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Submission: On March 01 via manual from CA — Scanned from CA
Submission: On March 01 via manual from CA — Scanned from CA
Form analysis
1 forms found in the DOM<form>
<div class="floating-label"><select name="country" class="custom-select form-control custom-select-lg mb-3 " placeholder=" " id="country-select">
<option hidden="" value="">Select Country / Region of Residence</option>
<option value="AR">Argentina</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="BH">Bahrain</option>
<option value="BE">Belgium</option>
<option value="BR">Brazil</option>
<option value="CA">Canada</option>
<option value="CL">Chile</option>
<option value="CO">Colombia</option>
<option value="HR">Croatia</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="EG">Egypt</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="DE">Germany</option>
<option value="GR">Greece</option>
<option value="HK">Hong Kong</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KR">Korea</option>
<option value="KW">Kuwait</option>
<option value="LB">Lebanon</option>
<option value="LU">Luxembourg</option>
<option value="MX">Mexico</option>
<option value="NL">Netherlands</option>
<option value="NZ">New Zealand</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PH">Philippines</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="RU">Russia</option>
<option value="SA">Saudi Arabia</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="ZA">South Africa</option>
<option value="ES">Spain</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="TW">Taiwan</option>
<option value="TR">Turkey</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
</select><span>Country / Region of Residence</span></div>
<div class="floating-label"><select name="language" class="custom-select form-control custom-select-lg " placeholder=" " id="language-select">
<option hidden="" value="">Select Language</option>
<option value="ar-SA">Arabic</option>
<option value="zh-TW">Chinese (Traditional)</option>
<option value="hr-HR">Croatian </option>
<option value="cs-CZ">Czech</option>
<option value="da-DK">Danish</option>
<option value="nl-NL">Dutch</option>
<option value="en-US">English</option>
<option value="en-GB">English (UK)</option>
<option value="fi-FI">Finnish</option>
<option value="fr-FR">French</option>
<option value="fr-CA">French (Canada)</option>
<option value="de-DE">German</option>
<option value="el-GR">Greek</option>
<option value="he-IL">Hebrew</option>
<option value="it-IT">Italian</option>
<option value="ja-JP">Japanese</option>
<option value="ko-KR">Korean</option>
<option value="nb-NO">Norwegian</option>
<option value="pl-PL">Polish</option>
<option value="pt-PT">Portuguese</option>
<option value="pt-BR">Portuguese (Brazil)</option>
<option value="ru-RU">Russian</option>
<option value="sk-SK">Slovak</option>
<option value="sl-SI">Slovenian</option>
<option value="es-ES">Spanish</option>
<option value="es-MX">Spanish (Latin America)</option>
<option value="sv-SE">Swedish</option>
<option value="tr-TR">Turkish</option>
</select><span>Language</span></div><button id="submit-button" class="btn btn-lg btn-primary w-100 my-3" type="submit">Submit</button>
</form>
Text Content
Select Country / Region of Residence Select Country / Region of ResidenceArgentinaAustraliaAustriaBahrainBelgiumBrazilCanadaChileColombiaCroatiaCzech RepublicDenmarkEgyptFinlandFranceGermanyGreeceHong KongIrelandIsraelItalyJapanJordanKoreaKuwaitLebanonLuxembourgMexicoNetherlandsNew ZealandNorwayOmanPhilippinesPolandPortugalQatarRussiaSaudi ArabiaSingaporeSlovakiaSloveniaSouth AfricaSpainSwedenSwitzerlandTaiwanTurkeyUnited Arab EmiratesUnited KingdomUnited StatesCountry / Region of Residence Select LanguageArabicChinese (Traditional)Croatian CzechDanishDutchEnglishEnglish (UK)FinnishFrenchFrench (Canada)GermanGreekHebrewItalianJapaneseKoreanNorwegianPolishPortuguesePortuguese (Brazil)RussianSlovakSlovenianSpanishSpanish (Latin America)SwedishTurkishLanguage Submit LibreView is supported in the countries / regions listed above. New countries / regions will be added in the future. Please check back soon. FreeStyle, Libre, and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners. Cookies and Related Technologies on This Site This site uses first and/or third-party cookies and related technologies, as described in our cookie policy, for purposes that may include site operation, analytics, enhanced user experience, or advertising. You may choose to consent to our use of all cookies by clicking “Accept All”, reject its use by clicking “Reject All” (except for required cookies, which cannot be rejected) or manage your own preferences by clicking “Manage Choices”. MANAGE CHOICES AGREE & PROCEED REJECT ALL Privacy Policy Tracker Details Powered by: