dcss.cloud Open in urlscan Pro
162.0.217.113  Public Scan

URL: https://dcss.cloud/
Submission: On December 13 via api from US — Scanned from US

Form analysis 3 forms found in the DOM

POST frontend/addNewHospitalPayment

<form action="frontend/addNewHospitalPayment" class="clearfix" id="addNewHospital" enctype="multipart/form-data" method="POST">
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> Hospital Name *</label>
    <input type="text" class="form-control" name="name" value="" placeholder="" required="">
  </div>
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> Hospital Address *</label>
    <input type="text" class="form-control" name="address" value="" placeholder="" required="">
  </div>
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> <span>Hospital Email *</span></label>
    <input type="email" class="form-control" name="email" value="" placeholder="" required="">
  </div>
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> Hospital Phone *</label>
    <input type="number" class="form-control" name="phone" value="" placeholder="" required="">
  </div>
  <div class="form-group col-md-6 package_select_div">
    <label for="exampleInputEmail1"> Package *</label>
    <select class="form-control  js-example-basic-single" id="package_select" name="package" value="" required="">
      <option>Select</option>
      <option value="1">Medical Center </option>
      <option value="2">Hospital </option>
      <option value="6">Clinic </option>
    </select>
  </div>
  <div class="form-group col-md-6 package_duration_div">
    <label for="exampleInputEmail1"> Package Duration *</label>
    <select class="form-control js-example-basic-single" id="package_duration" name="package_duration" value="" required="">
      <option value="monthly">Monthly </option>
      <option value="yearly">Yearly </option>
    </select>
  </div>
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> Language *</label>
    <select class="form-control m-bot15" name="language" value="" required="">
      <option value="arabic">عربى </option>
      <option value="english" selected="">English </option>
      <option value="spanish">Español </option>
      <option value="french">Français </option>
      <option value="italian">Italiano </option>
      <option value="portuguese">Português </option>
      <option value="turkish">Türkçe </option>
    </select>
  </div>
  <div class="form-group col-md-6">
    <label for="exampleInputEmail1"> Price *</label>
    <input type="text" class="form-control price-input" name="price" value="" placeholder="" readonly="" required="">
  </div>
  <div class="form-group col-md-12">
    <div class="col-md-6 country_div">
      <label for="exampleInputEmail1"> Country *</label>
      <div class="btn-group bootstrap-select form-control countrypicker f16"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" title="Choose a Country"><span
            class="filter-option pull-left">Choose a Country</span>&nbsp;<span class="bs-caret"><span class="caret"></span></span></button>
        <div class="dropdown-menu open" role="combobox">
          <div class="bs-searchbox"><input type="text" class="form-control" autocomplete="off" role="textbox" aria-label="Search"></div>
          <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">Choose a Country</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
            <li data-original-index="1">
              <a tabindex="0" class="option-with-flag" data-tokens="AF Afghanistan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag af"></span> <span class="text">Afghanistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="2">
              <a tabindex="0" class="option-with-flag" data-tokens="AL Albania" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag al"></span> <span class="text">Albania</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="3">
              <a tabindex="0" class="option-with-flag" data-tokens="DZ Algeria" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag dz"></span> <span class="text">Algeria</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="4">
              <a tabindex="0" class="option-with-flag" data-tokens="AS American Samoa" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag as"></span> <span class="text">American Samoa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="5">
              <a tabindex="0" class="option-with-flag" data-tokens="AD Andorra" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ad"></span> <span class="text">Andorra</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="6">
              <a tabindex="0" class="option-with-flag" data-tokens="AO Angola" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ao"></span> <span class="text">Angola</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="7">
              <a tabindex="0" class="option-with-flag" data-tokens="AI Anguilla" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ai"></span> <span class="text">Anguilla</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="8">
              <a tabindex="0" class="option-with-flag" data-tokens="AQ Antarctica" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag aq"></span> <span class="text">Antarctica</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="9">
              <a tabindex="0" class="option-with-flag" data-tokens="AG Antigua and Barbuda" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ag"></span> <span class="text">Antigua and Barbuda</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="10">
              <a tabindex="0" class="option-with-flag" data-tokens="AR Argentina" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ar"></span> <span class="text">Argentina</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="11">
              <a tabindex="0" class="option-with-flag" data-tokens="AM Armenia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag am"></span> <span class="text">Armenia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="12">
              <a tabindex="0" class="option-with-flag" data-tokens="AW Aruba" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag aw"></span> <span class="text">Aruba</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="13">
              <a tabindex="0" class="option-with-flag" data-tokens="AU Australia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag au"></span> <span class="text">Australia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="14">
              <a tabindex="0" class="option-with-flag" data-tokens="AT Austria" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag at"></span> <span class="text">Austria</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="15">
              <a tabindex="0" class="option-with-flag" data-tokens="AZ Azerbaijan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag az"></span> <span class="text">Azerbaijan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="16">
              <a tabindex="0" class="option-with-flag" data-tokens="BS Bahamas" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bs"></span> <span class="text">Bahamas</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="17">
              <a tabindex="0" class="option-with-flag" data-tokens="BH Bahrain" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bh"></span> <span class="text">Bahrain</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="18">
              <a tabindex="0" class="option-with-flag" data-tokens="BD Bangladesh" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bd"></span> <span class="text">Bangladesh</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="19">
              <a tabindex="0" class="option-with-flag" data-tokens="BB Barbados" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bb"></span> <span class="text">Barbados</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="20">
              <a tabindex="0" class="option-with-flag" data-tokens="BY Belarus" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag by"></span> <span class="text">Belarus</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="21">
              <a tabindex="0" class="option-with-flag" data-tokens="BE Belgium" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag be"></span> <span class="text">Belgium</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="22">
              <a tabindex="0" class="option-with-flag" data-tokens="BZ Belize" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bz"></span> <span class="text">Belize</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="23">
              <a tabindex="0" class="option-with-flag" data-tokens="BJ Benin" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bj"></span> <span class="text">Benin</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="24">
              <a tabindex="0" class="option-with-flag" data-tokens="BM Bermuda" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bm"></span> <span class="text">Bermuda</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="25">
              <a tabindex="0" class="option-with-flag" data-tokens="BT Bhutan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bt"></span> <span class="text">Bhutan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="26">
              <a tabindex="0" class="option-with-flag" data-tokens="BO Bolivia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bo"></span> <span class="text">Bolivia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="27">
              <a tabindex="0" class="option-with-flag" data-tokens="BA Bosnia and Herzegovina" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ba"></span> <span class="text">Bosnia and Herzegovina</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="28">
              <a tabindex="0" class="option-with-flag" data-tokens="BW Botswana" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bw"></span> <span class="text">Botswana</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="29">
              <a tabindex="0" class="option-with-flag" data-tokens="BV Bouvet Island" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bv"></span> <span class="text">Bouvet Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="30">
              <a tabindex="0" class="option-with-flag" data-tokens="BR Brazil" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag br"></span> <span class="text">Brazil</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="31">
              <a tabindex="0" class="option-with-flag" data-tokens="IO British Indian Ocean Territory" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag io"></span> <span class="text">British Indian Ocean Territory</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="32">
              <a tabindex="0" class="option-with-flag" data-tokens="BN Brunei Darussalam" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bn"></span> <span class="text">Brunei Darussalam</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="33">
              <a tabindex="0" class="option-with-flag" data-tokens="BG Bulgaria" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bg"></span> <span class="text">Bulgaria</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="34">
              <a tabindex="0" class="option-with-flag" data-tokens="BF Burkina Faso" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bf"></span> <span class="text">Burkina Faso</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="35">
              <a tabindex="0" class="option-with-flag" data-tokens="BI Burundi" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bi"></span> <span class="text">Burundi</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="36">
              <a tabindex="0" class="option-with-flag" data-tokens="KH Cambodia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kh"></span> <span class="text">Cambodia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="37">
              <a tabindex="0" class="option-with-flag" data-tokens="CM Cameroon" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cm"></span> <span class="text">Cameroon</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="38">
              <a tabindex="0" class="option-with-flag" data-tokens="CA Canada" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ca"></span> <span class="text">Canada</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="39">
              <a tabindex="0" class="option-with-flag" data-tokens="CV Cape Verde" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cv"></span> <span class="text">Cape Verde</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="40">
              <a tabindex="0" class="option-with-flag" data-tokens="KY Cayman Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ky"></span> <span class="text">Cayman Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="41">
              <a tabindex="0" class="option-with-flag" data-tokens="CF Central African Republic" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cf"></span> <span class="text">Central African Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="42">
              <a tabindex="0" class="option-with-flag" data-tokens="TD Chad" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag td"></span> <span class="text">Chad</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="43">
              <a tabindex="0" class="option-with-flag" data-tokens="CL Chile" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cl"></span> <span class="text">Chile</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="44">
              <a tabindex="0" class="option-with-flag" data-tokens="CN China" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cn"></span> <span class="text">China</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="45">
              <a tabindex="0" class="option-with-flag" data-tokens="CX Christmas Island" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cx"></span> <span class="text">Christmas Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="46">
              <a tabindex="0" class="option-with-flag" data-tokens="CC Cocos (Keeling) Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cc"></span> <span class="text">Cocos (Keeling) Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="47">
              <a tabindex="0" class="option-with-flag" data-tokens="CO Colombia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag co"></span> <span class="text">Colombia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="48">
              <a tabindex="0" class="option-with-flag" data-tokens="KM Comoros" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag km"></span> <span class="text">Comoros</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="49">
              <a tabindex="0" class="option-with-flag" data-tokens="CG Congo" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cg"></span> <span class="text">Congo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="50">
              <a tabindex="0" class="option-with-flag" data-tokens="CD Congo, the Democratic Republic of the" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cd"></span> <span class="text">Congo, the Democratic Republic of the</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="51">
              <a tabindex="0" class="option-with-flag" data-tokens="CK Cook Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ck"></span> <span class="text">Cook Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="52">
              <a tabindex="0" class="option-with-flag" data-tokens="CR Costa Rica" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cr"></span> <span class="text">Costa Rica</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="53">
              <a tabindex="0" class="option-with-flag" data-tokens="CI Cote D'Ivoire" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ci"></span> <span class="text">Cote D'Ivoire</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="54">
              <a tabindex="0" class="option-with-flag" data-tokens="HR Croatia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag hr"></span> <span class="text">Croatia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="55">
              <a tabindex="0" class="option-with-flag" data-tokens="CU Cuba" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cu"></span> <span class="text">Cuba</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="56">
              <a tabindex="0" class="option-with-flag" data-tokens="CY Cyprus" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cy"></span> <span class="text">Cyprus</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="57">
              <a tabindex="0" class="option-with-flag" data-tokens="CZ Czech Republic" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cz"></span> <span class="text">Czech Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="58">
              <a tabindex="0" class="option-with-flag" data-tokens="DK Denmark" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag dk"></span> <span class="text">Denmark</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="59">
              <a tabindex="0" class="option-with-flag" data-tokens="DJ Djibouti" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag dj"></span> <span class="text">Djibouti</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="60">
              <a tabindex="0" class="option-with-flag" data-tokens="DM Dominica" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag dm"></span> <span class="text">Dominica</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="61">
              <a tabindex="0" class="option-with-flag" data-tokens="DO Dominican Republic" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag do"></span> <span class="text">Dominican Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="62">
              <a tabindex="0" class="option-with-flag" data-tokens="EC Ecuador" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ec"></span> <span class="text">Ecuador</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="63">
              <a tabindex="0" class="option-with-flag" data-tokens="EG Egypt" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag eg"></span> <span class="text">Egypt</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="64">
              <a tabindex="0" class="option-with-flag" data-tokens="SV El Salvador" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sv"></span> <span class="text">El Salvador</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="65">
              <a tabindex="0" class="option-with-flag" data-tokens="GQ Equatorial Guinea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gq"></span> <span class="text">Equatorial Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="66">
              <a tabindex="0" class="option-with-flag" data-tokens="ER Eritrea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag er"></span> <span class="text">Eritrea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="67">
              <a tabindex="0" class="option-with-flag" data-tokens="EE Estonia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ee"></span> <span class="text">Estonia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="68">
              <a tabindex="0" class="option-with-flag" data-tokens="ET Ethiopia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag et"></span> <span class="text">Ethiopia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="69">
              <a tabindex="0" class="option-with-flag" data-tokens="FK Falkland Islands (Malvinas)" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fk"></span> <span class="text">Falkland Islands (Malvinas)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="70">
              <a tabindex="0" class="option-with-flag" data-tokens="FO Faroe Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fo"></span> <span class="text">Faroe Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="71">
              <a tabindex="0" class="option-with-flag" data-tokens="FJ Fiji" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fj"></span> <span class="text">Fiji</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="72">
              <a tabindex="0" class="option-with-flag" data-tokens="FI Finland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fi"></span> <span class="text">Finland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="73">
              <a tabindex="0" class="option-with-flag" data-tokens="FR France" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fr"></span> <span class="text">France</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="74">
              <a tabindex="0" class="option-with-flag" data-tokens="GF French Guiana" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gf"></span> <span class="text">French Guiana</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="75">
              <a tabindex="0" class="option-with-flag" data-tokens="PF French Polynesia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pf"></span> <span class="text">French Polynesia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="76">
              <a tabindex="0" class="option-with-flag" data-tokens="TF French Southern Territories" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tf"></span> <span class="text">French Southern Territories</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="77">
              <a tabindex="0" class="option-with-flag" data-tokens="GA Gabon" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ga"></span> <span class="text">Gabon</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="78">
              <a tabindex="0" class="option-with-flag" data-tokens="GM Gambia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gm"></span> <span class="text">Gambia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="79">
              <a tabindex="0" class="option-with-flag" data-tokens="GE Georgia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ge"></span> <span class="text">Georgia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="80">
              <a tabindex="0" class="option-with-flag" data-tokens="DE Germany" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag de"></span> <span class="text">Germany</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="81">
              <a tabindex="0" class="option-with-flag" data-tokens="GH Ghana" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gh"></span> <span class="text">Ghana</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="82">
              <a tabindex="0" class="option-with-flag" data-tokens="GI Gibraltar" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gi"></span> <span class="text">Gibraltar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="83">
              <a tabindex="0" class="option-with-flag" data-tokens="GR Greece" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gr"></span> <span class="text">Greece</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="84">
              <a tabindex="0" class="option-with-flag" data-tokens="GL Greenland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gl"></span> <span class="text">Greenland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="85">
              <a tabindex="0" class="option-with-flag" data-tokens="GD Grenada" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gd"></span> <span class="text">Grenada</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="86">
              <a tabindex="0" class="option-with-flag" data-tokens="GP Guadeloupe" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gp"></span> <span class="text">Guadeloupe</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="87">
              <a tabindex="0" class="option-with-flag" data-tokens="GU Guam" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gu"></span> <span class="text">Guam</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="88">
              <a tabindex="0" class="option-with-flag" data-tokens="GT Guatemala" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gt"></span> <span class="text">Guatemala</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="89">
              <a tabindex="0" class="option-with-flag" data-tokens="GN Guinea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gn"></span> <span class="text">Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="90">
              <a tabindex="0" class="option-with-flag" data-tokens="GW Guinea-Bissau" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gw"></span> <span class="text">Guinea-Bissau</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="91">
              <a tabindex="0" class="option-with-flag" data-tokens="GY Guyana" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gy"></span> <span class="text">Guyana</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="92">
              <a tabindex="0" class="option-with-flag" data-tokens="HT Haiti" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ht"></span> <span class="text">Haiti</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="93">
              <a tabindex="0" class="option-with-flag" data-tokens="HM Heard Island and Mcdonald Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag hm"></span> <span class="text">Heard Island and Mcdonald Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="94">
              <a tabindex="0" class="option-with-flag" data-tokens="VA Holy See (Vatican City State)" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag va"></span> <span class="text">Holy See (Vatican City State)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="95">
              <a tabindex="0" class="option-with-flag" data-tokens="HN Honduras" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag hn"></span> <span class="text">Honduras</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="96">
              <a tabindex="0" class="option-with-flag" data-tokens="HK Hong Kong" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag hk"></span> <span class="text">Hong Kong</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="97">
              <a tabindex="0" class="option-with-flag" data-tokens="HU Hungary" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag hu"></span> <span class="text">Hungary</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="98">
              <a tabindex="0" class="option-with-flag" data-tokens="IS Iceland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag is"></span> <span class="text">Iceland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="99">
              <a tabindex="0" class="option-with-flag" data-tokens="IN India" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag in"></span> <span class="text">India</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="100">
              <a tabindex="0" class="option-with-flag" data-tokens="ID Indonesia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag id"></span> <span class="text">Indonesia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="101">
              <a tabindex="0" class="option-with-flag" data-tokens="IR Iran, Islamic Republic of" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ir"></span> <span class="text">Iran, Islamic Republic of</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="102">
              <a tabindex="0" class="option-with-flag" data-tokens="IQ Iraq" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag iq"></span> <span class="text">Iraq</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="103">
              <a tabindex="0" class="option-with-flag" data-tokens="IE Ireland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ie"></span> <span class="text">Ireland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="104">
              <a tabindex="0" class="option-with-flag" data-tokens="IL Israel" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag il"></span> <span class="text">Israel</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="105">
              <a tabindex="0" class="option-with-flag" data-tokens="IT Italy" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag it"></span> <span class="text">Italy</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="106">
              <a tabindex="0" class="option-with-flag" data-tokens="JM Jamaica" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag jm"></span> <span class="text">Jamaica</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="107">
              <a tabindex="0" class="option-with-flag" data-tokens="JP Japan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag jp"></span> <span class="text">Japan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="108">
              <a tabindex="0" class="option-with-flag" data-tokens="JO Jordan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag jo"></span> <span class="text">Jordan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="109">
              <a tabindex="0" class="option-with-flag" data-tokens="KZ Kazakhstan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kz"></span> <span class="text">Kazakhstan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="110">
              <a tabindex="0" class="option-with-flag" data-tokens="KE Kenya" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ke"></span> <span class="text">Kenya</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="111">
              <a tabindex="0" class="option-with-flag" data-tokens="KI Kiribati" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ki"></span> <span class="text">Kiribati</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="112">
              <a tabindex="0" class="option-with-flag" data-tokens="KP North Korea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kp"></span> <span class="text">North Korea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="113">
              <a tabindex="0" class="option-with-flag" data-tokens="KR South Korea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kr"></span> <span class="text">South Korea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="114">
              <a tabindex="0" class="option-with-flag" data-tokens="KW Kuwait" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kw"></span> <span class="text">Kuwait</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="115">
              <a tabindex="0" class="option-with-flag" data-tokens="KG Kyrgyzstan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kg"></span> <span class="text">Kyrgyzstan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="116">
              <a tabindex="0" class="option-with-flag" data-tokens="LA Lao People's Democratic Republic" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag la"></span> <span class="text">Lao People's Democratic Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="117">
              <a tabindex="0" class="option-with-flag" data-tokens="LV Latvia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lv"></span> <span class="text">Latvia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="118">
              <a tabindex="0" class="option-with-flag" data-tokens="LB Lebanon" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lb"></span> <span class="text">Lebanon</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="119">
              <a tabindex="0" class="option-with-flag" data-tokens="LS Lesotho" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ls"></span> <span class="text">Lesotho</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="120">
              <a tabindex="0" class="option-with-flag" data-tokens="LR Liberia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lr"></span> <span class="text">Liberia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="121">
              <a tabindex="0" class="option-with-flag" data-tokens="LY Libyan Arab Jamahiriya" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ly"></span> <span class="text">Libyan Arab Jamahiriya</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="122">
              <a tabindex="0" class="option-with-flag" data-tokens="LI Liechtenstein" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag li"></span> <span class="text">Liechtenstein</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="123">
              <a tabindex="0" class="option-with-flag" data-tokens="LT Lithuania" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lt"></span> <span class="text">Lithuania</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="124">
              <a tabindex="0" class="option-with-flag" data-tokens="LU Luxembourg" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lu"></span> <span class="text">Luxembourg</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="125">
              <a tabindex="0" class="option-with-flag" data-tokens="MO Macao" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mo"></span> <span class="text">Macao</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="126">
              <a tabindex="0" class="option-with-flag" data-tokens="MK Macedonia, the Former Yugoslav Republic of" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mk"></span> <span class="text">Macedonia, the Former Yugoslav Republic of</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="127">
              <a tabindex="0" class="option-with-flag" data-tokens="MG Madagascar" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mg"></span> <span class="text">Madagascar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="128">
