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Submitted URL: https://balluff.innovatingautomation.asia/e3t/Ctc/U+113/cRxfQ04/MXfDPVrRXpQN3sNqsL_BchbW7gFL9V4YZhmGMXl4ph3lLBGV1-WJV7CgJtsW1cN_mC2frjDqW3...
Effective URL: https://share.hsforms.com/1BKc_jyspToq80F9oZvgddA469kp?utm_medium=email&_hsmi=108639584&_hsenc=p2ANqtz-_PVLBJ84geoeOAOF0e4...
Submission: On April 04 via api from IE — Scanned from DE
Effective URL: https://share.hsforms.com/1BKc_jyspToq80F9oZvgddA469kp?utm_medium=email&_hsmi=108639584&_hsenc=p2ANqtz-_PVLBJ84geoeOAOF0e4...
Submission: On April 04 via api from IE — Scanned from DE
Form analysis
1 forms found in the DOM<form id="hs-form-04a73f8f-2b29-4e8a-bcd0-5f6866f81d74-d75c98ba-a415-47e8-abd1-491866cac891" class="hs-form-04a73f8f-2b29-4e8a-bcd0-5f6866f81d74 hs-form hs-form_theme-canvas" data-instance-id="d75c98ba-a415-47e8-abd1-491866cac891"
data-form-id="04a73f8f-2b29-4e8a-bcd0-5f6866f81d74" data-portal-id="7010809" lang="en" data-hs-cf-bound="true">
<div class="hs-form__pagination-content-container">
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__richtext"><img src="https://f.hubspotusercontent00.net/hubfs/7010809/APac%20Internal%20Newsletter/Balluff_newsletter_header_blank_no_date.png" style="max-width: 100%; max-height: 100%"></div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-firstname hs-firstname"><label id="firstname-label" for="firstname-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>First Name</span></label><input
id="firstname-input" class="hs-form__field__input" type="text" name="firstname" required="" autocomplete="given-name" inputmode="text" aria-invalid="false" aria-labelledby="firstname-label" aria-describedby="firstname-description"
aria-required="true" value=""></div>
</div>
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-lastname hs-lastname"><label id="lastname-label" for="lastname-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Last Name</span></label><input
id="lastname-input" class="hs-form__field__input" type="text" name="lastname" required="" autocomplete="family-name" inputmode="text" aria-invalid="false" aria-labelledby="lastname-label" aria-describedby="lastname-description"
aria-required="true" value=""></div>
</div>
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-salutation_symbol hs-salutation_symbol"><label id="salutation_symbol-label" for="salutation_symbol-input" class="hs-form__field__label hs-form__field__label--required"
data-required="true"><span>Gender</span></label><select id="salutation_symbol-input" class="hs-form__field__input is-placeholder" name="salutation_symbol" required="" aria-invalid="false" aria-labelledby="salutation_symbol-label"
aria-describedby="salutation_symbol-description" aria-required="true">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="---" value="Z001">---</option>
<option label="Ms." value="0003">Ms.</option>
<option label="Mr." value="0002">Mr.</option>
</select></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-email hs-email"><label id="email-label" for="email-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Email</span></label><input id="email-input"
class="hs-form__field__input" type="email" name="email" required="" autocomplete="email" inputmode="email" aria-invalid="false" aria-labelledby="email-label" aria-describedby="email-description" aria-required="true" value=""></div>
</div>
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-phone hs-phone"><label id="phone-label" for="phone-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Phone Number</span></label>
<div class="hs-form__field__phone"><input id="phone-input" class="hs-form__field__input" type="tel" name="phone" required="" autocomplete="tel" inputmode="tel" aria-invalid="false" aria-labelledby="phone-label"
aria-describedby="phone-description" aria-required="true" value=""></div>
</div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-company hs-company"><label id="company-label" for="company-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Company</span></label><input
id="company-input" class="hs-form__field__input" type="text" name="company" required="" autocomplete="organization" inputmode="text" aria-invalid="false" aria-labelledby="company-label" aria-describedby="company-description"
aria-required="true" value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-persona_en hs-persona_en"><label id="persona_en-label" for="persona_en-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Job
Description</span></label><select id="persona_en-input" class="hs-form__field__input is-placeholder" name="persona_en" required="" aria-invalid="false" aria-labelledby="persona_en-label" aria-describedby="persona_en-description"
aria-required="true">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="Techinical" value="Techinical">Techinical</option>
<option label="Sales" value="Sales">Sales</option>
