631" id="tfa_35631" class="">Asia United Bank</option>
<option value="tfa_35632" id="tfa_35632" class="">China Banking Corporation</option>
</select>
</div>
</div>
</div>
<span class="duplicateSpan"><a id="tfa_8269-wfDL" class="duplicateLink" href="#">Add another card</a></span>
</div>
</div>
</fieldset>
<fieldset id="tfa_36148" class="section" data-condition="NOT (`#tfa_35439`)">
<legend id="tfa_36148-L" align="center">Let's check your eligibility</legend>
<div id="tfa_36149-D" class="oneField labelsRightAligned ">
<label id="tfa_36149-L" for="tfa_36149" class="label preField reqMark" style="width: 230px; min-width:0">Is your Gross Annual Income at least P480,000?</label>
<div class="inputWrapper"><span id="tfa_36149" class="choices horizontal required"><span class="oneChoice"><input type="radio" value="tfa_36150" class="" id="tfa_36150" name="tfa_36149" data-conditionals="#tfa_36152"><label
class="label postField" id="tfa_36150-L" for="tfa_36150">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_36151" class="" id="tfa_36151" name="tfa_36149"
data-conditionals="#tfa_24080,#tfa_24076,#tfa_24068,#tfa_36155,#tfa_35686,#tfa_35721,#tfa_35751,#tfa_35695,#tfa_35727,#tfa_35757,#tfa_36159,#tfa_35689,#tfa_35723,#tfa_35753,#tfa_374,#tfa_35680,#tfa_35717,#tfa_35747,#tfa_35698,#tfa_35729,#tfa_35759,#tfa_36144,#tfa_36140,#tfa_36136,#tfa_36175,#tfa_36178,#tfa_36181,#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35454,#tfa_35447,#tfa_35449,#tfa_35451,#tfa_23763,#tfa_8291,#tfa_28258,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label
class="label postField" id="tfa_36151-L" for="tfa_36151">No</label></span></span></div>
</div>
<div id="tfa_36152-D" class="oneField labelsRightAligned offstate">
<label id="tfa_36152-L" for="tfa_36152" class="label preField reqMark" style="width: 230px; min-width:0">Do you have an existing credit card with other bank of at least 6 months?</label>
<div class="inputWrapper"><span id="tfa_36152" class="choices horizontal required" data-condition="(`#tfa_36150`) AND (NOT (`#tfa_35439`))"><span class="oneChoice"><input type="radio" value="tfa_36153" class="" id="tfa_36153"
name="tfa_36152" disabled=""><label class="label postField" id="tfa_36153-L" for="tfa_36153">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_36154" class="" id="tfa_36154" name="tfa_36152"
data-conditionals="#tfa_35587,#tfa_8284,#tfa_8287,#tfa_35589,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35542,#tfa_35777,#tfa_35778" disabled=""><label class="label postField" id="tfa_36154-L"
for="tfa_36154">No</label></span></span></div>
</div>
</fieldset>
<fieldset id="tfa_35587" class="section offstate" data-condition="`#tfa_36154`">
<legend id="tfa_35587-L" align="center">You'll Need to Prepare the Following</legend>
<div class="htmlSection" id="tfa_35588">
<div class="htmlContent" id="tfa_35588-HTML">
<h5>Government ID (you'll need to encode your Government ID number)</h5>
<ul>
<li><b>Prepare just one of the following (UMID, SSS ID, GSIS ID or TIN ID)</b></li>
</ul>
<h5>Company Address</h5>
</div>
</div>
<div id="tfa_35589" class="section group offstate" data-condition="(NOT (`#tfa_35439`)) AND (`#tfa_36154`)">
<div class="htmlSection" id="tfa_35592">
<div class="htmlContent" id="tfa_35592-HTML">
<h5>Proof of Identification (prepare just one of the following options for upload)</h5>
<ul>
<li><b>Option 1: </b>Any of the following - UMID, SSS ID, GSIS ID, TIN, Passport, Driver's License or PRC ID</li>
<li><b>Option 2: </b>2 Secondary IDs<br></li>
</ul>
<i><b><a href="https://www.securitybank.com/list-of-valid-ids-for-credit-cards/" target="_blank" rel="noopener">Click here</a> to see list of valid IDs</b></i>
</div>
</div>
</div>
<div id="tfa_35590" class="section group">
<div class="htmlSection" id="tfa_35593">
<div class="htmlContent" id="tfa_35593-HTML">
<h5>Proof of Income (prepare at least one of the following options for upload)</h5>
<ul>
<li><b>Option 1: LATEST </b>one (1) Month of Payslip</li>
<li><b>Option 2: LATEST </b>Certificate of Employment w/ Compensation and Benefits issued within the last 6 months</li>
<li><b>Option 3: LATEST </b>one (1) year ITR duly stamped as received by BIR </li>
</ul>
</div>
</div>
</div>
<div id="tfa_35591" class="section group">
<div class="htmlSection" id="tfa_35594">
<div class="htmlContent" id="tfa_35594-HTML">
<h5>Proof of Business (prepare ALL of the documents for upload) - For Self-Employed<br></h5>
<ul>
<li><b>LATEST </b>one (1) year ITR duly stamped as received by BIR</li>
<li><b>LATEST </b>two (2) Years of Audited Financial Statements (AFS)</li>
<li><b>Current </b>Business Permit</li>
<li>Proof of ownership (DTI/SEC Registration)</li>
</ul>
</div>
</div>
</div>
</fieldset>
<fieldset id="tfa_35436" class="section">
<legend id="tfa_35436-L" align="center">Fields not used</legend>
<div id="tfa_8221-D" class="oneField labelsRightAligned ">
<label id="tfa_8221-L" for="tfa_8221" class="label preField " style="width: 220px; min-width:0">Complete Card No.</label>
<div class="inputWrapper"><input type="text" id="tfa_8221" name="tfa_8221" value="" style="width: 280px" placeholder="" class="form-control"></div>
</div>
<div id="tfa_24077-D" class="oneField labelsAbove ">
<label id="tfa_24077-L" for="tfa_24077" class="label preField " style="width: 210pxpx; min-width:0">Do you have other credit cards?</label><br>
<div class="inputWrapper"><span id="tfa_24077" class="choices horizontal "><span class="oneChoice"><input type="radio" value="tfa_24078" class="" id="tfa_24078" name="tfa_24077"><label class="label postField" id="tfa_24078-L"
for="tfa_24078">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_24079" class="" id="tfa_24079" name="tfa_24077"><label class="label postField" id="tfa_24079-L" for="tfa_24079">No</label></span></span></div>
</div>
<div id="tfa_23760-D" class="oneField labelsRightAligned offstate">
<label id="tfa_23760-L" for="tfa_23760" class="label preField " style="width: 220px; min-width:0">Payroll Acct. Number</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_23760" name="tfa_23760" value="" style="width: 280px" placeholder="" maxlength="13" data-condition="`#tfa_34357`"
class="validate-custom /^[0-9a-zA-Z]{13}$/ form-control" disabled="">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">13 characters left.</div>
</div>
</div>
</div>
<div id="tfa_34356-D" class="oneField labelsAbove ">
<label id="tfa_34356-L" for="tfa_34356" class="label preField " style="width: 210pxpx; min-width:0">My payroll is with Security Bank</label><br>
<div class="inputWrapper"><span id="tfa_34356" class="choices horizontal "><span class="oneChoice"><input type="radio" value="tfa_34357" class="" id="tfa_34357" name="tfa_34356" data-conditionals="#tfa_23760"><label class="label postField"
id="tfa_34357-L" for="tfa_34357">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_34358" class="" id="tfa_34358" name="tfa_34356"><label class="label postField" id="tfa_34358-L"
for="tfa_34358">No</label></span></span></div>
</div>
<div id="tfa_1002-D" class="oneField labelsRightAligned ">
<label id="tfa_1002-L" for="tfa_1002" class="label preField " style="width: 220px; min-width:0">Submitted ID Type</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_1002" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">SSS Card</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">GSIS e-Card</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">TIN/ Tax ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UMID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Passport</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Driver's License</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">PRC ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">NBI Clearance</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Police Clearance</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Postal ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Voter's ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Barangay Certification</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_1002" name="tfa_1002" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_8137" id="tfa_8137" class="">SSS Card</option>
<option value="tfa_8138" id="tfa_8138" class="">GSIS e-Card</option>
<option value="tfa_8139" id="tfa_8139" class="">TIN/ Tax ID</option>
<option value="tfa_8140" id="tfa_8140" class="">UMID</option>
<option value="tfa_8141" id="tfa_8141" class="">Passport</option>
<option value="tfa_8142" id="tfa_8142" class="">Driver's License</option>
<option value="tfa_8143" id="tfa_8143" class="">PRC ID</option>
<option value="tfa_8144" id="tfa_8144" class="">NBI Clearance</option>
<option value="tfa_8145" id="tfa_8145" class="">Police Clearance</option>
<option value="tfa_8146" id="tfa_8146" class="">Postal ID</option>
<option value="tfa_8147" id="tfa_8147" class="">Voter's ID</option>
<option value="tfa_8148" id="tfa_8148" class="">Barangay Certification</option>
</select>
</div><span class="field-hint-inactive" id="tfa_1002-H"><span id="tfa_1002-HH" class="hint">based on submitted document</span></span>
</div>
</div>
<div id="tfa_1004-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_1004-L" for="tfa_1004" class="label preField " style="width: 220px; min-width:0">Submitted ID Number</label>
<div class="inputWrapper">
<input type="text" id="tfa_1004" name="tfa_1004" value="" style="width: 280px" placeholder="" class="form-control"><span class="field-hint-inactive" id="tfa_1004-H"><span id="tfa_1004-HH" class="hint">based on submitted
document</span></span>
</div>
</div>
<div id="tfa_13-D" class="oneField ">
<div class="inputWrapper"><span id="tfa_13" class="choices vertical "><span class="oneChoice"><input type="checkbox" value="tfa_14" class="" checked="" id="tfa_14" name="tfa_14"><label class="label postField" id="tfa_14-L" for="tfa_14">I
would like a classic/gold credit card if I do not qualify for my card of choice</label></span></span></div>
</div>
<div id="tfa_8160-D" class="oneField labelsRightAligned ">
<label id="tfa_8160-L" for="tfa_8160" class="label preField " style="width: 220px; min-width:0">Zip Code</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_8160" name="tfa_8160" value="" style="width: 280px" placeholder="" maxlength="4" min="0" max="9999" class="form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">4 characters left.</div>
</div>
</div>
</div>
<div id="tfa_30288-D" class="oneField labelsRightAligned ">
<label id="tfa_30288-L" for="tfa_30288" class="label preField " style="width: 220px; min-width:0">Zip Code</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_30288" name="tfa_30288" value="" style="width: 280px" placeholder="" maxlength="4" min="0" max="9999" class="form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">4 characters left.</div>
</div>
</div>
</div>
<div id="tfa_8163-D" class="oneField labelsRightAligned ">
<label id="tfa_8163-L" for="tfa_8163" class="label preField " style="width: 220px; min-width:0">Zip Code</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_8163" name="tfa_8163" value="" style="width: 280px" placeholder="" maxlength="4" min="0" max="9999" class="form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">4 characters left.</div>
</div>
</div>
</div>
<div id="tfa_34350-D" class="oneField labelsAbove ">
<label id="tfa_34350-L" for="tfa_34350" class="label preField " style="width: 210pxpx; min-width:0">I am a Security Bank Depositor</label><br>
<div class="inputWrapper"><span id="tfa_34350" class="choices horizontal "><span class="oneChoice"><input type="radio" value="tfa_34351" class="" id="tfa_34351" name="tfa_34350"><label class="label postField" id="tfa_34351-L"
for="tfa_34351">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_34352" class="" id="tfa_34352" name="tfa_34350"><label class="label postField" id="tfa_34352-L" for="tfa_34352">No</label></span></span></div>
</div>
<div id="tfa_795-D" class="oneField labelsLeftAligned hintsBelow">
<label id="tfa_795-L" for="tfa_795" class="label preField " style="width: 630px; min-width:0">Would you like to provide additional information? Providing this information allows to process your application faster and more accurately,
leading to a higher credit limit.</label>
<div class="inputWrapper"><span id="tfa_795" class="choices "><span class="oneChoice"><input type="radio" value="tfa_797" class="" id="tfa_797" name="tfa_795" data-conditionals="#tfa_652,#tfa_684"><label class="label postField"
id="tfa_797-L" for="tfa_797">Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_798" class="" id="tfa_798" name="tfa_795"><label class="label postField" id="tfa_798-L" for="tfa_798">No</label></span></span>
</div>
</div>
<div id="tfa_8283-D" class="oneField repeat labelsRightAligned hintsBelow" data-repeatlimit="5" wfr_handled="true">
<label id="tfa_8283-L" for="tfa_8283" class="label preField " style="width: 220px; min-width:0">Holdout Deposit Documents</label>
<div class="inputWrapper">
<label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_8283" name="tfa_8283" size="" class="hidden">
</label><span class="field-hint-inactive" id="tfa_8283-H"><span id="tfa_8283-HH" class="hint">Required Documents: Signed Holdout Agreement Form – please ask your Security Bank branch for more information</span></span>
</div>
<span class="duplicateSpan"><a id="tfa_8283-D-wfDL" class="duplicateLink" href="#">Add another file</a></span>
</div>
<div id="tfa_652" class="section column group offstate" data-condition="`#tfa_797`">
<div id="tfa_653" class="section group">
<fieldset id="tfa_24086" class="section">
<legend id="tfa_24086-L" align="center">Additional Personal Information</legend>
<div id="tfa_731-D" class="oneField labelsRightAligned ">
<label id="tfa_731-L" for="tfa_731" class="label preField " style="width: 220px; min-width:0">Total Years Working</label>
<div class="inputWrapper"><input type="text" id="tfa_731" name="tfa_731" value="" style="width: 280px" placeholder="" min="0" max="1000" class="validate-integer form-control" disabled=""></div>
</div>
<div id="tfa_673-D" class="oneField labelsRightAligned ">
<label id="tfa_673-L" for="tfa_673" class="label preField " style="width: 220px; min-width:0">Number of Dependents</label>
<div class="inputWrapper"><input type="text" id="tfa_673" name="tfa_673" value="" style="width: 280px" placeholder="" min="0" max="1000" class="validate-integer form-control" disabled=""></div>
</div>
<div id="tfa_695-D" class="oneField labelsRightAligned ">
<label id="tfa_695-L" for="tfa_695" class="label preField " style="width: 220px; min-width:0">Education</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_695" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">High School</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">College/Graduate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Postgraduate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Technical/Vocational</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_695" name="tfa_695" class="selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_8271" id="tfa_8271" class="">High School</option>
<option value="tfa_703" id="tfa_703" class="">College/Graduate</option>
<option value="tfa_704" id="tfa_704" class="">Postgraduate</option>
<option value="tfa_700" id="tfa_700" class="">Technical/Vocational</option>
</select>
</div>
</div>
</div>
<div id="tfa_675-D" class="oneField labelsRightAligned ">
<label id="tfa_675-L" for="tfa_675" class="label preField " style="width: 220px; min-width:0">Course</label>
<div class="inputWrapper"><input type="text" id="tfa_675" name="tfa_675" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_711-D" class="oneField labelsRightAligned ">
<label id="tfa_711-L" for="tfa_711" class="label preField " style="width: 220px; min-width:0">Home Ownership</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_711" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Owned</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mortgage</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rented</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Living w/ Relatives</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Other</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_711" name="tfa_711" class="selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_717" id="tfa_717" class="">Owned</option>
<option value="tfa_718" id="tfa_718" class="">Mortgage</option>
<option value="tfa_719" id="tfa_719" class="">Rented</option>
<option value="tfa_720" id="tfa_720" class="">Living w/ Relatives</option>
<option value="tfa_721" id="tfa_721" class="">Other</option>
</select>
</div>
</div>
</div>
<div id="tfa_677-D" class="oneField labelsRightAligned ">
<label id="tfa_677-L" for="tfa_677" class="label preField " style="width: 220px; min-width:0">Years at Present Address</label>
<div class="inputWrapper"><input type="text" id="tfa_677" name="tfa_677" value="" style="width: 280px" placeholder="" min="0" max="1000" class="validate-integer form-control" disabled=""></div>
</div>
<div id="tfa_647-D" class="oneField labelsRightAligned ">
<label id="tfa_647-L" for="tfa_647" class="label preField " style="width: 220px; min-width:0">Number of Cars Owned</label>
<div class="inputWrapper"><input type="text" id="tfa_647" name="tfa_647" value="" style="width: 280px" placeholder="" min="0" max="1000" class="validate-integer form-control" disabled=""></div>
</div>
</fieldset>
<fieldset id="tfa_684" class="section offstate" data-condition="(`#tfa_33` OR `#tfa_34`) AND (`#tfa_797`)">
<legend id="tfa_684-L" align="center">Spouse Information</legend>
<div id="tfa_8130-D" class="oneField labelsRightAligned ">
<label id="tfa_8130-L" for="tfa_8130" class="label preField " style="width: 220px; min-width:0">Last Name</label>
<div class="inputWrapper"><input type="text" id="tfa_8130" name="tfa_8130" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_8132-D" class="oneField labelsRightAligned ">
<label id="tfa_8132-L" for="tfa_8132" class="label preField " style="width: 220px; min-width:0">First Name</label>
<div class="inputWrapper"><input type="text" id="tfa_8132" name="tfa_8132" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_8134-D" class="oneField labelsRightAligned ">
<label id="tfa_8134-L" for="tfa_8134" class="label preField " style="width: 220px; min-width:0">Middle Name</label>
<div class="inputWrapper"><input type="text" id="tfa_8134" name="tfa_8134" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_686-D" class="oneField labelsRightAligned ">
<label id="tfa_686-L" for="tfa_686" class="label preField " style="width: 220px; min-width:0">Date of Birth</label>
<div class="inputWrapper"><input type="text" id="tfa_686" name="tfa_686" value="" style="width: 280px" placeholder="" class="validate-datecal form-control" disabled=""></div>
</div>
<div id="tfa_687-D" class="oneField labelsRightAligned ">
<label id="tfa_687-L" for="tfa_687" class="label preField " style="width: 220px; min-width:0">Company/Business</label>
<div class="inputWrapper"><input type="text" id="tfa_687" name="tfa_687" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_688-D" class="oneField labelsRightAligned ">
<label id="tfa_688-L" for="tfa_688" class="label preField " style="width: 220px; min-width:0">Email Address</label>
<div class="inputWrapper"><input type="text" id="tfa_688" name="tfa_688" value="" style="width: 280px" placeholder="" class="validate-email form-control" disabled=""></div>
</div>
<div id="tfa_689-D" class="oneField labelsRightAligned hintsTooltip">
<label id="tfa_689-L" for="tfa_689" class="label preField " style="width: 220px; min-width:0">Phone Number</label>
<div class="inputWrapper">
<input type="text" id="tfa_689" name="tfa_689" value="" style="width: 280px" placeholder="028879188" class="form-control" disabled=""><span class="field-hint-inactive" id="tfa_689-H"><span id="tfa_689-HH" class="hint">Area Code +
7-digit number</span></span>
</div>
</div>
</fieldset>
<fieldset id="tfa_799" class="repeat section" data-repeatlimit="1" wfr_handled="true">
<legend id="tfa_799-L" align="center">Personal Reference</legend>
<div id="tfa_8136-D" class="oneField labelsRightAligned ">
<label id="tfa_8136-L" for="tfa_8136" class="label preField " style="width: 220px; min-width:0">Mobile Number</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_8136" name="tfa_8136" value="" style="width: 280px" placeholder="09#########" maxlength="11" autoformat="09#########"
class="validate-custom /^(?=\d{11}$)(09)\d+/ form-control" disabled="">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">11 characters left.</div>
</div>
</div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_8136'] = {
selector: '*[id="tfa_8136"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_8136'] = "Please enter a valid mobile number";
}
}
</script>
</div>
<div id="tfa_741-D" class="oneField labelsRightAligned ">
<label id="tfa_741-L" for="tfa_741" class="label preField " style="width: 220px; min-width:0">Complete Name</label>
<div class="inputWrapper"><input type="text" id="tfa_741" name="tfa_741" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_745-D" class="oneField labelsRightAligned ">
<label id="tfa_745-L" for="tfa_745" class="label preField " style="width: 220px; min-width:0">Relationship</label>
<div class="inputWrapper"><input type="text" id="tfa_745" name="tfa_745" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_742-D" class="oneField labelsRightAligned ">
<label id="tfa_742-L" for="tfa_742" class="label preField " style="width: 220px; min-width:0">Address</label>
<div class="inputWrapper"><input type="text" id="tfa_742" name="tfa_742" value="" style="width: 280px" placeholder="" class="form-control" disabled=""></div>
</div>
<div id="tfa_744-D" class="oneField labelsRightAligned ">
<label id="tfa_744-L" for="tfa_744" class="label preField " style="width: 220px; min-width:0">Email Address</label>
<div class="inputWrapper"><input type="text" id="tfa_744" name="tfa_744" value="" style="width: 280px" placeholder="" class="validate-email form-control" disabled=""></div>
</div>
<div id="tfa_749-D" class="oneField labelsRightAligned hintsTooltip">
<label id="tfa_749-L" for="tfa_749" class="label preField " style="width: 220px; min-width:0">Phone No.</label>
<div class="inputWrapper">
<input type="text" id="tfa_749" name="tfa_749" value="" style="width: 280px" placeholder="028879188" class="form-control" disabled=""><span class="field-hint-inactive" id="tfa_749-H"><span id="tfa_749-HH" class="hint">Area Code +
7-digit number</span></span>
</div>
</div>
<span class="duplicateSpan"><a id="tfa_799-wfDL" class="duplicateLink" href="#">Add another reference</a></span>
</fieldset>
</div>
</div>
<div id="tfa_8380" class="section group offstate" data-condition="`#tfa_643`">
<div id="tfa_8381" class="section group">
<div id="tfa_8382" class="section group offstate" data-condition="`#tfa_643`">
<div id="tfa_8378-D" class="oneField labelsRightAligned ">
<label id="tfa_8378-L" for="tfa_8378" class="label preField " style="width: 220px; min-width:0">HR Email Address</label>
<div class="inputWrapper"><input type="text" id="tfa_8378" name="tfa_8378" value="" style="width: 280px" placeholder="" class="validate-email form-control" disabled=""></div>
</div>
<div class="htmlSection" id="tfa_8379">
<div class="htmlContent" id="tfa_8379-HTML"><span style="color: rgb(255, 0, 0); font-size: 10.6667px; background-color: rgb(255, 255, 204);">Please provide your HR department's email address for faster processing of your application.