              <a tabindex="0" class="option-with-flag" data-tokens="MW Malawi" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mw"></span> <span class="text">Malawi</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="129">
              <a tabindex="0" class="option-with-flag" data-tokens="MY Malaysia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag my"></span> <span class="text">Malaysia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="130">
              <a tabindex="0" class="option-with-flag" data-tokens="MV Maldives" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mv"></span> <span class="text">Maldives</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="131">
              <a tabindex="0" class="option-with-flag" data-tokens="ML Mali" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ml"></span> <span class="text">Mali</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="132">
              <a tabindex="0" class="option-with-flag" data-tokens="MT Malta" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mt"></span> <span class="text">Malta</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="133">
              <a tabindex="0" class="option-with-flag" data-tokens="MH Marshall Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mh"></span> <span class="text">Marshall Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="134">
              <a tabindex="0" class="option-with-flag" data-tokens="MQ Martinique" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mq"></span> <span class="text">Martinique</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="135">
              <a tabindex="0" class="option-with-flag" data-tokens="MR Mauritania" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mr"></span> <span class="text">Mauritania</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="136">
              <a tabindex="0" class="option-with-flag" data-tokens="MU Mauritius" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mu"></span> <span class="text">Mauritius</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="137">
              <a tabindex="0" class="option-with-flag" data-tokens="YT Mayotte" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag yt"></span> <span class="text">Mayotte</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="138">
              <a tabindex="0" class="option-with-flag" data-tokens="MX Mexico" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mx"></span> <span class="text">Mexico</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="139">
              <a tabindex="0" class="option-with-flag" data-tokens="FM Micronesia, Federated States of" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag fm"></span> <span class="text">Micronesia, Federated States of</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="140">
              <a tabindex="0" class="option-with-flag" data-tokens="MD Moldova, Republic of" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag md"></span> <span class="text">Moldova, Republic of</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="141">
              <a tabindex="0" class="option-with-flag" data-tokens="MC Monaco" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mc"></span> <span class="text">Monaco</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="142">
              <a tabindex="0" class="option-with-flag" data-tokens="MN Mongolia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mn"></span> <span class="text">Mongolia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="143">
              <a tabindex="0" class="option-with-flag" data-tokens="MS Montserrat" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ms"></span> <span class="text">Montserrat</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="144">
              <a tabindex="0" class="option-with-flag" data-tokens="MA Morocco" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ma"></span> <span class="text">Morocco</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="145">
              <a tabindex="0" class="option-with-flag" data-tokens="MZ Mozambique" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mz"></span> <span class="text">Mozambique</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="146">
              <a tabindex="0" class="option-with-flag" data-tokens="MM Myanmar" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mm"></span> <span class="text">Myanmar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="147">
              <a tabindex="0" class="option-with-flag" data-tokens="NA Namibia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag na"></span> <span class="text">Namibia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="148">
              <a tabindex="0" class="option-with-flag" data-tokens="NR Nauru" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nr"></span> <span class="text">Nauru</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="149">
              <a tabindex="0" class="option-with-flag" data-tokens="NP Nepal" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag np"></span> <span class="text">Nepal</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="150">
              <a tabindex="0" class="option-with-flag" data-tokens="NL Netherlands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nl"></span> <span class="text">Netherlands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="151">
              <a tabindex="0" class="option-with-flag" data-tokens="NC New Caledonia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nc"></span> <span class="text">New Caledonia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="152">
              <a tabindex="0" class="option-with-flag" data-tokens="NZ New Zealand" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nz"></span> <span class="text">New Zealand</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="153">
              <a tabindex="0" class="option-with-flag" data-tokens="NI Nicaragua" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ni"></span> <span class="text">Nicaragua</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="154">
              <a tabindex="0" class="option-with-flag" data-tokens="NE Niger" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ne"></span> <span class="text">Niger</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="155">
              <a tabindex="0" class="option-with-flag" data-tokens="NG Nigeria" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ng"></span> <span class="text">Nigeria</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="156">
              <a tabindex="0" class="option-with-flag" data-tokens="NU Niue" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nu"></span> <span class="text">Niue</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="157">
              <a tabindex="0" class="option-with-flag" data-tokens="NF Norfolk Island" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag nf"></span> <span class="text">Norfolk Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="158">
              <a tabindex="0" class="option-with-flag" data-tokens="MP Northern Mariana Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mp"></span> <span class="text">Northern Mariana Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="159">
              <a tabindex="0" class="option-with-flag" data-tokens="NO Norway" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag no"></span> <span class="text">Norway</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="160">
              <a tabindex="0" class="option-with-flag" data-tokens="OM Oman" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag om"></span> <span class="text">Oman</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="161">
              <a tabindex="0" class="option-with-flag" data-tokens="PK Pakistan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pk"></span> <span class="text">Pakistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="162">
              <a tabindex="0" class="option-with-flag" data-tokens="PW Palau" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pw"></span> <span class="text">Palau</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="163">
              <a tabindex="0" class="option-with-flag" data-tokens="PS Palestinian Territory, Occupied" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ps"></span> <span class="text">Palestinian Territory, Occupied</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="164">
              <a tabindex="0" class="option-with-flag" data-tokens="PA Panama" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pa"></span> <span class="text">Panama</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="165">
              <a tabindex="0" class="option-with-flag" data-tokens="PG Papua New Guinea" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pg"></span> <span class="text">Papua New Guinea</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="166">
              <a tabindex="0" class="option-with-flag" data-tokens="PY Paraguay" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag py"></span> <span class="text">Paraguay</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="167">
              <a tabindex="0" class="option-with-flag" data-tokens="PE Peru" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pe"></span> <span class="text">Peru</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="168">
              <a tabindex="0" class="option-with-flag" data-tokens="PH Philippines" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ph"></span> <span class="text">Philippines</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="169">
              <a tabindex="0" class="option-with-flag" data-tokens="PN Pitcairn" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pn"></span> <span class="text">Pitcairn</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="170">
              <a tabindex="0" class="option-with-flag" data-tokens="PL Poland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pl"></span> <span class="text">Poland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="171">
              <a tabindex="0" class="option-with-flag" data-tokens="PT Portugal" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pt"></span> <span class="text">Portugal</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="172">
              <a tabindex="0" class="option-with-flag" data-tokens="PR Puerto Rico" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pr"></span> <span class="text">Puerto Rico</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="173">
              <a tabindex="0" class="option-with-flag" data-tokens="QA Qatar" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag qa"></span> <span class="text">Qatar</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="174">
              <a tabindex="0" class="option-with-flag" data-tokens="RE Reunion" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag re"></span> <span class="text">Reunion</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="175">
              <a tabindex="0" class="option-with-flag" data-tokens="RO Romania" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ro"></span> <span class="text">Romania</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="176">
              <a tabindex="0" class="option-with-flag" data-tokens="RU Russian Federation" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ru"></span> <span class="text">Russian Federation</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="177">
              <a tabindex="0" class="option-with-flag" data-tokens="RW Rwanda" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag rw"></span> <span class="text">Rwanda</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="178">
              <a tabindex="0" class="option-with-flag" data-tokens="SH Saint Helena" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sh"></span> <span class="text">Saint Helena</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="179">
              <a tabindex="0" class="option-with-flag" data-tokens="KN Saint Kitts and Nevis" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag kn"></span> <span class="text">Saint Kitts and Nevis</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="180">
              <a tabindex="0" class="option-with-flag" data-tokens="LC Saint Lucia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lc"></span> <span class="text">Saint Lucia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="181">
              <a tabindex="0" class="option-with-flag" data-tokens="PM Saint Pierre and Miquelon" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag pm"></span> <span class="text">Saint Pierre and Miquelon</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="182">
              <a tabindex="0" class="option-with-flag" data-tokens="VC Saint Vincent and the Grenadines" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag vc"></span> <span class="text">Saint Vincent and the Grenadines</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="183">
              <a tabindex="0" class="option-with-flag" data-tokens="WS Samoa" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ws"></span> <span class="text">Samoa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="184">
              <a tabindex="0" class="option-with-flag" data-tokens="SM San Marino" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sm"></span> <span class="text">San Marino</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="185">
              <a tabindex="0" class="option-with-flag" data-tokens="ST Sao Tome and Principe" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag st"></span> <span class="text">Sao Tome and Principe</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="186">
              <a tabindex="0" class="option-with-flag" data-tokens="SA Saudi Arabia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sa"></span> <span class="text">Saudi Arabia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="187">
              <a tabindex="0" class="option-with-flag" data-tokens="SN Senegal" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sn"></span> <span class="text">Senegal</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="188">
              <a tabindex="0" class="option-with-flag" data-tokens="SC Seychelles" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sc"></span> <span class="text">Seychelles</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="189">
              <a tabindex="0" class="option-with-flag" data-tokens="SL Sierra Leone" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sl"></span> <span class="text">Sierra Leone</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="190">
              <a tabindex="0" class="option-with-flag" data-tokens="SG Singapore" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sg"></span> <span class="text">Singapore</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="191">
              <a tabindex="0" class="option-with-flag" data-tokens="SK Slovakia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sk"></span> <span class="text">Slovakia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="192">
              <a tabindex="0" class="option-with-flag" data-tokens="SI Slovenia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag si"></span> <span class="text">Slovenia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="193">
              <a tabindex="0" class="option-with-flag" data-tokens="SB Solomon Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sb"></span> <span class="text">Solomon Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="194">
              <a tabindex="0" class="option-with-flag" data-tokens="SO Somalia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag so"></span> <span class="text">Somalia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="195">
              <a tabindex="0" class="option-with-flag" data-tokens="ZA South Africa" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag za"></span> <span class="text">South Africa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="196">
              <a tabindex="0" class="option-with-flag" data-tokens="GS South Georgia and the South Sandwich Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gs"></span> <span class="text">South Georgia and the South Sandwich Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="197">
              <a tabindex="0" class="option-with-flag" data-tokens="ES Spain" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag es"></span> <span class="text">Spain</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="198">
              <a tabindex="0" class="option-with-flag" data-tokens="LK Sri Lanka" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag lk"></span> <span class="text">Sri Lanka</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="199">