<option label="Management" value="Management">Management</option>
<option label="Maintenance" value="Maintenance">Maintenance</option>
<option label="Purchasing" value="Purchasing">Purchasing</option>
</select></div>
</div>
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-industry_code_1 hs-industry_code_1"><label id="industry_code_1-label" for="industry_code_1-input" class="hs-form__field__label hs-form__field__label--required"
data-required="true"><span>Industry</span></label><select id="industry_code_1-input" class="hs-form__field__input is-placeholder" name="industry_code_1" required="" aria-invalid="false" aria-labelledby="industry_code_1-label"
aria-describedby="industry_code_1-description" aria-required="true">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="Automotive" value="AUT">Automotive</option>
<option label="Life Science" value="LIS">Life Science</option>
<option label="Metallurgy" value="MET">Metallurgy</option>
<option label="Metal Working" value="MEW">Metal Working</option>
<option label="Energy" value="NRG">Energy</option>
<option label="Other" value="OTH">Other</option>
<option label="Plastics and Rubber" value="PLR">Plastics and Rubber</option>
<option label="Semiconductors" value="SEM">Semiconductors</option>
<option label="Fluid Systems & Drives" value="FSD">Fluid Systems & Drives</option>
<option label="Automation, Robotics & Assembly" value="ARA">Automation, Robotics & Assembly</option>
<option label="Packaging, Food & Beverage" value="PFB">Packaging, Food & Beverage</option>
</select></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-message hs-message"><label id="message-label" for="message-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Your Issues</span></label><textarea
id="message-input" class="hs-form__field__input" name="message" required="" aria-invalid="false" aria-labelledby="message-label" aria-describedby="message-description" aria-required="true"></textarea></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-state hs-state"><label id="state-label" for="state-input" class="hs-form__field__label" data-required="false"><span>State/Province/District</span></label><select id="state-input"
class="hs-form__field__input is-placeholder" name="state" aria-invalid="false" aria-labelledby="state-label" aria-describedby="state-description" aria-required="false">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="Alabama" value="US-AL">Alabama</option>
<option label="Alaska" value="US-AK">Alaska</option>
<option label="American Samoa" value="US-AS">American Samoa</option>
<option label="Amnat Charoen" value="TH-ACR">Amnat Charoen</option>
<option label="Andaman & Nicobar Islands" value="IN-AN">Andaman & Nicobar Islands</option>
<option label="Andhra Pradesh" value="IN-AP">Andhra Pradesh</option>
<option label="Andrapradesh(New)" value="IN-ADN">Andrapradesh(New)</option>
<option label="Ang Thong" value="TH-ATG">Ang Thong</option>
<option label="Anhui" value="CN-AH">Anhui</option>
<option label="Arizona" value="US-AZ">Arizona</option>
<option label="Arkansas" value="US-AR">Arkansas</option>
<option label="Arunachal Pradesh" value="IN-AR">Arunachal Pradesh</option>
<option label="Assam" value="IN-AS">Assam</option>
<option label="Australian Capital Territory" value="AU-ACT">Australian Capital Territory</option>
<option label="Bandung" value="ID-BDG">Bandung</option>
<option label="Bangkok" value="TH-BKK">Bangkok</option>
<option label="Batam" value="ID-BTM">Batam</option>
<option label="Beijing" value="CN-BJ">Beijing</option>
<option label="Bekasi" value="ID-BKS">Bekasi</option>
<option label="Bihar" value="IN-BR">Bihar</option>
<option label="Brunei Dar-es-S" value="BN-BN">Brunei Dar-es-S</option>
<option label="Bueng Kan" value="TH-BKN">Bueng Kan</option>
<option label="Buriram" value="TH-BRM">Buriram</option>
<option label="California" value="US-CA">California</option>
<option label="Cambodia" value="KH-KH">Cambodia</option>
<option label="Chachoengsao" value="TH-CCO">Chachoengsao</option>
<option label="Chai Nat" value="TH-CNT">Chai Nat</option>
<option label="Chaiyaphum" value="TH-CPM">Chaiyaphum</option>
<option label="Chandigarh" value="IN-CH">Chandigarh</option>
<option label="Chanthaburi" value="TH-CTI">Chanthaburi</option>
<option label="Chhattisgarh" value="IN-CG">Chhattisgarh</option>
<option label="Chiang Mai" value="TH-CMI">Chiang Mai</option>
<option label="Chiang Rai" value="TH-CRI">Chiang Rai</option>
<option label="Chin" value="MM-Chi">Chin</option>
<option label="Chonburi" value="TH-CBI">Chonburi</option>
<option label="Chongqing" value="CN-CQ">Chongqing</option>
<option label="Chumphon" value="TH-CPN">Chumphon</option>
<option label="Cold Call" value="Cold Call">Cold Call</option>
<option label="Colorado" value="US-CO">Colorado</option>
<option label="Connecticut" value="US-CT">Connecticut</option>