This will be used to contact your company to verify employment <b>if </b>we are not able to reach them via phone. If no email address is provided, there may be a delay in processing your application.</span></div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset id="tfa_24146" class="section">
<legend id="tfa_24146-L" align="center">Hidden Fields</legend>
<div id="tfa_24147" class="section group">
<label class="label preField" id="tfa_24147-L">Online Information</label>
<div id="tfa_8331-D" class="oneField ">
<label id="tfa_8331-L" for="tfa_8331" class="label preField " style="width: 220px; min-width:0">C2</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_8331" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">BO</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">EG</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">MG</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">OL</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">TO</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_8331" name="tfa_8331" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_35645" id="tfa_35645" class="">BO</option>
<option value="tfa_35646" id="tfa_35646" class="">EG</option>
<option value="tfa_35647" id="tfa_35647" class="">MG</option>
<option value="tfa_35648" id="tfa_35648" class="">OL</option>
<option value="tfa_35649" id="tfa_35649" class="">TO</option>
</select>
</div>
</div>
</div>
<input type="hidden" id="tfa_8213" name="tfa_8213" value="WEB" class=""><input type="hidden" id="tfa_8215" name="tfa_8215" value="10000" class=""><input type="hidden" id="tfa_8371" name="tfa_8371" value="" class=""><input type="hidden"
id="tfa_8377" name="tfa_8377" value="YES" class=""><input type="hidden" id="tfa_23762" name="tfa_23762" value="" class="">
<div id="tfa_36186-D" class="oneField ">
<label id="tfa_36186-L" for="tfa_36186" class="label preField " style="width: 220px; min-width:0">BO Affiliates</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_36186" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">AFF</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_36186" name="tfa_36186" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_36187" id="tfa_36187" data-conditionals="#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778" class="">
AFF</option>
</select>
</div>
</div>
</div>
<div id="tfa_35774-D" class="oneField ">
<label id="tfa_35774-L" for="tfa_35774" class="label preField " style="width: 220px; min-width:0">W2R Waived COE</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="tfa_35774" title="0"><span
class="filter-option pull-left">0</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">0</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">1</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_35774" name="tfa_35774" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_35775" id="tfa_35775" class="" selected="">0</option>
<option value="tfa_35776" id="tfa_35776" data-conditionals="#tfa_35542,#tfa_35777,#tfa_35778" class="">1</option>
</select>
</div>
</div>
</div>
<input type="hidden" id="tfa_8293" name="tfa_8293" value="" class=""><input type="hidden" id="tfa_8294" name="tfa_8294" value="" class=""><input type="hidden" id="tfa_24066" name="tfa_24066" value="" class="">
</div>
<div id="tfa_24148" class="section group">
<label class="label preField" id="tfa_24148-L">Landing Page / UTM Values</label><input type="hidden" id="tfa_8367" name="tfa_8367" value="Chrome" class="formula=getUserAgent('browser')"><input type="hidden" id="tfa_8368" name="tfa_8368"
value="106.0.5249.119" class="formula=getUserAgent('version')"><input type="hidden" id="tfa_8369" name="tfa_8369" value="Windows" class="formula=getOS()"><input type="hidden" id="tfa_8370" name="tfa_8370" value="unknown"
class="formula=checkMobile()"><input type="hidden" id="tfa_8426" name="tfa_8426"
value="https://www.securitybank.com/personal/credit-cards/online-application/?utm_source=special-list&utm_medium=email&utm_campaign=EM-xcrdgeneral-102722&utm_content=EM-xcrdgeneral-xoptbmidlow-textlink1-102722-xckr"
class="formula=getURL()"><input type="hidden" id="tfa_8372" name="tfa_8372" value="special-list" class="formula=findtag("utm_source")"><input type="hidden" id="tfa_8373" name="tfa_8373" value="email"
class="formula=findtag("utm_medium")"><input type="hidden" id="tfa_8376" name="tfa_8376" value="EM-xcrdgeneral-102722" class="formula=findtag("utm_campaign")"><input type="hidden" id="tfa_8375" name="tfa_8375"
value="EM-xcrdgeneral-xoptbmidlow-textlink1-102722-xckr" class="formula=findtag("utm_content")"><input type="hidden" id="tfa_8374" name="tfa_8374" value="null" class="formula=findtag("utm_term")">
</div>
<div id="tfa_24149" class="section group">
<label class="label preField" id="tfa_24149-L">UTM Values </label>
<div id="tfa_23748-D" class="oneField ">
<label id="tfa_23748-L" for="tfa_23748" class="label preField ">Last Touch Landing URL</label>
<div class="inputWrapper"><input type="text" id="tfa_23748" name="tfa_23748" value="" placeholder="" readonly="" class="formula=findtag('cookie2') readonly form-control"></div>
</div>
<div id="tfa_23749-D" class="oneField ">
<label id="tfa_23749-L" for="tfa_23749" class="label preField ">First Touch Landing URL</label>
<div class="inputWrapper"><input type="text" id="tfa_23749" name="tfa_23749" value="" placeholder="" readonly="" class="formula=findtag('cookie1') readonly form-control"></div>
</div>
<div id="tfa_23750-D" class="oneField ">
<label id="tfa_23750-L" for="tfa_23750" class="label preField ">utm_source_first</label>
<div class="inputWrapper"><input type="text" id="tfa_23750" name="tfa_23750" value="" placeholder="" readonly="" class="formula=findtag("utm_source_first") readonly form-control"></div>
</div>
<div id="tfa_23751-D" class="oneField ">
<label id="tfa_23751-L" for="tfa_23751" class="label preField ">utm_medium_first</label>
<div class="inputWrapper"><input type="text" id="tfa_23751" name="tfa_23751" value="" placeholder="" readonly="" class="formula=findtag("utm_medium_first") readonly form-control"></div>
</div>
<div id="tfa_23752-D" class="oneField ">
<label id="tfa_23752-L" for="tfa_23752" class="label preField ">utm_campaign_first</label>
<div class="inputWrapper"><input type="text" id="tfa_23752" name="tfa_23752" value="" placeholder="" readonly="" class="formula=findtag("utm_campaign_first") readonly form-control"></div>
</div>
<div id="tfa_23754-D" class="oneField ">
<label id="tfa_23754-L" for="tfa_23754" class="label preField ">utm_term_first</label>
<div class="inputWrapper"><input type="text" id="tfa_23754" name="tfa_23754" value="" placeholder="" readonly="" class="formula=findtag("utm_term_first") readonly form-control"></div>
</div>
<div id="tfa_23753-D" class="oneField ">
<label id="tfa_23753-L" for="tfa_23753" class="label preField ">utm_content_first</label>
<div class="inputWrapper"><input type="text" id="tfa_23753" name="tfa_23753" value="" placeholder="" readonly="" class="formula=findtag("utm_content_first") readonly form-control"></div>
</div>
</div>
<div id="tfa_24152" class="section group">
<label class="label preField" id="tfa_24152-L">Google AdWords</label>
<div id="tfa_23736-D" class="oneField ">
<label id="tfa_23736-L" for="tfa_23736" class="label preField ">Match Type</label>
<div class="inputWrapper"><input type="text" id="tfa_23736" name="tfa_23736" value="" placeholder="" readonly="" class="formula=findtag("matchtype") readonly form-control"></div>
</div>
<div id="tfa_23737-D" class="oneField ">
<label id="tfa_23737-L" for="tfa_23737" class="label preField ">Device</label>
<div class="inputWrapper"><input type="text" id="tfa_23737" name="tfa_23737" value="" placeholder="" readonly="" class="formula=findtag("device") readonly form-control"></div>
</div>
<div id="tfa_23738-D" class="oneField ">
<label id="tfa_23738-L" for="tfa_23738" class="label preField ">Device Model</label>
<div class="inputWrapper"><input type="text" id="tfa_23738" name="tfa_23738" value="" placeholder="" readonly="" class="formula=findtag("devicemodel") readonly form-control"></div>
</div>
<div id="tfa_23739-D" class="oneField ">
<label id="tfa_23739-L" for="tfa_23739" class="label preField ">Keyword</label>
<div class="inputWrapper"><input type="text" id="tfa_23739" name="tfa_23739" value="" placeholder="" readonly="" class="formula=findtag("keyword") readonly form-control"></div>
</div>
<div id="tfa_23740-D" class="oneField ">
<label id="tfa_23740-L" for="tfa_23740" class="label preField ">Creative</label>
<div class="inputWrapper"><input type="text" id="tfa_23740" name="tfa_23740" value="" placeholder="" readonly="" class="formula=findtag("loc_physical_ms") readonly form-control"></div>
</div>
<div id="tfa_23741-D" class="oneField ">
<label id="tfa_23741-L" for="tfa_23741" class="label preField ">Placement</label>
<div class="inputWrapper"><input type="text" id="tfa_23741" name="tfa_23741" value="" placeholder="" readonly="" class="formula=findtag("placement") readonly form-control"></div>
</div>
<div id="tfa_23742-D" class="oneField ">
<label id="tfa_23742-L" for="tfa_23742" class="label preField ">Ad Position</label>
<div class="inputWrapper"><input type="text" id="tfa_23742" name="tfa_23742" value="" placeholder="" readonly="" class="formula=findtag("adposition") readonly form-control"></div>
</div>
<div id="tfa_23743-D" class="oneField ">
<label id="tfa_23743-L" for="tfa_23743" class="label preField ">Network</label>
<div class="inputWrapper"><input type="text" id="tfa_23743" name="tfa_23743" value="" placeholder="" readonly="" class="formula=findtag("network") readonly form-control"></div>
</div>
<div id="tfa_23744-D" class="oneField ">
<label id="tfa_23744-L" for="tfa_23744" class="label preField ">Loc Interest MS</label>
<div class="inputWrapper"><input type="text" id="tfa_23744" name="tfa_23744" value="" placeholder="" readonly="" class="formula=findtag("loc_interest_ms") readonly form-control"></div>
</div>
<div id="tfa_23745-D" class="oneField ">
<label id="tfa_23745-L" for="tfa_23745" class="label preField ">Loc Physical MS</label>
<div class="inputWrapper"><input type="text" id="tfa_23745" name="tfa_23745" value="" placeholder="" readonly="" class="formula=findtag("loc_physical_ms") readonly form-control"></div>
</div>
<input type="hidden" id="tfa_8422" name="tfa_8422" value="null" class="formula=findtag('gclid')"><input type="hidden" id="tfa_24151" name="tfa_24151" value="null" class="formula=findtag('gclid')"><input type="hidden" id="tfa_35601"
name="tfa_35601" value="2065133349.1666839492" class="">
<div id="tfa_24153" class="section group">
<label class="label preField" id="tfa_24153-L">AdWords</label><input type="hidden" id="tfa_24155" name="tfa_24155" value="null" class="formula=findtag('awadid')"><input type="hidden" id="tfa_24157" name="tfa_24157" value="null"
class="formula=findtag('awkwid')"><input type="hidden" id="tfa_24159" name="tfa_24159" value="null" class="formula=findtag('awadata')">
</div>
<div id="tfa_24164" class="section group">
<label class="label preField" id="tfa_24164-L">Facebook</label><input type="hidden" id="tfa_24165" name="tfa_24165" value="null" class="formula=findtag('fbadid')"><input type="hidden" id="tfa_24166" name="tfa_24166" value="null"
class="formula=findtag('fbpsource')"><input type="hidden" id="tfa_24167" name="tfa_24167" value="null" class="formula=findtag('fbadata')">
</div>
</div>
</fieldset>
</div>
<div id="wfPgIndex-1-buttons" class="wfPagingButtons"><input value="Next Page" type="button" class="wfPageNextButton" wfpageindex_activate="2" id="wfPageNextId1" style="visibility: visible;"></div>
</div>
<div class="wfPage " id="wfPgIndex-2">
<div class="section pageSection" id="tfa_24068" data-condition="NOT (`#tfa_36151`)">
<div class="htmlSection" id="tfa_34955">
<div class="htmlContent" id="tfa_34955-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/CC-Step-2-header.png" width="400px"></div>
</div>
</div>
<div id="tfa_35679" class="section group">
<div id="tfa_35680" class="section group offstate" data-condition="(`#tfa_8292`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35682">
<div class="htmlContent" id="tfa_35682-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/cashback-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35686" class="section group offstate" data-condition="(`#tfa_4`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35688">
<div class="htmlContent" id="tfa_35688-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/gold-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35689" class="section group offstate" data-condition="(`#tfa_5`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35691">
<div class="htmlContent" id="tfa_35691-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/plat-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35695" class="section group offstate" data-condition="(`#tfa_35653`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35697">
<div class="htmlContent" id="tfa_35697-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/next-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35698" class="section group offstate" data-condition="(`#tfa_8423`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35700">
<div class="htmlContent" id="tfa_35700-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/cc-click-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36136" class="section group offstate" data-condition="(`#tfa_35786`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36137">
<div class="htmlContent" id="tfa_36137-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2021/06/plat-app-header-fwd.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36175" class="section group offstate" data-condition="(`#tfa_36168`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36177">
<div class="htmlContent" id="tfa_36177-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2022/05/cards-header-cashback-plat.png" width="400px"></div>
</div>
</div>
</div>
</div>
<fieldset id="tfa_15" class="section">
<legend id="tfa_15-L" align="center">Personal Information</legend>
<div id="tfa_16-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_16-L" for="tfa_16" class="label preField reqMark" style="width: 220px; min-width:0">Name to Appear on Card</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_16" name="tfa_16" value="" style="width: 280px" placeholder="" maxlength="21" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">21 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_16-H"><span id="tfa_16-HH" class="hint">Max 21 Characters, letters only</span></span>
</div>
</div>
<div id="tfa_35432-D" class="oneField labelsRightAligned ">
<label id="tfa_35432-L" for="tfa_35432" class="label preField reqMark" style="width: 220px; min-width:0">First Name</label>
<div class="inputWrapper"><input type="text" id="tfa_35432" name="tfa_35432" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div class="htmlSection" id="tfa_35507">
<div class="htmlContent" id="tfa_35507-HTML">Your name should be the same as your full name written on your ID's and Documents</div>
</div>
<div id="tfa_21-D" class="oneField labelsRightAligned ">
<label id="tfa_21-L" for="tfa_21" class="label preField " style="width: 220px; min-width:0">Middle Name</label>
<div class="inputWrapper"><input type="text" id="tfa_21" name="tfa_21" value="" style="width: 280px" placeholder="" class="form-control"></div>
</div>
<div id="tfa_17-D" class="oneField labelsRightAligned ">
<label id="tfa_17-L" for="tfa_17" class="label preField reqMark" style="width: 220px; min-width:0">Last Name</label>
<div class="inputWrapper"><input type="text" id="tfa_17" name="tfa_17" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_23-D" class="oneField labelsRightAligned ">
<label id="tfa_23-L" for="tfa_23" class="label preField reqMark" style="width: 220px; min-width:0">Mother's Full Maiden Name</label>
<div class="inputWrapper"><input type="text" id="tfa_23" name="tfa_23" value="" style="width: 280px" placeholder="Sam Bautista Cruz" class="required form-control"></div>
</div>
<div class="htmlSection" id="tfa_35624">
<div class="htmlContent" id="tfa_35624-HTML">The name of your mother before she was married</div>
</div>
<div id="tfa_359-D" class="oneField labelsRightAligned ">
<label id="tfa_359-L" for="tfa_359" class="label preField reqMark" style="width: 220px; min-width:0">Email Address</label>
<div class="inputWrapper"><input type="text" id="tfa_359" name="tfa_359" value="" style="width: 280px" placeholder="" class="validate-email required form-control"></div>
</div>
<div id="tfa_363-D" class="oneField labelsRightAligned ">
<label id="tfa_363-L" for="tfa_363" class="label preField reqMark" style="width: 220px; min-width:0">Mobile No.</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_363" name="tfa_363" value="" style="width: 280px" placeholder="09#########" maxlength="11"
class="validate-custom /^(09|\+639)\d{9}$/ required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">11 characters left.</div>
</div>
</div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_363'] = {
selector: '*[id="tfa_363"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_363'] = "Please enter valid mobile number";
}
}
</script>
</div>
<div id="tfa_30-D" class="oneField labelsRightAligned ">
<label id="tfa_30-L" for="tfa_30" class="label preField reqMark" style="width: 220px; min-width:0">Gender</label>
<div class="inputWrapper"><span id="tfa_30" class="choices required"><span class="oneChoice"><input type="radio" value="tfa_8211" class="" id="tfa_8211" name="tfa_30"><label class="label postField" id="tfa_8211-L"
for="tfa_8211">Male</label></span><span class="oneChoice"><input type="radio" value="tfa_8212" class="" id="tfa_8212" name="tfa_30"><label class="label postField" id="tfa_8212-L" for="tfa_8212">Female</label></span></span></div>
</div>
<div id="tfa_31-D" class="oneField labelsRightAligned ">
<label id="tfa_31-L" for="tfa_31" class="label preField reqMark" style="width: 220px; min-width:0">Civil Status</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_31" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Single</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Married</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Separated</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Widowed</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_31" name="tfa_31" class="required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_32" id="tfa_32" class="">Single</option>
<option value="tfa_33" id="tfa_33" data-conditionals="#tfa_684" class="">Married</option>
<option value="tfa_34" id="tfa_34" data-conditionals="#tfa_684" class="">Separated</option>
<option value="tfa_35" id="tfa_35" class="">Widowed</option>
</select>
</div>
</div>
</div>
<div id="tfa_24-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_24-L" for="tfa_24" class="label preField " style="width: 220px; min-width:0">Date of Birth</label>
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<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
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<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Philippines</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Afghanistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Albania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Algeria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Andorra</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angola</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antigua & Barbuda</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Argentina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Armenia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Australia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Austria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Azerbaijan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bahamas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bahrain</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bangladesh</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Barbados</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belarus</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belgium</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belize</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bhutan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bolivia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bosnia & Herzegovina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Botswana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brazil</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brunei</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bulgaria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Burkina Faso</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
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<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Burundi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cambodia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cameroon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Canada</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cape Verde</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Central African Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chile</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">China</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Colombia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Comoros</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congo Democratic Republic of</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Costa Rica</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cote d'Ivoire</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
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<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Croatia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cuba</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cyprus</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Czech Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Denmark</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Djibouti</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dominica</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dominican Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ecuador</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">East Timor</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Egypt</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">El Salvador</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Equatorial Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eritrea</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Estonia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ethiopia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fiji</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Finland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">France</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gambia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Georgia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Germany</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ghana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greece</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Grenada</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guatemala</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guinea-Bissau</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guyana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Haiti</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Honduras</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hungary</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iceland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">India</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Indonesia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iraq</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ireland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Israel</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Italy</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jamaica</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Japan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jordan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kazakhstan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kenya</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kiribati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Korea North</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Korea South</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kosovo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kuwait</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kyrgyzstan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="97"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latvia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="98"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lebanon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="99"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lesotho</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="100"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Liberia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="101"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Libya</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="102"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Liechtenstein</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="103"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lithuania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="104"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Luxembourg</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="105"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Macedonia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="106"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Madagascar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="107"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malawi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="108"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malaysia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="109"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maldives</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="110"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mali</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="111"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malta</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="112">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marshall Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="113"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mauritania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="114"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mauritius</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="115"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mexico</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="116"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Micronesia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="117"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Moldova</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="118"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Monaco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="119"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mongolia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="120"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montenegro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="121"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Morocco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="122"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mozambique</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="123"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Myanmar (Burma)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="124"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Namibia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="125"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nauru</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="126"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nepal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="127"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">The Netherlands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="128"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Zealand</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="129"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nicaragua</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="130"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Niger</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="131"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nigeria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="132"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Norway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="133"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Oman</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="134"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pakistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="135"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palau</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="136">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palestinian State*</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="137"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Panama</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="138">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Papua New Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="139"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paraguay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="140"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Peru</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="141"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Poland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="142"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Portugal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="143"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Qatar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="144"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Romania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="145"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Russia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="146"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rwanda</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="147">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">St. Kitts & Nevis</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="148"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">St. Lucia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="149">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">St. Vincent & The Grenadines</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="150"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Samoa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="151"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Marino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="152">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sao Tome & Principe</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="153"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saudi Arabia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="154"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Senegal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="155"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Serbia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="156"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Seychelles</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="157"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sierra Leone</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="158"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Singapore</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="159"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Slovakia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="160"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Slovenia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="161"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Solomon Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="162"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Somalia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="163"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Africa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="164"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Sudan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="165"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Spain</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="166"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sri Lanka</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="167"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sudan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="168"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Suriname</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="169"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Swaziland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="170"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sweden</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="171"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Switzerland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="172"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Syria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="173"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taiwan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="174"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tajikistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="175"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tanzania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="176"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Thailand</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="177"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Togo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="178"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tonga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="179">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Trinidad & Tobago</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="180"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tunisia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="181"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Turkey</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="182"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Turkmenistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="183"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuvalu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="184"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uganda</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="185"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ukraine</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="186">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United Arab Emirates</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="187"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United Kingdom</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="188">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United States of America</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="189"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uruguay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="190"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uzbekistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="191"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vanuatu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="192">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vatican City (Holy See)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="193"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Venezuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="194"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vietnam</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="195"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yemen</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="196"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zambia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="197"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zimbabwe</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_25" name="tfa_25" class="required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_804" id="tfa_804" data-conditionals="#tfa_8291" class="" selected="">Philippines</option>
<option value="tfa_805" id="tfa_805" class="">Afghanistan</option>
<option value="tfa_806" id="tfa_806" class="">Albania</option>
<option value="tfa_807" id="tfa_807" class="">Algeria</option>
<option value="tfa_808" id="tfa_808" class="">Andorra</option>
<option value="tfa_809" id="tfa_809" class="">Angola</option>
<option value="tfa_810" id="tfa_810" class="">Antigua & Barbuda</option>
<option value="tfa_811" id="tfa_811" class="">Argentina</option>
<option value="tfa_812" id="tfa_812" class="">Armenia</option>
<option value="tfa_813" id="tfa_813" class="">Australia</option>
<option value="tfa_814" id="tfa_814" class="">Austria</option>
<option value="tfa_815" id="tfa_815" class="">Azerbaijan</option>
<option value="tfa_816" id="tfa_816" class="">Bahamas</option>
<option value="tfa_817" id="tfa_817" class="">Bahrain</option>
<option value="tfa_818" id="tfa_818" class="">Bangladesh</option>
<option value="tfa_819" id="tfa_819" class="">Barbados</option>
<option value="tfa_820" id="tfa_820" class="">Belarus</option>
<option value="tfa_821" id="tfa_821" class="">Belgium</option>
<option value="tfa_822" id="tfa_822" class="">Belize</option>
<option value="tfa_823" id="tfa_823" class="">Benin</option>
<option value="tfa_824" id="tfa_824" class="">Bhutan</option>
<option value="tfa_825" id="tfa_825" class="">Bolivia</option>
<option value="tfa_826" id="tfa_826" class="">Bosnia & Herzegovina</option>
<option value="tfa_827" id="tfa_827" class="">Botswana</option>