              <a tabindex="0" class="option-with-flag" data-tokens="SD Sudan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sd"></span> <span class="text">Sudan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="200">
              <a tabindex="0" class="option-with-flag" data-tokens="SR Suriname" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sr"></span> <span class="text">Suriname</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="201">
              <a tabindex="0" class="option-with-flag" data-tokens="SJ Svalbard and Jan Mayen" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sj"></span> <span class="text">Svalbard and Jan Mayen</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="202">
              <a tabindex="0" class="option-with-flag" data-tokens="SZ Swaziland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sz"></span> <span class="text">Swaziland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="203">
              <a tabindex="0" class="option-with-flag" data-tokens="SE Sweden" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag se"></span> <span class="text">Sweden</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="204">
              <a tabindex="0" class="option-with-flag" data-tokens="CH Switzerland" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ch"></span> <span class="text">Switzerland</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="205">
              <a tabindex="0" class="option-with-flag" data-tokens="SY Syrian Arab Republic" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sy"></span> <span class="text">Syrian Arab Republic</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="206">
              <a tabindex="0" class="option-with-flag" data-tokens="TW Taiwan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tw"></span> <span class="text">Taiwan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="207">
              <a tabindex="0" class="option-with-flag" data-tokens="TJ Tajikistan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tj"></span> <span class="text">Tajikistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="208">
              <a tabindex="0" class="option-with-flag" data-tokens="TZ Tanzania, United Republic of" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tz"></span> <span class="text">Tanzania, United Republic of</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="209">
              <a tabindex="0" class="option-with-flag" data-tokens="TH Thailand" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag th"></span> <span class="text">Thailand</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="210">
              <a tabindex="0" class="option-with-flag" data-tokens="TL Timor-Leste" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tl"></span> <span class="text">Timor-Leste</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="211">
              <a tabindex="0" class="option-with-flag" data-tokens="TG Togo" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tg"></span> <span class="text">Togo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="212">
              <a tabindex="0" class="option-with-flag" data-tokens="TK Tokelau" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tk"></span> <span class="text">Tokelau</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="213">
              <a tabindex="0" class="option-with-flag" data-tokens="TO Tonga" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag to"></span> <span class="text">Tonga</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="214">
              <a tabindex="0" class="option-with-flag" data-tokens="TT Trinidad and Tobago" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tt"></span> <span class="text">Trinidad and Tobago</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="215">
              <a tabindex="0" class="option-with-flag" data-tokens="TN Tunisia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tn"></span> <span class="text">Tunisia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="216">
              <a tabindex="0" class="option-with-flag" data-tokens="TR Turkey" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tr"></span> <span class="text">Turkey</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="217">
              <a tabindex="0" class="option-with-flag" data-tokens="TM Turkmenistan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tm"></span> <span class="text">Turkmenistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="218">
              <a tabindex="0" class="option-with-flag" data-tokens="TC Turks and Caicos Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tc"></span> <span class="text">Turks and Caicos Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="219">
              <a tabindex="0" class="option-with-flag" data-tokens="TV Tuvalu" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag tv"></span> <span class="text">Tuvalu</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="220">
              <a tabindex="0" class="option-with-flag" data-tokens="UG Uganda" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ug"></span> <span class="text">Uganda</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="221">
              <a tabindex="0" class="option-with-flag" data-tokens="UA Ukraine" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ua"></span> <span class="text">Ukraine</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="222">
              <a tabindex="0" class="option-with-flag" data-tokens="AE United Arab Emirates" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ae"></span> <span class="text">United Arab Emirates</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="223">
              <a tabindex="0" class="option-with-flag" data-tokens="GB United Kingdom" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gb"></span> <span class="text">United Kingdom</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="224">
              <a tabindex="0" class="option-with-flag" data-tokens="US United States of America" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag us"></span> <span class="text">United States of America</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="225">
              <a tabindex="0" class="option-with-flag" data-tokens="UM United States Minor Outlying Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag um"></span> <span class="text">United States Minor Outlying Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="226">
              <a tabindex="0" class="option-with-flag" data-tokens="UY Uruguay" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag uy"></span> <span class="text">Uruguay</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="227">
              <a tabindex="0" class="option-with-flag" data-tokens="UZ Uzbekistan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag uz"></span> <span class="text">Uzbekistan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="228">
              <a tabindex="0" class="option-with-flag" data-tokens="VU Vanuatu" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag vu"></span> <span class="text">Vanuatu</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="229">
              <a tabindex="0" class="option-with-flag" data-tokens="VE Venezuela" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ve"></span> <span class="text">Venezuela</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="230">
              <a tabindex="0" class="option-with-flag" data-tokens="VN Viet Nam" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag vn"></span> <span class="text">Viet Nam</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="231">
              <a tabindex="0" class="option-with-flag" data-tokens="VG Virgin Islands, British" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag vg"></span> <span class="text">Virgin Islands, British</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="232">
              <a tabindex="0" class="option-with-flag" data-tokens="VI Virgin Islands, U.S." role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag vi"></span> <span class="text">Virgin Islands, U.S.</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="233">
              <a tabindex="0" class="option-with-flag" data-tokens="WF Wallis and Futuna" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag wf"></span> <span class="text">Wallis and Futuna</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="234">
              <a tabindex="0" class="option-with-flag" data-tokens="EH Western Sahara" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag eh"></span> <span class="text">Western Sahara</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="235">
              <a tabindex="0" class="option-with-flag" data-tokens="YE Yemen" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ye"></span> <span class="text">Yemen</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="236">
              <a tabindex="0" class="option-with-flag" data-tokens="ZM Zambia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag zm"></span> <span class="text">Zambia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="237">
              <a tabindex="0" class="option-with-flag" data-tokens="ZW Zimbabwe" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag zw"></span> <span class="text">Zimbabwe</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="238">
              <a tabindex="0" class="option-with-flag" data-tokens="AX Åland Islands" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ax"></span> <span class="text">Åland Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="239">
              <a tabindex="0" class="option-with-flag" data-tokens="BQ Bonaire, Sint Eustatius and Saba" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bq"></span> <span class="text">Bonaire, Sint Eustatius and Saba</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="240">
              <a tabindex="0" class="option-with-flag" data-tokens="CW Curaçao" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag cw"></span> <span class="text">Curaçao</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="241">
              <a tabindex="0" class="option-with-flag" data-tokens="GG Guernsey" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag gg"></span> <span class="text">Guernsey</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="242">
              <a tabindex="0" class="option-with-flag" data-tokens="IM Isle of Man" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag im"></span> <span class="text">Isle of Man</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="243">
              <a tabindex="0" class="option-with-flag" data-tokens="JE Jersey" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag je"></span> <span class="text">Jersey</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="244">
              <a tabindex="0" class="option-with-flag" data-tokens="ME Montenegro" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag me"></span> <span class="text">Montenegro</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="245">
              <a tabindex="0" class="option-with-flag" data-tokens="BL Saint Barthélemy" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag bl"></span> <span class="text">Saint Barthélemy</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="246">
              <a tabindex="0" class="option-with-flag" data-tokens="MF Saint Martin (French part)" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag mf"></span> <span class="text">Saint Martin (French part)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="247">
              <a tabindex="0" class="option-with-flag" data-tokens="RS Serbia" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag rs"></span> <span class="text">Serbia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="248">
              <a tabindex="0" class="option-with-flag" data-tokens="SX Sint Maarten (Dutch part)" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag sx"></span> <span class="text">Sint Maarten (Dutch part)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="249">
              <a tabindex="0" class="option-with-flag" data-tokens="SS South Sudan" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag ss"></span> <span class="text">South Sudan</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
            <li data-original-index="250">
              <a tabindex="0" class="option-with-flag" data-tokens="XK Kosovo" role="option" aria-disabled="false" aria-selected="false"><span class="glyphicon inline-flag flag xk"></span> <span class="text">Kosovo</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
            </li>
          </ul>
        </div><select class="form-control selectpicker countrypicker f16" data-live-search="true" data-flag="true" required="" name="country" tabindex="-98">
          <option data-tokens="" value="">Choose a Country</option>
          <option data-tokens="AF Afghanistan" data-icon="inline-flag flag af" class="option-with-flag" value="Afghanistan">Afghanistan</option>
          <option data-tokens="AL Albania" data-icon="inline-flag flag al" class="option-with-flag" value="Albania">Albania</option>
          <option data-tokens="DZ Algeria" data-icon="inline-flag flag dz" class="option-with-flag" value="Algeria">Algeria</option>
          <option data-tokens="AS American Samoa" data-icon="inline-flag flag as" class="option-with-flag" value="American Samoa">American Samoa</option>
          <option data-tokens="AD Andorra" data-icon="inline-flag flag ad" class="option-with-flag" value="Andorra">Andorra</option>
          <option data-tokens="AO Angola" data-icon="inline-flag flag ao" class="option-with-flag" value="Angola">Angola</option>
          <option data-tokens="AI Anguilla" data-icon="inline-flag flag ai" class="option-with-flag" value="Anguilla">Anguilla</option>
          <option data-tokens="AQ Antarctica" data-icon="inline-flag flag aq" class="option-with-flag" value="Antarctica">Antarctica</option>
          <option data-tokens="AG Antigua and Barbuda" data-icon="inline-flag flag ag" class="option-with-flag" value="Antigua and Barbuda">Antigua and Barbuda</option>
          <option data-tokens="AR Argentina" data-icon="inline-flag flag ar" class="option-with-flag" value="Argentina">Argentina</option>
          <option data-tokens="AM Armenia" data-icon="inline-flag flag am" class="option-with-flag" value="Armenia">Armenia</option>
          <option data-tokens="AW Aruba" data-icon="inline-flag flag aw" class="option-with-flag" value="Aruba">Aruba</option>
          <option data-tokens="AU Australia" data-icon="inline-flag flag au" class="option-with-flag" value="Australia">Australia</option>
          <option data-tokens="AT Austria" data-icon="inline-flag flag at" class="option-with-flag" value="Austria">Austria</option>
          <option data-tokens="AZ Azerbaijan" data-icon="inline-flag flag az" class="option-with-flag" value="Azerbaijan">Azerbaijan</option>
          <option data-tokens="BS Bahamas" data-icon="inline-flag flag bs" class="option-with-flag" value="Bahamas">Bahamas</option>
          <option data-tokens="BH Bahrain" data-icon="inline-flag flag bh" class="option-with-flag" value="Bahrain">Bahrain</option>
          <option data-tokens="BD Bangladesh" data-icon="inline-flag flag bd" class="option-with-flag" value="Bangladesh">Bangladesh</option>
          <option data-tokens="BB Barbados" data-icon="inline-flag flag bb" class="option-with-flag" value="Barbados">Barbados</option>
          <option data-tokens="BY Belarus" data-icon="inline-flag flag by" class="option-with-flag" value="Belarus">Belarus</option>
          <option data-tokens="BE Belgium" data-icon="inline-flag flag be" class="option-with-flag" value="Belgium">Belgium</option>
          <option data-tokens="BZ Belize" data-icon="inline-flag flag bz" class="option-with-flag" value="Belize">Belize</option>
          <option data-tokens="BJ Benin" data-icon="inline-flag flag bj" class="option-with-flag" value="Benin">Benin</option>
          <option data-tokens="BM Bermuda" data-icon="inline-flag flag bm" class="option-with-flag" value="Bermuda">Bermuda</option>
          <option data-tokens="BT Bhutan" data-icon="inline-flag flag bt" class="option-with-flag" value="Bhutan">Bhutan</option>
          <option data-tokens="BO Bolivia" data-icon="inline-flag flag bo" class="option-with-flag" value="Bolivia">Bolivia</option>
          <option data-tokens="BA Bosnia and Herzegovina" data-icon="inline-flag flag ba" class="option-with-flag" value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
          <option data-tokens="BW Botswana" data-icon="inline-flag flag bw" class="option-with-flag" value="Botswana">Botswana</option>
          <option data-tokens="BV Bouvet Island" data-icon="inline-flag flag bv" class="option-with-flag" value="Bouvet Island">Bouvet Island</option>
          <option data-tokens="BR Brazil" data-icon="inline-flag flag br" class="option-with-flag" value="Brazil">Brazil</option>
          <option data-tokens="IO British Indian Ocean Territory" data-icon="inline-flag flag io" class="option-with-flag" value="British Indian Ocean Territory">British Indian Ocean Territory</option>
          <option data-tokens="BN Brunei Darussalam" data-icon="inline-flag flag bn" class="option-with-flag" value="Brunei Darussalam">Brunei Darussalam</option>
          <option data-tokens="BG Bulgaria" data-icon="inline-flag flag bg" class="option-with-flag" value="Bulgaria">Bulgaria</option>
          <option data-tokens="BF Burkina Faso" data-icon="inline-flag flag bf" class="option-with-flag" value="Burkina Faso">Burkina Faso</option>
          <option data-tokens="BI Burundi" data-icon="inline-flag flag bi" class="option-with-flag" value="Burundi">Burundi</option>
          <option data-tokens="KH Cambodia" data-icon="inline-flag flag kh" class="option-with-flag" value="Cambodia">Cambodia</option>
          <option data-tokens="CM Cameroon" data-icon="inline-flag flag cm" class="option-with-flag" value="Cameroon">Cameroon</option>
          <option data-tokens="CA Canada" data-icon="inline-flag flag ca" class="option-with-flag" value="Canada">Canada</option>
          <option data-tokens="CV Cape Verde" data-icon="inline-flag flag cv" class="option-with-flag" value="Cape Verde">Cape Verde</option>
          <option data-tokens="KY Cayman Islands" data-icon="inline-flag flag ky" class="option-with-flag" value="Cayman Islands">Cayman Islands</option>
          <option data-tokens="CF Central African Republic" data-icon="inline-flag flag cf" class="option-with-flag" value="Central African Republic">Central African Republic</option>
          <option data-tokens="TD Chad" data-icon="inline-flag flag td" class="option-with-flag" value="Chad">Chad</option>
          <option data-tokens="CL Chile" data-icon="inline-flag flag cl" class="option-with-flag" value="Chile">Chile</option>
          <option data-tokens="CN China" data-icon="inline-flag flag cn" class="option-with-flag" value="China">China</option>
          <option data-tokens="CX Christmas Island" data-icon="inline-flag flag cx" class="option-with-flag" value="Christmas Island">Christmas Island</option>
          <option data-tokens="CC Cocos (Keeling) Islands" data-icon="inline-flag flag cc" class="option-with-flag" value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
          <option data-tokens="CO Colombia" data-icon="inline-flag flag co" class="option-with-flag" value="Colombia">Colombia</option>
          <option data-tokens="KM Comoros" data-icon="inline-flag flag km" class="option-with-flag" value="Comoros">Comoros</option>
          <option data-tokens="CG Congo" data-icon="inline-flag flag cg" class="option-with-flag" value="Congo">Congo</option>
          <option data-tokens="CD Congo, the Democratic Republic of the" data-icon="inline-flag flag cd" class="option-with-flag" value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
          <option data-tokens="CK Cook Islands" data-icon="inline-flag flag ck" class="option-with-flag" value="Cook Islands">Cook Islands</option>
          <option data-tokens="CR Costa Rica" data-icon="inline-flag flag cr" class="option-with-flag" value="Costa Rica">Costa Rica</option>
          <option data-tokens="CI Cote D'Ivoire" data-icon="inline-flag flag ci" class="option-with-flag" value="Cote D'Ivoire">Cote D'Ivoire</option>
          <option data-tokens="HR Croatia" data-icon="inline-flag flag hr" class="option-with-flag" value="Croatia">Croatia</option>
          <option data-tokens="CU Cuba" data-icon="inline-flag flag cu" class="option-with-flag" value="Cuba">Cuba</option>
          <option data-tokens="CY Cyprus" data-icon="inline-flag flag cy" class="option-with-flag" value="Cyprus">Cyprus</option>
          <option data-tokens="CZ Czech Republic" data-icon="inline-flag flag cz" class="option-with-flag" value="Czech Republic">Czech Republic</option>
          <option data-tokens="DK Denmark" data-icon="inline-flag flag dk" class="option-with-flag" value="Denmark">Denmark</option>
          <option data-tokens="DJ Djibouti" data-icon="inline-flag flag dj" class="option-with-flag" value="Djibouti">Djibouti</option>
          <option data-tokens="DM Dominica" data-icon="inline-flag flag dm" class="option-with-flag" value="Dominica">Dominica</option>
          <option data-tokens="DO Dominican Republic" data-icon="inline-flag flag do" class="option-with-flag" value="Dominican Republic">Dominican Republic</option>
          <option data-tokens="EC Ecuador" data-icon="inline-flag flag ec" class="option-with-flag" value="Ecuador">Ecuador</option>
          <option data-tokens="EG Egypt" data-icon="inline-flag flag eg" class="option-with-flag" value="Egypt">Egypt</option>
          <option data-tokens="SV El Salvador" data-icon="inline-flag flag sv" class="option-with-flag" value="El Salvador">El Salvador</option>
          <option data-tokens="GQ Equatorial Guinea" data-icon="inline-flag flag gq" class="option-with-flag" value="Equatorial Guinea">Equatorial Guinea</option>
          <option data-tokens="ER Eritrea" data-icon="inline-flag flag er" class="option-with-flag" value="Eritrea">Eritrea</option>
          <option data-tokens="EE Estonia" data-icon="inline-flag flag ee" class="option-with-flag" value="Estonia">Estonia</option>
          <option data-tokens="ET Ethiopia" data-icon="inline-flag flag et" class="option-with-flag" value="Ethiopia">Ethiopia</option>
          <option data-tokens="FK Falkland Islands (Malvinas)" data-icon="inline-flag flag fk" class="option-with-flag" value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
          <option data-tokens="FO Faroe Islands" data-icon="inline-flag flag fo" class="option-with-flag" value="Faroe Islands">Faroe Islands</option>
          <option data-tokens="FJ Fiji" data-icon="inline-flag flag fj" class="option-with-flag" value="Fiji">Fiji</option>
          <option data-tokens="FI Finland" data-icon="inline-flag flag fi" class="option-with-flag" value="Finland">Finland</option>
          <option data-tokens="FR France" data-icon="inline-flag flag fr" class="option-with-flag" value="France">France</option>
          <option data-tokens="GF French Guiana" data-icon="inline-flag flag gf" class="option-with-flag" value="French Guiana">French Guiana</option>
          <option data-tokens="PF French Polynesia" data-icon="inline-flag flag pf" class="option-with-flag" value="French Polynesia">French Polynesia</option>
          <option data-tokens="TF French Southern Territories" data-icon="inline-flag flag tf" class="option-with-flag" value="French Southern Territories">French Southern Territories</option>
          <option data-tokens="GA Gabon" data-icon="inline-flag flag ga" class="option-with-flag" value="Gabon">Gabon</option>
          <option data-tokens="GM Gambia" data-icon="inline-flag flag gm" class="option-with-flag" value="Gambia">Gambia</option>
          <option data-tokens="GE Georgia" data-icon="inline-flag flag ge" class="option-with-flag" value="Georgia">Georgia</option>
          <option data-tokens="DE Germany" data-icon="inline-flag flag de" class="option-with-flag" value="Germany">Germany</option>
          <option data-tokens="GH Ghana" data-icon="inline-flag flag gh" class="option-with-flag" value="Ghana">Ghana</option>
          <option data-tokens="GI Gibraltar" data-icon="inline-flag flag gi" class="option-with-flag" value="Gibraltar">Gibraltar</option>
          <option data-tokens="GR Greece" data-icon="inline-flag flag gr" class="option-with-flag" value="Greece">Greece</option>
          <option data-tokens="GL Greenland" data-icon="inline-flag flag gl" class="option-with-flag" value="Greenland">Greenland</option>
          <option data-tokens="GD Grenada" data-icon="inline-flag flag gd" class="option-with-flag" value="Grenada">Grenada</option>
          <option data-tokens="GP Guadeloupe" data-icon="inline-flag flag gp" class="option-with-flag" value="Guadeloupe">Guadeloupe</option>
          <option data-tokens="GU Guam" data-icon="inline-flag flag gu" class="option-with-flag" value="Guam">Guam</option>
          <option data-tokens="GT Guatemala" data-icon="inline-flag flag gt" class="option-with-flag" value="Guatemala">Guatemala</option>
          <option data-tokens="GN Guinea" data-icon="inline-flag flag gn" class="option-with-flag" value="Guinea">Guinea</option>
          <option data-tokens="GW Guinea-Bissau" data-icon="inline-flag flag gw" class="option-with-flag" value="Guinea-Bissau">Guinea-Bissau</option>
          <option data-tokens="GY Guyana" data-icon="inline-flag flag gy" class="option-with-flag" value="Guyana">Guyana</option>
          <option data-tokens="HT Haiti" data-icon="inline-flag flag ht" class="option-with-flag" value="Haiti">Haiti</option>
          <option data-tokens="HM Heard Island and Mcdonald Islands" data-icon="inline-flag flag hm" class="option-with-flag" value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
          <option data-tokens="VA Holy See (Vatican City State)" data-icon="inline-flag flag va" class="option-with-flag" value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
          <option data-tokens="HN Honduras" data-icon="inline-flag flag hn" class="option-with-flag" value="Honduras">Honduras</option>
          <option data-tokens="HK Hong Kong" data-icon="inline-flag flag hk" class="option-with-flag" value="Hong Kong">Hong Kong</option>
          <option data-tokens="HU Hungary" data-icon="inline-flag flag hu" class="option-with-flag" value="Hungary">Hungary</option>
          <option data-tokens="IS Iceland" data-icon="inline-flag flag is" class="option-with-flag" value="Iceland">Iceland</option>
          <option data-tokens="IN India" data-icon="inline-flag flag in" class="option-with-flag" value="India">India</option>
          <option data-tokens="ID Indonesia" data-icon="inline-flag flag id" class="option-with-flag" value="Indonesia">Indonesia</option>
          <option data-tokens="IR Iran, Islamic Republic of" data-icon="inline-flag flag ir" class="option-with-flag" value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
          <option data-tokens="IQ Iraq" data-icon="inline-flag flag iq" class="option-with-flag" value="Iraq">Iraq</option>
          <option data-tokens="IE Ireland" data-icon="inline-flag flag ie" class="option-with-flag" value="Ireland">Ireland</option>
          <option data-tokens="IL Israel" data-icon="inline-flag flag il" class="option-with-flag" value="Israel">Israel</option>
          <option data-tokens="IT Italy" data-icon="inline-flag flag it" class="option-with-flag" value="Italy">Italy</option>
          <option data-tokens="JM Jamaica" data-icon="inline-flag flag jm" class="option-with-flag" value="Jamaica">Jamaica</option>
          <option data-tokens="JP Japan" data-icon="inline-flag flag jp" class="option-with-flag" value="Japan">Japan</option>
          <option data-tokens="JO Jordan" data-icon="inline-flag flag jo" class="option-with-flag" value="Jordan">Jordan</option>
          <option data-tokens="KZ Kazakhstan" data-icon="inline-flag flag kz" class="option-with-flag" value="Kazakhstan">Kazakhstan</option>
          <option data-tokens="KE Kenya" data-icon="inline-flag flag ke" class="option-with-flag" value="Kenya">Kenya</option>
          <option data-tokens="KI Kiribati" data-icon="inline-flag flag ki" class="option-with-flag" value="Kiribati">Kiribati</option>
          <option data-tokens="KP North Korea" data-icon="inline-flag flag kp" class="option-with-flag" value="North Korea">North Korea</option>
          <option data-tokens="KR South Korea" data-icon="inline-flag flag kr" class="option-with-flag" value="South Korea">South Korea</option>
          <option data-tokens="KW Kuwait" data-icon="inline-flag flag kw" class="option-with-flag" value="Kuwait">Kuwait</option>
          <option data-tokens="KG Kyrgyzstan" data-icon="inline-flag flag kg" class="option-with-flag" value="Kyrgyzstan">Kyrgyzstan</option>
          <option data-tokens="LA Lao People's Democratic Republic" data-icon="inline-flag flag la" class="option-with-flag" value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
          <option data-tokens="LV Latvia" data-icon="inline-flag flag lv" class="option-with-flag" value="Latvia">Latvia</option>
          <option data-tokens="LB Lebanon" data-icon="inline-flag flag lb" class="option-with-flag" value="Lebanon">Lebanon</option>
          <option data-tokens="LS Lesotho" data-icon="inline-flag flag ls" class="option-with-flag" value="Lesotho">Lesotho</option>
          <option data-tokens="LR Liberia" data-icon="inline-flag flag lr" class="option-with-flag" value="Liberia">Liberia</option>
          <option data-tokens="LY Libyan Arab Jamahiriya" data-icon="inline-flag flag ly" class="option-with-flag" value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
          <option data-tokens="LI Liechtenstein" data-icon="inline-flag flag li" class="option-with-flag" value="Liechtenstein">Liechtenstein</option>
          <option data-tokens="LT Lithuania" data-icon="inline-flag flag lt" class="option-with-flag" value="Lithuania">Lithuania</option>
          <option data-tokens="LU Luxembourg" data-icon="inline-flag flag lu" class="option-with-flag" value="Luxembourg">Luxembourg</option>
          <option data-tokens="MO Macao" data-icon="inline-flag flag mo" class="option-with-flag" value="Macao">Macao</option>
          <option data-tokens="MK Macedonia, the Former Yugoslav Republic of" data-icon="inline-flag flag mk" class="option-with-flag" value="Macedonia, the Former Yugoslav Republic of">Macedonia, the Former Yugoslav Republic of</option>
          <option data-tokens="MG Madagascar" data-icon="inline-flag flag mg" class="option-with-flag" value="Madagascar">Madagascar</option>
          <option data-tokens="MW Malawi" data-icon="inline-flag flag mw" class="option-with-flag" value="Malawi">Malawi</option>
          <option data-tokens="MY Malaysia" data-icon="inline-flag flag my" class="option-with-flag" value="Malaysia">Malaysia</option>
          <option data-tokens="MV Maldives" data-icon="inline-flag flag mv" class="option-with-flag" value="Maldives">Maldives</option>
          <option data-tokens="ML Mali" data-icon="inline-flag flag ml" class="option-with-flag" value="Mali">Mali</option>
          <option data-tokens="MT Malta" data-icon="inline-flag flag mt" class="option-with-flag" value="Malta">Malta</option>
          <option data-tokens="MH Marshall Islands" data-icon="inline-flag flag mh" class="option-with-flag" value="Marshall Islands">Marshall Islands</option>
          <option data-tokens="MQ Martinique" data-icon="inline-flag flag mq" class="option-with-flag" value="Martinique">Martinique</option>
          <option data-tokens="MR Mauritania" data-icon="inline-flag flag mr" class="option-with-flag" value="Mauritania">Mauritania</option>
          <option data-tokens="MU Mauritius" data-icon="inline-flag flag mu" class="option-with-flag" value="Mauritius">Mauritius</option>
          <option data-tokens="YT Mayotte" data-icon="inline-flag flag yt" class="option-with-flag" value="Mayotte">Mayotte</option>
          <option data-tokens="MX Mexico" data-icon="inline-flag flag mx" class="option-with-flag" value="Mexico">Mexico</option>
          <option data-tokens="FM Micronesia, Federated States of" data-icon="inline-flag flag fm" class="option-with-flag" value="Micronesia, Federated States of">Micronesia, Federated States of</option>
          <option data-tokens="MD Moldova, Republic of" data-icon="inline-flag flag md" class="option-with-flag" value="Moldova, Republic of">Moldova, Republic of</option>
          <option data-tokens="MC Monaco" data-icon="inline-flag flag mc" class="option-with-flag" value="Monaco">Monaco</option>
          <option data-tokens="MN Mongolia" data-icon="inline-flag flag mn" class="option-with-flag" value="Mongolia">Mongolia</option>
          <option data-tokens="MS Montserrat" data-icon="inline-flag flag ms" class="option-with-flag" value="Montserrat">Montserrat</option>
          <option data-tokens="MA Morocco" data-icon="inline-flag flag ma" class="option-with-flag" value="Morocco">Morocco</option>
          <option data-tokens="MZ Mozambique" data-icon="inline-flag flag mz" class="option-with-flag" value="Mozambique">Mozambique</option>