<option label="Dadra & Nagar Haveli" value="IN-DH">Dadra & Nagar Haveli</option>
<option label="Daman & Diu" value="IN-DD">Daman & Diu</option>
<option label="Delaware" value="US-DE">Delaware</option>
<option label="Delhi" value="IN-DL">Delhi</option>
<option label="Depok" value="ID-DPK">Depok</option>
<option label="District of Columbia" value="US-DC">District of Columbia</option>
<option label="Florida" value="US-FL">Florida</option>
<option label="Fujian" value="CN-FJ">Fujian</option>
<option label="Gansu" value="CN-GS">Gansu</option>
<option label="Georgia" value="US-GA">Georgia</option>
<option label="Goa" value="IN-GA">Goa</option>
<option label="Gresik" value="ID-GSK">Gresik</option>
<option label="Guam" value="US-GU">Guam</option>
<option label="Guangdong" value="CN-GD">Guangdong</option>
<option label="Guangxi" value="CN-GX">Guangxi</option>
<option label="Guizhou" value="CN-GZ">Guizhou</option>
<option label="Gujarat" value="IN-GJ">Gujarat</option>
<option label="HANOI" value="VN-HAN">HANOI</option>
<option label="HO CHI MINH CITY" value="VN-HCM">HO CHI MINH CITY</option>
<option label="Hainan" value="CN-HI">Hainan</option>
<option label="Haryana" value="IN-HR">Haryana</option>
<option label="Hawaii" value="US-HI">Hawaii</option>
<option label="Hebei" value="CN-HB">Hebei</option>
<option label="Heilongjiang" value="CN-HL">Heilongjiang</option>
<option label="Henan" value="CN-HA">Henan</option>
<option label="Himachal Pradesh" value="IN-HP">Himachal Pradesh</option>
<option label="Hongkong" value="CN-HK">Hongkong</option>
<option label="Hubei" value="CN-HU">Hubei</option>
<option label="Hunan" value="CN-HN">Hunan</option>
<option label="Idaho" value="US-ID">Idaho</option>
<option label="Illinois" value="US-IL">Illinois</option>
<option label="Indiana" value="US-IN">Indiana</option>
<option label="Iowa" value="US-IA">Iowa</option>
<option label="Jakarta Barat" value="ID-JKW">Jakarta Barat</option>
<option label="Jakarta Pusat" value="ID-JKC">Jakarta Pusat</option>
<option label="Jakarta Selatan" value="ID-JKS">Jakarta Selatan</option>
<option label="Jakarta Timur" value="ID-JKE">Jakarta Timur</option>
<option label="Jakarta Utara" value="ID-JKN">Jakarta Utara</option>
<option label="Jammu & Kashmir" value="IN-JK">Jammu & Kashmir</option>
<option label="Jharkhand" value="IN-JH">Jharkhand</option>
<option label="Jiangsu" value="CN-JS">Jiangsu</option>
<option label="Jiangxi" value="CN-JX">Jiangxi</option>
<option label="Jilin" value="CN-JL">Jilin</option>
<option label="Johor Darul Ta'zim" value="MY-JHR">Johor Darul Ta'zim</option>
<option label="Kachin" value="MM-Kac">Kachin</option>
<option label="Kalasin" value="TH-KSN">Kalasin</option>
<option label="Kamphaeng Phet" value="TH-KPT">Kamphaeng Phet</option>
<option label="Kanchanaburi" value="TH-KRI">Kanchanaburi</option>
<option label="Kansas" value="US-KS">Kansas</option>
<option label="Karawang" value="ID-KWG">Karawang</option>
<option label="Karnataka" value="IN-KA">Karnataka</option>
<option label="Kayah" value="MM-Kay">Kayah</option>
<option label="Kayin" value="MM-Ka">Kayin</option>
<option label="Kedah Darul Aman" value="MY-KDH">Kedah Darul Aman</option>
<option label="Kelantan Darul Naim" value="MY-KTN">Kelantan Darul Naim</option>
<option label="Kendal" value="ID-KDL">Kendal</option>
<option label="Kentucky" value="US-KY">Kentucky</option>
<option label="Kerala" value="IN-KL">Kerala</option>
<option label="Khon Kaen" value="TH-KKN">Khon Kaen</option>
<option label="Krabi" value="TH-KBI">Krabi</option>
<option label="Kuala Lumpur" value="MY-KUL">Kuala Lumpur</option>
<option label="Labuan" value="MY-LBN">Labuan</option>
<option label="Lakshadweep" value="IN-LD">Lakshadweep</option>
<option label="Lampang" value="TH-LPG">Lampang</option>
<option label="Lamphun" value="TH-LPN">Lamphun</option>
<option label="Liaoning" value="CN-LN">Liaoning</option>
<option label="Loei" value="TH-LEI">Loei</option>
<option label="Lopburi" value="TH-LRI">Lopburi</option>
<option label="Louisiana" value="US-LA">Louisiana</option>
<option label="Macao" value="CN-MO">Macao</option>
<option label="Madhya Pradesh" value="IN-MP">Madhya Pradesh</option>
<option label="Mae Hong Son" value="TH-MSN">Mae Hong Son</option>
<option label="Maha Sarakham" value="TH-MKM">Maha Sarakham</option>
<option label="Maharashtra" value="IN-MH">Maharashtra</option>
<option label="Maine" value="US-ME">Maine</option>
<option label="Manipur" value="IN-MN">Manipur</option>
<option label="Maryland" value="US-MD">Maryland</option>
<option label="Massachusetts" value="US-MA">Massachusetts</option>
<option label="Medan" value="ID-MDN">Medan</option>
<option label="Meghalaya" value="IN-ML">Meghalaya</option>
<option label="Melaka" value="MY-MLK">Melaka</option>
<option label="Michigan" value="US-MI">Michigan</option>
<option label="Minnesota" value="US-MN">Minnesota</option>