<option value="tfa_828" id="tfa_828" class="">Brazil</option>
<option value="tfa_829" id="tfa_829" class="">Brunei</option>
<option value="tfa_830" id="tfa_830" class="">Bulgaria</option>
<option value="tfa_831" id="tfa_831" class="">Burkina Faso</option>
<option value="tfa_832" id="tfa_832" class="">Burundi</option>
<option value="tfa_833" id="tfa_833" class="">Cambodia</option>
<option value="tfa_834" id="tfa_834" class="">Cameroon</option>
<option value="tfa_835" id="tfa_835" class="">Canada</option>
<option value="tfa_836" id="tfa_836" class="">Cape Verde</option>
<option value="tfa_837" id="tfa_837" class="">Central African Republic</option>
<option value="tfa_838" id="tfa_838" class="">Chad</option>
<option value="tfa_839" id="tfa_839" class="">Chile</option>
<option value="tfa_840" id="tfa_840" class="">China</option>
<option value="tfa_841" id="tfa_841" class="">Colombia</option>
<option value="tfa_842" id="tfa_842" class="">Comoros</option>
<option value="tfa_843" id="tfa_843" class="">Congo</option>
<option value="tfa_844" id="tfa_844" class="">Congo Democratic Republic of</option>
<option value="tfa_845" id="tfa_845" class="">Costa Rica</option>
<option value="tfa_846" id="tfa_846" class="">Cote d'Ivoire</option>
<option value="tfa_847" id="tfa_847" class="">Croatia</option>
<option value="tfa_848" id="tfa_848" class="">Cuba</option>
<option value="tfa_849" id="tfa_849" class="">Cyprus</option>
<option value="tfa_850" id="tfa_850" class="">Czech Republic</option>
<option value="tfa_851" id="tfa_851" class="">Denmark</option>
<option value="tfa_852" id="tfa_852" class="">Djibouti</option>
<option value="tfa_853" id="tfa_853" class="">Dominica</option>
<option value="tfa_854" id="tfa_854" class="">Dominican Republic</option>
<option value="tfa_855" id="tfa_855" class="">Ecuador</option>
<option value="tfa_856" id="tfa_856" class="">East Timor</option>
<option value="tfa_857" id="tfa_857" class="">Egypt</option>
<option value="tfa_858" id="tfa_858" class="">El Salvador</option>
<option value="tfa_859" id="tfa_859" class="">Equatorial Guinea</option>
<option value="tfa_860" id="tfa_860" class="">Eritrea</option>
<option value="tfa_861" id="tfa_861" class="">Estonia</option>
<option value="tfa_862" id="tfa_862" class="">Ethiopia</option>
<option value="tfa_863" id="tfa_863" class="">Fiji</option>
<option value="tfa_864" id="tfa_864" class="">Finland</option>
<option value="tfa_865" id="tfa_865" class="">France</option>
<option value="tfa_866" id="tfa_866" class="">Gabon</option>
<option value="tfa_867" id="tfa_867" class="">Gambia</option>
<option value="tfa_868" id="tfa_868" class="">Georgia</option>
<option value="tfa_869" id="tfa_869" class="">Germany</option>
<option value="tfa_870" id="tfa_870" class="">Ghana</option>
<option value="tfa_871" id="tfa_871" class="">Greece</option>
<option value="tfa_872" id="tfa_872" class="">Grenada</option>
<option value="tfa_873" id="tfa_873" class="">Guatemala</option>
<option value="tfa_874" id="tfa_874" class="">Guinea</option>
<option value="tfa_875" id="tfa_875" class="">Guinea-Bissau</option>
<option value="tfa_876" id="tfa_876" class="">Guyana</option>
<option value="tfa_877" id="tfa_877" class="">Haiti</option>
<option value="tfa_878" id="tfa_878" class="">Honduras</option>
<option value="tfa_879" id="tfa_879" class="">Hungary</option>
<option value="tfa_880" id="tfa_880" class="">Iceland</option>
<option value="tfa_881" id="tfa_881" class="">India</option>
<option value="tfa_882" id="tfa_882" class="">Indonesia</option>
<option value="tfa_883" id="tfa_883" class="">Iran</option>
<option value="tfa_884" id="tfa_884" class="">Iraq</option>
<option value="tfa_885" id="tfa_885" class="">Ireland</option>
<option value="tfa_886" id="tfa_886" class="">Israel</option>
<option value="tfa_887" id="tfa_887" class="">Italy</option>
<option value="tfa_888" id="tfa_888" class="">Jamaica</option>
<option value="tfa_889" id="tfa_889" class="">Japan</option>
<option value="tfa_890" id="tfa_890" class="">Jordan</option>
<option value="tfa_891" id="tfa_891" class="">Kazakhstan</option>
<option value="tfa_892" id="tfa_892" class="">Kenya</option>
<option value="tfa_893" id="tfa_893" class="">Kiribati</option>
<option value="tfa_894" id="tfa_894" class="">Korea North</option>
<option value="tfa_895" id="tfa_895" class="">Korea South</option>
<option value="tfa_896" id="tfa_896" class="">Kosovo</option>
<option value="tfa_897" id="tfa_897" class="">Kuwait</option>
<option value="tfa_898" id="tfa_898" class="">Kyrgyzstan</option>
<option value="tfa_899" id="tfa_899" class="">Laos</option>
<option value="tfa_900" id="tfa_900" class="">Latvia</option>
<option value="tfa_901" id="tfa_901" class="">Lebanon</option>
<option value="tfa_902" id="tfa_902" class="">Lesotho</option>
<option value="tfa_903" id="tfa_903" class="">Liberia</option>
<option value="tfa_904" id="tfa_904" class="">Libya</option>
<option value="tfa_905" id="tfa_905" class="">Liechtenstein</option>
<option value="tfa_906" id="tfa_906" class="">Lithuania</option>
<option value="tfa_907" id="tfa_907" class="">Luxembourg</option>
<option value="tfa_908" id="tfa_908" class="">Macedonia</option>
<option value="tfa_909" id="tfa_909" class="">Madagascar</option>
<option value="tfa_910" id="tfa_910" class="">Malawi</option>
<option value="tfa_911" id="tfa_911" class="">Malaysia</option>
<option value="tfa_912" id="tfa_912" class="">Maldives</option>
<option value="tfa_913" id="tfa_913" class="">Mali</option>
<option value="tfa_914" id="tfa_914" class="">Malta</option>
<option value="tfa_915" id="tfa_915" class="">Marshall Islands</option>
<option value="tfa_916" id="tfa_916" class="">Mauritania</option>
<option value="tfa_917" id="tfa_917" class="">Mauritius</option>
<option value="tfa_918" id="tfa_918" class="">Mexico</option>
<option value="tfa_919" id="tfa_919" class="">Micronesia</option>
<option value="tfa_920" id="tfa_920" class="">Moldova</option>
<option value="tfa_921" id="tfa_921" class="">Monaco</option>
<option value="tfa_922" id="tfa_922" class="">Mongolia</option>
<option value="tfa_923" id="tfa_923" class="">Montenegro</option>
<option value="tfa_924" id="tfa_924" class="">Morocco</option>
<option value="tfa_925" id="tfa_925" class="">Mozambique</option>
<option value="tfa_926" id="tfa_926" class="">Myanmar (Burma)</option>
<option value="tfa_927" id="tfa_927" class="">Namibia</option>
<option value="tfa_928" id="tfa_928" class="">Nauru</option>
<option value="tfa_929" id="tfa_929" class="">Nepal</option>
<option value="tfa_930" id="tfa_930" class="">The Netherlands</option>
<option value="tfa_931" id="tfa_931" class="">New Zealand</option>
<option value="tfa_932" id="tfa_932" class="">Nicaragua</option>
<option value="tfa_933" id="tfa_933" class="">Niger</option>
<option value="tfa_934" id="tfa_934" class="">Nigeria</option>
<option value="tfa_935" id="tfa_935" class="">Norway</option>
<option value="tfa_936" id="tfa_936" class="">Oman</option>
<option value="tfa_937" id="tfa_937" class="">Pakistan</option>
<option value="tfa_938" id="tfa_938" class="">Palau</option>
<option value="tfa_939" id="tfa_939" class="">Palestinian State*</option>
<option value="tfa_940" id="tfa_940" class="">Panama</option>
<option value="tfa_941" id="tfa_941" class="">Papua New Guinea</option>
<option value="tfa_942" id="tfa_942" class="">Paraguay</option>
<option value="tfa_943" id="tfa_943" class="">Peru</option>
<option value="tfa_944" id="tfa_944" class="">Poland</option>
<option value="tfa_945" id="tfa_945" class="">Portugal</option>
<option value="tfa_946" id="tfa_946" class="">Qatar</option>
<option value="tfa_947" id="tfa_947" class="">Romania</option>
<option value="tfa_948" id="tfa_948" class="">Russia</option>
<option value="tfa_949" id="tfa_949" class="">Rwanda</option>
<option value="tfa_950" id="tfa_950" class="">St. Kitts & Nevis</option>
<option value="tfa_951" id="tfa_951" class="">St. Lucia</option>
<option value="tfa_952" id="tfa_952" class="">St. Vincent & The Grenadines</option>
<option value="tfa_953" id="tfa_953" class="">Samoa</option>
<option value="tfa_954" id="tfa_954" class="">San Marino</option>
<option value="tfa_955" id="tfa_955" class="">Sao Tome & Principe</option>
<option value="tfa_956" id="tfa_956" class="">Saudi Arabia</option>
<option value="tfa_957" id="tfa_957" class="">Senegal</option>
<option value="tfa_958" id="tfa_958" class="">Serbia</option>
<option value="tfa_959" id="tfa_959" class="">Seychelles</option>
<option value="tfa_960" id="tfa_960" class="">Sierra Leone</option>
<option value="tfa_961" id="tfa_961" class="">Singapore</option>
<option value="tfa_962" id="tfa_962" class="">Slovakia</option>
<option value="tfa_963" id="tfa_963" class="">Slovenia</option>
<option value="tfa_964" id="tfa_964" class="">Solomon Islands</option>
<option value="tfa_965" id="tfa_965" class="">Somalia</option>
<option value="tfa_966" id="tfa_966" class="">South Africa</option>
<option value="tfa_967" id="tfa_967" class="">South Sudan</option>
<option value="tfa_968" id="tfa_968" class="">Spain</option>
<option value="tfa_969" id="tfa_969" class="">Sri Lanka</option>
<option value="tfa_970" id="tfa_970" class="">Sudan</option>
<option value="tfa_971" id="tfa_971" class="">Suriname</option>
<option value="tfa_972" id="tfa_972" class="">Swaziland</option>
<option value="tfa_973" id="tfa_973" class="">Sweden</option>
<option value="tfa_974" id="tfa_974" class="">Switzerland</option>
<option value="tfa_975" id="tfa_975" class="">Syria</option>
<option value="tfa_976" id="tfa_976" class="">Taiwan</option>
<option value="tfa_977" id="tfa_977" class="">Tajikistan</option>
<option value="tfa_978" id="tfa_978" class="">Tanzania</option>
<option value="tfa_979" id="tfa_979" class="">Thailand</option>
<option value="tfa_980" id="tfa_980" class="">Togo</option>
<option value="tfa_981" id="tfa_981" class="">Tonga</option>
<option value="tfa_982" id="tfa_982" class="">Trinidad & Tobago</option>
<option value="tfa_983" id="tfa_983" class="">Tunisia</option>
<option value="tfa_984" id="tfa_984" class="">Turkey</option>
<option value="tfa_985" id="tfa_985" class="">Turkmenistan</option>
<option value="tfa_986" id="tfa_986" class="">Tuvalu</option>
<option value="tfa_987" id="tfa_987" class="">Uganda</option>
<option value="tfa_988" id="tfa_988" class="">Ukraine</option>
<option value="tfa_989" id="tfa_989" class="">United Arab Emirates</option>
<option value="tfa_990" id="tfa_990" class="">United Kingdom</option>
<option value="tfa_991" id="tfa_991" class="">United States of America</option>
<option value="tfa_992" id="tfa_992" class="">Uruguay</option>
<option value="tfa_993" id="tfa_993" class="">Uzbekistan</option>
<option value="tfa_994" id="tfa_994" class="">Vanuatu</option>
<option value="tfa_995" id="tfa_995" class="">Vatican City (Holy See)</option>
<option value="tfa_996" id="tfa_996" class="">Venezuela</option>
<option value="tfa_997" id="tfa_997" class="">Vietnam</option>
<option value="tfa_998" id="tfa_998" class="">Yemen</option>
<option value="tfa_999" id="tfa_999" class="">Zambia</option>
<option value="tfa_1000" id="tfa_1000" class="">Zimbabwe</option>
</select>
</div>
</div>
</div>
<div id="tfa_8291" class="section group offstate" data-condition="(NOT (`#tfa_804`)) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_8290">
<div class="htmlContent" id="tfa_8290-HTML">
<div style="font-size: 12px; color: #8e8e8e;">We currently are not able to issue regular credit cards for non-Filipino applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a Security Bank
branch near you to place a holdout deposit. <a href="https://www.securitybank.com/map" target="new" rel="noopener">Click here</a> to visit a branch near you.</div>
</div>
</div>
</div>
</fieldset>
<fieldset id="tfa_39" class="section">
<legend id="tfa_39-L" align="center">Home Address</legend>
<div id="tfa_40-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_40-L" for="tfa_40" class="label preField reqMark" style="width: 220px; min-width:0">Address 1</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_40" name="tfa_40" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_40-H"><span id="tfa_40-HH" class="hint">No / Block / Street</span></span>
</div>
</div>
<div id="tfa_42-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_42-L" for="tfa_42" class="label preField reqMark" style="width: 220px; min-width:0">Address 2</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_42" name="tfa_42" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_42-H"><span id="tfa_42-HH" class="hint">Bldg / Subd / Vil / Brgy</span></span>
</div>
</div>
<div id="tfa_44-D" class="oneField labelsRightAligned ">
<label id="tfa_44-L" for="tfa_44" class="label preField reqMark" style="width: 220px; min-width:0">City/Municipality</label>
<div class="inputWrapper"><input type="text" id="tfa_44" name="tfa_44" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_45-D" class="oneField labelsRightAligned ">
<label id="tfa_45-L" for="tfa_45" class="label preField reqMark" style="width: 220px; min-width:0">Province</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select calc-homeprovince required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_45"
title="Please select..."><span class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1">
<a tabindex="0" class="calcval-tfa_34456" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Abra</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="calcval-tfa_34457" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3">
<a tabindex="0" class="calcval-tfa_34458" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="calcval-tfa_34459" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aklan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5">
<a tabindex="0" class="calcval-tfa_34460" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Albay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6">
<a tabindex="0" class="calcval-tfa_34461" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antique</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="calcval-tfa_34462" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8">
<a tabindex="0" class="calcval-tfa_34463" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aurora</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9">
<a tabindex="0" class="calcval-tfa_34464" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Basilan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10">
<a tabindex="0" class="calcval-tfa_34465" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bataan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11">
<a tabindex="0" class="calcval-tfa_34466" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12">
<a tabindex="0" class="calcval-tfa_34467" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="calcval-tfa_34468" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benguet</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14">
<a tabindex="0" class="calcval-tfa_34469" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Biliran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="calcval-tfa_34470" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bohol</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="calcval-tfa_34471" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bukidnon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="calcval-tfa_34472" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bulacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18">
<a tabindex="0" class="calcval-tfa_34473" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cagayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19">
<a tabindex="0" class="calcval-tfa_34474" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20">
<a tabindex="0" class="calcval-tfa_34475" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21">
<a tabindex="0" class="calcval-tfa_34476" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22">
<a tabindex="0" class="calcval-tfa_34477" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camiguin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23">
<a tabindex="0" class="calcval-tfa_34478" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capiz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24">
<a tabindex="0" class="calcval-tfa_34479" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Catanduanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25">
<a tabindex="0" class="calcval-tfa_34480" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cavite</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26">
<a tabindex="0" class="calcval-tfa_34481" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27">
<a tabindex="0" class="calcval-tfa_34482" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Compostela Valley</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28">
<a tabindex="0" class="calcval-tfa_34483" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29">
<a tabindex="0" class="calcval-tfa_34484" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30">
<a tabindex="0" class="calcval-tfa_34485" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31">
<a tabindex="0" class="calcval-tfa_34486" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32">
<a tabindex="0" class="calcval-tfa_34487" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33">
<a tabindex="0" class="calcval-tfa_34488" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guimaras</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34">
<a tabindex="0" class="calcval-tfa_34489" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ifugao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35">
<a tabindex="0" class="calcval-tfa_34490" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36">
<a tabindex="0" class="calcval-tfa_34491" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37">
<a tabindex="0" class="calcval-tfa_34492" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38">
<a tabindex="0" class="calcval-tfa_34493" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Isabela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39">
<a tabindex="0" class="calcval-tfa_34494" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalinga Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40">
<a tabindex="0" class="calcval-tfa_34495" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Union</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41">
<a tabindex="0" class="calcval-tfa_34496" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laguna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42">
<a tabindex="0" class="calcval-tfa_34497" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43">
<a tabindex="0" class="calcval-tfa_34498" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44">
<a tabindex="0" class="calcval-tfa_34499" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Las Pinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45">
<a tabindex="0" class="calcval-tfa_34500" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46">
<a tabindex="0" class="calcval-tfa_34501" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maguindanao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47">
<a tabindex="0" class="calcval-tfa_34502" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48">
<a tabindex="0" class="calcval-tfa_34503" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49">
<a tabindex="0" class="calcval-tfa_34504" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50">
<a tabindex="0" class="calcval-tfa_34505" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Manila</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51">
<a tabindex="0" class="calcval-tfa_34506" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52">
<a tabindex="0" class="calcval-tfa_34507" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marinduque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53">
<a tabindex="0" class="calcval-tfa_34508" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Masbate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54">
<a tabindex="0" class="calcval-tfa_34509" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55">
<a tabindex="0" class="calcval-tfa_34510" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56">
<a tabindex="0" class="calcval-tfa_34511" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57">
<a tabindex="0" class="calcval-tfa_34512" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58">
<a tabindex="0" class="calcval-tfa_34513" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mountain Province</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59">
<a tabindex="0" class="calcval-tfa_34514" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Muntinlupa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60">
<a tabindex="0" class="calcval-tfa_34515" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Navotas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61">
<a tabindex="0" class="calcval-tfa_34516" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62">
<a tabindex="0" class="calcval-tfa_34517" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63">
<a tabindex="0" class="calcval-tfa_34518" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">North Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64">
<a tabindex="0" class="calcval-tfa_34519" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Northern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65">
<a tabindex="0" class="calcval-tfa_34520" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Ecija</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66">
<a tabindex="0" class="calcval-tfa_34521" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Vizcaya</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67">
<a tabindex="0" class="calcval-tfa_34522" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palawan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68">
<a tabindex="0" class="calcval-tfa_34523" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pampanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69">
<a tabindex="0" class="calcval-tfa_34524" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pangasinan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70">
<a tabindex="0" class="calcval-tfa_34525" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paranaque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71">
<a tabindex="0" class="calcval-tfa_34526" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72">
<a tabindex="0" class="calcval-tfa_34527" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73">
<a tabindex="0" class="calcval-tfa_34528" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pateros</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74">
<a tabindex="0" class="calcval-tfa_34529" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75">
<a tabindex="0" class="calcval-tfa_34530" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76">
<a tabindex="0" class="calcval-tfa_34531" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quirino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77">
<a tabindex="0" class="calcval-tfa_34532" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78">
<a tabindex="0" class="calcval-tfa_34533" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Romblon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79">
<a tabindex="0" class="calcval-tfa_34534" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80">
<a tabindex="0" class="calcval-tfa_34535" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sarangani</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81">
<a tabindex="0" class="calcval-tfa_34536" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Siquijor</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82">
<a tabindex="0" class="calcval-tfa_34537" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sorsogon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83">
<a tabindex="0" class="calcval-tfa_34538" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84">
<a tabindex="0" class="calcval-tfa_34539" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Southern Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85">
<a tabindex="0" class="calcval-tfa_34540" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sultan Kudarat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86">
<a tabindex="0" class="calcval-tfa_34541" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sulu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87">
<a tabindex="0" class="calcval-tfa_34542" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88">
<a tabindex="0" class="calcval-tfa_34543" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89">
<a tabindex="0" class="calcval-tfa_34544" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taguig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90">
<a tabindex="0" class="calcval-tfa_34545" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91">
<a tabindex="0" class="calcval-tfa_34546" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tawi Tawi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92">
<a tabindex="0" class="calcval-tfa_34547" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93">
<a tabindex="0" class="calcval-tfa_34548" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Western Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94">
<a tabindex="0" class="calcval-tfa_34549" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zambales</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95">
<a tabindex="0" class="calcval-tfa_34550" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96">
<a tabindex="0" class="calcval-tfa_34551" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="97">
<a tabindex="0" class="calcval-tfa_34552" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Sibugay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_45" name="tfa_45" class="calc-homeprovince required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_34359" id="tfa_34359" class="calcval-tfa_34456">Abra</option>
<option value="tfa_34360" id="tfa_34360" class="calcval-tfa_34457">Agusan Del Norte</option>
<option value="tfa_34361" id="tfa_34361" class="calcval-tfa_34458">Agusan Del Sur</option>
<option value="tfa_34362" id="tfa_34362" class="calcval-tfa_34459">Aklan</option>
<option value="tfa_34363" id="tfa_34363" class="calcval-tfa_34460">Albay</option>
<option value="tfa_34364" id="tfa_34364" class="calcval-tfa_34461">Antique</option>
<option value="tfa_34365" id="tfa_34365" class="calcval-tfa_34462">Apayao</option>
<option value="tfa_34366" id="tfa_34366" class="calcval-tfa_34463">Aurora</option>
<option value="tfa_34367" id="tfa_34367" class="calcval-tfa_34464">Basilan</option>
<option value="tfa_34368" id="tfa_34368" class="calcval-tfa_34465">Bataan</option>
<option value="tfa_34369" id="tfa_34369" class="calcval-tfa_34466">Batanes</option>
<option value="tfa_34370" id="tfa_34370" class="calcval-tfa_34467">Batangas</option>
<option value="tfa_34371" id="tfa_34371" class="calcval-tfa_34468">Benguet</option>
<option value="tfa_34372" id="tfa_34372" class="calcval-tfa_34469">Biliran</option>
<option value="tfa_34373" id="tfa_34373" class="calcval-tfa_34470">Bohol</option>
<option value="tfa_34374" id="tfa_34374" class="calcval-tfa_34471">Bukidnon</option>
<option value="tfa_34375" id="tfa_34375" class="calcval-tfa_34472">Bulacan</option>
<option value="tfa_34376" id="tfa_34376" class="calcval-tfa_34473">Cagayan</option>
<option value="tfa_34377" id="tfa_34377" class="calcval-tfa_34474">Caloocan City</option>
<option value="tfa_34378" id="tfa_34378" class="calcval-tfa_34475">Camarines Norte</option>
<option value="tfa_34379" id="tfa_34379" class="calcval-tfa_34476">Camarines Sur</option>
<option value="tfa_34380" id="tfa_34380" class="calcval-tfa_34477">Camiguin</option>
<option value="tfa_34381" id="tfa_34381" class="calcval-tfa_34478">Capiz</option>
<option value="tfa_34382" id="tfa_34382" class="calcval-tfa_34479">Catanduanes</option>
<option value="tfa_34383" id="tfa_34383" class="calcval-tfa_34480">Cavite</option>
<option value="tfa_34384" id="tfa_34384" class="calcval-tfa_34481">Cebu</option>
<option value="tfa_34385" id="tfa_34385" class="calcval-tfa_34482">Compostela Valley</option>
<option value="tfa_34386" id="tfa_34386" class="calcval-tfa_34483">Davao Del Norte</option>
<option value="tfa_34387" id="tfa_34387" class="calcval-tfa_34484">Davao Del Sur</option>
<option value="tfa_34388" id="tfa_34388" class="calcval-tfa_34485">Davao Oriental</option>
<option value="tfa_34389" id="tfa_34389" class="calcval-tfa_34486">Eastern Samar</option>
<option value="tfa_34390" id="tfa_34390" class="calcval-tfa_34487">Greenhills</option>
<option value="tfa_34391" id="tfa_34391" class="calcval-tfa_34488">Guimaras</option>
<option value="tfa_34392" id="tfa_34392" class="calcval-tfa_34489">Ifugao</option>
<option value="tfa_34393" id="tfa_34393" class="calcval-tfa_34490">Ilocos Norte</option>
<option value="tfa_34394" id="tfa_34394" class="calcval-tfa_34491">Ilocos Sur</option>
<option value="tfa_34395" id="tfa_34395" class="calcval-tfa_34492">Iloilo</option>
<option value="tfa_34396" id="tfa_34396" class="calcval-tfa_34493">Isabela</option>
<option value="tfa_34397" id="tfa_34397" class="calcval-tfa_34494">Kalinga Apayao</option>
<option value="tfa_34398" id="tfa_34398" class="calcval-tfa_34495">La Union</option>
<option value="tfa_34399" id="tfa_34399" class="calcval-tfa_34496">Laguna</option>
<option value="tfa_34400" id="tfa_34400" class="calcval-tfa_34497">Lanao Del Norte</option>
<option value="tfa_34401" id="tfa_34401" class="calcval-tfa_34498">Lanao Del Sur</option>
<option value="tfa_34402" id="tfa_34402" class="calcval-tfa_34499">Las Pinas</option>
<option value="tfa_34403" id="tfa_34403" class="calcval-tfa_34500">Leyte</option>
<option value="tfa_34404" id="tfa_34404" class="calcval-tfa_34501">Maguindanao</option>
<option value="tfa_34405" id="tfa_34405" class="calcval-tfa_34502">Makati</option>
<option value="tfa_34406" id="tfa_34406" class="calcval-tfa_34503">Malabon</option>
<option value="tfa_34407" id="tfa_34407" class="calcval-tfa_34504">Mandaluyong</option>
<option value="tfa_34408" id="tfa_34408" class="calcval-tfa_34505">Manila</option>
<option value="tfa_34409" id="tfa_34409" class="calcval-tfa_34506">Marikina</option>
<option value="tfa_34410" id="tfa_34410" class="calcval-tfa_34507">Marinduque</option>
<option value="tfa_34411" id="tfa_34411" class="calcval-tfa_34508">Masbate</option>
<option value="tfa_34412" id="tfa_34412" class="calcval-tfa_34509">Mindoro Occidental</option>
<option value="tfa_34413" id="tfa_34413" class="calcval-tfa_34510">Mindoro Oriental</option>
<option value="tfa_34414" id="tfa_34414" class="calcval-tfa_34511">Misamis Occidental</option>
<option value="tfa_34415" id="tfa_34415" class="calcval-tfa_34512">Misamis Oriental</option>
<option value="tfa_34416" id="tfa_34416" class="calcval-tfa_34513">Mountain Province</option>
<option value="tfa_34417" id="tfa_34417" class="calcval-tfa_34514">Muntinlupa</option>
<option value="tfa_34418" id="tfa_34418" class="calcval-tfa_34515">Navotas</option>
<option value="tfa_34419" id="tfa_34419" class="calcval-tfa_34516">Negros Occidental</option>
<option value="tfa_34420" id="tfa_34420" class="calcval-tfa_34517">Negros Oriental</option>
<option value="tfa_34421" id="tfa_34421" class="calcval-tfa_34518">North Cotabato</option>
<option value="tfa_34422" id="tfa_34422" class="calcval-tfa_34519">Northern Samar</option>
<option value="tfa_34423" id="tfa_34423" class="calcval-tfa_34520">Nueva Ecija</option>
<option value="tfa_34424" id="tfa_34424" class="calcval-tfa_34521">Nueva Vizcaya</option>
<option value="tfa_34425" id="tfa_34425" class="calcval-tfa_34522">Palawan</option>
<option value="tfa_34426" id="tfa_34426" class="calcval-tfa_34523">Pampanga</option>
<option value="tfa_34427" id="tfa_34427" class="calcval-tfa_34524">Pangasinan</option>
<option value="tfa_34428" id="tfa_34428" class="calcval-tfa_34525">Paranaque</option>
<option value="tfa_34429" id="tfa_34429" class="calcval-tfa_34526">Pasay City</option>
<option value="tfa_34430" id="tfa_34430" class="calcval-tfa_34527">Pasig</option>
<option value="tfa_34431" id="tfa_34431" class="calcval-tfa_34528">Pateros</option>
<option value="tfa_34432" id="tfa_34432" class="calcval-tfa_34529">Quezon</option>
<option value="tfa_34433" id="tfa_34433" class="calcval-tfa_34530">Quezon City</option>
<option value="tfa_34434" id="tfa_34434" class="calcval-tfa_34531">Quirino</option>
<option value="tfa_34435" id="tfa_34435" class="calcval-tfa_34532">Rizal</option>
<option value="tfa_34436" id="tfa_34436" class="calcval-tfa_34533">Romblon</option>
<option value="tfa_34437" id="tfa_34437" class="calcval-tfa_34534">San Juan</option>
<option value="tfa_34438" id="tfa_34438" class="calcval-tfa_34535">Sarangani</option>
<option value="tfa_34439" id="tfa_34439" class="calcval-tfa_34536">Siquijor</option>
<option value="tfa_34440" id="tfa_34440" class="calcval-tfa_34537">Sorsogon</option>
<option value="tfa_34441" id="tfa_34441" class="calcval-tfa_34538">South Cotabato</option>
<option value="tfa_34442" id="tfa_34442" class="calcval-tfa_34539">Southern Leyte</option>
<option value="tfa_34443" id="tfa_34443" class="calcval-tfa_34540">Sultan Kudarat</option>
<option value="tfa_34444" id="tfa_34444" class="calcval-tfa_34541">Sulu</option>
<option value="tfa_34445" id="tfa_34445" class="calcval-tfa_34542">Surigao Del Norte</option>
<option value="tfa_34446" id="tfa_34446" class="calcval-tfa_34543">Surigao Del Sur</option>
<option value="tfa_34447" id="tfa_34447" class="calcval-tfa_34544">Taguig</option>
<option value="tfa_34448" id="tfa_34448" class="calcval-tfa_34545">Tarlac</option>
<option value="tfa_34449" id="tfa_34449" class="calcval-tfa_34546">Tawi Tawi</option>
<option value="tfa_34450" id="tfa_34450" class="calcval-tfa_34547">Valenzuela</option>
<option value="tfa_34451" id="tfa_34451" class="calcval-tfa_34548">Western Samar</option>
<option value="tfa_34452" id="tfa_34452" class="calcval-tfa_34549">Zambales</option>
<option value="tfa_34453" id="tfa_34453" class="calcval-tfa_34550">Zamboanga Del Norte</option>
<option value="tfa_34454" id="tfa_34454" class="calcval-tfa_34551">Zamboanga Del Sur</option>
<option value="tfa_34455" id="tfa_34455" class="calcval-tfa_34552">Zamboanga Sibugay</option>
</select>
</div>
</div>
</div>
<div id="tfa_361-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_361-L" for="tfa_361" class="label preField reqMark" style="width: 220px; min-width:0">Landline No.</label>
<div class="inputWrapper">
<input type="text" id="tfa_361" name="tfa_361" value="" style="width: 280px" placeholder="0288879188" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_361-H"><span id="tfa_361-HH" class="hint">Area
Code + 8-digit number</span></span>
</div>
</div>
<div id="tfa_35433-D" class="oneField labelsRemoved text-center">
<div class="inputWrapper"><span id="tfa_35433" class="choices vertical "><span class="oneChoice"><input type="checkbox" value="tfa_35434" class="" id="tfa_35434" name="tfa_35434" data-conditionals="#tfa_28258"><label class="label postField"
id="tfa_35434-L" for="tfa_35434">My permanent address is the same as my home address</label></span></span></div>
</div>
</fieldset>
<fieldset id="tfa_28258" class="section" data-condition="(NOT (`#tfa_35434`)) AND (NOT (`#tfa_36151`))">
<legend id="tfa_28258-L" align="center">Permanent Address</legend>
<div id="tfa_28260-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_28260-L" for="tfa_28260" class="label preField reqMark" style="width: 220px; min-width:0">Building No. and Street</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_28260" name="tfa_28260" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_28260-H"><span id="tfa_28260-HH" class="hint">No / Block / Street</span></span>
</div>
</div>
<div id="tfa_28261-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_28261-L" for="tfa_28261" class="label preField reqMark" style="width: 220px; min-width:0">Subdivision/Barangay</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_28261" name="tfa_28261" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_28261-H"><span id="tfa_28261-HH" class="hint">Bldg / Subd / Vil / Brgy</span></span>
</div>
</div>
<div id="tfa_35435-D" class="oneField labelsRightAligned ">
<label id="tfa_35435-L" for="tfa_35435" class="label preField " style="width: 220px; min-width:0">Home Province value</label>
<div class="inputWrapper"><input type="text" id="tfa_35435" name="tfa_35435" value="" style="width: 270px" placeholder="" readonly="" class="formula=homeprovince readonly form-control"></div>
</div>
<div id="tfa_28262-D" class="oneField labelsRightAligned ">
<label id="tfa_28262-L" for="tfa_28262" class="label preField reqMark" style="width: 220px; min-width:0">Province</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select calc-permanentprovince required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_28262"
title="Please select..."><span class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="calcval-Abra" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Abra</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2">
<a tabindex="0" class="calcval-Agusan Del Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3">
<a tabindex="0" class="calcval-Agusan Del Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="calcval-Aklan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aklan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5">
<a tabindex="0" class="calcval-Albay" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Albay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6">
<a tabindex="0" class="calcval-Antique" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antique</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="calcval-Apayao" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8">
<a tabindex="0" class="calcval-Aurora" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aurora</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9">
<a tabindex="0" class="calcval-Basilan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Basilan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10">
<a tabindex="0" class="calcval-Bataan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bataan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11">
<a tabindex="0" class="calcval-Batanes" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12">
<a tabindex="0" class="calcval-Batangas" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="calcval-Benguet" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benguet</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14">