          <option data-tokens="MM Myanmar" data-icon="inline-flag flag mm" class="option-with-flag" value="Myanmar">Myanmar</option>
          <option data-tokens="NA Namibia" data-icon="inline-flag flag na" class="option-with-flag" value="Namibia">Namibia</option>
          <option data-tokens="NR Nauru" data-icon="inline-flag flag nr" class="option-with-flag" value="Nauru">Nauru</option>
          <option data-tokens="NP Nepal" data-icon="inline-flag flag np" class="option-with-flag" value="Nepal">Nepal</option>
          <option data-tokens="NL Netherlands" data-icon="inline-flag flag nl" class="option-with-flag" value="Netherlands">Netherlands</option>
          <option data-tokens="NC New Caledonia" data-icon="inline-flag flag nc" class="option-with-flag" value="New Caledonia">New Caledonia</option>
          <option data-tokens="NZ New Zealand" data-icon="inline-flag flag nz" class="option-with-flag" value="New Zealand">New Zealand</option>
          <option data-tokens="NI Nicaragua" data-icon="inline-flag flag ni" class="option-with-flag" value="Nicaragua">Nicaragua</option>
          <option data-tokens="NE Niger" data-icon="inline-flag flag ne" class="option-with-flag" value="Niger">Niger</option>
          <option data-tokens="NG Nigeria" data-icon="inline-flag flag ng" class="option-with-flag" value="Nigeria">Nigeria</option>
          <option data-tokens="NU Niue" data-icon="inline-flag flag nu" class="option-with-flag" value="Niue">Niue</option>
          <option data-tokens="NF Norfolk Island" data-icon="inline-flag flag nf" class="option-with-flag" value="Norfolk Island">Norfolk Island</option>
          <option data-tokens="MP Northern Mariana Islands" data-icon="inline-flag flag mp" class="option-with-flag" value="Northern Mariana Islands">Northern Mariana Islands</option>
          <option data-tokens="NO Norway" data-icon="inline-flag flag no" class="option-with-flag" value="Norway">Norway</option>
          <option data-tokens="OM Oman" data-icon="inline-flag flag om" class="option-with-flag" value="Oman">Oman</option>
          <option data-tokens="PK Pakistan" data-icon="inline-flag flag pk" class="option-with-flag" value="Pakistan">Pakistan</option>
          <option data-tokens="PW Palau" data-icon="inline-flag flag pw" class="option-with-flag" value="Palau">Palau</option>
          <option data-tokens="PS Palestinian Territory, Occupied" data-icon="inline-flag flag ps" class="option-with-flag" value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
          <option data-tokens="PA Panama" data-icon="inline-flag flag pa" class="option-with-flag" value="Panama">Panama</option>
          <option data-tokens="PG Papua New Guinea" data-icon="inline-flag flag pg" class="option-with-flag" value="Papua New Guinea">Papua New Guinea</option>
          <option data-tokens="PY Paraguay" data-icon="inline-flag flag py" class="option-with-flag" value="Paraguay">Paraguay</option>
          <option data-tokens="PE Peru" data-icon="inline-flag flag pe" class="option-with-flag" value="Peru">Peru</option>
          <option data-tokens="PH Philippines" data-icon="inline-flag flag ph" class="option-with-flag" value="Philippines">Philippines</option>
          <option data-tokens="PN Pitcairn" data-icon="inline-flag flag pn" class="option-with-flag" value="Pitcairn">Pitcairn</option>
          <option data-tokens="PL Poland" data-icon="inline-flag flag pl" class="option-with-flag" value="Poland">Poland</option>
          <option data-tokens="PT Portugal" data-icon="inline-flag flag pt" class="option-with-flag" value="Portugal">Portugal</option>
          <option data-tokens="PR Puerto Rico" data-icon="inline-flag flag pr" class="option-with-flag" value="Puerto Rico">Puerto Rico</option>
          <option data-tokens="QA Qatar" data-icon="inline-flag flag qa" class="option-with-flag" value="Qatar">Qatar</option>
          <option data-tokens="RE Reunion" data-icon="inline-flag flag re" class="option-with-flag" value="Reunion">Reunion</option>
          <option data-tokens="RO Romania" data-icon="inline-flag flag ro" class="option-with-flag" value="Romania">Romania</option>
          <option data-tokens="RU Russian Federation" data-icon="inline-flag flag ru" class="option-with-flag" value="Russian Federation">Russian Federation</option>
          <option data-tokens="RW Rwanda" data-icon="inline-flag flag rw" class="option-with-flag" value="Rwanda">Rwanda</option>
          <option data-tokens="SH Saint Helena" data-icon="inline-flag flag sh" class="option-with-flag" value="Saint Helena">Saint Helena</option>
          <option data-tokens="KN Saint Kitts and Nevis" data-icon="inline-flag flag kn" class="option-with-flag" value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
          <option data-tokens="LC Saint Lucia" data-icon="inline-flag flag lc" class="option-with-flag" value="Saint Lucia">Saint Lucia</option>
          <option data-tokens="PM Saint Pierre and Miquelon" data-icon="inline-flag flag pm" class="option-with-flag" value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
          <option data-tokens="VC Saint Vincent and the Grenadines" data-icon="inline-flag flag vc" class="option-with-flag" value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
          <option data-tokens="WS Samoa" data-icon="inline-flag flag ws" class="option-with-flag" value="Samoa">Samoa</option>
          <option data-tokens="SM San Marino" data-icon="inline-flag flag sm" class="option-with-flag" value="San Marino">San Marino</option>
          <option data-tokens="ST Sao Tome and Principe" data-icon="inline-flag flag st" class="option-with-flag" value="Sao Tome and Principe">Sao Tome and Principe</option>
          <option data-tokens="SA Saudi Arabia" data-icon="inline-flag flag sa" class="option-with-flag" value="Saudi Arabia">Saudi Arabia</option>
          <option data-tokens="SN Senegal" data-icon="inline-flag flag sn" class="option-with-flag" value="Senegal">Senegal</option>
          <option data-tokens="SC Seychelles" data-icon="inline-flag flag sc" class="option-with-flag" value="Seychelles">Seychelles</option>
          <option data-tokens="SL Sierra Leone" data-icon="inline-flag flag sl" class="option-with-flag" value="Sierra Leone">Sierra Leone</option>
          <option data-tokens="SG Singapore" data-icon="inline-flag flag sg" class="option-with-flag" value="Singapore">Singapore</option>
          <option data-tokens="SK Slovakia" data-icon="inline-flag flag sk" class="option-with-flag" value="Slovakia">Slovakia</option>
          <option data-tokens="SI Slovenia" data-icon="inline-flag flag si" class="option-with-flag" value="Slovenia">Slovenia</option>
          <option data-tokens="SB Solomon Islands" data-icon="inline-flag flag sb" class="option-with-flag" value="Solomon Islands">Solomon Islands</option>
          <option data-tokens="SO Somalia" data-icon="inline-flag flag so" class="option-with-flag" value="Somalia">Somalia</option>
          <option data-tokens="ZA South Africa" data-icon="inline-flag flag za" class="option-with-flag" value="South Africa">South Africa</option>
          <option data-tokens="GS South Georgia and the South Sandwich Islands" data-icon="inline-flag flag gs" class="option-with-flag" value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
          <option data-tokens="ES Spain" data-icon="inline-flag flag es" class="option-with-flag" value="Spain">Spain</option>
          <option data-tokens="LK Sri Lanka" data-icon="inline-flag flag lk" class="option-with-flag" value="Sri Lanka">Sri Lanka</option>
          <option data-tokens="SD Sudan" data-icon="inline-flag flag sd" class="option-with-flag" value="Sudan">Sudan</option>
          <option data-tokens="SR Suriname" data-icon="inline-flag flag sr" class="option-with-flag" value="Suriname">Suriname</option>
          <option data-tokens="SJ Svalbard and Jan Mayen" data-icon="inline-flag flag sj" class="option-with-flag" value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
          <option data-tokens="SZ Swaziland" data-icon="inline-flag flag sz" class="option-with-flag" value="Swaziland">Swaziland</option>
          <option data-tokens="SE Sweden" data-icon="inline-flag flag se" class="option-with-flag" value="Sweden">Sweden</option>
          <option data-tokens="CH Switzerland" data-icon="inline-flag flag ch" class="option-with-flag" value="Switzerland">Switzerland</option>
          <option data-tokens="SY Syrian Arab Republic" data-icon="inline-flag flag sy" class="option-with-flag" value="Syrian Arab Republic">Syrian Arab Republic</option>
          <option data-tokens="TW Taiwan" data-icon="inline-flag flag tw" class="option-with-flag" value="Taiwan">Taiwan</option>
          <option data-tokens="TJ Tajikistan" data-icon="inline-flag flag tj" class="option-with-flag" value="Tajikistan">Tajikistan</option>
          <option data-tokens="TZ Tanzania, United Republic of" data-icon="inline-flag flag tz" class="option-with-flag" value="Tanzania, United Republic of">Tanzania, United Republic of</option>
          <option data-tokens="TH Thailand" data-icon="inline-flag flag th" class="option-with-flag" value="Thailand">Thailand</option>
          <option data-tokens="TL Timor-Leste" data-icon="inline-flag flag tl" class="option-with-flag" value="Timor-Leste">Timor-Leste</option>
          <option data-tokens="TG Togo" data-icon="inline-flag flag tg" class="option-with-flag" value="Togo">Togo</option>
          <option data-tokens="TK Tokelau" data-icon="inline-flag flag tk" class="option-with-flag" value="Tokelau">Tokelau</option>
          <option data-tokens="TO Tonga" data-icon="inline-flag flag to" class="option-with-flag" value="Tonga">Tonga</option>
          <option data-tokens="TT Trinidad and Tobago" data-icon="inline-flag flag tt" class="option-with-flag" value="Trinidad and Tobago">Trinidad and Tobago</option>
          <option data-tokens="TN Tunisia" data-icon="inline-flag flag tn" class="option-with-flag" value="Tunisia">Tunisia</option>
          <option data-tokens="TR Turkey" data-icon="inline-flag flag tr" class="option-with-flag" value="Turkey">Turkey</option>
          <option data-tokens="TM Turkmenistan" data-icon="inline-flag flag tm" class="option-with-flag" value="Turkmenistan">Turkmenistan</option>
          <option data-tokens="TC Turks and Caicos Islands" data-icon="inline-flag flag tc" class="option-with-flag" value="Turks and Caicos Islands">Turks and Caicos Islands</option>
          <option data-tokens="TV Tuvalu" data-icon="inline-flag flag tv" class="option-with-flag" value="Tuvalu">Tuvalu</option>
          <option data-tokens="UG Uganda" data-icon="inline-flag flag ug" class="option-with-flag" value="Uganda">Uganda</option>
          <option data-tokens="UA Ukraine" data-icon="inline-flag flag ua" class="option-with-flag" value="Ukraine">Ukraine</option>
          <option data-tokens="AE United Arab Emirates" data-icon="inline-flag flag ae" class="option-with-flag" value="United Arab Emirates">United Arab Emirates</option>
          <option data-tokens="GB United Kingdom" data-icon="inline-flag flag gb" class="option-with-flag" value="United Kingdom">United Kingdom</option>
          <option data-tokens="US United States of America" data-icon="inline-flag flag us" class="option-with-flag" value="United States of America">United States of America</option>
          <option data-tokens="UM United States Minor Outlying Islands" data-icon="inline-flag flag um" class="option-with-flag" value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
          <option data-tokens="UY Uruguay" data-icon="inline-flag flag uy" class="option-with-flag" value="Uruguay">Uruguay</option>
          <option data-tokens="UZ Uzbekistan" data-icon="inline-flag flag uz" class="option-with-flag" value="Uzbekistan">Uzbekistan</option>
          <option data-tokens="VU Vanuatu" data-icon="inline-flag flag vu" class="option-with-flag" value="Vanuatu">Vanuatu</option>
          <option data-tokens="VE Venezuela" data-icon="inline-flag flag ve" class="option-with-flag" value="Venezuela">Venezuela</option>
          <option data-tokens="VN Viet Nam" data-icon="inline-flag flag vn" class="option-with-flag" value="Viet Nam">Viet Nam</option>
          <option data-tokens="VG Virgin Islands, British" data-icon="inline-flag flag vg" class="option-with-flag" value="Virgin Islands, British">Virgin Islands, British</option>
          <option data-tokens="VI Virgin Islands, U.S." data-icon="inline-flag flag vi" class="option-with-flag" value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
          <option data-tokens="WF Wallis and Futuna" data-icon="inline-flag flag wf" class="option-with-flag" value="Wallis and Futuna">Wallis and Futuna</option>
          <option data-tokens="EH Western Sahara" data-icon="inline-flag flag eh" class="option-with-flag" value="Western Sahara">Western Sahara</option>
          <option data-tokens="YE Yemen" data-icon="inline-flag flag ye" class="option-with-flag" value="Yemen">Yemen</option>
          <option data-tokens="ZM Zambia" data-icon="inline-flag flag zm" class="option-with-flag" value="Zambia">Zambia</option>
          <option data-tokens="ZW Zimbabwe" data-icon="inline-flag flag zw" class="option-with-flag" value="Zimbabwe">Zimbabwe</option>
          <option data-tokens="AX Åland Islands" data-icon="inline-flag flag ax" class="option-with-flag" value="Åland Islands">Åland Islands</option>
          <option data-tokens="BQ Bonaire, Sint Eustatius and Saba" data-icon="inline-flag flag bq" class="option-with-flag" value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
          <option data-tokens="CW Curaçao" data-icon="inline-flag flag cw" class="option-with-flag" value="Curaçao">Curaçao</option>
          <option data-tokens="GG Guernsey" data-icon="inline-flag flag gg" class="option-with-flag" value="Guernsey">Guernsey</option>
          <option data-tokens="IM Isle of Man" data-icon="inline-flag flag im" class="option-with-flag" value="Isle of Man">Isle of Man</option>
          <option data-tokens="JE Jersey" data-icon="inline-flag flag je" class="option-with-flag" value="Jersey">Jersey</option>
          <option data-tokens="ME Montenegro" data-icon="inline-flag flag me" class="option-with-flag" value="Montenegro">Montenegro</option>
          <option data-tokens="BL Saint Barthélemy" data-icon="inline-flag flag bl" class="option-with-flag" value="Saint Barthélemy">Saint Barthélemy</option>
          <option data-tokens="MF Saint Martin (French part)" data-icon="inline-flag flag mf" class="option-with-flag" value="Saint Martin (French part)">Saint Martin (French part)</option>
          <option data-tokens="RS Serbia" data-icon="inline-flag flag rs" class="option-with-flag" value="Serbia">Serbia</option>
          <option data-tokens="SX Sint Maarten (Dutch part)" data-icon="inline-flag flag sx" class="option-with-flag" value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
          <option data-tokens="SS South Sudan" data-icon="inline-flag flag ss" class="option-with-flag" value="South Sudan">South Sudan</option>
          <option data-tokens="XK Kosovo" data-icon="inline-flag flag xk" class="option-with-flag" value="Kosovo">Kosovo</option>
        </select>
      </div>
    </div>
    <div class="col-md-6 remark_div">
      <label for="exampleInputEmail1"> Remarks *</label>
      <input type="text" class="form-control" name="remarks" value="" placeholder="" required="">
    </div>
  </div>
  <div class="payment_div">
    <div class="form-group col-md-6">
      <label for="exampleInputEmail1"> Card Number</label>
      <input type="text" class="form-control" id="card" name="card_number" value="" placeholder="">
    </div>
    <div class="form-group col-md-3">
      <label for="exampleInputEmail1"> Expire Date</label>
      <input type="text" class="form-control" id="expire" data-date="" data-date-format="MM YY" placeholder="Expiry (MM/YY)" name="expire_date" maxlength="7" aria-describedby="basic-addon1" value="" required="">
    </div>
    <div class="form-group col-md-3">
      <label for="exampleInputEmail1"> CVV</label>
      <input type="text" class="form-control" id="cvv" name="cvv_number" value="" placeholder="" maxlength="3" required="">
    </div>
  </div>
  <div id="token"></div>
  <div class="col-md-12 form-group trial_version_div_div">
    <input type="checkbox" name="trial_version" value="1" class="trial_version">
    <label class="trial_version" for="exampleInputEmail1">Do You Want Trial Version??</label>
  </div>
  <input type="hidden" name="request" value="">
  <button type="submit" value="submit" class="btn btn-info btn-group pull-center pull submit_button" id="submit-btn" onclick="stripePay(event);"> Submit</button>
</form>