<option label="Mississippi" value="US-MS">Mississippi</option>
<option label="Missouri" value="US-MO">Missouri</option>
<option label="Mizoram" value="IN-NZ">Mizoram</option>
<option label="Mon" value="MM-Mon">Mon</option>
<option label="Montana" value="US-MT">Montana</option>
<option label="Mukdahan" value="TH-MDH">Mukdahan</option>
<option label="Myanmar" value="MM-MM">Myanmar</option>
<option label="Nagaland" value="IN-NL">Nagaland</option>
<option label="Nakhon Nayok" value="TH-NYK">Nakhon Nayok</option>
<option label="Nakhon Pathom" value="TH-NPT">Nakhon Pathom</option>
<option label="Nakhon Phanom" value="TH-NPM">Nakhon Phanom</option>
<option label="Nakhon Ratchasima" value="TH-NMA">Nakhon Ratchasima</option>
<option label="Nakhon Sawan" value="TH-NSN">Nakhon Sawan</option>
<option label="Nakhon Si Thammarat" value="TH-NRT">Nakhon Si Thammarat</option>
<option label="Nan" value="TH-NAN">Nan</option>
<option label="Narathiwat" value="TH-NWT">Narathiwat</option>
<option label="Nebraska" value="US-NE">Nebraska</option>
<option label="Negeri Sembilan Darul Khusus" value="MY-NSN">Negeri Sembilan Darul Khusus</option>
<option label="Neimenggu" value="CN-NM">Neimenggu</option>
<option label="Nevada" value="US-NV">Nevada</option>
<option label="New Hampshire" value="US-NH">New Hampshire</option>
<option label="New Jersey" value="US-NJ">New Jersey</option>
<option label="New Mexico" value="US-NM">New Mexico</option>
<option label="New South Wales" value="AU-NSW">New South Wales</option>
<option label="New York" value="US-NY">New York</option>
<option label="Ningxia" value="CN-NX">Ningxia</option>
<option label="Nong Bua Lam Phu" value="TH-NBP">Nong Bua Lam Phu</option>
<option label="Nong Khai" value="TH-NKI">Nong Khai</option>
<option label="Nonthaburi" value="TH-NBI">Nonthaburi</option>
<option label="North Carolina" value="US-NC">North Carolina</option>
<option label="North Dakota" value="US-ND">North Dakota</option>
<option label="Northern Mariana Isl" value="US-MP">Northern Mariana Isl</option>
<option label="Northern Territory" value="AU-NT">Northern Territory</option>
<option label="Ohio" value="US-OH">Ohio</option>
<option label="Oklahoma" value="US-OK">Oklahoma</option>
<option label="Oregon" value="US-OR">Oregon</option>
<option label="Orissa" value="IN-OR">Orissa</option>
<option label="Padang" value="ID-PAD">Padang</option>
<option label="Pahang Darul Makmur" value="MY-PHG">Pahang Darul Makmur</option>
<option label="Pathum Thani" value="TH-PTE">Pathum Thani</option>
<option label="Pattani" value="TH-PTN">Pattani</option>
<option label="Penang" value="MY-PNG">Penang</option>
<option label="Pennsylvania" value="US-PA">Pennsylvania</option>
<option label="Perak Darul Ridzuan" value="MY-PRK">Perak Darul Ridzuan</option>
<option label="Perlis Indera Kayangan" value="MY-PLS">Perlis Indera Kayangan</option>
<option label="Phang Nga" value="TH-PNA">Phang Nga</option>
<option label="Phatthalung" value="TH-PLG">Phatthalung</option>
<option label="Phayao" value="TH-PYO">Phayao</option>
<option label="Phetchabun" value="TH-PNB">Phetchabun</option>
<option label="Phetchaburi" value="TH-PBI">Phetchaburi</option>
<option label="Phichit" value="TH-PCT">Phichit</option>
<option label="Phitsanulok" value="TH-PLK">Phitsanulok</option>
<option label="Phra Nakhon Si Ayutthaya" value="TH-AYA">Phra Nakhon Si Ayutthaya</option>
<option label="Phrae" value="TH-PRE">Phrae</option>
<option label="Phuket" value="TH-PKT">Phuket</option>
<option label="Prachinburi" value="TH-PRI">Prachinburi</option>
<option label="Prachuap Khiri Khan" value="TH-PKN">Prachuap Khiri Khan</option>
<option label="Puducherry" value="IN-PY">Puducherry</option>
<option label="Puerto Rico" value="US-PR">Puerto Rico</option>
<option label="India’s Punjab" value="IN-PB">India’s Punjab</option>
<option label="Putrajaya" value="MY-PJY">Putrajaya</option>
<option label="Qinghai" value="CN-QH">Qinghai</option>
<option label="Queensland" value="AU-QLD">Queensland</option>
<option label="Rajasthan" value="IN-RJ">Rajasthan</option>
<option label="Rakhine" value="MM-Rak">Rakhine</option>
<option label="Ranong" value="TH-RNG">Ranong</option>
<option label="Ratchaburi" value="TH-RBR">Ratchaburi</option>
<option label="Rayong" value="TH-RYG">Rayong</option>
<option label="Rhode Island" value="US-RI">Rhode Island</option>
<option label="Roi Et" value="TH-RET">Roi Et</option>
<option label="Sa Kaeo" value="TH-SKW">Sa Kaeo</option>
<option label="Sabah" value="MY-SBH">Sabah</option>
<option label="Sakon Nakhon" value="TH-SNK">Sakon Nakhon</option>
<option label="Samut Prakan" value="TH-SPK">Samut Prakan</option>
<option label="Samut Sakhon" value="TH-SKN">Samut Sakhon</option>
<option label="Samut Songkhram" value="TH-SKM">Samut Songkhram</option>
<option label="Saraburi" value="TH-SRI">Saraburi</option>
<option label="Sarawak" value="MY-SWK">Sarawak</option>