<a tabindex="0" class="calcval-Biliran" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Biliran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="calcval-Bohol" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bohol</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="calcval-Bukidnon" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bukidnon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="calcval-Bulacan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bulacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18">
<a tabindex="0" class="calcval-Cagayan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cagayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19">
<a tabindex="0" class="calcval-Caloocan City" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20">
<a tabindex="0" class="calcval-Camarines Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21">
<a tabindex="0" class="calcval-Camarines Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22">
<a tabindex="0" class="calcval-Camiguin" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camiguin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23">
<a tabindex="0" class="calcval-Capiz" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capiz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24">
<a tabindex="0" class="calcval-Catanduanes" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Catanduanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25">
<a tabindex="0" class="calcval-Cavite" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cavite</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="calcval-Cebu" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="27">
<a tabindex="0" class="calcval-Compostella Valley" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Compostela Valley</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="28">
<a tabindex="0" class="calcval-Davao Del Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29">
<a tabindex="0" class="calcval-Davao Del Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30">
<a tabindex="0" class="calcval-Davao Oriental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31">
<a tabindex="0" class="calcval-Eastern Samar" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32">
<a tabindex="0" class="calcval-Greenhills" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33">
<a tabindex="0" class="calcval-Guimaras" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guimaras</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34">
<a tabindex="0" class="calcval-Ifugao" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ifugao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35">
<a tabindex="0" class="calcval-Ilocos Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36">
<a tabindex="0" class="calcval-Ilocos Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37">
<a tabindex="0" class="calcval-Iloilo" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38">
<a tabindex="0" class="calcval-Isabela" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Isabela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39">
<a tabindex="0" class="calcval-Kalinga Apayao" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalinga Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40">
<a tabindex="0" class="calcval-La Union" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Union</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41">
<a tabindex="0" class="calcval-Laguna" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laguna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42">
<a tabindex="0" class="calcval-Lanao Del Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43">
<a tabindex="0" class="calcval-Lanao Del Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44">
<a tabindex="0" class="calcval-Las Pinas" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Las Pinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45">
<a tabindex="0" class="calcval-Leyte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46">
<a tabindex="0" class="calcval-Maguindanao" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maguindanao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47">
<a tabindex="0" class="calcval-Makati" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48">
<a tabindex="0" class="calcval-Malabon" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49">
<a tabindex="0" class="calcval-Mandaluyong" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50">
<a tabindex="0" class="calcval-Manila" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Manila</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51">
<a tabindex="0" class="calcval-Marikina" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52">
<a tabindex="0" class="calcval-Marinduque" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marinduque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53">
<a tabindex="0" class="calcval-Masbate" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Masbate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54">
<a tabindex="0" class="calcval-Mindoro Occidental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="55">
<a tabindex="0" class="calcval-Mindoro Oriental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="56">
<a tabindex="0" class="calcval-Misamis Occidental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="57">
<a tabindex="0" class="calcval-Misamis Oriental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="58">
<a tabindex="0" class="calcval-Mountain Province" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mountain Province</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="59">
<a tabindex="0" class="calcval-Muntinlupa" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Muntinlupa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60">
<a tabindex="0" class="calcval-Navotas" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Navotas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61">
<a tabindex="0" class="calcval-Negros Occidental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="62">
<a tabindex="0" class="calcval-North Oriental" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63">
<a tabindex="0" class="calcval-North Cotabato" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">North Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64">
<a tabindex="0" class="calcval-Northern Samar" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Northern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65">
<a tabindex="0" class="calcval-nueva Ecija" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Ecija</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66">
<a tabindex="0" class="calcval-Nueva Vizcaya" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Vizcaya</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67">
<a tabindex="0" class="calcval-Palawan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palawan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68">
<a tabindex="0" class="calcval-Pampanga" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pampanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69">
<a tabindex="0" class="calcval-Pangasinan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pangasinan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70">
<a tabindex="0" class="calcval-Paranaque" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paranaque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71">
<a tabindex="0" class="calcval-Pasay City" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72">
<a tabindex="0" class="calcval-Pasig" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73">
<a tabindex="0" class="calcval-Pateros" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pateros</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74">
<a tabindex="0" class="calcval-Quezon" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75">
<a tabindex="0" class="calcval-Quezon City" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76">
<a tabindex="0" class="calcval-Quirino" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quirino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77">
<a tabindex="0" class="calcval-Rizal" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78">
<a tabindex="0" class="calcval-Romblon" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Romblon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79">
<a tabindex="0" class="calcval-San Juan" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80">
<a tabindex="0" class="calcval-Sarangani" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sarangani</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81">
<a tabindex="0" class="calcval-Siquijor" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Siquijor</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82">
<a tabindex="0" class="calcval-Sorsogon" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sorsogon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83">
<a tabindex="0" class="calcval-South Cotabato" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84">
<a tabindex="0" class="calcval-Southern Leyte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Southern Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85">
<a tabindex="0" class="calcval-Sultan Kudarat" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sultan Kudarat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86"><a tabindex="0" class="calcval-Sulu" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sulu</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="87">
<a tabindex="0" class="calcval-Surigao Del Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="88">
<a tabindex="0" class="calcval-Surigao Del Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89">
<a tabindex="0" class="calcval-Taguig" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taguig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90">
<a tabindex="0" class="calcval-Tarlac" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91">
<a tabindex="0" class="calcval-Tawi Tawi" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tawi Tawi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92">
<a tabindex="0" class="calcval-Valenzuela" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93">
<a tabindex="0" class="calcval-Western Samar" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Western Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94">
<a tabindex="0" class="calcval-Zambales" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zambales</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95">
<a tabindex="0" class="calcval-Zamboanga Del Norte" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="96">
<a tabindex="0" class="calcval-Zamboanga Del Sur" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="97">
<a tabindex="0" class="calcval-Zamboanga Sibugay" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Sibugay</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="tfa_28262" name="tfa_28262" class="calc-permanentprovince required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_34456" id="tfa_34456" class="calcval-Abra">Abra</option>
<option value="tfa_34457" id="tfa_34457" class="calcval-Agusan Del Norte">Agusan Del Norte</option>
<option value="tfa_34458" id="tfa_34458" class="calcval-Agusan Del Sur">Agusan Del Sur</option>
<option value="tfa_34459" id="tfa_34459" class="calcval-Aklan">Aklan</option>
<option value="tfa_34460" id="tfa_34460" class="calcval-Albay">Albay</option>
<option value="tfa_34461" id="tfa_34461" class="calcval-Antique">Antique</option>
<option value="tfa_34462" id="tfa_34462" class="calcval-Apayao">Apayao</option>
<option value="tfa_34463" id="tfa_34463" class="calcval-Aurora">Aurora</option>
<option value="tfa_34464" id="tfa_34464" class="calcval-Basilan">Basilan</option>
<option value="tfa_34465" id="tfa_34465" class="calcval-Bataan">Bataan</option>
<option value="tfa_34466" id="tfa_34466" class="calcval-Batanes">Batanes</option>
<option value="tfa_34467" id="tfa_34467" class="calcval-Batangas">Batangas</option>
<option value="tfa_34468" id="tfa_34468" class="calcval-Benguet">Benguet</option>
<option value="tfa_34469" id="tfa_34469" class="calcval-Biliran">Biliran</option>
<option value="tfa_34470" id="tfa_34470" class="calcval-Bohol">Bohol</option>
<option value="tfa_34471" id="tfa_34471" class="calcval-Bukidnon">Bukidnon</option>
<option value="tfa_34472" id="tfa_34472" class="calcval-Bulacan">Bulacan</option>
<option value="tfa_34473" id="tfa_34473" class="calcval-Cagayan">Cagayan</option>
<option value="tfa_34474" id="tfa_34474" class="calcval-Caloocan City">Caloocan City</option>
<option value="tfa_34475" id="tfa_34475" class="calcval-Camarines Norte">Camarines Norte</option>
<option value="tfa_34476" id="tfa_34476" class="calcval-Camarines Sur">Camarines Sur</option>
<option value="tfa_34477" id="tfa_34477" class="calcval-Camiguin">Camiguin</option>
<option value="tfa_34478" id="tfa_34478" class="calcval-Capiz">Capiz</option>
<option value="tfa_34479" id="tfa_34479" class="calcval-Catanduanes">Catanduanes</option>
<option value="tfa_34480" id="tfa_34480" class="calcval-Cavite">Cavite</option>
<option value="tfa_34481" id="tfa_34481" class="calcval-Cebu">Cebu</option>
<option value="tfa_34482" id="tfa_34482" class="calcval-Compostella Valley">Compostela Valley</option>
<option value="tfa_34483" id="tfa_34483" class="calcval-Davao Del Norte">Davao Del Norte</option>
<option value="tfa_34484" id="tfa_34484" class="calcval-Davao Del Sur">Davao Del Sur</option>
<option value="tfa_34485" id="tfa_34485" class="calcval-Davao Oriental">Davao Oriental</option>
<option value="tfa_34486" id="tfa_34486" class="calcval-Eastern Samar">Eastern Samar</option>
<option value="tfa_34487" id="tfa_34487" class="calcval-Greenhills">Greenhills</option>
<option value="tfa_34488" id="tfa_34488" class="calcval-Guimaras">Guimaras</option>
<option value="tfa_34489" id="tfa_34489" class="calcval-Ifugao">Ifugao</option>
<option value="tfa_34490" id="tfa_34490" class="calcval-Ilocos Norte">Ilocos Norte</option>
<option value="tfa_34491" id="tfa_34491" class="calcval-Ilocos Sur">Ilocos Sur</option>
<option value="tfa_34492" id="tfa_34492" class="calcval-Iloilo">Iloilo</option>
<option value="tfa_34493" id="tfa_34493" class="calcval-Isabela">Isabela</option>
<option value="tfa_34494" id="tfa_34494" class="calcval-Kalinga Apayao">Kalinga Apayao</option>
<option value="tfa_34495" id="tfa_34495" class="calcval-La Union">La Union</option>
<option value="tfa_34496" id="tfa_34496" class="calcval-Laguna">Laguna</option>
<option value="tfa_34497" id="tfa_34497" class="calcval-Lanao Del Norte">Lanao Del Norte</option>
<option value="tfa_34498" id="tfa_34498" class="calcval-Lanao Del Sur">Lanao Del Sur</option>
<option value="tfa_34499" id="tfa_34499" class="calcval-Las Pinas">Las Pinas</option>
<option value="tfa_34500" id="tfa_34500" class="calcval-Leyte">Leyte</option>
<option value="tfa_34501" id="tfa_34501" class="calcval-Maguindanao">Maguindanao</option>
<option value="tfa_34502" id="tfa_34502" class="calcval-Makati">Makati</option>
<option value="tfa_34503" id="tfa_34503" class="calcval-Malabon">Malabon</option>
<option value="tfa_34504" id="tfa_34504" class="calcval-Mandaluyong">Mandaluyong</option>
<option value="tfa_34505" id="tfa_34505" class="calcval-Manila">Manila</option>
<option value="tfa_34506" id="tfa_34506" class="calcval-Marikina">Marikina</option>
<option value="tfa_34507" id="tfa_34507" class="calcval-Marinduque">Marinduque</option>
<option value="tfa_34508" id="tfa_34508" class="calcval-Masbate">Masbate</option>
<option value="tfa_34509" id="tfa_34509" class="calcval-Mindoro Occidental">Mindoro Occidental</option>
<option value="tfa_34510" id="tfa_34510" class="calcval-Mindoro Oriental">Mindoro Oriental</option>
<option value="tfa_34511" id="tfa_34511" class="calcval-Misamis Occidental">Misamis Occidental</option>
<option value="tfa_34512" id="tfa_34512" class="calcval-Misamis Oriental">Misamis Oriental</option>
<option value="tfa_34513" id="tfa_34513" class="calcval-Mountain Province">Mountain Province</option>
<option value="tfa_34514" id="tfa_34514" class="calcval-Muntinlupa">Muntinlupa</option>
<option value="tfa_34515" id="tfa_34515" class="calcval-Navotas">Navotas</option>
<option value="tfa_34516" id="tfa_34516" class="calcval-Negros Occidental">Negros Occidental</option>
<option value="tfa_34517" id="tfa_34517" class="calcval-North Oriental">Negros Oriental</option>
<option value="tfa_34518" id="tfa_34518" class="calcval-North Cotabato">North Cotabato</option>
<option value="tfa_34519" id="tfa_34519" class="calcval-Northern Samar">Northern Samar</option>
<option value="tfa_34520" id="tfa_34520" class="calcval-nueva Ecija">Nueva Ecija</option>
<option value="tfa_34521" id="tfa_34521" class="calcval-Nueva Vizcaya">Nueva Vizcaya</option>
<option value="tfa_34522" id="tfa_34522" class="calcval-Palawan">Palawan</option>
<option value="tfa_34523" id="tfa_34523" class="calcval-Pampanga">Pampanga</option>
<option value="tfa_34524" id="tfa_34524" class="calcval-Pangasinan">Pangasinan</option>
<option value="tfa_34525" id="tfa_34525" class="calcval-Paranaque">Paranaque</option>
<option value="tfa_34526" id="tfa_34526" class="calcval-Pasay City">Pasay City</option>
<option value="tfa_34527" id="tfa_34527" class="calcval-Pasig">Pasig</option>
<option value="tfa_34528" id="tfa_34528" class="calcval-Pateros">Pateros</option>
<option value="tfa_34529" id="tfa_34529" class="calcval-Quezon">Quezon</option>
<option value="tfa_34530" id="tfa_34530" class="calcval-Quezon City">Quezon City</option>
<option value="tfa_34531" id="tfa_34531" class="calcval-Quirino">Quirino</option>
<option value="tfa_34532" id="tfa_34532" class="calcval-Rizal">Rizal</option>
<option value="tfa_34533" id="tfa_34533" class="calcval-Romblon">Romblon</option>
<option value="tfa_34534" id="tfa_34534" class="calcval-San Juan">San Juan</option>
<option value="tfa_34535" id="tfa_34535" class="calcval-Sarangani">Sarangani</option>
<option value="tfa_34536" id="tfa_34536" class="calcval-Siquijor">Siquijor</option>
<option value="tfa_34537" id="tfa_34537" class="calcval-Sorsogon">Sorsogon</option>
<option value="tfa_34538" id="tfa_34538" class="calcval-South Cotabato">South Cotabato</option>
<option value="tfa_34539" id="tfa_34539" class="calcval-Southern Leyte">Southern Leyte</option>
<option value="tfa_34540" id="tfa_34540" class="calcval-Sultan Kudarat">Sultan Kudarat</option>
<option value="tfa_34541" id="tfa_34541" class="calcval-Sulu">Sulu</option>
<option value="tfa_34542" id="tfa_34542" class="calcval-Surigao Del Norte">Surigao Del Norte</option>
<option value="tfa_34543" id="tfa_34543" class="calcval-Surigao Del Sur">Surigao Del Sur</option>
<option value="tfa_34544" id="tfa_34544" class="calcval-Taguig">Taguig</option>
<option value="tfa_34545" id="tfa_34545" class="calcval-Tarlac">Tarlac</option>
<option value="tfa_34546" id="tfa_34546" class="calcval-Tawi Tawi">Tawi Tawi</option>
<option value="tfa_34547" id="tfa_34547" class="calcval-Valenzuela">Valenzuela</option>
<option value="tfa_34548" id="tfa_34548" class="calcval-Western Samar">Western Samar</option>
<option value="tfa_34549" id="tfa_34549" class="calcval-Zambales">Zambales</option>
<option value="tfa_34550" id="tfa_34550" class="calcval-Zamboanga Del Norte">Zamboanga Del Norte</option>
<option value="tfa_34551" id="tfa_34551" class="calcval-Zamboanga Del Sur">Zamboanga Del Sur</option>
<option value="tfa_34552" id="tfa_34552" class="calcval-Zamboanga Sibugay">Zamboanga Sibugay</option>
</select>
</div>
</div>
</div>
<div id="tfa_28355-D" class="oneField labelsRightAligned ">
<label id="tfa_28355-L" for="tfa_28355" class="label preField reqMark" style="width: 220px; min-width:0">City/Municipality</label>
<div class="inputWrapper"><input type="text" id="tfa_28355" name="tfa_28355" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_28259-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_28259-L" for="tfa_28259" class="label preField reqMark" style="width: 220px; min-width:0">Landline No.</label>
<div class="inputWrapper">
<input type="text" id="tfa_28259" name="tfa_28259" value="" style="width: 280px" placeholder="0288879188" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_28259-H"><span id="tfa_28259-HH"
class="hint"><span style="background-color: rgb(255, 255, 204);">Area Code + 8-digit number</span></span></span>
</div>
</div>
</fieldset>
</div>
<div id="wfPgIndex-2-buttons" class="wfPagingButtons"><input value="Previous Page" type="button" class="wfPagePreviousButton" wfpageindex_activate="1" id="wfPagePreviousId2"><input value="Next Page" type="button" class="wfPageNextButton"
wfpageindex_activate="3" id="wfPageNextId2"></div>
</div>
<div class="wfPage " id="wfPgIndex-3">
<div class="section pageSection" id="tfa_24076" data-condition="NOT (`#tfa_36151`)">
<div class="htmlSection" id="tfa_34957">
<div class="htmlContent" id="tfa_34957-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/CC-Step-3-header.png" width="400px"></div>
</div>
</div>
<div id="tfa_35716" class="section group">
<div id="tfa_35717" class="section group offstate" data-condition="(`#tfa_8292`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35718">
<div class="htmlContent" id="tfa_35718-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/cashback-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35721" class="section group offstate" data-condition="(`#tfa_4`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35722">
<div class="htmlContent" id="tfa_35722-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/gold-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35723" class="section group offstate" data-condition="(`#tfa_5`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35724">
<div class="htmlContent" id="tfa_35724-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/plat-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35727" class="section group offstate" data-condition="(`#tfa_35653`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35728">
<div class="htmlContent" id="tfa_35728-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/next-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35729" class="section group offstate" data-condition="(`#tfa_8423`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35730">
<div class="htmlContent" id="tfa_35730-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/cc-click-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36178" class="section group offstate" data-condition="(`#tfa_36168`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36180">
<div class="htmlContent" id="tfa_36180-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2022/05/cards-header-cashback-plat.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36140" class="section group offstate" data-condition="(`#tfa_35786`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36141">
<div class="htmlContent" id="tfa_36141-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2021/06/plat-app-header-fwd.png" width="400px"></div>
</div>
</div>
</div>
</div>
<fieldset id="tfa_384" class="section">
<legend id="tfa_384-L" align="center">Employment Details</legend>
<div id="tfa_641-D" class="oneField text-center labelsAbove text-center">
<label id="tfa_641-L" for="tfa_641" class="label preField reqMark" style="width: 160px; min-width:0">Employment Status</label><br>
<div class="inputWrapper"><span id="tfa_641" class="choices required"><span class="oneChoice"><input type="radio" value="tfa_643" class="" id="tfa_643" name="tfa_641"
data-conditionals="#tfa_8380,#tfa_8382,#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label class="label postField"
id="tfa_643-L" for="tfa_643">Employed</label></span><span class="oneChoice"><input type="radio" value="tfa_642" class="" id="tfa_642" name="tfa_641"
data-conditionals="#tfa_644,#tfa_8284,#tfa_8287,#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550,#tfa_35576,#tfa_35578,#tfa_35461,#tfa_35586,#tfa_35542,#tfa_35777,#tfa_35778"><label class="label postField" id="tfa_642-L"
for="tfa_642">Self-Employed</label></span></span></div>
</div>
<div id="tfa_8281" class="section group">
<div class="htmlSection" id="tfa_8280">
<div class="htmlContent" id="tfa_8280-HTML">
<div style="font-size: 12px; color: #8e8e8e;">We currently are not able to issue regular credit cards for unemployed and retired applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a
Security Bank branch near you to place a holdout deposit. <a href="https://www.securitybank.com/map" target="new" rel="noopener">Click here</a> to visit a branch near you.</div>
</div>
</div>
</div>
<div id="tfa_386-D" class="oneField labelsRightAligned ">
<label id="tfa_386-L" for="tfa_386" class="label preField reqMark" style="width: 220px; min-width:0">Company Name</label>
<div class="inputWrapper"><input type="text" id="tfa_386" name="tfa_386" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_637-D" class="oneField labelsRightAligned ">
<label id="tfa_637-L" for="tfa_637" class="label preField reqMark" style="width: 220px; min-width:0">Position</label>
<div class="inputWrapper"><input type="text" id="tfa_637" name="tfa_637" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_8341-D" class="oneField labelsRightAligned ">
<label id="tfa_8341-L" for="tfa_8341" class="label preField reqMark" style="width: 220px; min-width:0">Rank</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_8341" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Executive</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Senior Officer</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Officer</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rank and File</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="tfa_8341" name="tfa_8341" class="required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_8358" id="tfa_8358" class="">Executive</option>
<option value="tfa_8354" id="tfa_8354" class="">Senior Officer</option>
<option value="tfa_8352" id="tfa_8352" class="">Officer</option>
<option value="tfa_8349" id="tfa_8349" class="">Rank and File</option>
</select>
</div>
</div>
</div>
<div id="tfa_8165-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_8165-L" for="tfa_8165" class="label preField reqMark" style="width: 220px; min-width:0">Gross Annual Income</label>
<div class="inputWrapper">
<input type="text" id="tfa_8165" name="tfa_8165" value="" style="width: 280px" placeholder="" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_8165-H"><span id="tfa_8165-HH" class="hint">in
PHP</span></span>
</div>
</div>
<div id="tfa_8270" class="section inline group">
<div id="tfa_8383-D" class="oneField labelsRightAligned ">
<label id="tfa_8383-L" for="tfa_8383" class="label preField " style="width: 220px; min-width:0">Nature of Business</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_8383" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Call Center</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">General Trade</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Real Estate</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Automobile</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Media/Advertising</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Travel and Tourism</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Non-Voice BPO/Consulting</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Other Financial Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Education</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Manufacturing</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Construction</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="12">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Restaurants/Food & beverage</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Manpower/Security</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Transportation and Storage</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Information and Communication</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Information Technology</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hospitality/Hotels</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pharmacy</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Energy</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rural/Cooperatives</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Medical Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">FMCG</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">HR/Recruitment</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="24">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Health and Recreation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agriculture, Forestry and Fishing</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clinic</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Airlines</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mining</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Social Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Religious</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Military</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Administrative</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="34">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hospital/Medical Center</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Professional, Scientific and Technical Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Government</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Utilities</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Universal/Savings Bank</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_8383" name="tfa_8383" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_35321" id="tfa_35321" class="">Call Center</option>
<option value="tfa_35322" id="tfa_35322" class="">General Trade</option>
<option value="tfa_35323" id="tfa_35323" class="">Real Estate</option>
<option value="tfa_35324" id="tfa_35324" class="">Automobile</option>
<option value="tfa_35325" id="tfa_35325" class="">Media/Advertising</option>
<option value="tfa_35326" id="tfa_35326" class="">Travel and Tourism</option>
<option value="tfa_35327" id="tfa_35327" class="">Non-Voice BPO/Consulting</option>
<option value="tfa_35328" id="tfa_35328" class="">Other Financial Services</option>
<option value="tfa_35329" id="tfa_35329" class="">Education</option>
<option value="tfa_35330" id="tfa_35330" class="">Manufacturing</option>
<option value="tfa_35331" id="tfa_35331" class="">Construction</option>
<option value="tfa_35332" id="tfa_35332" class="">Restaurants/Food & beverage</option>
<option value="tfa_35333" id="tfa_35333" class="">Manpower/Security</option>
<option value="tfa_35334" id="tfa_35334" class="">Transportation and Storage</option>
<option value="tfa_35335" id="tfa_35335" class="">Information and Communication</option>
<option value="tfa_35336" id="tfa_35336" class="">Information Technology</option>
<option value="tfa_35337" id="tfa_35337" class="">Hospitality/Hotels</option>
<option value="tfa_35338" id="tfa_35338" class="">Pharmacy</option>
<option value="tfa_35339" id="tfa_35339" class="">Energy</option>
<option value="tfa_35340" id="tfa_35340" class="">Rural/Cooperatives</option>
<option value="tfa_35341" id="tfa_35341" class="">Medical Services</option>
<option value="tfa_35342" id="tfa_35342" class="">FMCG</option>
<option value="tfa_35343" id="tfa_35343" class="">HR/Recruitment</option>
<option value="tfa_35344" id="tfa_35344" class="">Health and Recreation</option>
<option value="tfa_35345" id="tfa_35345" class="">Agriculture, Forestry and Fishing</option>
<option value="tfa_35346" id="tfa_35346" class="">Clinic</option>
<option value="tfa_35347" id="tfa_35347" class="">Airlines</option>
<option value="tfa_35348" id="tfa_35348" class="">Mining</option>
<option value="tfa_35349" id="tfa_35349" class="">Rental</option>
<option value="tfa_35350" id="tfa_35350" class="">Social Services</option>
<option value="tfa_35351" id="tfa_35351" class="">Religious</option>
<option value="tfa_35352" id="tfa_35352" class="">Military</option>
<option value="tfa_35353" id="tfa_35353" class="">Administrative</option>
<option value="tfa_35354" id="tfa_35354" class="">Hospital/Medical Center</option>
<option value="tfa_35355" id="tfa_35355" class="">Professional, Scientific and Technical Services</option>
<option value="tfa_35356" id="tfa_35356" class="">Government</option>
<option value="tfa_35357" id="tfa_35357" class="">Utilities</option>
<option value="tfa_35358" id="tfa_35358" class="">Universal/Savings Bank</option>
</select>
</div>
</div>
</div>
<div id="tfa_35627" class="section group">
<div id="tfa_730-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_730-L" for="tfa_730" class="label preField reqMark" style="width: 220px; min-width:0">Work Tenure(current position)</label>
<div class="inputWrapper">
<input type="text" id="tfa_730" name="tfa_730" value="" style="width: 110px" placeholder="12" min="0" max="12" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_730-H"><span id="tfa_730-HH"
class="hint">Months</span></span>
</div>
</div>
<div id="tfa_8164-D" class="oneField hintsBelow">
<div class="inputWrapper">
<input type="text" id="tfa_8164" name="tfa_8164" value="" style="width: 150px" placeholder="10" min="1" max="99" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_8164-H"><span id="tfa_8164-HH"
class="hint">Years</span></span>
</div>
</div>
</div>
</div>
<div id="tfa_23768-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_23768-L" for="tfa_23768" class="label preField reqMark" style="width: 220px; min-width:0">TIN</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_23768" name="tfa_23768" value="" style="width: 280px" placeholder="" maxlength="9" class="validate-custom /^[0-9]{9}$/ calc-UMID required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">9 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_23768-H"><span id="tfa_23768-HH" class="hint">please enter your 9-digit tax identification no.</span></span>
</div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_23768'] = {
selector: '*[id="tfa_23768"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_23768'] = "Please enter your 9-digit TIN";
}
}
</script>
</div>
<div id="tfa_35509-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_35509-L" for="tfa_35509" class="label preField reqMark" style="width: 220px; min-width:0">ID Number</label>
<div class="inputWrapper">
<input type="text" id="tfa_35509" name="tfa_35509" value="" style="width: 280px" placeholder="" readonly="" class="formula=SSS+GSIS+TIN readonly required form-control"><span class="field-hint-inactive" id="tfa_35509-H"><span
id="tfa_35509-HH" class="hint">no document required</span></span>
</div>
</div>
<div id="tfa_35506-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_35506-L" for="tfa_35506" class="label preField reqMark" style="width: 220px; min-width:0">ID Type</label>
<div class="inputWrapper">
<input type="text" id="tfa_35506" name="tfa_35506" value="" style="width: 280px" placeholder="" readonly="" class="formula=populateID(IDTYPE) readonly required form-control"><span class="field-hint-inactive" id="tfa_35506-H"><span
id="tfa_35506-HH" class="hint">no document required</span></span>
</div>
</div>
<div id="tfa_35442-D" class="oneField labelsRemoved text-center">
<div class="inputWrapper"><span id="tfa_35442" class="choices vertical "><span class="oneChoice"><input type="checkbox" value="tfa_35443" class="" id="tfa_35443" name="tfa_35443"
data-conditionals="#tfa_35454,#tfa_35447,#tfa_35449,#tfa_35451,#tfa_23763"><label class="label postField" id="tfa_35443-L" for="tfa_35443">I have a different ID</label></span></span></div>
</div>
<div id="tfa_35454" class="section group offstate" data-condition="(`#tfa_35443`) AND (NOT (`#tfa_36151`))">
<div id="tfa_23763-D" class="oneField labelsRightAligned hintsBelow offstate">
<label id="tfa_23763-L" for="tfa_23763" class="label preField reqMark" style="width: 220px; min-width:0">Employment ID Type</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select calc-IDTYPE required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_23763"
title="Please select..."><span class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1">
<a tabindex="0" class="calcval-SSS" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">SSS Card</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="calcval-GSIS" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">GSIS ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="calcval-TIN" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UMID</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="tfa_23763" name="tfa_23763" data-condition="(`#tfa_35443`) AND ((`#tfa_35443`) AND (NOT (`#tfa_36151`)))" class="calc-IDTYPE required selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_23764" id="tfa_23764" data-conditionals="#tfa_35447" class="calcval-SSS">SSS Card</option>
<option value="tfa_23765" id="tfa_23765" data-conditionals="#tfa_35449" class="calcval-GSIS">GSIS ID</option>
<option value="tfa_23767" id="tfa_23767" data-conditionals="#tfa_35451" class="calcval-TIN">UMID</option>
</select>
</div><span class="field-hint-inactive" id="tfa_23763-H"><span id="tfa_23763-HH" class="hint">no document required</span></span>
</div>
</div>
<div id="tfa_35447-D" class="oneField labelsRightAligned hintsBelow offstate">
<label id="tfa_35447-L" for="tfa_35447" class="label preField " style="width: 220px; min-width:0">SSS Card</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_35447" name="tfa_35447" value="" style="width: 280px" placeholder="" maxlength="10"
data-condition="(`#tfa_23764`) AND ((`#tfa_35443`) AND (NOT (`#tfa_36151`)))" class="validate-custom /^[0-9]{10}$/ calc-SSS form-control" disabled="">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">10 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_35447-H"><span id="tfa_35447-HH" class="hint">please enter your 10 digit SSS number</span></span>
</div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_35447'] = {
selector: '*[id="tfa_35447"]',
check: 'validateCustom'
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wFORMS.behaviors.validation.messages['customtfa_35447'] = "Please enter your 10 digit SSS Number";
}
}
</script>
</div>
<div id="tfa_35449-D" class="oneField labelsRightAligned hintsBelow offstate">
<label id="tfa_35449-L" for="tfa_35449" class="label preField " style="width: 220px; min-width:0">GSIS ID</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_35449" name="tfa_35449" value="" style="width: 280px" placeholder="" maxlength="11"