POST frontend/send

<form action="frontend/send" id="sendEmail" enctype="multipart/form-data" method="POST"
  class="hs-form stacked hs-form-private hsForm_93389280-7d5f-4a00-a4a2-6b177ad9e886 hs-form-93389280-7d5f-4a00-a4a2-6b177ad9e886 hs-form-93389280-7d5f-4a00-a4a2-6b177ad9e886_568798ab-3c3f-4cfe-9689-3eba2e30f0f0"
  data-form-id="93389280-7d5f-4a00-a4a2-6b177ad9e886" data-portal-id="7012252" data-reactid=".hbspt-forms-0">
  <fieldset class="col-md-12">
    <div class="col-md-6">
      <label id="label-lastname-93389280-7d5f-4a00-a4a2-6b177ad9e886">
        <span> Name *</span>
        <span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc hs_field_desc"></legend>
      <div class="input">
        <input class="hs-input" type="text" name="name" value="" placeholder="" inputmode="text" required="">
      </div>
    </div>
    <div class="col-md-6">
      <label id="label-lastname-93389280-7d5f-4a00-a4a2-6b177ad9e886">
        <span> Email *</span>
        <span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc hs_field_desc"></legend>
      <div class="input">
        <input class="hs-input" type="email" name="other_email" value="" placeholder="" inputmode="text" required="">
      </div>
    </div>
  </fieldset>
  <fieldset class="col-md-12">
    <div class="col-md-6">
      <label id="label-lastname-93389280-7d5f-4a00-a4a2-6b177ad9e886">
        <span> Phone *</span>
        <span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc hs_field_desc"></legend>
      <div class="input">
        <input class="hs-input" type="number" name="phone" value="" placeholder="" inputmode="text" required="">
      </div>
    </div>
    <div class="col-md-6">
      <label id="label-lastname-93389280-7d5f-4a00-a4a2-6b177ad9e886">
        <span> Hospital Name *</span>
        <span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc hs_field_desc"></legend>
      <div class="input">
        <input class="hs-input" type="text" name="hospital_name" value="" placeholder="" inputmode="text" required="">
      </div>
    </div>
  </fieldset>
  <fieldset class="col-md-12">
    <div class="col-md-12">
      <label id="label-lastname-93389280-7d5f-4a00-a4a2-6b177ad9e886">
        <span>Message</span>
        <span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc hs_field_desc"></legend>
      <div class="input">
        <textarea class="form-control" name="msg" value="" style="height: 140px !important; width: 100%;">  </textarea>
      </div>
    </div>
  </fieldset>
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Text Content

NEW : Limited Time Offer > you can try our system for free and get valued
discount →
 * english
   عربى English Español Français Italiano Português Türkçe

Business Service Package Contact Us Login
Register Hospital




DCSS : DOCTOR CLINIC SOFTWARE SOLUTION

Our system is suitable for clinics and medical center and hospitals , welcome to
digital world

Register Hospital


APPOINTMENT AVAILABILITY AND VISITOR RESTRICTIONS

Our system is suitable for clinics and medical center and hospitals , welcome to
digital world

reduced administrative burden, and enhanced patient care with our
state-of-the-art medical software system. Join the future of healthcare
management today!