<option label="Satun" value="TH-STN">Satun</option>
<option label="Selangor Darul Ehsan" value="MY-SGR">Selangor Darul Ehsan</option>
<option label="Semarang" value="ID-SMG">Semarang</option>
<option label="Sengkang" value="ID-SKG">Sengkang</option>
<option label="Serang" value="ID-SRG">Serang</option>
<option label="Shaanxi" value="CN-SN">Shaanxi</option>
<option label="Shan" value="MM-Sha">Shan</option>
<option label="Shandong" value="CN-SD">Shandong</option>
<option label="Shanghai" value="CN-SH">Shanghai</option>
<option label="Shanxi" value="CN-SX">Shanxi</option>
<option label="Sichuan" value="CN-SC">Sichuan</option>
<option label="Sikkim" value="IN-SK">Sikkim</option>
<option label="Sing Buri" value="TH-SBR">Sing Buri</option>
<option label="Sisaket" value="TH-SSK">Sisaket</option>
<option label="Songkhla" value="TH-SKA">Songkhla</option>
<option label="South Australia" value="AU-SA">South Australia</option>
<option label="South Carolina" value="US-SC">South Carolina</option>
<option label="South Dakota" value="US-SD">South Dakota</option>
<option label="Sukhothai" value="TH-STI">Sukhothai</option>
<option label="Suphan Buri" value="TH-SPB">Suphan Buri</option>
<option label="Surabaya" value="ID-SBY">Surabaya</option>
<option label="Surat Thani" value="TH-SNI">Surat Thani</option>
<option label="Surin" value="TH-SRN">Surin</option>
<option label="Taiwan" value="CN-TW">Taiwan</option>
<option label="Tak" value="TH-TAK">Tak</option>
<option label="Tamil Nadu" value="IN-TN">Tamil Nadu</option>
<option label="Tangerang" value="ID-TNG">Tangerang</option>
<option label="Tasmania" value="AU-TAS">Tasmania</option>
<option label="Telengana" value="IN-TG">Telengana</option>
<option label="Tennessee" value="US-TN">Tennessee</option>
<option label="Terengganu Darul Iman" value="MY-TRG">Terengganu Darul Iman</option>
<option label="Texas" value="US-TX">Texas</option>
<option label="Tianjin" value="CN-TJ">Tianjin</option>
<option label="Trang" value="TH-TRG">Trang</option>
<option label="Trat" value="TH-TRT">Trat</option>
<option label="Tripura" value="IN-TR">Tripura</option>
<option label="Ubon Ratchathani" value="TH-UBN">Ubon Ratchathani</option>
<option label="Udon Thani" value="TH-UDN">Udon Thani</option>
<option label="Utah" value="US-UT">Utah</option>
<option label="Uthai Thani" value="TH-UTI">Uthai Thani</option>
<option label="Uttar Pradesh" value="IN-UP">Uttar Pradesh</option>
<option label="Uttaradit" value="TH-UTD">Uttaradit</option>
<option label="Uttarakhand" value="IN-UK">Uttarakhand</option>
<option label="Vermont" value="US-VT">Vermont</option>
<option label="Victoria" value="AU-VIC">Victoria</option>
<option label="Virgin Islands" value="US-VI">Virgin Islands</option>
<option label="Virginia" value="US-VA">Virginia</option>
<option label="Washington" value="US-WA">Washington</option>
<option label="West Bengal" value="IN-WB">West Bengal</option>
<option label="West Virginia" value="US-WV">West Virginia</option>
<option label="Western Australia" value="AU-WA">Western Australia</option>
<option label="Wisconsin" value="US-WI">Wisconsin</option>
<option label="Wyoming" value="US-WY">Wyoming</option>
<option label="Xinjiang" value="CN-XJ">Xinjiang</option>
<option label="Xizang" value="CN-XZ">Xizang</option>
<option label="Yala" value="TH-YLA">Yala</option>
<option label="Yasothon" value="TH-YST">Yasothon</option>
<option label="Yunnan" value="CN-YN">Yunnan</option>
<option label="Zhejiang" value="CN-ZJ">Zhejiang</option>
<option label="南投縣" value="TW-NTC">南投縣</option>
<option label="台中市" value="TW-TXG">台中市</option>
<option label="台北市" value="TW-TPE">台北市</option>
<option label="台南市" value="TW-TNN">台南市</option>
<option label="台東縣" value="TW-TTT">台東縣</option>
<option label="嘉義縣" value="TW-CYI">嘉義縣</option>
<option label="基隆市" value="TW-KEL">基隆市</option>
<option label="宜蘭縣" value="TW-ILA">宜蘭縣</option>
<option label="屏東縣" value="TW-PIF">屏東縣</option>
<option label="彰化縣" value="TW-CHW">彰化縣</option>
<option label="新北市" value="TW-NTP">新北市</option>
<option label="新竹市" value="TW-HSC">新竹市</option>
<option label="新竹縣" value="TW-HSH">新竹縣</option>
<option label="桃園市" value="TW-TYN">桃園市</option>
<option label="澎湖縣" value="TW-PEH">澎湖縣</option>
<option label="綠島" value="TW-GNI">綠島</option>
<option label="花蓮縣" value="TW-HUN">花蓮縣</option>
<option label="苗栗縣" value="TW-ZMI">苗栗縣</option>
<option label="蘭嶼" value="TW-KYD">蘭嶼</option>
<option label="金門縣" value="TW-KNH">金門縣</option>
<option label="雲林縣" value="TW-YUN">雲林縣</option>
<option label="馬祖縣" value="TW-MFK">馬祖縣</option>
<option label="高雄市" value="TW-KHH">高雄市</option>
<option label="" value=""></option>
<option label="北京市" value="cn-bj">北京市</option>
<option label="上海市" value="cn-sh">上海市</option>
<option label="重庆市" value="cn-cq">重庆市</option>
<option label="天津市" value="cn-tj">天津市</option>
<option label="广东省" value="cn-gd">广东省</option>
<option label="山东省" value="cn-sd">山东省</option>