data-condition="(`#tfa_23765`) AND ((`#tfa_35443`) AND (NOT (`#tfa_36151`)))" class="validate-custom /^[0-9]{11}$/ calc-GSIS form-control" disabled="">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">11 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_35449-H"><span id="tfa_35449-HH" class="hint">please enter your 11 digit GSIS number</span></span>
</div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_35449'] = {
selector: '*[id="tfa_35449"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_35449'] = "Please enter your 11 digit GSIS number";
}
}
</script>
</div>
<div id="tfa_35451-D" class="oneField labelsRightAligned hintsBelow offstate">
<label id="tfa_35451-L" for="tfa_35451" class="label preField " style="width: 220px; min-width:0">UMID</label>
<div class="inputWrapper">
<input type="text" id="tfa_35451" name="tfa_35451" value="" style="width: 280px" placeholder="" data-condition="(`#tfa_23767`) AND ((`#tfa_35443`) AND (NOT (`#tfa_36151`)))" class="validate-integer calc-TIN form-control"
disabled=""><span class="field-hint-inactive" id="tfa_35451-H"><span id="tfa_35451-HH" class="hint">please enter your 12 digit UMID number</span></span>
</div>
</div>
</div>
<div id="tfa_387-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_387-L" for="tfa_387" class="label preField reqMark" style="width: 220px; min-width:0">Office Landline</label>
<div class="inputWrapper">
<input type="text" id="tfa_387" name="tfa_387" value="" style="width: 280px" placeholder="0288879188" class="validate-integer required form-control"><span class="field-hint-inactive" id="tfa_387-H"><span id="tfa_387-HH" class="hint">Area
Code + 8-digit number</span></span>
</div>
</div>
<div id="tfa_634-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_634-L" for="tfa_634" class="label preField reqMark" style="width: 220px; min-width:0">Address 1</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_634" name="tfa_634" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_634-H"><span id="tfa_634-HH" class="hint">No / Block / Street</span></span>
</div>
</div>
<div id="tfa_635-D" class="oneField labelsRightAligned hintsBelow">
<label id="tfa_635-L" for="tfa_635" class="label preField reqMark" style="width: 220px; min-width:0">Address 2</label>
<div class="inputWrapper">
<div style="position: relative; display: inline-block;"><input type="text" id="tfa_635" name="tfa_635" value="" style="width: 280px" placeholder="" maxlength="32" class="required form-control">
<div class="lengthIndicator" style="position: absolute; top: 0px; display: none; width: 100%; left: 304px;">32 characters left.</div>
</div><span class="field-hint-inactive" id="tfa_635-H"><span id="tfa_635-HH" class="hint">Bldg / Subd / Vil / Brgy</span></span>
</div>
</div>
<div id="tfa_32417-D" class="oneField labelsRightAligned ">
<label id="tfa_32417-L" for="tfa_32417" class="label preField reqMark" style="width: 220px; min-width:0">City/Municipality</label>
<div class="inputWrapper"><input type="text" id="tfa_32417" name="tfa_32417" value="" style="width: 280px" placeholder="" class="required form-control"></div>
</div>
<div id="tfa_32324-D" class="oneField labelsRightAligned ">
<label id="tfa_32324-L" for="tfa_32324" class="label preField reqMark" style="width: 220px; min-width:0">Province</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_32324" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Abra</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Agusan Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aklan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Albay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antique</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aurora</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Basilan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bataan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benguet</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Biliran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bohol</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bukidnon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bulacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cagayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan City</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camarines Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Camiguin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capiz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Catanduanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cavite</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Compostela Valley</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Davao Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guimaras</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ifugao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ilocos Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Isabela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalinga Apayao</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Union</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laguna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lanao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Las Pinas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maguindanao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Manila</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marinduque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Masbate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindoro Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="56">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Misamis Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="58">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mountain Province</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Muntinlupa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Navotas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Occidental</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Negros Oriental</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="63"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">North Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="64"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Northern Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Ecija</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nueva Vizcaya</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palawan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pampanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pangasinan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paranaque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pateros</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quirino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Romblon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sarangani</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Siquijor</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sorsogon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Cotabato</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="84"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Southern Leyte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="85"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sultan Kudarat</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="86"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sulu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Surigao Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="89"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taguig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tawi Tawi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Western Samar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="94"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zambales</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Norte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="97">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zamboanga Sibugay</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_32324" name="tfa_32324" class="required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_34553" id="tfa_34553" class="">Abra</option>
<option value="tfa_34554" id="tfa_34554" class="">Agusan Del Norte</option>
<option value="tfa_34555" id="tfa_34555" class="">Agusan Del Sur</option>
<option value="tfa_34556" id="tfa_34556" class="">Aklan</option>
<option value="tfa_34557" id="tfa_34557" class="">Albay</option>
<option value="tfa_34558" id="tfa_34558" class="">Antique</option>
<option value="tfa_34559" id="tfa_34559" class="">Apayao</option>
<option value="tfa_34560" id="tfa_34560" class="">Aurora</option>
<option value="tfa_34561" id="tfa_34561" class="">Basilan</option>
<option value="tfa_34562" id="tfa_34562" class="">Bataan</option>
<option value="tfa_34563" id="tfa_34563" class="">Batanes</option>
<option value="tfa_34564" id="tfa_34564" class="">Batangas</option>
<option value="tfa_34565" id="tfa_34565" class="">Benguet</option>
<option value="tfa_34566" id="tfa_34566" class="">Biliran</option>
<option value="tfa_34567" id="tfa_34567" class="">Bohol</option>
<option value="tfa_34568" id="tfa_34568" class="">Bukidnon</option>
<option value="tfa_34569" id="tfa_34569" class="">Bulacan</option>
<option value="tfa_34570" id="tfa_34570" class="">Cagayan</option>
<option value="tfa_34571" id="tfa_34571" class="">Caloocan City</option>
<option value="tfa_34572" id="tfa_34572" class="">Camarines Norte</option>
<option value="tfa_34573" id="tfa_34573" class="">Camarines Sur</option>
<option value="tfa_34574" id="tfa_34574" class="">Camiguin</option>
<option value="tfa_34575" id="tfa_34575" class="">Capiz</option>
<option value="tfa_34576" id="tfa_34576" class="">Catanduanes</option>
<option value="tfa_34577" id="tfa_34577" class="">Cavite</option>
<option value="tfa_34578" id="tfa_34578" class="">Cebu</option>
<option value="tfa_34579" id="tfa_34579" class="">Compostela Valley</option>
<option value="tfa_34580" id="tfa_34580" class="">Davao Del Norte</option>
<option value="tfa_34581" id="tfa_34581" class="">Davao Del Sur</option>
<option value="tfa_34582" id="tfa_34582" class="">Davao Oriental</option>
<option value="tfa_34583" id="tfa_34583" class="">Eastern Samar</option>
<option value="tfa_34584" id="tfa_34584" class="">Greenhills</option>
<option value="tfa_34585" id="tfa_34585" class="">Guimaras</option>
<option value="tfa_34586" id="tfa_34586" class="">Ifugao</option>
<option value="tfa_34587" id="tfa_34587" class="">Ilocos Norte</option>
<option value="tfa_34588" id="tfa_34588" class="">Ilocos Sur</option>
<option value="tfa_34589" id="tfa_34589" class="">Iloilo</option>
<option value="tfa_34590" id="tfa_34590" class="">Isabela</option>
<option value="tfa_34591" id="tfa_34591" class="">Kalinga Apayao</option>
<option value="tfa_34592" id="tfa_34592" class="">La Union</option>
<option value="tfa_34593" id="tfa_34593" class="">Laguna</option>
<option value="tfa_34594" id="tfa_34594" class="">Lanao Del Norte</option>
<option value="tfa_34595" id="tfa_34595" class="">Lanao Del Sur</option>
<option value="tfa_34596" id="tfa_34596" class="">Las Pinas</option>
<option value="tfa_34597" id="tfa_34597" class="">Leyte</option>
<option value="tfa_34598" id="tfa_34598" class="">Maguindanao</option>
<option value="tfa_34599" id="tfa_34599" class="">Makati</option>
<option value="tfa_34600" id="tfa_34600" class="">Malabon</option>
<option value="tfa_34601" id="tfa_34601" class="">Mandaluyong</option>
<option value="tfa_34602" id="tfa_34602" class="">Manila</option>
<option value="tfa_34603" id="tfa_34603" class="">Marikina</option>
<option value="tfa_34604" id="tfa_34604" class="">Marinduque</option>
<option value="tfa_34605" id="tfa_34605" class="">Masbate</option>
<option value="tfa_34606" id="tfa_34606" class="">Mindoro Occidental</option>
<option value="tfa_34607" id="tfa_34607" class="">Mindoro Oriental</option>
<option value="tfa_34608" id="tfa_34608" class="">Misamis Occidental</option>
<option value="tfa_34609" id="tfa_34609" class="">Misamis Oriental</option>
<option value="tfa_34610" id="tfa_34610" class="">Mountain Province</option>
<option value="tfa_34611" id="tfa_34611" class="">Muntinlupa</option>
<option value="tfa_34612" id="tfa_34612" class="">Navotas</option>
<option value="tfa_34613" id="tfa_34613" class="">Negros Occidental</option>
<option value="tfa_34614" id="tfa_34614" class="">Negros Oriental</option>
<option value="tfa_34615" id="tfa_34615" class="">North Cotabato</option>
<option value="tfa_34616" id="tfa_34616" class="">Northern Samar</option>
<option value="tfa_34617" id="tfa_34617" class="">Nueva Ecija</option>
<option value="tfa_34618" id="tfa_34618" class="">Nueva Vizcaya</option>
<option value="tfa_34619" id="tfa_34619" class="">Palawan</option>
<option value="tfa_34620" id="tfa_34620" class="">Pampanga</option>
<option value="tfa_34621" id="tfa_34621" class="">Pangasinan</option>
<option value="tfa_34622" id="tfa_34622" class="">Paranaque</option>
<option value="tfa_34623" id="tfa_34623" class="">Pasay City</option>
<option value="tfa_34624" id="tfa_34624" class="">Pasig</option>
<option value="tfa_34625" id="tfa_34625" class="">Pateros</option>
<option value="tfa_34626" id="tfa_34626" class="">Quezon</option>
<option value="tfa_34627" id="tfa_34627" class="">Quezon City</option>
<option value="tfa_34628" id="tfa_34628" class="">Quirino</option>
<option value="tfa_34629" id="tfa_34629" class="">Rizal</option>
<option value="tfa_34630" id="tfa_34630" class="">Romblon</option>
<option value="tfa_34631" id="tfa_34631" class="">San Juan</option>
<option value="tfa_34632" id="tfa_34632" class="">Sarangani</option>
<option value="tfa_34633" id="tfa_34633" class="">Siquijor</option>
<option value="tfa_34634" id="tfa_34634" class="">Sorsogon</option>
<option value="tfa_34635" id="tfa_34635" class="">South Cotabato</option>
<option value="tfa_34636" id="tfa_34636" class="">Southern Leyte</option>
<option value="tfa_34637" id="tfa_34637" class="">Sultan Kudarat</option>
<option value="tfa_34638" id="tfa_34638" class="">Sulu</option>
<option value="tfa_34639" id="tfa_34639" class="">Surigao Del Norte</option>
<option value="tfa_34640" id="tfa_34640" class="">Surigao Del Sur</option>
<option value="tfa_34641" id="tfa_34641" class="">Taguig</option>
<option value="tfa_34642" id="tfa_34642" class="">Tarlac</option>
<option value="tfa_34643" id="tfa_34643" class="">Tawi Tawi</option>
<option value="tfa_34644" id="tfa_34644" class="">Valenzuela</option>
<option value="tfa_34645" id="tfa_34645" class="">Western Samar</option>
<option value="tfa_34646" id="tfa_34646" class="">Zambales</option>
<option value="tfa_34647" id="tfa_34647" class="">Zamboanga Del Norte</option>
<option value="tfa_34648" id="tfa_34648" class="">Zamboanga Del Sur</option>
<option value="tfa_34649" id="tfa_34649" class="">Zamboanga Sibugay</option>
</select>
</div>
</div>
</div>
</fieldset>
</div>
<div id="wfPgIndex-3-buttons" class="wfPagingButtons"><input value="Previous Page" type="button" class="wfPagePreviousButton" wfpageindex_activate="2" id="wfPagePreviousId3"><input value="Next Page" type="button" class="wfPageNextButton"
wfpageindex_activate="4" id="wfPageNextId3"></div>
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<div class="wfPage " id="wfPgIndex-4">
<div class="section pageSection" id="tfa_24080" data-condition="NOT (`#tfa_36151`)">
<div class="htmlSection" id="tfa_34959">
<div class="htmlContent" id="tfa_34959-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/CC-Step-4-header.png" width="400px"></div>
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<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/cashback-app-header.png" width="400px"></div>
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<div id="tfa_35751" class="section group offstate" data-condition="(`#tfa_4`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35752">
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<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/gold-app-header.png" width="400px"></div>
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</div>
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<div id="tfa_35753" class="section group offstate" data-condition="(`#tfa_5`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35754">
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<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/plat-app-header.png" width="400px"></div>
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<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2020/10/next-app-header.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_35759" class="section group offstate" data-condition="(`#tfa_8423`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_35760">
<div class="htmlContent" id="tfa_35760-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2018/06/cc-click-header.png" width="400px"></div>
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</div>
<div id="tfa_36181" class="section group offstate" data-condition="(`#tfa_36168`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36183">
<div class="htmlContent" id="tfa_36183-HTML">
<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2022/05/cards-header-cashback-plat.png" width="400px"></div>
</div>
</div>
</div>
<div id="tfa_36144" class="section group offstate" data-condition="(`#tfa_35786`) AND (NOT (`#tfa_36151`))">
<div class="htmlSection" id="tfa_36145">
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<div style="text-align: center;"><img data-no-lazy="1" src="https://www.securitybank.com/wp-content/uploads/2021/06/plat-app-header-fwd.png" width="400px"></div>
</div>
</div>
</div>
</div>
<fieldset id="tfa_644" class="section"
data-condition="((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))">
<legend id="tfa_644-L" align="center">Required Documents</legend>
<div class="htmlSection" id="tfa_35628">
<div class="htmlContent" id="tfa_35628-HTML"><b><i><a href="https://cloudconvert.com/" target="_blank" rel="noopener">Try this tool</a> to merge multiple pages into a single file</i></b>
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<div id="tfa_35461" class="section group"
data-condition="(NOT (`#tfa_35439`) OR (`#tfa_35439` AND `#tfa_36187`)) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))">
<div class="htmlSection" id="tfa_24082">
<div class="htmlContent" id="tfa_24082-HTML">
<p class="text-center">Acceptable file formats are JPG, PNG and PDF with a total maximum size of 5 MB.</p>
</div>
</div>
<div id="tfa_35541-D" class="oneField labelsRightAligned ">
<label id="tfa_35541-L" for="tfa_35541" class="label preField reqMark" style="width: 260px; min-width:0">Proof of Identification</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_35541" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UMID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">SSS Card</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">GSIS ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">TIN ID</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Others</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="tfa_35541" name="tfa_35541" class="required selectpicker form-control mobile-device" tabindex="-98">
<option value="">Please select...</option>
<option value="tfa_35581" id="tfa_35581" class="">UMID</option>
<option value="tfa_35582" id="tfa_35582" class="">SSS Card</option>
<option value="tfa_35583" id="tfa_35583" class="">GSIS ID</option>
<option value="tfa_35584" id="tfa_35584" class="">TIN ID</option>
<option value="tfa_35585" id="tfa_35585" data-conditionals="#tfa_35586" class="">Others</option>
</select>
</div>
</div>
</div>
<div id="tfa_645-D" class="oneField labelsRightAligned " data-repeatlimit="5">
<label id="tfa_645-L" for="tfa_645" class="label preField reqMark" style="width: 260px; min-width:0">Proof of Identification A</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_645" name="tfa_645" size="" class="required hidden">
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</div>
<div id="tfa_35586" class="section group offstate"
data-condition="(((`#tfa_35585`) AND (NOT (`#tfa_35439`) OR (`#tfa_35439` AND `#tfa_36187`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))) AND ((NOT (`#tfa_35439`) OR (`#tfa_35439` AND `#tfa_36187`)) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div id="tfa_35540-D" class="oneField labelsRightAligned " data-repeatlimit="5">
<label id="tfa_35540-L" for="tfa_35540" class="label preField reqMark" style="width: 260px; min-width:0">Proof of Identification B</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35540" name="tfa_35540" size="" class="required hidden" disabled="">
</label></div>
</div>
</div>
<div class="htmlSection" id="tfa_24081">
<div class="htmlContent" id="tfa_24081-HTML">
<div class="text-center">Acceptable Documents: Government Issued identification such as Driver's License, Passport, GSIS e-Card, SSS
ID. <a href="https://www.securitybank.com/list-of-valid-ids-for-credit-cards/" target="_blank" rel="noopener">Click here</a> to see list of valid IDs.</div>
</div>
</div>
</div>
<div id="tfa_8284" class="section group offstate"
data-condition="((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))">
<div id="tfa_35777" class="section group offstate"
data-condition="(NOT (`#tfa_35776`)) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div class="htmlSection" id="tfa_35770">
<div class="htmlContent" id="tfa_35770-HTML">
<div style="text-align: center; "><br></div>
<div style="text-align: center; display:none;"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" style="width: 100%;"
data-lazy-src="https://www.securitybank.com/wp-content/uploads/2015/05/employed_id.png"><noscript><img src="https://www.securitybank.com/wp-content/uploads/2015/05/employed_id.png" style="width: 100%;"></noscript></div>
</div>
</div>
</div>
<div id="tfa_35542-D" class="oneField labelsRightAligned offstate">
<label id="tfa_35542-L" for="tfa_35542" class="label preField reqMark" style="width: 260px; min-width:0">Proof of Income</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select required form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_35542" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest 1 Month Payslip</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest 3 Month Payslips + ID Front + ID Back</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="3">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest 1 year ITR</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest Certificate of Employment (COE)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="tfa_35542" name="tfa_35542"
data-condition="(NOT (`#tfa_35776`)) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))"
class="required selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_35652" id="tfa_35652" data-conditionals="#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550" class="">Latest 1 Month Payslip</option>
<option value="tfa_35570" id="tfa_35570" data-conditionals="#tfa_35574,#tfa_35544,#tfa_35546,#tfa_35548,#tfa_35550" class="">Latest 3 Month Payslips + ID Front + ID Back</option>
<option value="tfa_35571" id="tfa_35571" data-conditionals="#tfa_35576" class="">Latest 1 year ITR</option>
<option value="tfa_35572" id="tfa_35572" data-conditionals="#tfa_35578" class="">Latest Certificate of Employment (COE)</option>
</select>
</div>
</div>
</div>
<div id="tfa_35574" class="section group offstate"
data-condition="((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div id="tfa_646-D" class="oneField labelsRightAligned hintsSide" data-repeatlimit="5">
<label id="tfa_646-L" for="tfa_646" class="label preField reqMark" style="width: 260px; min-width:0">Pay Slip Month 1</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_646" name="tfa_646" size="" class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35544-D" class="oneField labelsRightAligned hintsSide offstate" data-repeatlimit="5">
<label id="tfa_35544-L" for="tfa_35544" class="label preField reqMark" style="width: 260px; min-width:0">Pay Slip Month 2</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35544" name="tfa_35544" size=""
data-condition="((`#tfa_35570`) AND ((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))))) AND (((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))))"
class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35546-D" class="oneField labelsRightAligned hintsSide offstate" data-repeatlimit="5">
<label id="tfa_35546-L" for="tfa_35546" class="label preField reqMark" style="width: 260px; min-width:0">Pay Slip Month 3</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35546" name="tfa_35546" size=""
data-condition="((`#tfa_35570`) AND ((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))))) AND (((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))))"
class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35548-D" class="oneField labelsRightAligned hintsSide offstate" data-repeatlimit="5">
<label id="tfa_35548-L" for="tfa_35548" class="label preField reqMark" style="width: 260px; min-width:0">Company ID Front</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35548" name="tfa_35548" size=""
data-condition="((`#tfa_35570`) AND ((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))))) AND (((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))))"
class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35550-D" class="oneField labelsRightAligned hintsSide offstate" data-repeatlimit="5">
<label id="tfa_35550-L" for="tfa_35550" class="label preField reqMark" style="width: 260px; min-width:0">Company ID Back</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35550" name="tfa_35550" size=""
data-condition="((`#tfa_35570`) AND ((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))))) AND (((`#tfa_35570` OR `#tfa_35652`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))))"
class="required hidden" disabled="">
</label></div>
</div>
</div>
<div id="tfa_35576" class="section group offstate"
data-condition="((`#tfa_35571`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div id="tfa_35552-D" class="oneField labelsRightAligned hintsSide" data-repeatlimit="5">
<label id="tfa_35552-L" for="tfa_35552" class="label preField reqMark" style="width: 260px; min-width:0">ITR (Form 2316)</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35552" name="tfa_35552" size="" class="required hidden" disabled="">
</label></div>
</div>
</div>
<div id="tfa_35578" class="section group offstate"
data-condition="((`#tfa_35572`) AND ((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`)))) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div id="tfa_35554-D" class="oneField labelsRightAligned hintsSide" data-repeatlimit="5">
<label id="tfa_35554-L" for="tfa_35554" class="label preField reqMark" style="width: 260px; min-width:0">Signed Certificate of Employment</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35554" name="tfa_35554" size="" class="required hidden" disabled="">
</label></div>
</div>
</div>
<div id="tfa_35778" class="section group offstate"
data-condition="(NOT (`#tfa_35776`)) AND (((((NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154` AND `#tfa_643`) OR (`#tfa_35465` AND `#tfa_643` AND `#tfa_36154`) OR (`#tfa_35441` AND `#tfa_643` AND `#tfa_36154`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`))))">
<div class="htmlSection" id="tfa_24083">
<div class="htmlContent" id="tfa_24083-HTML">
<div class="text-center">Acceptable Documents: 1 month Payslip, ITR, COE signed by authorized signatory</div>
</div>
</div>
</div>
</div>
<div id="tfa_8287" class="section group offstate"
data-condition="((((`#tfa_642` AND NOT (`#tfa_35439`) AND `#tfa_35441` AND `#tfa_36154`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND `#tfa_36154` AND `#tfa_642`)) AND ((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`))) AND (NOT (`#tfa_36151`))) AND (((`#tfa_642` AND `#tfa_35465`) OR (`#tfa_35465` AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35465`) AND NOT (`#tfa_35439`) AND NOT (`#tfa_35441`)) OR (NOT (`#tfa_35439`) AND (`#tfa_643` OR `#tfa_642`)) OR (`#tfa_35439` AND `#tfa_36187`)) AND (NOT (`#tfa_36151`)))">
<div class="htmlSection" id="tfa_35771">
<div class="htmlContent" id="tfa_35771-HTML">
<div style="text-align: center;"><br></div>
<div style="text-align: center; display: none;"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" style="width: 100%;"
data-lazy-src="https://www.securitybank.com/wp-content/uploads/2015/05/selfemployed_id.png"><noscript><img src="https://www.securitybank.com/wp-content/uploads/2015/05/selfemployed_id.png" style="width: 100%;"></noscript></div>
</div>
</div>
<div id="tfa_35555-D" class="oneField labelsRightAligned ">
<label id="tfa_35555-L" for="tfa_35555" class="label preField " style="width: 260px; min-width:0">Proof of Business</label>
<div class="inputWrapper">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="tfa_35555" title="Please select..."><span
class="filter-option pull-left">Please select...</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Please select...</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest ITR 3 years + Latest DTI or SEC</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latest 3 Audited Financial Statements (AFS)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="tfa_35555" name="tfa_35555" class="selectpicker form-control mobile-device" tabindex="-98" disabled="">
<option value="">Please select...</option>
<option value="tfa_35568" id="tfa_35568" class="">Latest ITR 3 years + Latest DTI or SEC</option>
<option value="tfa_35569" id="tfa_35569" class="">Latest 3 Audited Financial Statements (AFS)</option>
</select>
</div>
</div>
</div>
<div id="tfa_35573" class="section group">
<div id="tfa_651-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_651-L" for="tfa_651" class="label preField reqMark" style="width: 260px; min-width:0">ITR Year 1</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_651" name="tfa_651" size="" class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35557-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35557-L" for="tfa_35557" class="label preField " style="width: 260px; min-width:0">ITR Year 2</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35557" name="tfa_35557" size="" class="hidden" disabled="">
</label></div>
</div>
<div id="tfa_35559-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35559-L" for="tfa_35559" class="label preField reqMark" style="width: 260px; min-width:0">Business Permit</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35559" name="tfa_35559" size="" class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35561-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35561-L" for="tfa_35561" class="label preField reqMark" style="width: 260px; min-width:0">DTI or SEC Registration</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35561" name="tfa_35561" size="" class="required hidden" disabled="">
</label></div>
</div>
</div>
<div id="tfa_35580" class="section group">
<div id="tfa_35563-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35563-L" for="tfa_35563" class="label preField reqMark" style="width: 260px; min-width:0">Audited Financial Statement Year 1</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35563" name="tfa_35563" size="" class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35565-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35565-L" for="tfa_35565" class="label preField reqMark" style="width: 260px; min-width:0">Audited Financial Statement Year 2</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35565" name="tfa_35565" size="" class="required hidden" disabled="">
</label></div>
</div>
<div id="tfa_35567-D" class="oneField labelsRightAligned hintsBelow" data-repeatlimit="5">
<label id="tfa_35567-L" for="tfa_35567" class="label preField " style="width: 260px; min-width:0">Audited Financial Statement Year 3</label>
<div class="inputWrapper"><label class="btn btn-primary form-control form-control-file" data-empty-text="Browse&hellip;">
<div class="overflow-ellipsis">Browse…</div><input type="file" id="tfa_35567" name="tfa_35567" size="" class="hidden" disabled="">
</label></div>
</div>
</div>
<div class="htmlSection" id="tfa_35430">
<div class="htmlContent" id="tfa_35430-HTML">
<div class="text-center">Acceptable Documents: 1 year of ITR with BIR Stamp, 2 years of stamped audited financial statements, Current Business Permit, DTI/SEC Registration</div>
</div>
</div>
</div>
</fieldset>
<fieldset id="tfa_35595" class="section">
<legend id="tfa_35595-L" align="center">Delivery Options</legend>
<div id="tfa_368-D" class="oneField text-center labelsAbove ">
<label id="tfa_368-L" for="tfa_368" class="label preField reqMark" style="width: 310px; min-width:0">Where do you want your card delivered?</label><br>
<div class="inputWrapper"><span id="tfa_368" class="choices horizontal required"><span class="oneChoice"><input type="radio" value="tfa_369" class="" id="tfa_369" name="tfa_368"><label class="label postField" id="tfa_369-L"
for="tfa_369">Home Address</label></span><span class="oneChoice"><input type="radio" value="tfa_370" class="" id="tfa_370" name="tfa_368"><label class="label postField" id="tfa_370-L" for="tfa_370">Office
Address</label></span></span></div>
</div>
<div class="htmlSection" id="tfa_35650">
<div class="htmlContent" id="tfa_35650-HTML">
<p id="paperless">Note: Only the cardholder can receive their credit card upon arrival at the registered delivery address.<br></p>
</div>
</div>
<div id="tfa_374-D" class="oneField text-center labelsAbove ">
<label id="tfa_374-L" for="tfa_374" class="label preField " style="width: 450px; min-width:0">Where do you want your Statement of Account delivered?</label><br>
<div class="inputWrapper"><span id="tfa_374" class="choices " data-condition="(NOT (`#tfa_8292`)) AND (NOT (`#tfa_36151`))"><span class="oneChoice"><input type="radio" value="tfa_375" class="" id="tfa_375" name="tfa_374"><label
class="label postField" id="tfa_375-L" for="tfa_375">Home Address</label></span><span class="oneChoice"><input type="radio" value="tfa_376" class="" id="tfa_376" name="tfa_374"><label class="label postField" id="tfa_376-L"
for="tfa_376">Office Address</label></span><span class="oneChoice"><input type="radio" value="tfa_24145" class="" id="tfa_24145" name="tfa_374"><label class="label postField" id="tfa_24145-L" for="tfa_24145">Email Address via
eSoA</label></span></span></div>
</div>
<div class="htmlSection" id="tfa_36147">
<div class="htmlContent" id="tfa_36147-HTML">
<p id="paperless">Your credit card Statement of Account (SOA) will be sent to your email address on record through our Electronic Statement of Account (eSOA) facility. Thanks for going paperless!</p>
</div>
</div>
</fieldset>
<fieldset id="tfa_8276" class="section">
<legend id="tfa_8276-L" align="center">Affirmation & Authorization</legend>
<div class="htmlSection" id="tfa_8279">
<div class="htmlContent" id="tfa_8279-HTML">
<div style="overflow: auto; width: 620px; height: 85px; font-size: 11pt;">
<br>By ticking the below box and clicking submit, I confirm that the information I provided is true and correct. I authorize Security Bank to seek confirmation from external sources it deems appropriate to verify the information I
provided. I also acknowledge that information on my deposit accounts, placements or credit dealings and any other information may be requested as part of the credit card approval process. <br><br>I also acknowledge that falsifying
information on the enclosed documents is sufficient ground for legal action and for the rejection of my application. I understand that should my application be declined, Security Bank Corporation has no obligation to furnish the reason
for such rejection. By signing at the back of the card delivered to me, I signify my agreement to Security Bank’s Terms and Conditions. Furthermore, I acknowledge that in case of issuance of a supplementary card, I and my
supplementary/ies and/or surety/ies shall be jointly and severally liable for all information about the supplementary cardholder/s as well as all purchases, and cash advances made, including all interest and charges incurred through the
use of the supplementary card/s and that in the event of delinquency, I hereby authorize Security Bank Corporation to report and include my/our names in the negative listings of any credit card bureau or institution. I waive any defense
of minority, illiteracy or non-filiation on any supplementary cardholder/s. Such responsibility shall only cease upon my written request for the supplementary card privileges to be terminated. <br><br>Further, I hereby give consent for
Security Bank Corporation to share and process any information relating to my account/s to any member of the Security Bank Corporation Group of Companies and Bancassurance companies or their authorized Service Providers and
representatives, for purposes of cross-selling products and services, profiling and credit evaluation/reference checks, audit and account balance confirmation and allow them to contact us for this purpose (i.e. by e-mail, telephone,
text, etc.), or in case of audit where our account is chosen as a sample for account balance confirmation, which shall remain in effect for five (5) years after account closure. I also authorize SBC to process, transfer, share and
disclose any information relating to my credit data, telecom or mobile usage data or "telco score" to credit info data providers or credit scoring service providers (i.e. Globe Telecom, Inc., Smart Telecommunications, Inc., and other
telecommunications service provider), for the purpose of credit verification, collection, credit review and credit scoring/analytics, and statistical and risk analysis. I have read and understood SBC's Data Privacy Notice which is made
available in <a href="https://www.securitybank.com/security-information/">https://www.securitybank.com/security-information/</a> and acknowledge that SBC will keep my personal information for as long as necessary to best serve me during
the duration of the relationship and in accordance with retention limits set by law once the account has been closed. SBC's Data Privacy Notice also outlines my other rights in the event I have issues with how SBC is processing my
information. I am likewise aware that I can refuse the processing of my information or withdraw my consent to the further processing of my personal data unless (1) the processing is required pursuant to a subpoena, lawful order, or as
required by law; or (2) the collection and processing is pursuant to the performance of or in relation to the Credit Card Terms and Conditions; or (3) the information is being collected and processed as a result of a legal obligation.