"Best and effective medical services with best doctor and staffs. Highly
recommend their treatment and diagnosis."

✓ JCI Certified

"say goodbye to hours spent on paperwork and administrative tasks, and hello to
a streamlined workflow that allows you to focus on what truly matters: providing
exceptional patient care."

✓ JCI Certified


THE UNKNOWN IS JUST A QUESTION, WE FIND THE ANSWERS.

Our system is suitable for clinics and medical center and hospitals , welcome to
digital world


WHY CHOOSE US

Our system is suitable for clinics and medical center and hospitals , welcome to
digital world

 * you can test our system for free.

 * affordable prices and packages.

 * transfer all paper work to digital.


SEAMLESS CARE FROM OUR HOSPITALS

At our hospital, every aspect of your care is coordinated and teams of experts
work together to provide exactly the care you need. What might take months
elsewhere can often be done in days here.

 * you can test our system for free.

 * affordable prices and packages.

 * transfer all paper work to digital.


UNPARALLELED EXPERTISE FROM OUR DOCTORS

Our system is suitable for clinics and medical center and hospitals , welcome to
digital world

 * you can test our system for free.

 * affordable prices and packages.

 * transfer all paper work to digital.


OUR SERVICE

Introducing our cutting-edge medical software system, designed to revolutionize
the way healthcare professionals manage patient data and streamline their
workflows. With our advanced features and intuitive interface, you can
effortlessly schedule appointments, access patient records, and securely
communicate with your team. Our software system is built with the latest
security protocols to ensure the confidentiality and integrity of patient
information.


CLINIC SOFTWARE SYSTEM

Introducing our cutting-edge clinic software system, revolutionizing healthcare
management. Our software is designed to streamline workflows, optimize
operations, and enhance overall patient care. With its user-friendly interface
and advanced features, healthcare professionals can efficiently manage
appointments, billing, patient records, and more, all in one centralized
platform. Experience a new era in healthcare management with our
state-of-the-art software solution.


GAME CHANGER

Using our clinic software has been a game-changer for healthcare professionals.
The efficiency it brings to daily operations is unparalleled. With automated
appointment scheduling, staff can focus more on patient care and less on
administrative tasks. The convenience of centralized patient records allows for
quick access to critical information, leading to better-informed decisions. Our
software truly enhances the patient experience and allows healthcare providers
to deliver top-notch care


THE FUTURE OF HEALTHCARE

Join us in embracing the future of healthcare management with our
state-of-the-art clinic software. We invite healthcare professionals to
experience the numerous benefits it offers. From optimizing workflows to
improving patient care, our software is designed to meet the unique needs of
today's healthcare industry. Embrace efficiency, convenience, and enhanced
patient care by incorporating our cutting-edge software into your practice.
Together, let's shape the future of healthcare management


GET A SOFTWARE FOR YOUR HOSPITAL


Hospital Name *
Hospital Address *
Hospital Email *
Hospital Phone *
Package * Select Medical Center Hospital Clinic
Package Duration * Monthly Yearly
Language * عربى English Español Français Italiano Português Türkçe
Price *
Country *
Choose a Country 
 * Choose a Country
 * Afghanistan
 * Albania
 * Algeria
 * American Samoa
 * Andorra
 * Angola
 * Anguilla
 * Antarctica
 * Antigua and Barbuda
 * Argentina
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 * Aruba
 * Australia
 * Austria
 * Azerbaijan
 * Bahamas
 * Bahrain
 * Bangladesh
 * Barbados
 * Belarus
 * Belgium
 * Belize
 * Benin
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 * Botswana
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 * Brazil
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 * Burkina Faso
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 * Cape Verde
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 * China
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 * Colombia
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 * Cook Islands
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 * Dominican Republic
 * Ecuador
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 * Eritrea
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 * Falkland Islands (Malvinas)
 * Faroe Islands
 * Fiji
 * Finland
 * France
 * French Guiana
 * French Polynesia
 * French Southern Territories
 * Gabon
 * Gambia
 * Georgia
 * Germany
 * Ghana
 * Gibraltar
 * Greece
 * Greenland
 * Grenada
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 * Guam
 * Guatemala
 * Guinea
 * Guinea-Bissau
 * Guyana
 * Haiti
 * Heard Island and Mcdonald Islands
 * Holy See (Vatican City State)
 * Honduras
 * Hong Kong
 * Hungary
 * Iceland
 * India
 * Indonesia
 * Iran, Islamic Republic of
 * Iraq
 * Ireland
 * Israel
 * Italy
 * Jamaica
 * Japan
 * Jordan
 * Kazakhstan
 * Kenya
 * Kiribati
 * North Korea
 * South Korea
 * Kuwait
 * Kyrgyzstan
 * Lao People's Democratic Republic
 * Latvia
 * Lebanon
 * Lesotho
 * Liberia
 * Libyan Arab Jamahiriya
 * Liechtenstein
 * Lithuania
 * Luxembourg
 * Macao
 * Macedonia, the Former Yugoslav Republic of
 * Madagascar
 * Malawi
 * Malaysia
 * Maldives
 * Mali
 * Malta
 * Marshall Islands
 * Martinique
 * Mauritania
 * Mauritius
 * Mayotte
 * Mexico
 * Micronesia, Federated States of
 * Moldova, Republic of
 * Monaco
 * Mongolia
 * Montserrat
 * Morocco
 * Mozambique
 * Myanmar
 * Namibia
 * Nauru
 * Nepal
 * Netherlands
 * New Caledonia
 * New Zealand
 * Nicaragua
 * Niger
 * Nigeria
 * Niue
 * Norfolk Island
 * Northern Mariana Islands
 * Norway
 * Oman
 * Pakistan
 * Palau
 * Palestinian Territory, Occupied
 * Panama
 * Papua New Guinea
 * Paraguay
 * Peru
 * Philippines
 * Pitcairn
 * Poland
 * Portugal
 * Puerto Rico
 * Qatar
 * Reunion
 * Romania
 * Russian Federation
 * Rwanda
 * Saint Helena
 * Saint Kitts and Nevis
 * Saint Lucia
 * Saint Pierre and Miquelon
 * Saint Vincent and the Grenadines
 * Samoa
 * San Marino
 * Sao Tome and Principe
 * Saudi Arabia
 * Senegal
 * Seychelles
 * Sierra Leone
 * Singapore
 * Slovakia
 * Slovenia
 * Solomon Islands
 * Somalia
 * South Africa
 * South Georgia and the South Sandwich Islands
 * Spain
 * Sri Lanka
 * Sudan
 * Suriname
 * Svalbard and Jan Mayen
 * Swaziland
 * Sweden
 * Switzerland
 * Syrian Arab Republic
 * Taiwan
 * Tajikistan
 * Tanzania, United Republic of
 * Thailand
 * Timor-Leste
 * Togo
 * Tokelau
 * Tonga
 * Trinidad and Tobago
 * Tunisia
 * Turkey
 * Turkmenistan
 * Turks and Caicos Islands
 * Tuvalu
 * Uganda
 * Ukraine
 * United Arab Emirates
 * United Kingdom
 * United States of America
 * United States Minor Outlying Islands
 * Uruguay
 * Uzbekistan
 * Vanuatu
 * Venezuela
 * Viet Nam
 * Virgin Islands, British
 * Virgin Islands, U.S.
 * Wallis and Futuna
 * Western Sahara
 * Yemen
 * Zambia
 * Zimbabwe
 * Åland Islands
 * Bonaire, Sint Eustatius and Saba
 * Curaçao
 * Guernsey
 * Isle of Man
 * Jersey
 * Montenegro
 * Saint Barthélemy
 * Saint Martin (French part)
 * Serbia
 * Sint Maarten (Dutch part)
 * South Sudan
 * Kosovo

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

Do You Want Trial Version??
Submit



OUR PACKAGE

reduced administrative burden, and enhanced patient care with our
state-of-the-art medical software system. Join the future of healthcare
management today!

Monthly Yearly


MEDICAL CENTER


$9


$89

 * accountant
 * appointment
 * lab
 * bed
 * department
 * donor
 * finance
 * pharmacy
 * laboratorist
 * medicine
 * nurse
 * patient
 * pharmacist
 * prescription
 * receptionist
 * report
 * notice
 * email
 * sms
 * file
 * payroll
 * attendance
 * leave
 * chat

Get Now


HOSPITAL


$39


$400

 * accountant
 * appointment
 * lab
 * bed
 * department
 * donor
 * finance
 * pharmacy
 * laboratorist
 * medicine
 * nurse
 * patient
 * pharmacist
 * prescription
 * receptionist
 * report
 * notice
 * email
 * sms
 * file
 * payroll
 * attendance
 * leave
 * chat

Get Now


CLINIC


$5


$49

 * accountant
 * appointment
 * lab
 * bed
 * department
 * donor
 * finance
 * pharmacy
 * laboratorist
 * medicine
 * nurse
 * patient
 * pharmacist
 * prescription
 * receptionist
 * report
 * notice
 * email
 * sms
 * file
 * payroll
 * attendance
 * leave
 * chat

Get Now


BEST HEALTH CARE IN TOWN

Since 2015, We are creating best Hospital Portal for you and your family. You
and your loved ones will get best doctors, treatment and latest lab technologies
in all of our hospitals.


Register Hospital Now

“We have never (ever!) experienced such a smooth and effective care and service"

✓ JCI Certified

Katie Clark & Catrick Hospital Patient


CONTACT WITH US


Name * *

Email * *

Phone * *

Hospital Name * *

Message *

Submit
Email: support@dcss.cloud
Phone: 00201555938494
Address: George St, Sydney NSW 2000, Australia
 * General
 * Business Service Package Contact Us Register Hospital

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2023 © Dcss : doctor clinic software solution
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