<option label="江苏省" value="cn-js">江苏省</option>
<option label="河南省" value="cn-hn1">河南省</option>
<option label="河北省" value="cn-hb1">河北省</option>
<option label="浙江省" value="cn-zj">浙江省</option>
<option label="陕西省" value="cn-sx1">陕西省</option>
<option label="湖南省" value="cn-hn2">湖南省</option>
<option label="福建省" value="cn-fj">福建省</option>
<option label="云南省" value="cn-yn">云南省</option>
<option label="四川省" value="cn-sc">四川省</option>
<option label="安徽省" value="cn-ah">安徽省</option>
<option label="海南省" value="cn-hn3">海南省</option>
<option label="江西省" value="cn-jx">江西省</option>
<option label="湖北省" value="cn-hb2">湖北省</option>
<option label="山西省" value="cn-sx2">山西省</option>
<option label="辽宁省" value="cn-ln">辽宁省</option>
<option label="台湾省" value="cn-tw">台湾省</option>
<option label="贵州省" value="cn-gz">贵州省</option>
<option label="甘肃省" value="cn-gs">甘肃省</option>
<option label="青海省" value="cn-qh">青海省</option>
<option label="吉林省" value="cn-jl">吉林省</option>
<option label="黑龙江省" value="cn-hlj">黑龙江省</option>
<option label="广西壮族自治区" value="cn-gx">广西壮族自治区</option>
<option label="新疆维吾尔自治区" value="cn-xj">新疆维吾尔自治区</option>
<option label="西藏藏族自治区" value="cn-xz">西藏藏族自治区</option>
<option label="宁夏回族自治区" value="cn-nx">宁夏回族自治区</option>
<option label="内蒙古自治区" value="cn-nmg">内蒙古自治区</option>
<option label="香港特别行政区" value="cn-xg">香港特别行政区</option>
<option label="澳门特别行政区" value="cn-am">澳门特别行政区</option>
<option label="An Giang" value="VN-AG">An Giang</option>
<option label="Ba Ria-Vung Tau" value="VN-BV">Ba Ria-Vung Tau</option>
<option label="Bac Can" value="VN-BK">Bac Can</option>
<option label="Bac Giang" value="VN-BG">Bac Giang</option>
<option label="Bac Lieu" value="VN-BL">Bac Lieu</option>
<option label="Bac Ninh" value="VN-BN">Bac Ninh</option>
<option label="Ben Tre" value="VN-BR">Ben Tre</option>
<option label="Binh Dinh" value="VN-BD">Binh Dinh</option>
<option label="Binh Duong" value="VN-BI">Binh Duong</option>
<option label="Binh Phuoc" value="VN-BP">Binh Phuoc</option>
<option label="Binh Thuan" value="VN-BU">Binh Thuan</option>
<option label="Ca Mau" value="VN-CM">Ca Mau</option>
<option label="Can Tho" value="VN-CN">Can Tho</option>
<option label="Cao Bang" value="VN-CB">Cao Bang</option>
<option label="Da Nang" value="VN-DA">Da Nang</option>
<option label="Dac Lac" value="VN-DC">Dac Lac</option>
<option label="Dac Nong" value="VN-DO">Dac Nong</option>
<option label="Dien Bien" value="VN-DB">Dien Bien</option>
<option label="Dong Nai" value="VN-DN">Dong Nai</option>
<option label="Dong Thap" value="VN-DT">Dong Thap</option>
<option label="Gia Lai" value="VN-GL">Gia Lai</option>
<option label="Ha Giang" value="VN-HG">Ha Giang</option>
<option label="Ha Nam" value="VN-HM">Ha Nam</option>
<option label="Ha Tinh" value="VN-HT">Ha Tinh</option>
<option label="Hai Duong" value="VN-HD">Hai Duong</option>
<option label="Hau Giang" value="VN-HU">Hau Giang</option>
<option label="Hoa Binh" value="VN-HO">Hoa Binh</option>
<option label="Hung Yen" value="VN-HY">Hung Yen</option>
<option label="Khanh Hoa" value="VN-KH">Khanh Hoa</option>
<option label="Kien Giang" value="VN-KG">Kien Giang</option>
<option label="Kon Tum" value="VN-KT">Kon Tum</option>
<option label="Lai Chau" value="VN-LI">Lai Chau</option>
<option label="Lam Dong" value="VN-LD">Lam Dong</option>
<option label="Lang Son" value="VN-LS">Lang Son</option>
<option label="Lao Cai" value="VN-LO">Lao Cai</option>
<option label="Long An" value="VN-LA">Long An</option>
<option label="Nam Dinh" value="VN-ND">Nam Dinh</option>
<option label="Nghe An" value="VN-NA">Nghe An</option>
<option label="Ninh Binh" value="VN-NB">Ninh Binh</option>
<option label="Ninh Thuan" value="VN-NT">Ninh Thuan</option>
<option label="Phu Tho" value="VN-PT">Phu Tho</option>
<option label="Phu Yen" value="VN-PY">Phu Yen</option>
<option label="Quang Binh" value="VN-QB">Quang Binh</option>
<option label="Quang Nam" value="VN-QM">Quang Nam</option>
<option label="Quang Ngai" value="VN-QG">Quang Ngai</option>
<option label="Quang Ninh" value="VN-QN">Quang Ninh</option>
<option label="Quang Tri" value="VN-QT">Quang Tri</option>
<option label="Soc Trang" value="VN-ST">Soc Trang</option>
<option label="Son La" value="VN-SL">Son La</option>
<option label="Tay Ninh" value="VN-TN">Tay Ninh</option>
<option label="Thai Binh" value="VN-TB">Thai Binh</option>
<option label="Thai Nguyen" value="VN-TY">Thai Nguyen</option>
<option label="Thanh Hoa" value="VN-TH">Thanh Hoa</option>
<option label="Thua Thien-Hue" value="VN-TT">Thua Thien-Hue</option>
<option label="Tien Giang" value="VN-TG">Tien Giang</option>
<option label="Tra Vinh" value="VN-TV">Tra Vinh</option>
<option label="Tuyen Quang" value="VN-TQ">Tuyen Quang</option>
<option label="Vinh Long" value="VN-VL">Vinh Long</option>
<option label="Vinh Phuc" value="VN-VC">Vinh Phuc</option>
<option label="Yen Bai" value="VN-YB">Yen Bai</option>