<br><br>I hold Security Bank Corporation free and harmless from any and all liabilities, claims and demands of whatever kind or nature in connection with or arising from this disclosure or reporting.
</div>
</div>
</div>
</fieldset>
<div id="tfa_8277-D" class="oneField text-center">
<div class="inputWrapper"><span id="tfa_8277" class="choices vertical required"><span class="oneChoice"><input type="checkbox" value="tfa_8278" class="" id="tfa_8278" name="tfa_8278"><label class="label postField" id="tfa_8278-L"
for="tfa_8278">I have read and agree to the above Affirmation and Authorization</label></span></span></div>
</div>
<div id="tfa_36159" class="section group offstate" data-condition="(`#tfa_35653`) AND (NOT (`#tfa_36151`))">
<div id="tfa_36160-D" class="oneField labelsRemoved ">
<div class="inputWrapper"><span id="tfa_36160" class="choices vertical required"><span class="oneChoice"><input type="checkbox" value="tfa_36161" class="" id="tfa_36161" name="tfa_36161" disabled=""><label class="label postField"
id="tfa_36161-L" for="tfa_36161">I have read and understand Next Mastercard's Terms and Conditions.</label></span></span></div>
</div>
<div class="htmlSection" id="tfa_36162">
<div class="htmlContent" id="tfa_36162-HTML"><a href="/personal/credit-cards/next-mastercard/#tc" target="”_blank”" rel="noopener">Click here to read Next Mastercard' Terms and Conditions.</a></div>
</div>
</div>
<div id="tfa_35620-D" class="oneField ">
<div class="inputWrapper"><span id="tfa_35620" class="choices vertical required"><span class="oneChoice"><input type="checkbox" value="tfa_35621" class="" id="tfa_35621" name="tfa_35621"><label class="label postField" id="tfa_35621-L"
for="tfa_35621">By submitting the information, I hereby indicate my consent to its collection and use by the SBC Group, third parties and SBC partners for the processing of my application as required by data privacy laws and in
accordance with the SBC Data Privacy Notice.</label></span></span></div>
</div>
<div class="htmlSection" id="tfa_35622">
<div class="htmlContent" id="tfa_35622-HTML"><a href="https://www.securitybank.com/security-information" target="”_blank”" rel="noopener">Click here to read SBC Data Privacy Notice.</a></div>
</div>
</div>
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wfpageindex_activate="5" id="wfPageNextId4"></div>
</div>
<div class="wfPage offstate" id="wfPgIndex-5">
<div class="section pageSection" id="tfa_36155" data-condition="`#tfa_36151`">
<div id="tfa_36156" class="section group">
<div class="htmlSection" id="tfa_36157">
<div class="htmlContent" id="tfa_36157-HTML">
<div style="text-align: center;"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E"
data-lazy-src="https://forms.securitybank.com/formassembly/forms/get_image/2/c56d36f5e65452364aae3da12ad88454-header-ty-ft-redirect.png"><noscript><img
src="https://forms.securitybank.com/formassembly/forms/get_image/2/c56d36f5e65452364aae3da12ad88454-header-ty-ft-redirect.png"></noscript></div>
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</div>
<div class="htmlSection" id="tfa_36158">
<div class="htmlContent" id="tfa_36158-HTML">
<p style="text-align: center; font-size: 16px; ">However, you did not meet the minimum requirement to proceed. You may want to <br>consider applying for our <b>Fast Track Secured Card</b> instead and get approved 100%. </p>
<p style="text-align: center; font-size: 16px; "><a href="/personal/credit-cards/fast-track-secured-credit-card/">Click here</a> to get started.</p>
</div>
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class="wfPageNextButton" wfpageindex_activate="6" id="wfPageNextId5" disabled=""></div>
</div>
<div id="wfPgIndex-6" class="wfPage">
<fieldset class="captcha">
<legend align="center">Captcha</legend>
<p class="instructions">Please enter the characters you see in this picture:</p>
<div class="oneField">
<img loading="lazy" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20200%2060'%3E%3C/svg%3E" width="200" height="60" alt="Visual CAPTCHA"
data-lazy-src="https://forms.securitybank.com/formassembly/forms/captcha"><noscript><img loading="lazy" src="https://forms.securitybank.com/formassembly/forms/captcha" width="200" height="60" alt="Visual CAPTCHA"></noscript><br><label
class="preField" for="tfa_captcha_text">Characters</label> <input type="text" name="tfa_captcha_text" id="tfa_captcha_text" class="form-control"><br>
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</form>https://www.securitybank.com/wp-admin/admin-ajax.php
<form id="contacts-form" action="https://www.securitybank.com/wp-admin/admin-ajax.php" class=""><input type="hidden" id="_wpnonce" name="_wpnonce" value="af5b92add1"><input type="hidden" name="_wp_http_referer"
value="/personal/credit-cards/online-application/?utm_source=special-list&utm_medium=email&utm_campaign=EM-xcrdgeneral-102722&utm_content=EM-xcrdgeneral-xoptbmidlow-textlink1-102722-xckr">
<h2 class="contacts-form-title text-center">Let's talk</h2>
<div class="row">
<div class="col-md-6 col-md-push-2">
<div class="form-horizontal">
<div class="form-group"><label for="name" class="control-label col-sm-4">Name</label>
<div class="col-sm-8"><input type="text" id="name" name="name" class="form-control" aria-required="true" aria-invalid="false"></div>
</div>
<div class="form-group hidden"><label for="surname" class="control-label col-sm-4">Surname</label>
<div class="col-sm-8"><input type="text" id="surname" name="surname" class="form-control"></div>
</div>
<div class="form-group"><label for="phone" class="control-label col-sm-4">Phone number</label>
<div class="col-sm-8"><input type="text" id="phone" name="phone" class="form-control" aria-required="true" aria-invalid="false"></div>
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<div class="form-group"><label for="email" class="control-label col-sm-4">E-mail</label>
<div class="col-sm-8"><input type="text" id="email" name="email" class="form-control" aria-required="true" aria-invalid="false"></div>
</div>
<div class="form-group"><label for="interest" class="control-label col-sm-4">Concern</label>
<div class="col-sm-8">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="concern" title="I Want to Apply for"><span class="filter-option pull-left">I
Want to Apply for</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Select concern</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="1" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">I Want to Apply for</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Questions on Products/Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Questions on Card Promos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Status of Product Application</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Branch/ATM Transactions</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Security Bank Online/Mobile App</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Security Issues</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Careers</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="concern" name="concern" data-mobile="true" class="selectpicker form-control mobile-device" aria-required="true" aria-invalid="false" tabindex="-98">
<option value="">Select concern</option>
<option value="203285" data-product="1" data-branch="0">I Want to Apply for</option>
<option value="203286" data-product="1" data-branch="0">Questions on Products/Services</option>
<option value="279977" data-product="0" data-branch="0">Questions on Card Promos</option>
<option value="279978" data-product="1" data-branch="0">Status of Product Application</option>
<option value="203289" data-product="0" data-branch="0">Branch/ATM Transactions</option>
<option value="203290" data-product="0" data-branch="0">Security Bank Online/Mobile App</option>
<option value="279979" data-product="0" data-branch="0">Security Issues</option>
<option value="279980" data-product="0" data-branch="0">Careers</option>
</select>
</div>
</div>
</div>
<div class="form-group"><label for="interest" class="control-label col-sm-4">Product</label>
<div class="col-sm-8">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="interest" title="Select product"><span
class="filter-option pull-left">Select product</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Select product</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bank Accounts</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Credit Cards</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Home Loan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Auto Loan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Personal Loan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="6">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Corporate Salary Loan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Trust Investments</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bancassurance/FWD</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gold Circle</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Business Accounts/Corporate Banking</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Business Loan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="12">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Treasury Products</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fixed Income Securities</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Digibanker</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Repossessed Cars</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="16">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Properties for Sale</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Properties for Lease</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">SB Capital</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Estate Planing</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Operating Leases</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Finance Leases</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="22">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Telegraphic Transfer</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Shareholder Services</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Remittance</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">eGive Cash</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="interest" name="service" data-mobile="true" class="selectpicker form-control mobile-device" aria-required="true" aria-invalid="false" tabindex="-98">
<option value="" selected="selected">Select product</option>
<option value="158860">Bank Accounts</option>
<option value="134361">Credit Cards</option>
<option value="118450">Home Loan</option>
<option value="36091">Auto Loan</option>
<option value="77025">Personal Loan</option>
<option value="71825">Corporate Salary Loan</option>
<option value="59144">Trust Investments</option>
<option value="38830">Bancassurance/FWD</option>
<option value="15414">Gold Circle</option>
<option value="12727">Business Accounts/Corporate Banking</option>
<option value="12726">Business Loan</option>
<option value="11690">Treasury Products</option>
<option value="283713">Fixed Income Securities</option>
<option value="9416">Digibanker</option>
<option value="8968">Repossessed Cars</option>
<option value="8967">Properties for Sale</option>
<option value="8965">Properties for Lease</option>
<option value="8964">SB Capital</option>
<option value="8962">Estate Planing</option>
<option value="8960">Operating Leases</option>
<option value="8958">Finance Leases</option>
<option value="8956">Telegraphic Transfer</option>
<option value="8954">Shareholder Services</option>
<option value="8953">Remittance</option>
<option value="8952">eGive Cash</option>
</select>
</div>
</div>
</div>
<div class="form-group hidden"><label for="branch" class="control-label col-sm-4">Preferred branch</label>
<div class="col-sm-8">
<div class="btn-group bootstrap-select disabled form-control"><button type="button" class="btn dropdown-toggle disabled bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="branch" tabindex="-1" aria-disabled="true"
title="Any Branch"><span class="filter-option pull-left">Any Branch</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Any Branch</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="1div"></li>
<li class="dropdown-header " data-optgroup="1"><span class="text">Laguna</span></li>
<li data-original-index="1" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Cruz-Laguna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmelray 1</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmelray 2</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calamba Lisp</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Rosa-Greenfield</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pablo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pedro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Rosa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calamba – Crossing</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Biñan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batino-Calamba</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12" data-optgroup="1">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Pedro – Pacita Complex</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="2div"></li>
<li class="dropdown-header " data-optgroup="2"><span class="text">Quezon City</span></li>
<li data-original-index="13" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fairview-Commonwealth</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon Avenue-West Triangle</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eton Centris</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">A. Roces Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Katipunan Blue Ridge</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Robinsons Magnolia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nuvo City Aspire</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Acropolis</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">West Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Visayas Avenue-Project 6</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tomas Morato</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">St. Ignatius-Katipunan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roosevelt</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon Ave.-Capitol Medical</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quezon Avenue-South Triangle</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Quirino Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mindanao Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Katipunan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lagro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">G. Araneta</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez-Slmc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Diliman – Matalino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Don Antonio Heights</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastwood</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Del Monte</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Commonwealth</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congressional</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congressional Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cubao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capitol Hills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alimall</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe-Malaya</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Novaliches-Bayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Timog Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">E. Rodriguez-New York Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe-Kitanlad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tandang Sora</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Retiro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Banawe-Quezon Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kamias</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54" data-optgroup="2">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Regalado Fairview</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="3div"></li>
<li class="dropdown-header " data-optgroup="3"><span class="text">Taguig</span></li>
<li data-original-index="55" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Icon Showroom</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Grand Hamptons Ii</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-W City Center</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Panorama</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Morgan Suites-Mckinley</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Triangle Drive</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Fairways Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mckinley Hill</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Market! Market!</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio – Net Cube</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio-Slmc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort-Nac Tower</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67" data-optgroup="3">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Bonifacio – Infinity</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="4div"></li>
<li class="dropdown-header " data-optgroup="4"><span class="text">Iloilo</span></li>
<li data-original-index="68" data-optgroup="4">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo Jaro</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69" data-optgroup="4">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo-Business Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70" data-optgroup="4">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo-General Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71" data-optgroup="4">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo-Iznart</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72" data-optgroup="4">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iloilo-Ledesma</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="5div"></li>
<li class="dropdown-header " data-optgroup="5"><span class="text">Cebu</span></li>
<li data-original-index="73" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu It Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu Danao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu-Mactan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu-Uptown Osmeña</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaue-North Road</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu-A.S. Fortuna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu – Business Park</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu – Juan Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82" data-optgroup="5">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cebu-Osmeña</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="6div"></li>
<li class="dropdown-header " data-optgroup="6"><span class="text">Parañaque</span></li>
<li data-original-index="83" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Macapagal Blvd.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aseana Square</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bf Parañaque – Aguirre</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sucat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ninoy Aquino Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bf Parañaque</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bicutan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aseana City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91" data-optgroup="6">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sucat-Amaia Steps</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="7div"></li>
<li class="dropdown-header " data-optgroup="7"><span class="text">Makati</span></li>
<li data-original-index="92" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tordesillas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Circuit City-Makati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Lorenzo Place</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gamboa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati Avenue-Zuellig</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="97" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hv Dela Costa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="98" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Arnaiz Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="99" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gramercy</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="100" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gil Puyat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="101" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bel-Air</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="102" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Salcedo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="103" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Reposo-J.P. Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="104" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasong Tamo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="105" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paseo De Roxas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="106" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nieva</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="107" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Medical Plaza</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="108" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Makati Avenue – Constellation</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="109" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadalupe</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="110" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Herrera</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="111" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Keyland Valero</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="112" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dela Rosa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="113" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chino Roces Avenue-Don Bosco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="114" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Buendia-Dian</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="115" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadalupe Commercial Complex</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="116" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Edsa-Magallanes</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="117" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Main Office Branch (Mob)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="118" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ayala-Rufino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="119" data-optgroup="7">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Port Royal-Rada</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="8div"></li>
<li class="dropdown-header " data-optgroup="8"><span class="text">Pasig</span></li>
<li data-original-index="120" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malayan Plaza</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="121" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Capitol Commons</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="122" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Security Bank Lounge-Medical City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="123" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Silver City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="124" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tektite Towers</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="125" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Adb Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="126" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig Mabini</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="127" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valle Verde</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="128" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Miguel Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="129" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ruby Road-Ortigas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="130" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig Santolan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="131" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig C. Raymundo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="132" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig Boulevard</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="133" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Medical City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="134" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Meralco Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="135" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Emerald</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="136" data-optgroup="8">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasig-Mercedes Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="9div"></li>
<li class="dropdown-header " data-optgroup="9"><span class="text">San Juan</span></li>
<li data-original-index="137" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Promenade-Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="138" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Annapolis-Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="139" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ortigas-Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="140" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">P. Guevarra-Wilson</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="141" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenhills West</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="142" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Connecticut-Greenhills</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="143" data-optgroup="9">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Juan-F. Blumentritt</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="10div"></li>
<li class="dropdown-header " data-optgroup="10"><span class="text">Mandaluyong</span></li>
<li data-original-index="144" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Shangri-La Plaza East Wing</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="145" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wack Wack</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="146" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong-Pioneer</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="147" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong-Libertad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="148" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong-Edsa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="149" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="150" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mandaluyong-Greenfield</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="151" data-optgroup="10">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Boni Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="11div"></li>
<li class="dropdown-header " data-optgroup="11"><span class="text">Batangas</span></li>
<li data-original-index="152" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lima</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="153" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lipa Medix Hospital</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="154" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lemery</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="155" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lipa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="156" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Batangas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="157" data-optgroup="11">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fpip-Sto. Tomas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="12div"></li>
<li class="dropdown-header " data-optgroup="12"><span class="text">Angeles</span></li>
<li data-original-index="158" data-optgroup="12">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angeles-Mcarthur Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="159" data-optgroup="12">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clark-Angeles</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="160" data-optgroup="12">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angeles-Sto. Rosario</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="13div"></li>
<li class="dropdown-header " data-optgroup="13"><span class="text">Caloocan</span></li>
<li data-original-index="161" data-optgroup="13">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan-10Th Ave.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="162" data-optgroup="13">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caloocan-A. Mabini</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="163" data-optgroup="13">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maypajo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="164" data-optgroup="13">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kalookan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="165" data-optgroup="13">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Edsa-Kalookan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="14div"></li>
<li class="dropdown-header " data-optgroup="14"><span class="text">Cavite</span></li>
<li data-original-index="166" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">General Trias</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="167" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dasmariñas-Fcie</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="168" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carmona</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="169" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rosario</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="170" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Molino</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="171" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Imus</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="172" data-optgroup="14">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dasmariñas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="15div"></li>
<li class="dropdown-header " data-optgroup="15"><span class="text">Valenzuela</span></li>