<option label="Hong Kong" value="HK-HK">Hong Kong</option>
<option label="Banten" value="ID-BT">Banten</option>
<option label="West Java" value="ID-JB">West Java</option>
<option label="Special Capital Region of Jakarta" value="ID-JK">Special Capital Region of Jakarta</option>
<option label="Central Java" value="ID-JT">Central Java</option>
<option label="North Sumatra" value="ID-SU">North Sumatra</option>
<option label="Metro Manila" value="PH-00">Metro Manila</option>
<option label="Cavite" value="PH-CAV">Cavite</option>
<option label="Negros Occidental[xvi]" value="PH-NEC">Negros Occidental[xvi]</option>
<option label="Rizal" value="PH-RIZ">Rizal</option>
<option label="Sindh" value="PK-2">Sindh</option>
<option label="Balochistan" value="PK-3">Balochistan</option>
<option label="Khyber Pakhtunkhwa" value="PK-4">Khyber Pakhtunkhwa</option>
<option label="Ajman" value="AE-AJ">Ajman</option>
<option label="Abu Dhabi" value="AE-AZ">Abu Dhabi</option>
<option label="Dubai" value="AE-DU">Dubai</option>
<option label="Fujairah" value="AE-FU">Fujairah</option>
<option label="Ras Al Khaimah" value="AE-RK">Ras Al Khaimah</option>
<option label="Sharjah" value="AE-SH">Sharjah</option>
<option label="Umm Al Quwain" value="AE-UQ">Umm Al Quwain</option>
<option label="Sri Lanka" value="LK-A">Sri Lanka</option>
<option label="Pakistan’s Punjab" value="PK-1">Pakistan’s Punjab</option>
<option label="Abra" value="PH-ABR">Abra</option>
<option label="Agusan del Norte [i]" value="PH-AGN">Agusan del Norte [i]</option>
<option label="Agusan del Sur" value="PH-AGS">Agusan del Sur</option>
<option label="Aklan" value="PH-AKL">Aklan</option>
<option label="Albay" value="PH-ALB">Albay</option>
<option label="Antique" value="PH-ANT">Antique</option>
<option label="Apayao" value="PH-APA">Apayao</option>
<option label="Aurora" value="PH-AUR">Aurora</option>
<option label="Bataan" value="PH-BAN">Bataan</option>
<option label="Basilan [iv]" value="PH-BAS">Basilan [iv]</option>
<option label="Benguet [vi]" value="PH-BEN">Benguet [vi]</option>
<option label="Biliran" value="PH-BIL">Biliran</option>
<option label="Bohol" value="PH-BOH">Bohol</option>
<option label="Batangas" value="PH-BTG">Batangas</option>
<option label="Batanes" value="PH-BTN">Batanes</option>
<option label="Bukidnon" value="PH-BUK">Bukidnon</option>
<option label="Bulacan" value="PH-BUL">Bulacan</option>
<option label="Cagayan" value="PH-CAG">Cagayan</option>
<option label="Camiguin" value="PH-CAM">Camiguin</option>
<option label="Camarines Norte" value="PH-CAN">Camarines Norte</option>
<option label="Capiz" value="PH-CAP">Capiz</option>
<option label="Camarines Sur[vii]" value="PH-CAS">Camarines Sur[vii]</option>
<option label="Catanduanes" value="PH-CAT">Catanduanes</option>
<option label="Cebu[viii]" value="PH-CEB">Cebu[viii]</option>
<option label="Davao de Oro" value="PH-COM">Davao de Oro</option>
<option label="Davao Oriental" value="PH-DAO">Davao Oriental</option>
<option label="Davao del Sur[ix]" value="PH-DAS">Davao del Sur[ix]</option>
<option label="Davao del Norte" value="PH-DAV">Davao del Norte</option>
<option label="Dinagat Islands" value="PH-DIN">Dinagat Islands</option>
<option label="Davao Occidental" value="PH-DVO">Davao Occidental</option>
<option label="Eastern Samar" value="PH-EAS">Eastern Samar</option>
<option label="Guimaras" value="PH-GUI">Guimaras</option>
<option label="Ifugao" value="PH-IFU">Ifugao</option>
<option label="Iloilo[x]" value="PH-ILI">Iloilo[x]</option>
<option label="Ilocos Norte" value="PH-ILN">Ilocos Norte</option>
<option label="Ilocos Sur" value="PH-ILS">Ilocos Sur</option>
<option label="Isabela[xi]" value="PH-ISA">Isabela[xi]</option>
<option label="Kalinga" value="PH-KAL">Kalinga</option>
<option label="Laguna" value="PH-LAG">Laguna</option>
<option label="Lanao del Norte[xii]" value="PH-LAN">Lanao del Norte[xii]</option>
<option label="Lanao del Sur" value="PH-LAS">Lanao del Sur</option>
<option label="Leyte[xiii]" value="PH-LEY">Leyte[xiii]</option>
<option label="La Union" value="PH-LUN">La Union</option>
<option label="Marinduque" value="PH-MAD">Marinduque</option>
<option label="Maguindanao[xiv]" value="PH-MAG">Maguindanao[xiv]</option>
<option label="Masbate" value="PH-MAS">Masbate</option>
<option label="Occidental Mindoro" value="PH-MDC">Occidental Mindoro</option>
<option label="Oriental Mindoro" value="PH-MDR">Oriental Mindoro</option>
<option label="Mountain Province" value="PH-MOU">Mountain Province</option>
<option label="Misamis Occidental" value="PH-MSC">Misamis Occidental</option>
<option label="Misamis Oriental[xv]" value="PH-MSR">Misamis Oriental[xv]</option>
<option label="Cotabato" value="PH-NCO">Cotabato</option>
<option label="Negros Oriental" value="PH-NER">Negros Oriental</option>
<option label="Northern Samar" value="PH-NSA">Northern Samar</option>
<option label="Nueva Ecija" value="PH-NUE">Nueva Ecija</option>
<option label="Nueva Vizcaya" value="PH-NUV">Nueva Vizcaya</option>
<option label="Pampanga[xix]" value="PH-PAM">Pampanga[xix]</option>
<option label="Pangasinan[xx]" value="PH-PAN">Pangasinan[xx]</option>
<option label="Palawan[xviii]" value="PH-PLW">Palawan[xviii]</option>
<option label="Quezon[xxi]" value="PH-QUE">Quezon[xxi]</option>
<option label="Quirino" value="PH-QUI">Quirino</option>
<option label="Romblon" value="PH-ROM">Romblon</option>
<option label="Sarangani" value="PH-SAR">Sarangani</option>
<option label="South Cotabato[xx]" value="PH-SCO">South Cotabato[xx]</option>
<option label="Siquijor" value="PH-SIG">Siquijor</option>
<option label="Southern Leyte" value="PH-SLE">Southern Leyte</option>
<option label="Sulu" value="PH-SLU">Sulu</option>
<option label="Sorsogon" value="PH-SOR">Sorsogon</option>
<option label="Sultan Kudarat" value="PH-SUK">Sultan Kudarat</option>
<option label="Surigao del Norte" value="PH-SUN">Surigao del Norte</option>
<option label="Surigao del Sur" value="PH-SUR">Surigao del Sur</option>
<option label="Tarlac" value="PH-TAR">Tarlac</option>
<option label="Tawi-Tawi" value="PH-TAW">Tawi-Tawi</option>
<option label="Samar" value="PH-WSA">Samar</option>
<option label="Zamboanga del Norte" value="PH-ZAN">Zamboanga del Norte</option>
<option label="Zamboanga del Sur[xx]" value="PH-ZAS">Zamboanga del Sur[xx]</option>
<option label="Zambales[xx" value="PH-ZMB">Zambales[xx</option>
<option label="Zamboanga Sibugay" value="PH-ZSI">Zamboanga Sibugay</option>
<option label="Barishal" value="BD-A">Barishal</option>
<option label="Chattogram" value="BD-B">Chattogram</option>
<option label="Dhaka" value="BD-C">Dhaka</option>
<option label="Khulna" value="BD-D">Khulna</option>
<option label="Rajshahi" value="BD-E">Rajshahi</option>
<option label="Rangpur" value="BD-F">Rangpur</option>
<option label="Sylhet" value="BD-G">Sylhet</option>
<option label="Mymensingh" value="BD-H">Mymensingh</option>
<option label="Aceh" value="ID-AC">Aceh</option>
<option label="Bali" value="ID-BA">Bali</option>
<option label="Bangka Belitung Islands" value="ID-BB">Bangka Belitung Islands</option>
<option label="Bengkulu" value="ID-BE">Bengkulu</option>
<option label="Gorontalo" value="ID-GO">Gorontalo</option>
<option label="Jambi" value="ID-JA">Jambi</option>
<option label="East Java" value="ID-JI">East Java</option>
<option label="West Kalimantan" value="ID-KB">West Kalimantan</option>
<option label="East Kalimantan" value="ID-KI">East Kalimantan</option>
<option label="Riau Islands" value="ID-KR">Riau Islands</option>
<option label="South Kalimantan" value="ID-KS">South Kalimantan</option>
<option label="Central Kalimantan" value="ID-KT">Central Kalimantan</option>
<option label="North Kalimantan" value="ID-KU">North Kalimantan</option>
<option label="Lampung" value="ID-LA">Lampung</option>
<option label="Maluku" value="ID-MA">Maluku</option>
<option label="North Maluku" value="ID-MU">North Maluku</option>
<option label="West Nusa Tenggara" value="ID-NB">West Nusa Tenggara</option>
<option label="East Nusa Tenggara" value="ID-NT">East Nusa Tenggara</option>
<option label="Papua" value="ID-PA">Papua</option>
<option label="West Papua" value="ID-PB">West Papua</option>
<option label="Riau" value="ID-RI">Riau</option>
<option label="North Sulawesi" value="ID-SA">North Sulawesi</option>
<option label="West Sumatra" value="ID-SB">West Sumatra</option>
<option label="Southeast Sulawesi" value="ID-SG">Southeast Sulawesi</option>
<option label="South Sulawesi" value="ID-SN">South Sulawesi</option>
<option label="West Sulawesi" value="ID-SR">West Sulawesi</option>
<option label="South Sumatra" value="ID-SS">South Sumatra</option>
<option label="Central Sulawesi" value="ID-ST">Central Sulawesi</option>
<option label="Special Region of Yogyakarta" value="ID-YO">Special Region of Yogyakarta</option>
<option label="West Midlands" value="GB-UKG">West Midlands</option>
<option label="Baku" value="AZ-BA">Baku</option>
<option label="Belait" value="BN-BE">Belait</option>
<option label="Brunei dan Muara" value="BN-BM">Brunei dan Muara</option>
<option label="Chhukha" value="BT-12">Chhukha</option>
<option label="British Columbia" value="CA-BC">British Columbia</option>
<option label="Vientiane" value="LA-VI">Vientiane</option>
<option label="Xaisomboun" value="LA-XS">Xaisomboun</option>
<option label="Colombo" value="LK-11">Colombo</option>
<option label="Gulf" value="PG-GPK">Gulf</option>
<option label="Islamabad" value="PK-IS">Islamabad</option>
<option label="Punjab" value="PK-PB">Punjab</option>
<option label="Zug" value="SZ-ZG">Zug</option>
<option label="Samarqand" value="UZ-SA">Samarqand</option>
<option label="嘉義縣1" value="TW-CYQ">嘉義縣1</option>
<option label="Da Nang1" value="VN-60">Da Nang1</option>
</select></div>
</div>
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