<li data-original-index="173" data-optgroup="15">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">One Mall Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="174" data-optgroup="15">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Valenzuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="175" data-optgroup="15">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malinta-Paso De Blas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="176" data-optgroup="15">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Karuhatan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="16div"></li>
<li class="dropdown-header " data-optgroup="16"><span class="text">San Francisco (Agusan del Sur)</span></li>
<li data-original-index="177" data-optgroup="16">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Francisco-Agusan Del Sur</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="17div"></li>
<li class="dropdown-header " data-optgroup="17"><span class="text">Nueva Vizcaya</span></li>
<li data-original-index="178" data-optgroup="17">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Solano</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="18div"></li>
<li class="dropdown-header " data-optgroup="18"><span class="text">San Fernando</span></li>
<li data-original-index="179" data-optgroup="18">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando-Sindalan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="180" data-optgroup="18">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="181" data-optgroup="18">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Fernando-Dolores</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="19div"></li>
<li class="dropdown-header " data-optgroup="19"><span class="text">Tarlac</span></li>
<li data-original-index="182" data-optgroup="19">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac-Tañedo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="183" data-optgroup="19">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tarlac</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="20div"></li>
<li class="dropdown-header " data-optgroup="20"><span class="text">Manila</span></li>
<li data-original-index="184" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">España Blvd.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="185" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">A. Linao-Paco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="186" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Juan Luna</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="187" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ust</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="188" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taft-Vito Cruz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="189" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taft-Nakpil</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="190" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Soler</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="191" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roxas Boulevard</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="192" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Roman Square</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="193" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Reina Regente</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="194" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ongpin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="195" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pandacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="196" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mendiola</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="197" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="198" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Magdalena</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="199" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Evangelista-Quiapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="200" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ermita</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="201" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Elcano</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="202" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">C. Palanca-Quiapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="203" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benavidez</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="204" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Binondo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="205" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Balut</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="206" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">J. Abad Santos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="207" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bambang</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="208" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Adriatico-P. Faura</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="209" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Divisoria I</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="210" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Blumentritt</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="211" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">U.N. Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="212" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sampaloc</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="213" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Elena</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="214" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ylaya Tondo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="215" data-optgroup="20">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Divisoria-Sto. Cristo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="21div"></li>
<li class="dropdown-header " data-optgroup="21"><span class="text">Taytay</span></li>
<li data-original-index="216" data-optgroup="21">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taytay-Manila East</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="217" data-optgroup="21">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taytay-Ortigas Ext.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="22div"></li>
<li class="dropdown-header " data-optgroup="22"><span class="text">Dagupan</span></li>
<li data-original-index="218" data-optgroup="22">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dagupan-Lucao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="219" data-optgroup="22">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dagupan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="23div"></li>
<li class="dropdown-header " data-optgroup="23"><span class="text">Tacloban</span></li>
<li data-original-index="220" data-optgroup="23">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tacloban Veteranos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="221" data-optgroup="23">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tacloban Rizal</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="24div"></li>
<li class="dropdown-header " data-optgroup="24"><span class="text">Tuguegarao</span></li>
<li data-original-index="222" data-optgroup="24">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuguegarao Buntun-Highway</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="223" data-optgroup="24">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuguegarao</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="25div"></li>
<li class="dropdown-header " data-optgroup="25"><span class="text">Baguio</span></li>
<li data-original-index="224" data-optgroup="25">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baguio Bgh Rotonda</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="225" data-optgroup="25">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baguio</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="26div"></li>
<li class="dropdown-header " data-optgroup="26"><span class="text">Muntinlupa</span></li>
<li data-original-index="226" data-optgroup="26">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang-Northgate</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="227" data-optgroup="26">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ayala Alabang</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="228" data-optgroup="26">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang-Acacia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="229" data-optgroup="26">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang-Insular</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="230" data-optgroup="26">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabang</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="27div"></li>
<li class="dropdown-header " data-optgroup="27"><span class="text">Clark</span></li>
<li data-original-index="231" data-optgroup="27">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clark-Medical City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="28div"></li>
<li class="dropdown-header " data-optgroup="28"><span class="text">Navotas</span></li>
<li data-original-index="232" data-optgroup="28">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Navotas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="29div"></li>
<li class="dropdown-header " data-optgroup="29"><span class="text">Vigan</span></li>
<li data-original-index="233" data-optgroup="29">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vigan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="30div"></li>
<li class="dropdown-header " data-optgroup="30"><span class="text">Urdaneta</span></li>
<li data-original-index="234" data-optgroup="30">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Urdaneta</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="31div"></li>
<li class="dropdown-header " data-optgroup="31"><span class="text">Antipolo</span></li>
<li data-original-index="235" data-optgroup="31">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sumulong</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="236" data-optgroup="31">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antipolo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="32div"></li>
<li class="dropdown-header " data-optgroup="32"><span class="text">Subic</span></li>
<li data-original-index="237" data-optgroup="32">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Subic</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="33div"></li>
<li class="dropdown-header " data-optgroup="33"><span class="text">Bulacan</span></li>
<li data-original-index="238" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sta. Maria-Bulacan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="239" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Meycauayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="240" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malolos</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="241" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Baliwag</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="242" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Plaridel</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="243" data-optgroup="33">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bocaue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="34div"></li>
<li class="dropdown-header " data-optgroup="34"><span class="text">Isabela</span></li>
<li data-original-index="244" data-optgroup="34">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Santiago</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="245" data-optgroup="34">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cauayan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="246" data-optgroup="34">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alicia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="35div"></li>
<li class="dropdown-header " data-optgroup="35"><span class="text">Olongapo</span></li>
<li data-original-index="247" data-optgroup="35">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Olongapo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="36div"></li>
<li class="dropdown-header " data-optgroup="36"><span class="text">Pasay</span></li>
<li data-original-index="248" data-optgroup="36">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Naia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="249" data-optgroup="36">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay-Taft</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="250" data-optgroup="36">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pasay Libertad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="251" data-optgroup="36">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">NAIA Terminal 3</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="37div"></li>
<li class="dropdown-header " data-optgroup="37"><span class="text">Marikina</span></li>
<li data-original-index="252" data-optgroup="37">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="253" data-optgroup="37">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marikina-Gil Fernando Avenue</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="254" data-optgroup="37">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Concepcion</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="38div"></li>
<li class="dropdown-header " data-optgroup="38"><span class="text">Malabon</span></li>
<li data-original-index="255" data-optgroup="38">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="256" data-optgroup="38">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon-Tugatog</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="257" data-optgroup="38">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malabon-Potrero</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="39div"></li>
<li class="dropdown-header " data-optgroup="39"><span class="text">Legazpi</span></li>
<li data-original-index="258" data-optgroup="39">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Legazpi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="40div"></li>
<li class="dropdown-header " data-optgroup="40"><span class="text">Las Piñas</span></li>
<li data-original-index="259" data-optgroup="40">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Starmall – Las Piñas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="260" data-optgroup="40">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bf Resort-Las Piñas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="41div"></li>
<li class="dropdown-header " data-optgroup="41"><span class="text">La Union</span></li>
<li data-original-index="261" data-optgroup="41">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Union</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="42div"></li>
<li class="dropdown-header " data-optgroup="42"><span class="text">La Trinidad</span></li>
<li data-original-index="262" data-optgroup="42">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Trinidad</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="43div"></li>
<li class="dropdown-header " data-optgroup="43"><span class="text">Laoag</span></li>
<li data-original-index="263" data-optgroup="43">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laoag</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="44div"></li>
<li class="dropdown-header " data-optgroup="44"><span class="text">Calapan</span></li>
<li data-original-index="264" data-optgroup="44">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Calapan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="45div"></li>
<li class="dropdown-header " data-optgroup="45"><span class="text">Cabanatuan</span></li>
<li data-original-index="265" data-optgroup="45">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cabanatuan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="266" data-optgroup="45">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cabanatuan-Maharlika</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="46div"></li>
<li class="dropdown-header " data-optgroup="46"><span class="text">Balanga</span></li>
<li data-original-index="267" data-optgroup="46">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Balanga</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li class="divider" data-optgroup="47div"></li>
<li class="dropdown-header " data-optgroup="47"><span class="text">Montalban</span></li>
<li data-original-index="268" data-optgroup="47">
<a tabindex="0" class="opt " data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montalban</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select id="branch" name="branch" disabled="disabled" data-mobile="true" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="">Any Branch</option>
<optgroup label="Laguna">
<option value="3713847">Sta. Cruz-Laguna</option>
<option value="2943261">Carmelray 1</option>
<option value="2943246">Carmelray 2</option>
<option value="2943210">Calamba Lisp</option>
<option value="2943072">Sta. Rosa-Greenfield</option>
<option value="2943018">San Pablo</option>
<option value="2943021">San Pedro</option>
<option value="2942808">Sta. Rosa</option>
<option value="2942778">Calamba – Crossing</option>
<option value="2942640">Biñan</option>
<option value="2942628">Batino-Calamba</option>
<option value="2942526">San Pedro – Pacita Complex</option>
</optgroup>
<optgroup label="Quezon City">
<option value="3713844">Fairview-Commonwealth</option>
<option value="3713841">Quezon Avenue-West Triangle</option>
<option value="3713835">Eton Centris</option>
<option value="3713823">A. Roces Avenue</option>
<option value="3713829">Katipunan Blue Ridge</option>
<option value="3713814">Robinsons Magnolia</option>
<option value="2943153">Nuvo City Aspire</option>
<option value="2943138">Acropolis</option>
<option value="2943105">West Avenue</option>
<option value="2943099">Visayas Avenue-Project 6</option>
<option value="2943081">Tomas Morato</option>
<option value="2943036">St. Ignatius-Katipunan</option>
<option value="2943000">Roosevelt</option>
<option value="2942982">Quezon Ave.-Capitol Medical</option>
<option value="2942985">Quezon Avenue-South Triangle</option>
<option value="2942988">Quirino Highway</option>
<option value="2942925">Mindanao Avenue</option>
<option value="2942829">Katipunan</option>
<option value="2942832">Lagro</option>
<option value="2942793">G. Araneta</option>
<option value="2942754">E. Rodriguez</option>
<option value="2942757">E. Rodriguez-Slmc</option>
<option value="2942739">Diliman – Matalino</option>
<option value="2942745">Don Antonio Heights</option>
<option value="2942751">Eastwood</option>
<option value="2942727">Del Monte</option>
<option value="2942688">Commonwealth</option>
<option value="2942691">Congressional</option>
<option value="2942694">Congressional Tower</option>
<option value="2942700">Cubao</option>
<option value="2942661">Capitol Hills</option>
<option value="2942598">Alimall</option>
<option value="2942490">Banawe-Malaya</option>
<option value="2942469">Novaliches-Bayan</option>
<option value="2942472">Timog Avenue</option>
<option value="2942475">E. Rodriguez-New York Ave.</option>
<option value="2942478">Banawe-Kitanlad</option>
<option value="2942481">Tandang Sora</option>
<option value="2942484">Retiro</option>
<option value="2942487">Banawe-Quezon Avenue</option>
<option value="2942454">Kamias</option>
<option value="2942466">Regalado Fairview</option>
</optgroup>
<optgroup label="Taguig">
<option value="3713838">Fort Icon Showroom</option>
<option value="2943294">Fort-Grand Hamptons Ii</option>
<option value="2943273">Fort-W City Center</option>
<option value="2943258">Fort-Panorama</option>
<option value="2943222">Morgan Suites-Mckinley</option>
<option value="2943192">Fort-Triangle Drive</option>
<option value="2943174">Fort-Fairways Tower</option>
<option value="2943171">Mckinley Hill</option>
<option value="2942904">Market! Market!</option>
<option value="2942784">Fort Bonifacio – Net Cube</option>
<option value="2942787">Fort Bonifacio-Slmc</option>
<option value="2942790">Fort-Nac Tower</option>
<option value="2942781">Fort Bonifacio – Infinity</option>
</optgroup>
<optgroup label="Iloilo">
<option value="3713832">Iloilo Jaro</option>
<option value="2943288">Iloilo-Business Park</option>
<option value="2943198">Iloilo-General Luna</option>
<option value="2942817">Iloilo-Iznart</option>
<option value="2942814">Iloilo-Ledesma</option>
</optgroup>
<optgroup label="Cebu">
<option value="3713826">Cebu It Park</option>
<option value="2959483">Cebu Danao</option>
<option value="2943409">Cebu-Mactan</option>
<option value="2943177">Cebu-Uptown Osmeña</option>
<option value="2942895">Mandaue-North Road</option>
<option value="2942892">Mandaue</option>
<option value="2942673">Cebu-A.S. Fortuna</option>
<option value="2942676">Cebu – Business Park</option>
<option value="2942679">Cebu – Juan Luna</option>
<option value="2942682">Cebu-Osmeña</option>
</optgroup>
<optgroup label="Parañaque">
<option value="3713820">Macapagal Blvd.</option>
<option value="3713772">Aseana Square</option>
<option value="2943285">Bf Parañaque – Aguirre</option>
<option value="2943042">Sucat</option>
<option value="2942940">Ninoy Aquino Avenue</option>
<option value="2942634">Bf Parañaque</option>
<option value="2942637">Bicutan</option>
<option value="2942601">Aseana City</option>
<option value="2942538">Sucat-Amaia Steps</option>
</optgroup>
<optgroup label="Makati">
<option value="3713811">Tordesillas</option>
<option value="3713817">Circuit City-Makati</option>
<option value="3713805">San Lorenzo Place</option>
<option value="3713793">Gamboa</option>
<option value="2959471">Makati Avenue-Zuellig</option>
<option value="2943225">Hv Dela Costa</option>
<option value="2943180">Arnaiz Avenue</option>
<option value="2943165">Gramercy</option>
<option value="2943135">Gil Puyat</option>
<option value="2943114">Bel-Air</option>
<option value="2943012">Salcedo</option>
<option value="2942994">Reposo-J.P. Rizal</option>
<option value="2942976">Pasong Tamo</option>
<option value="2942961">Paseo De Roxas</option>
<option value="2942937">Nieva</option>
<option value="2942913">Medical Plaza</option>
<option value="2942862">Makati Avenue – Constellation</option>
<option value="2942802">Guadalupe</option>
<option value="2942805">Herrera</option>
<option value="2942730">Keyland Valero</option>
<option value="2942733">Dela Rosa</option>
<option value="2942685">Chino Roces Avenue-Don Bosco</option>
<option value="2942649">Buendia-Dian</option>
<option value="2942547">Guadalupe Commercial Complex</option>
<option value="2942550">Edsa-Magallanes</option>
<option value="2942508">Main Office Branch (Mob)</option>
<option value="2942511">Ayala-Rufino</option>
<option value="2942505">Port Royal-Rada</option>
</optgroup>
<optgroup label="Pasig">
<option value="3713799">Malayan Plaza</option>
<option value="3713808">Capitol Commons</option>
<option value="3713796">Security Bank Lounge-Medical City</option>
<option value="2943234">Silver City</option>
<option value="2943237">Tektite Towers</option>
<option value="2943162">Adb Avenue</option>
<option value="2943117">Pasig Mabini</option>
<option value="2943096">Valle Verde</option>
<option value="2943015">San Miguel Avenue</option>
<option value="2942973">Ruby Road-Ortigas</option>
<option value="2942970">Pasig Santolan</option>
<option value="2942967">Pasig C. Raymundo</option>
<option value="2942964">Pasig Boulevard</option>
<option value="2942910">Medical City</option>
<option value="2942919">Meralco Avenue</option>
<option value="2942769">Emerald</option>
<option value="2942496">Pasig-Mercedes Avenue</option>
</optgroup>
<optgroup label="San Juan">
<option value="3713802">Promenade-Greenhills</option>
<option value="2943123">Annapolis-Greenhills</option>
<option value="2942952">Ortigas-Greenhills</option>
<option value="2942955">P. Guevarra-Wilson</option>
<option value="2942799">Greenhills West</option>
<option value="2942697">Connecticut-Greenhills</option>
<option value="2942451">San Juan-F. Blumentritt</option>
</optgroup>
<optgroup label="Mandaluyong">
<option value="3713790">Shangri-La Plaza East Wing</option>
<option value="2943102">Wack Wack</option>
<option value="2942889">Mandaluyong-Pioneer</option>
<option value="2942886">Mandaluyong-Libertad</option>
<option value="2942883">Mandaluyong-Edsa</option>
<option value="2942880">Mandaluyong</option>
<option value="2942760">Mandaluyong-Greenfield</option>
<option value="2942493">Boni Avenue</option>
</optgroup>
<optgroup label="Batangas">
<option value="3713787">Lima</option>
<option value="2943216">Lipa Medix Hospital</option>
<option value="2943207">Lemery</option>
<option value="2942853">Lipa</option>
<option value="2942625">Batangas</option>
<option value="2942523">Fpip-Sto. Tomas</option>
</optgroup>
<optgroup label="Angeles">
<option value="3713775">Angeles-Mcarthur Highway</option>
<option value="2942517">Clark-Angeles</option>
<option value="2942520">Angeles-Sto. Rosario</option>
</optgroup>
<optgroup label="Caloocan">
<option value="3199317">Caloocan-10Th Ave.</option>
<option value="2943279">Caloocan-A. Mabini</option>
<option value="2942907">Maypajo</option>
<option value="2942823">Kalookan</option>
<option value="2942763">Edsa-Kalookan</option>
</optgroup>
<optgroup label="Cavite">
<option value="2959492">General Trias</option>
<option value="2943291">Dasmariñas-Fcie</option>
<option value="2943252">Carmona</option>
<option value="2943003">Rosario</option>
<option value="2942928">Molino</option>
<option value="2942820">Imus</option>
<option value="2942583">Dasmariñas</option>
</optgroup>
<optgroup label="Valenzuela">
<option value="2959489">One Mall Valenzuela</option>
<option value="2943093">Valenzuela</option>
<option value="2942874">Malinta-Paso De Blas</option>
<option value="2942826">Karuhatan</option>
</optgroup>
<optgroup label="San Francisco (Agusan del Sur)">
<option value="2959480">San Francisco-Agusan Del Sur</option>
</optgroup>
<optgroup label="Nueva Vizcaya">
<option value="2959468">Solano</option>
</optgroup>
<optgroup label="San Fernando">
<option value="2943406">San Fernando-Sindalan</option>
<option value="2943126">San Fernando</option>
<option value="2942514">San Fernando-Dolores</option>
</optgroup>
<optgroup label="Tarlac">
<option value="2943276">Tarlac-Tañedo</option>
<option value="2943075">Tarlac</option>
</optgroup>
<optgroup label="Manila">
<option value="2943264">España Blvd.</option>
<option value="2943267">A. Linao-Paco</option>
<option value="2943168">Juan Luna</option>
<option value="2943090">Ust</option>
<option value="2943051">Taft-Vito Cruz</option>
<option value="2943054">Taft-Nakpil</option>
<option value="2943027">Soler</option>
<option value="2943006">Roxas Boulevard</option>
<option value="2942997">Roman Square</option>
<option value="2942991">Reina Regente</option>
<option value="2942946">Ongpin</option>
<option value="2942958">Pandacan</option>
<option value="2942916">Mendiola</option>
<option value="2942871">Malate</option>
<option value="2942859">Magdalena</option>
<option value="2942775">Evangelista-Quiapo</option>
<option value="2942772">Ermita</option>
<option value="2942766">Elcano</option>
<option value="2942664">C. Palanca-Quiapo</option>
<option value="2942631">Benavidez</option>
<option value="2942643">Binondo</option>
<option value="2942622">Balut</option>
<option value="2942577">J. Abad Santos</option>
<option value="2942580">Bambang</option>
<option value="2942586">Adriatico-P. Faura</option>
<option value="2942559">Divisoria I</option>
<option value="2942565">Blumentritt</option>
<option value="2942568">U.N. Avenue</option>
<option value="2942571">Sampaloc</option>
<option value="2942574">Sta. Elena</option>
<option value="2942553">Ylaya Tondo</option>
<option value="2942556">Divisoria-Sto. Cristo</option>
</optgroup>
<optgroup label="Taytay">
<option value="2943255">Taytay-Manila East</option>
<option value="2943078">Taytay-Ortigas Ext.</option>
</optgroup>
<optgroup label="Dagupan">
<option value="2943249">Dagupan-Lucao</option>
<option value="2942703">Dagupan</option>
</optgroup>
<optgroup label="Tacloban">
<option value="2943231">Tacloban Veteranos</option>
<option value="2943048">Tacloban Rizal</option>
</optgroup>
<optgroup label="Tuguegarao">
<option value="2943228">Tuguegarao Buntun-Highway</option>
<option value="2943084">Tuguegarao</option>
</optgroup>
<optgroup label="Baguio">
<option value="2943213">Baguio Bgh Rotonda</option>
<option value="2942613">Baguio</option>
</optgroup>
<optgroup label="Muntinlupa">
<option value="2943201">Alabang-Northgate</option>
<option value="2942604">Ayala Alabang</option>
<option value="2942589">Alabang-Acacia</option>
<option value="2942592">Alabang-Insular</option>
<option value="2942544">Alabang</option>
</optgroup>
<optgroup label="Clark">
<option value="2943186">Clark-Medical City</option>
</optgroup>
<optgroup label="Navotas">
<option value="2943159">Navotas</option>
</optgroup>
<optgroup label="Vigan">
<option value="2943147">Vigan</option>
</optgroup>
<optgroup label="Urdaneta">
<option value="2943087">Urdaneta</option>
</optgroup>
<optgroup label="Antipolo">
<option value="2943045">Sumulong</option>
<option value="2942463">Antipolo</option>
</optgroup>
<optgroup label="Subic">
<option value="2943039">Subic</option>
</optgroup>
<optgroup label="Bulacan">
<option value="2943033">Sta. Maria-Bulacan</option>
<option value="2942922">Meycauayan</option>
<option value="2942877">Malolos</option>
<option value="2942619">Baliwag</option>
<option value="2942499">Plaridel</option>
<option value="2942502">Bocaue</option>
</optgroup>
<optgroup label="Isabela">
<option value="2943024">Santiago</option>
<option value="2942667">Cauayan</option>
<option value="2942595">Alicia</option>
</optgroup>
<optgroup label="Olongapo">
<option value="2942943">Olongapo</option>
</optgroup>
<optgroup label="Pasay">
<option value="2942934">Naia</option>
<option value="2942529">Pasay-Taft</option>
<option value="2942532">Pasay Libertad</option>
<option value="2942535">NAIA Terminal 3</option>
</optgroup>
<optgroup label="Marikina">
<option value="2942898">Marikina</option>
<option value="2942901">Marikina-Gil Fernando Avenue</option>
<option value="2942460">Concepcion</option>
</optgroup>
<optgroup label="Malabon">
<option value="2942865">Malabon</option>
<option value="2942868">Malabon-Tugatog</option>
<option value="2942562">Malabon-Potrero</option>
</optgroup>
<optgroup label="Legazpi">
<option value="2942850">Legazpi</option>
</optgroup>
<optgroup label="Las Piñas">
<option value="2942847">Starmall – Las Piñas</option>
<option value="2942541">Bf Resort-Las Piñas</option>
</optgroup>
<optgroup label="La Union">
<option value="2942844">La Union</option>
</optgroup>
<optgroup label="La Trinidad">
<option value="2942841">La Trinidad</option>
</optgroup>
<optgroup label="Laoag">
<option value="2942838">Laoag</option>
</optgroup>
<optgroup label="Calapan">
<option value="2942658">Calapan</option>
</optgroup>
<optgroup label="Cabanatuan">
<option value="2942652">Cabanatuan</option>
<option value="2942655">Cabanatuan-Maharlika</option>
</optgroup>
<optgroup label="Balanga">
<option value="2942616">Balanga</option>
</optgroup>
<optgroup label="Montalban">
<option value="2942457">Montalban</option>
</optgroup>
</select>
</div>
</div>
</div>
<div class="form-group"><label for="time" class="control-label col-sm-4">Contact me during</label>
<div class="col-sm-8">
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="time" title="9:00 – 12:00 NN"><span class="filter-option pull-left">9:00 –
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<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">9:00 – 12:00 NN</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">12:00 – 3:00 PM</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">3:00 – 6:00 PM</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
</ul>
</div><select id="time" name="time" data-mobile="true" class="selectpicker form-control mobile-device" tabindex="-98">
<option value="1">9:00 – 12:00 NN</option>
<option value="2">12:00 – 3:00 PM</option>
<option value="3">3:00 – 6:00 PM</option>
</select>
</div>
</div>
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<div class="col-sm-8"><textarea name="message" class="form-control" aria-required="true" aria-invalid="false"></textarea></div>
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Your approved card type may vary based on our qualification requirements and credit assessment. If you are an existing Security Bank credit cardholder, you may apply for a second card by emailing us at customercare@securitybank.com.ph or by calling our Customer Service hotline at (+632) 8887-9188. Before we begin, let’s confirm if these apply to you. CHECK ALL THAT APPLIES TO YOU: I am an existing Security Bank account holder or I have other SBC products (loans or investment)If you have a Deposit/Payroll Account or have an existing other products with Security Bank like Personal/Auto/Home Loan, Time Deposit, etc. I have an existing credit cardWith any other bank None of the above Billing Type Single Currency (Peso)Dual Currency (Dollar/Peso) Account Information Type of Account PersonalPayroll Account Number If not a depositor, please input your loan account number. Account Type Please select... * Please select... * Checking * Savings (Non-payroll) * Savings (Payroll) * Others Please select... Checking Savings (Non-payroll) Savings (Payroll) Others Please select "Others" if you have availed of other SBC product/s. Branch Please select... * Please select... * 168 Mall * A. Arnaiz Ave. * A. Linao - Paco * A. Roces Avenue * Acropolis * ADB Avenue * Adriatico - P. Faura * Alabang * Alabang - Insular * Alabang Acacia * Alabang Northgate * Alicia * Alimall * Angeles * Angeles - Sto. Rosario * Angeles – McArthur Highway * Annapolis - Greenhills * Antipolo * Aseana City * Aseana Square * Ayala Alabang * Ayala Malls Manila Bay * Ayala-Rufino * Baclaran * Bacolod 1 * Bacolod-Lacson * Bacolod-Mandalagan * Baguio * Baguio BGH Rotonda * Balagtas * Balanga * Baliwag * Balut Tondo * Bambang * Banawe - Kitanlad * Banawe-Malaya * Banawe-Quezon Ave. * Bangkal-Makati * Bangoy-Chinatown * Batangas * Batangas-Pallocan * Batino * Bel-Air * Benavidez * BF Paranaque * BF Paranaque - Aguirre * Bicutan * Binan * Binondo * Blumentritt * Boni Avenue * Buendia-Dian * Bukidnon Valencia * Butuan * C. Palanca - Quiapo * Cabanatuan * Cabanatuan - Maharlika Highway * Calamba LISP * Calamba-Crossing * Calamba-Real * Calapan * Caloocan 10th Ave * Caloocan Mabini * Capitol Commons * Capitol Hills * Carmelray 1 * Carmelray 2 * Carmona * Catarman * Cauayan * CDO - Georgetown * CDO - Limketkai * CDO - Osmena * CDO - Velez * Cebu - A. S. Fortuna * Cebu - Danao * Cebu - Mactan * Cebu - Osme * Cebu Business Park * Cebu IT Park * Cebu Juan Luna * Cebu-Uptown Osme * Chino Roces - Don Bosco * Circuit City - Makati * Clark - Angeles * Clark-Medical City * Commonwealth * Concepcion * Congressional * Congressional Tower * Connecticut - Greenhills * Cotabato City * Cubao * Dagupan * Dagupan - Lucao * Dasmarinas * Dasmariñas – FCIE * Davao - Bajada * Davao - Magsaysay (Main) * Davao - Monteverde * Davao - Panabo * Davao - Rizal * Davao - Toril * Davao Matina IT Park * Davao- Lanang * Del Monte * Dela Rosa * Digos * Diliman - Matalino * Dipolog * Divisoria - Sto. Cristo * Divisoria 1 * Don Antonio Heights * Dumaguete * E. Rodriguez * E. Rodriguez - New York Ave. * E. Rodriguez-SLMC * Eastwood * Edsa Central * EDSA-Kalookan * EDSA-Magallanes * Elcano * Emerald Ave. * Ermita * Espana Blvd * Eton Centris * Evangelista-Quiapo * Fairview-Commonwealth * Fort - Fairways Tower * Fort - Grand Hamptons II * Fort - Panorama * Fort - W City Center * Fort Bonifacio - Infinity * Fort Bonifacio - NAC Tower * Fort Bonifacio - Net Cube * Fort Bonifacio-SLMC * Fort-Triangle Drive * FPIP - Sto. Tomas * G. Araneta * Gamboa * Gen. Santos * Gen. Santos - National Highway * General Trias * Gil Puyat * Gramercy * Greenhills West * Guadalupe * Guadalupe Commercial Complex * Herrera * HV dela Costa * HV Dela Costa - Valero * Iligan * Iloilo * Iloilo - General Luna * Iloilo - Iznart * Iloilo Business Park * Iloilo Jaro * Imus * J. Abad Santos * Juan Luna * Kabankalan * Kalentong * Kalibo * Kalookan * Kamias * Karuhatan * Katipunan * Katipunan Blue Ridge * Keyland Valero * Koronadal * La Trinidad * La Union * Lagro * Laoag * Lapu-Lapu * Las Pinas * Legazpi * Lemery * LIMA * Lipa * Lipa Medix Hospital * Lucena * Magdalena * Main Office Branch * Makati Ave. - Constellation * Makati Avenue - Zuellig * Malabon * Malabon - Tugatog * Malabon-Potrero * Malate * Malinta - Paso de Blas * Malolos * Mandaluyong * Mandaluyong - EDSA * Mandaluyong - Libertad * Mandaluyong - Pioneer * Mandaue * Mandaue North Road * Marikina * Marikina - Gil Fernando Ave. * Market! Market! * Maypajo Kalookan * McKinley Hill * Medical City * Medical Plaza * Mendiola * Meralco Ave. * Meycauayan * Mindanao Avenue * Molino * Montalban * Morgan Suites - McKinley * Naga * Naga Diversion Road * NAIA * NAIA Terminal 3 * Navotas * Nieva * Ninoy Aquino Avenue * Novaliches * Novaliches - Bayan * Nuvo City Aspire * Olongapo * Ongpin * Ormoc * Ortigas - Greenhills * Ortigas - Pearl Drive * Ozamiz * P. Guevarra - Wilson * Pagadian * Pandacan * Pasay - Libertad * Pasay - Taft * Pasay City Mall * Pasay Macapagal Ave. * Paseo De Roxas * Pasig - C. Raymundo Ave. * Pasig - Mabini * Pasig - Malayan Plaza * Pasig - Mercedez * Pasig - Santolan * Pasig - Shaw Blvd. * Pasig Boulevard * Pasong Tamo * Pasong Tamo-La Paz * Plaridel * Promenade - Greenhills * Puerto Princesa * Quezon Ave. - Capitol Medical * Quezon Ave. - South Triangle * Quirino Highway * Regalado - Fairview * Reina Regente * Reposo - J.P. Rizal * Retiro * Robinsons Magnolia * Roman Square * Roosevelt * Rosario * Roxas Boulevard * Roxas City * Salcedo * Sampaloc * San Fernando * San Fernando - Dolores * San Fernando - Sindalan * San Francisco - Agusan del Sur * San Jose - Nueva Ecija * San Juan - F. Blumentritt * San Juan - Pinaglabanan * San Miguel Ave. * San Pablo * San Pedro * San Pedro-Pacita Complex * Sangandaan * Santiago * Shangri-la Plaza East Wing * Silver City * Solano * Soler * St. Ignatius - Katipunan * Sta. Cruz - Laguna * Sta. Elena * Sta. Maria - Bulacan * Sta. Rosa * Sta. Rosa - Balibago * Sta. Rosa - Greenfield * Starmall Las Pinas * Subic Olongapo * Sucat * Sucat-San Isidro * Sumulong * Surigao * Tacloban * Tacloban - Veteranos * Tacurong * Taft - Nakpil * Taft - Vito Cruz * Tagaytay * Tagbilaran * Tagum * Tandang Sora * Tarlac * Tarlac - Tanedo * Taytay * Taytay - Manila East * Taytay - Ortigas Extension * Tektite * Timog Avenue * Tomas Morato * Tuguegarao * Tuguegarao Buntun - Highway * UN Avenue * Urdaneta * UST * Valenzuela * Valenzuela - One Mall * Valle Verde * Victorias * Vigan * Visayas Avenue-Project 6 * Wack - Wack * West Avenue * Ylaya Tondo * Zamboanga * Zamboanga - Canelar Please select... 168 Mall A. Arnaiz Ave. A. Linao - Paco A. Roces Avenue Acropolis ADB Avenue Adriatico - P. Faura Alabang Alabang - Insular Alabang Acacia Alabang Northgate Alicia Alimall Angeles Angeles - Sto. Rosario Angeles – McArthur Highway Annapolis - Greenhills Antipolo Aseana City Aseana Square Ayala Alabang Ayala Malls Manila Bay Ayala-Rufino Baclaran Bacolod 1 Bacolod-Lacson Bacolod-Mandalagan Baguio Baguio BGH Rotonda Balagtas Balanga Baliwag Balut Tondo Bambang Banawe - Kitanlad Banawe-Malaya Banawe-Quezon Ave. Bangkal-Makati Bangoy-Chinatown Batangas Batangas-Pallocan Batino Bel-Air Benavidez BF Paranaque BF Paranaque - Aguirre Bicutan Binan Binondo Blumentritt Boni Avenue Buendia-Dian Bukidnon Valencia Butuan C. Palanca - Quiapo Cabanatuan Cabanatuan - Maharlika Highway Calamba LISP Calamba-Crossing Calamba-Real Calapan Caloocan 10th Ave Caloocan Mabini Capitol Commons Capitol Hills Carmelray 1 Carmelray 2 Carmona Catarman Cauayan CDO - Georgetown CDO - Limketkai CDO - Osmena CDO - Velez Cebu - A. S. Fortuna Cebu - Danao Cebu - Mactan Cebu - Osme Cebu Business Park Cebu IT Park Cebu Juan Luna Cebu-Uptown Osme Chino Roces - Don Bosco Circuit City - Makati Clark - Angeles Clark-Medical City Commonwealth Concepcion Congressional Congressional Tower Connecticut - Greenhills Cotabato City Cubao Dagupan Dagupan - Lucao Dasmarinas Dasmariñas – FCIE Davao - Bajada Davao - Magsaysay (Main) Davao - Monteverde Davao - Panabo Davao - Rizal Davao - Toril Davao Matina IT Park Davao- Lanang Del Monte Dela Rosa Digos Diliman - Matalino Dipolog Divisoria - Sto. Cristo Divisoria 1 Don Antonio Heights Dumaguete E. Rodriguez E. Rodriguez - New York Ave. E. Rodriguez-SLMC Eastwood Edsa Central EDSA-Kalookan EDSA-Magallanes Elcano Emerald Ave. Ermita Espana Blvd Eton Centris Evangelista-Quiapo Fairview-Commonwealth Fort - Fairways Tower Fort - Grand Hamptons II Fort - Panorama Fort - W City Center Fort Bonifacio - Infinity Fort Bonifacio - NAC Tower Fort Bonifacio - Net Cube Fort Bonifacio-SLMC Fort-Triangle Drive FPIP - Sto. Tomas G. Araneta Gamboa Gen. Santos Gen. Santos - National Highway General Trias Gil Puyat Gramercy Greenhills West Guadalupe Guadalupe Commercial Complex Herrera HV dela Costa HV Dela Costa - Valero Iligan Iloilo Iloilo - General Luna Iloilo - Iznart Iloilo Business Park Iloilo Jaro Imus J. Abad Santos Juan Luna Kabankalan Kalentong Kalibo Kalookan Kamias Karuhatan Katipunan Katipunan Blue Ridge Keyland Valero Koronadal La Trinidad La Union Lagro Laoag Lapu-Lapu Las Pinas Legazpi Lemery LIMA Lipa Lipa Medix Hospital Lucena Magdalena Main Office Branch Makati Ave. - Constellation Makati Avenue - Zuellig Malabon Malabon - Tugatog Malabon-Potrero Malate Malinta - Paso de Blas Malolos Mandaluyong Mandaluyong - EDSA Mandaluyong - Libertad Mandaluyong - Pioneer Mandaue Mandaue North Road Marikina Marikina - Gil Fernando Ave. Market! Market! Maypajo Kalookan McKinley Hill Medical City Medical Plaza Mendiola Meralco Ave. Meycauayan Mindanao Avenue Molino Montalban Morgan Suites - McKinley Naga Naga Diversion Road NAIA NAIA Terminal 3 Navotas Nieva Ninoy Aquino Avenue Novaliches Novaliches - Bayan Nuvo City Aspire Olongapo Ongpin Ormoc Ortigas - Greenhills Ortigas - Pearl Drive Ozamiz P. Guevarra - Wilson Pagadian Pandacan Pasay - Libertad Pasay - Taft Pasay City Mall Pasay Macapagal Ave. Paseo De Roxas Pasig - C. Raymundo Ave. Pasig - Mabini Pasig - Malayan Plaza Pasig - Mercedez Pasig - Santolan Pasig - Shaw Blvd. Pasig Boulevard Pasong Tamo Pasong Tamo-La Paz Plaridel Promenade - Greenhills Puerto Princesa Quezon Ave. - Capitol Medical Quezon Ave. - South Triangle Quirino Highway Regalado - Fairview Reina Regente Reposo - J.P. Rizal Retiro Robinsons Magnolia Roman Square Roosevelt Rosario Roxas Boulevard Roxas City Salcedo Sampaloc San Fernando San Fernando - Dolores San Fernando - Sindalan San Francisco - Agusan del Sur San Jose - Nueva Ecija San Juan - F. Blumentritt San Juan - Pinaglabanan San Miguel Ave. San Pablo San Pedro San Pedro-Pacita Complex Sangandaan Santiago Shangri-la Plaza East Wing Silver City Solano Soler St. Ignatius - Katipunan Sta. Cruz - Laguna Sta. Elena Sta. Maria - Bulacan Sta. Rosa Sta. Rosa - Balibago Sta. Rosa - Greenfield Starmall Las Pinas Subic Olongapo Sucat Sucat-San Isidro Sumulong Surigao Tacloban Tacloban - Veteranos Tacurong Taft - Nakpil Taft - Vito Cruz Tagaytay Tagbilaran Tagum Tandang Sora Tarlac Tarlac - Tanedo Taytay Taytay - Manila East Taytay - Ortigas Extension Tektite Timog Avenue Tomas Morato Tuguegarao Tuguegarao Buntun - Highway UN Avenue Urdaneta UST Valenzuela Valenzuela - One Mall Valle Verde Victorias Vigan Visayas Avenue-Project 6 Wack - Wack West Avenue Ylaya Tondo Zamboanga Zamboanga - Canelar Credit Card Details Issuing Bank Please select... * Please select... * Banco de Oro Universal Bank * Bank of Commerce * Bank of the Philippine Islands * Citibank N.A. * HongKong ShangHai Banking Corporation Limited * Metrobank Card Corporation * Standard Chartered Bank * Equicom Savings Bank * Citibank Savings Inc * HSBC Savings * Bankard, Inc. * BPI Family Savings Bank * RCBC Savings Bank * SB Cards Corporation * EastWest Bank * Maybank Philippines * Philippine National Bank * UnionBank of the Philippines * ChinaTrust Commercial Bank * Asia United Bank * China Banking Corporation Please select... Banco de Oro Universal Bank Bank of Commerce Bank of the Philippine Islands Citibank N.A. HongKong ShangHai Banking Corporation Limited Metrobank Card Corporation Standard Chartered Bank Equicom Savings Bank Citibank Savings Inc HSBC Savings Bankard, Inc. BPI Family Savings Bank RCBC Savings Bank SB Cards Corporation EastWest Bank Maybank Philippines Philippine National Bank UnionBank of the Philippines ChinaTrust Commercial Bank Asia United Bank China Banking Corporation Add another card Let's check your eligibility Is your Gross Annual Income at least P480,000? YesNo Do you have an existing credit card with other bank of at least 6 months? YesNo You'll Need to Prepare the Following GOVERNMENT ID (YOU'LL NEED TO ENCODE YOUR GOVERNMENT ID NUMBER) * Prepare just one of the following (UMID, SSS ID, GSIS ID or TIN ID) COMPANY ADDRESS PROOF OF IDENTIFICATION (PREPARE JUST ONE OF THE FOLLOWING OPTIONS FOR UPLOAD) * Option 1: Any of the following - UMID, SSS ID, GSIS ID, TIN, Passport, Driver's License or PRC ID * Option 2: 2 Secondary IDs Click here to see list of valid IDs PROOF OF INCOME (PREPARE AT LEAST ONE OF THE FOLLOWING OPTIONS FOR UPLOAD) * Option 1: LATEST one (1) Month of Payslip * Option 2: LATEST Certificate of Employment w/ Compensation and Benefits issued within the last 6 months * Option 3: LATEST one (1) year ITR duly stamped as received by BIR PROOF OF BUSINESS (PREPARE ALL OF THE DOCUMENTS FOR UPLOAD) - FOR SELF-EMPLOYED * LATEST one (1) year ITR duly stamped as received by BIR * LATEST two (2) Years of Audited Financial Statements (AFS) * Current Business Permit * Proof of ownership (DTI/SEC Registration) Fields not used Complete Card No. Do you have other credit cards? YesNo Payroll Acct. Number 13 characters left. My payroll is with Security Bank YesNo Submitted ID Type Please select... * Please select... * SSS Card * GSIS e-Card * TIN/ Tax ID * UMID * Passport * Driver's License * PRC ID * NBI Clearance * Police Clearance * Postal ID * Voter's ID * Barangay Certification Please select... SSS Card GSIS e-Card TIN/ Tax ID UMID Passport Driver's License PRC ID NBI Clearance Police Clearance Postal ID Voter's ID Barangay Certification based on submitted document Submitted ID Number based on submitted document I would like a classic/gold credit card if I do not qualify for my card of choice Zip Code 4 characters left. Zip Code 4 characters left. Zip Code 4 characters left. I am a Security Bank Depositor YesNo Would you like to provide additional information? Providing this information allows to process your application faster and more accurately, leading to a higher credit limit. YesNo Holdout Deposit Documents Browse… Required Documents: Signed Holdout Agreement Form – please ask your Security Bank branch for more information Add another file Additional Personal Information Total Years Working Number of Dependents Education Please select... * Please select... * High School * College/Graduate * Postgraduate * Technical/Vocational Please select... High School College/Graduate Postgraduate Technical/Vocational Course Home Ownership Please select... * Please select... * Owned * Mortgage * Rented * Living w/ Relatives * Other Please select... Owned Mortgage Rented Living w/ Relatives Other Years at Present Address Number of Cars Owned Spouse Information Last Name First Name Middle Name Date of Birth Company/Business Email Address Phone Number Area Code + 7-digit number Personal Reference Mobile Number 11 characters left. Complete Name Relationship Address Email Address Phone No. Area Code + 7-digit number Add another reference HR Email Address Please provide your HR department's email address for faster processing of your application. This will be used to contact your company to verify employment if we are not able to reach them via phone. If no email address is provided, there may be a delay in processing your application. Hidden Fields Online Information C2 Please select... * Please select... * BO * EG * MG * OL * TO Please select... BO EG MG OL TO BO Affiliates Please select... * Please select... * AFF Please select... AFF W2R Waived COE 0 * Please select... * 0 * 1 Please select... 0 1 Landing Page / UTM Values UTM Values Last Touch Landing URL First Touch Landing URL utm_source_first utm_medium_first utm_campaign_first utm_term_first utm_content_first Google AdWords Match Type Device Device Model Keyword Creative Placement Ad Position Network Loc Interest MS Loc Physical MS AdWords Facebook Personal Information Name to Appear on Card 21 characters left. Max 21 Characters, letters only First Name Your name should be the same as your full name written on your ID's and Documents Middle Name Last Name Mother's Full Maiden Name The name of your mother before she was married Email Address Mobile No. 11 characters left. Gender MaleFemale Civil Status Please select... * Please select... * Single * Married * Separated * Widowed Please select... Single Married Separated Widowed Date of Birth Date of Birth 2 characters left. Month 2 characters left. date year Place of Birth Citizenship Philippines * Please select... * Philippines * Afghanistan * Albania * Algeria * Andorra * Angola * Antigua & Barbuda * Argentina * Armenia * Australia * Austria * Azerbaijan * Bahamas * Bahrain * Bangladesh * Barbados * Belarus * Belgium * Belize * Benin * Bhutan * Bolivia * Bosnia & Herzegovina * Botswana * Brazil * Brunei * Bulgaria * Burkina Faso * Burundi * Cambodia * Cameroon * Canada * Cape Verde * Central African Republic * Chad * Chile * China * Colombia * Comoros * Congo * Congo Democratic Republic of * Costa Rica * Cote d'Ivoire * Croatia * Cuba * Cyprus * Czech Republic * Denmark * Djibouti * Dominica * Dominican Republic * Ecuador * East Timor * Egypt * El Salvador * Equatorial Guinea * Eritrea * Estonia * Ethiopia * Fiji * Finland * France * Gabon * Gambia * Georgia * Germany * Ghana * Greece * Grenada * Guatemala * Guinea * Guinea-Bissau * Guyana * Haiti * Honduras * Hungary * Iceland * India * Indonesia * Iran * Iraq * Ireland * Israel * Italy * Jamaica * Japan * Jordan * Kazakhstan * Kenya * Kiribati * Korea North * Korea South * Kosovo * Kuwait * Kyrgyzstan * Laos * Latvia * Lebanon * Lesotho * Liberia * Libya * Liechtenstein * Lithuania * Luxembourg * Macedonia * Madagascar * Malawi * Malaysia * Maldives * Mali * Malta * Marshall Islands * Mauritania * Mauritius * Mexico * Micronesia * Moldova * Monaco * Mongolia * Montenegro * Morocco * Mozambique * Myanmar (Burma) * Namibia * Nauru * Nepal * The Netherlands * New Zealand * Nicaragua * Niger * Nigeria * Norway * Oman * Pakistan * Palau * Palestinian State* * Panama * Papua New Guinea * Paraguay * Peru * Poland * Portugal * Qatar * Romania * Russia * Rwanda * St. Kitts & Nevis * St. Lucia * St. Vincent & The Grenadines * Samoa * San Marino * Sao Tome & Principe * Saudi Arabia * Senegal * Serbia * Seychelles * Sierra Leone * Singapore * Slovakia * Slovenia * Solomon Islands * Somalia * South Africa * South Sudan * Spain * Sri Lanka * Sudan * Suriname * Swaziland * Sweden * Switzerland * Syria * Taiwan * Tajikistan * Tanzania * Thailand * Togo * Tonga * Trinidad & Tobago * Tunisia * Turkey * Turkmenistan * Tuvalu * Uganda * Ukraine * United Arab Emirates * United Kingdom * United States of America * Uruguay * Uzbekistan * Vanuatu * Vatican City (Holy See) * Venezuela * Vietnam * Yemen * Zambia * Zimbabwe Please select... Philippines Afghanistan Albania Algeria Andorra Angola Antigua & Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo Democratic Republic of Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador East Timor Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal The Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestinian State* Panama Papua New Guinea Paraguay Peru Poland Portugal Qatar Romania Russia Rwanda St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe We currently are not able to issue regular credit cards for non-Filipino applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a Security Bank branch near you to place a holdout deposit. Click here to visit a branch near you. Home Address Address 1 32 characters left. No / Block / Street Address 2 32 characters left. Bldg / Subd / Vil / Brgy City/Municipality Province Please select... * Please select... * Abra * Agusan Del Norte * Agusan Del Sur * Aklan * Albay * Antique * Apayao * Aurora * Basilan * Bataan * Batanes * Batangas * Benguet * Biliran * Bohol * Bukidnon * Bulacan * Cagayan * Caloocan City * Camarines Norte * Camarines Sur * Camiguin * Capiz * Catanduanes * Cavite * Cebu * Compostela Valley * Davao Del Norte * Davao Del Sur * Davao Oriental * Eastern Samar * Greenhills * Guimaras * Ifugao * Ilocos Norte * Ilocos Sur * Iloilo * Isabela * Kalinga Apayao * La Union * Laguna * Lanao Del Norte * Lanao Del Sur * Las Pinas * Leyte * Maguindanao * Makati * Malabon * Mandaluyong * Manila * Marikina * Marinduque * Masbate * Mindoro Occidental * Mindoro Oriental * Misamis Occidental * Misamis Oriental * Mountain Province * Muntinlupa * Navotas * Negros Occidental * Negros Oriental * North Cotabato * Northern Samar * Nueva Ecija * Nueva Vizcaya * Palawan * Pampanga * Pangasinan * Paranaque * Pasay City * Pasig * Pateros * Quezon * Quezon City * Quirino * Rizal * Romblon * San Juan * Sarangani * Siquijor * Sorsogon * South Cotabato * Southern Leyte * Sultan Kudarat * Sulu * Surigao Del Norte * Surigao Del Sur * Taguig * Tarlac * Tawi Tawi * Valenzuela * Western Samar * Zambales * Zamboanga Del Norte * Zamboanga Del Sur * Zamboanga Sibugay Please select... Abra Agusan Del Norte Agusan Del Sur Aklan Albay Antique Apayao Aurora Basilan Bataan Batanes Batangas Benguet Biliran Bohol Bukidnon Bulacan Cagayan Caloocan City Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Compostela Valley Davao Del Norte Davao Del Sur Davao Oriental Eastern Samar Greenhills Guimaras Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela Kalinga Apayao La Union Laguna Lanao Del Norte Lanao Del Sur Las Pinas Leyte Maguindanao Makati Malabon Mandaluyong Manila Marikina Marinduque Masbate Mindoro Occidental Mindoro Oriental Misamis Occidental Misamis Oriental Mountain Province Muntinlupa Navotas Negros Occidental Negros Oriental North Cotabato Northern Samar Nueva Ecija Nueva Vizcaya Palawan Pampanga Pangasinan Paranaque Pasay City Pasig Pateros Quezon Quezon City Quirino Rizal Romblon San Juan Sarangani Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao Del Norte Surigao Del Sur Taguig Tarlac Tawi Tawi Valenzuela Western Samar Zambales Zamboanga Del Norte Zamboanga Del Sur Zamboanga Sibugay Landline No. Area Code + 8-digit number My permanent address is the same as my home address Permanent Address Building No. and Street 32 characters left. No / Block / Street Subdivision/Barangay 32 characters left. Bldg / Subd / Vil / Brgy Home Province value Province Please select... * Please select... * Abra * Agusan Del Norte * Agusan Del Sur * Aklan * Albay * Antique * Apayao * Aurora * Basilan * Bataan * Batanes * Batangas * Benguet * Biliran * Bohol * Bukidnon * Bulacan * Cagayan * Caloocan City * Camarines Norte * Camarines Sur * Camiguin * Capiz * Catanduanes * Cavite * Cebu * Compostela Valley * Davao Del Norte * Davao Del Sur * Davao Oriental * Eastern Samar * Greenhills * Guimaras * Ifugao * Ilocos Norte * Ilocos Sur * Iloilo * Isabela * Kalinga Apayao * La Union * Laguna * Lanao Del Norte * Lanao Del Sur * Las Pinas * Leyte * Maguindanao * Makati * Malabon * Mandaluyong * Manila * Marikina * Marinduque * Masbate * Mindoro Occidental * Mindoro Oriental * Misamis Occidental * Misamis Oriental * Mountain Province * Muntinlupa * Navotas * Negros Occidental * Negros Oriental * North Cotabato * Northern Samar * Nueva Ecija * Nueva Vizcaya * Palawan * Pampanga * Pangasinan * Paranaque * Pasay City * Pasig * Pateros * Quezon * Quezon City * Quirino * Rizal * Romblon * San Juan * Sarangani * Siquijor * Sorsogon * South Cotabato * Southern Leyte * Sultan Kudarat * Sulu * Surigao Del Norte * Surigao Del Sur * Taguig * Tarlac * Tawi Tawi * Valenzuela * Western Samar * Zambales * Zamboanga Del Norte * Zamboanga Del Sur * Zamboanga Sibugay Please select... Abra Agusan Del Norte Agusan Del Sur Aklan Albay Antique Apayao Aurora Basilan Bataan Batanes Batangas Benguet Biliran Bohol Bukidnon Bulacan Cagayan Caloocan City Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Compostela Valley Davao Del Norte Davao Del Sur Davao Oriental Eastern Samar Greenhills Guimaras Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela Kalinga Apayao La Union Laguna Lanao Del Norte Lanao Del Sur Las Pinas Leyte Maguindanao Makati Malabon Mandaluyong Manila Marikina Marinduque Masbate Mindoro Occidental Mindoro Oriental Misamis Occidental Misamis Oriental Mountain Province Muntinlupa Navotas Negros Occidental Negros Oriental North Cotabato Northern Samar Nueva Ecija Nueva Vizcaya Palawan Pampanga Pangasinan Paranaque Pasay City Pasig Pateros Quezon Quezon City Quirino Rizal Romblon San Juan Sarangani Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao Del Norte Surigao Del Sur Taguig Tarlac Tawi Tawi Valenzuela Western Samar Zambales Zamboanga Del Norte Zamboanga Del Sur Zamboanga Sibugay City/Municipality Landline No. Area Code + 8-digit number Employment Details Employment Status EmployedSelf-Employed We currently are not able to issue regular credit cards for unemployed and retired applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a Security Bank branch near you to place a holdout deposit. Click here to visit a branch near you. Company Name Position Rank Please select... * Please select... * Executive * Senior Officer * Officer * Rank and File Please select... 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Furthermore, I acknowledge that in case of issuance of a supplementary card, I and my supplementary/ies and/or surety/ies shall be jointly and severally liable for all information about the supplementary cardholder/s as well as all purchases, and cash advances made, including all interest and charges incurred through the use of the supplementary card/s and that in the event of delinquency, I hereby authorize Security Bank Corporation to report and include my/our names in the negative listings of any credit card bureau or institution. I waive any defense of minority, illiteracy or non-filiation on any supplementary cardholder/s. Such responsibility shall only cease upon my written request for the supplementary card privileges to be terminated. Further, I hereby give consent for Security Bank Corporation to share and process any information relating to my account/s to any member of the Security Bank Corporation Group of Companies and Bancassurance companies or their authorized Service Providers and representatives, for purposes of cross-selling products and services, profiling and credit evaluation/reference checks, audit and account balance confirmation and allow them to contact us for this purpose (i.e. by e-mail, telephone, text, etc.), or in case of audit where our account is chosen as a sample for account balance confirmation, which shall remain in effect for five (5) years after account closure. I also authorize SBC to process, transfer, share and disclose any information relating to my credit data, telecom or mobile usage data or "telco score" to credit info data providers or credit scoring service providers (i.e. Globe Telecom, Inc., Smart Telecommunications, Inc., and other telecommunications service provider), for the purpose of credit verification, collection, credit review and credit scoring/analytics, and statistical and risk analysis. I have read and understood SBC's Data Privacy Notice which is made available in https://www.securitybank.com/security-information/ and acknowledge that SBC will keep my personal information for as long as necessary to best serve me during the duration of the relationship and in accordance with retention limits set by law once the account has been closed. SBC's Data Privacy Notice also outlines my other rights in the event I have issues with how SBC is processing my information. I am likewise aware that I can refuse the processing of my information or withdraw my consent to the further processing of my personal data unless (1) the processing is required pursuant to a subpoena, lawful order, or as required by law; or (2) the collection and processing is pursuant to the performance of or in relation to the Credit Card Terms and Conditions; or (3) the information is being collected and processed as a result of a legal obligation. I hold Security Bank Corporation free and harmless from any and all liabilities, claims and demands of whatever kind or nature in connection with or arising from this disclosure or reporting. I have read and agree to the above Affirmation and Authorization I have read and understand Next Mastercard's Terms and Conditions. Click here to read Next Mastercard' Terms and Conditions. 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Maria-Bulacan Meycauayan Malolos Baliwag Plaridel Bocaue Santiago Cauayan Alicia Olongapo Naia Pasay-Taft Pasay Libertad NAIA Terminal 3 Marikina Marikina-Gil Fernando Avenue Concepcion Malabon Malabon-Tugatog Malabon-Potrero Legazpi Starmall – Las Piñas Bf Resort-Las Piñas La Union La Trinidad Laoag Calapan Cabanatuan Cabanatuan-Maharlika Balanga Montalban Contact me during 9:00 – 12:00 NN * 9:00 – 12:00 NN * 12:00 – 3:00 PM * 3:00 – 6:00 PM 9:00 – 12:00 NN 12:00 – 3:00 PM 3:00 – 6:00 PM Message Subscribe me to Security Bank Newsletter Submit Request THANK YOU FOR YOUR INQUIRY YOUR MESSAGE WAS SENT We value your comments and suggestions. Please fill-out the form completely and as accurately as possible. If you are reporting a lost or stolen card, please call immediately our Customer Hotline (+632) 8887-9188. 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