{"id":218,"date":"2022-02-15T12:18:29","date_gmt":"2022-02-15T12:18:29","guid":{"rendered":"https:\/\/imst.edu.pk\/i\/?page_id=218"},"modified":"2025-06-08T20:05:54","modified_gmt":"2025-06-08T15:05:54","slug":"bbshrrdb","status":"publish","type":"page","link":"https:\/\/imst.edu.pk\/i\/free-courses\/bbshrrdb\/","title":{"rendered":"BBSHRRDB"},"content":{"rendered":"<div class='fluentform fluentform_wrapper_15'><form data-form_id=\"15\" id=\"fluentform_15\" class=\"frm-fluent-form fluent_form_15 ff-el-form-top ff_form_instance_15_1 ff-form-loading\" data-form_instance=\"ff_form_instance_15_1\" method=\"POST\" ><input type='hidden' name='__fluent_form_embded_post_id' value='218' \/><input type=\"hidden\" id=\"_fluentform_15_fluentformnonce\" name=\"_fluentform_15_fluentformnonce\" value=\"abff2fe413\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/i\/wp-json\/wp\/v2\/pages\/218\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_names_first_name_'>First Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_15_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" ><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label asterisk-right'><label for='ff_15_names_last_name_'>Last Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_15_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" ><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_names_1_first_name_'>Father's Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_15_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"Father's Name\" ><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_names_1_last_name_'>Mother's Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_15_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Mother's Name\" ><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_names_2_first_name_'>C.N.I.C<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[first_name]\" id=\"ff_15_names_2_first_name_\" class=\"ff-el-form-control\" placeholder=\"C.N.I.C\" ><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_3\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_names_3_last_name_'>Mobile Number<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[last_name]\" id=\"ff_15_names_3_last_name_\" class=\"ff-el-form-control\" placeholder=\"Mobile Number\" ><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_15_dropdown_3'>Education<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_15_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\" ><option value=\"\">- Select -<\/option><option value=\"Matric\"  >Matric<\/option><option value=\"HSc\"  >HSc<\/option><option value=\"DAE\"  >DAE<\/option><option value=\"Graduate\"  >Graduate<\/option><option value=\"BE\"  >BE<\/option><option value=\"MBBS\"  >MBBS<\/option><option value=\"Master\"  >Master<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_15_dropdown_2'>Gender<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_15_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\" ><option value=\"\">- Select -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label >Campus<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_719a2c487a6f2ffb868f6291d8006c49><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Nazimabad (Opposite Imtiaz Supper Market)\"  id='checkbox_719a2c487a6f2ffb868f6291d8006c49'> <span>Nazimabad (Opposite Imtiaz Supper Market)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_7340c1ab2917d153d3ecb41691b58493><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Bufferzone (15-B Nagan Chorangi)\"  id='checkbox_7340c1ab2917d153d3ecb41691b58493'> <span>Bufferzone (15-B Nagan Chorangi)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_ae52956dd6716df9afd93d5e45750932><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Gulistan-E-Johar \"  id='checkbox_ae52956dd6716df9afd93d5e45750932'> <span>Gulistan-E-Johar <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_d98addeb3358479dcedfa85f9df45824><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Agra taj Liyari\"  id='checkbox_d98addeb3358479dcedfa85f9df45824'> <span>Agra taj Liyari<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_multi_select'>Select Shift<\/label> <\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_15_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" placeholder=\"Shift\" multiple=\"1\" data-name=\"multi_select\" data-calc_value=\"0\" ><option value=\"\">Shift<\/option><option value=\"Morning\"  >Morning<\/option><option value=\"Afternon\"  >Afternon<\/option><option value=\"Evening\"  >Evening<\/option><option value=\"Any shift\"  >Any shift<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class='ff-el-input--label asterisk-right'><label for='ff_15_email'>Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_15_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\" ><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_datetime'>Date of Birth<\/label> <\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_15_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Date of Birth\" data-name=\"datetime\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_numeric-field'>Age ( At the time of Submission Example\"21\") <\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_15_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\" min=\"3\" ><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_dropdown'>Courses Offer<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_15_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\" ><option value=\"\">First Priority<\/option><option value=\"Digital Marketing \"  >Digital Marketing<\/option><option value=\"E-Commercs\"  >E-Commercs<\/option><option value=\" Social Media Marketing\"  >Social Media Marketing<\/option><option value=\"Beaking and Pastries\"  >Beaking and Pastries<\/option><option value=\"Computerized Accounting\"  >Computerized Accounting<\/option><option value=\"Web Development\"  >Web Development<\/option><option value=\"Computer Graphic Designing &amp; Video Editing\"  >Computer Graphic Designing & Video Editing<\/option><option value=\"Computer IT Assistant \"  >Computer IT Assistant<\/option><option value=\"Advance Auto CAD\"  >Advance Auto CAD<\/option><option value=\"Graphic Designing and details Editing \"  >Graphic Designing and details Editing<\/option><option value=\"Big Data Analytics With PowerBI\"  >Big Data Analytics With PowerBI<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_dropdown_4'>Courses Offer<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_15_dropdown_4\" class=\"ff-el-form-control  ff_has_multi_select\" data-name=\"dropdown_4\" data-calc_value=\"0\" ><option value=\"\">Second Priority<\/option><option value=\" Social Media Marketing\"  >Social Media Marketing<\/option><option value=\"E-COMMERCE\"  >E-COMMERCE<\/option><option value=\"Degital Marketing\"  >Degital Marketing<\/option><option value=\"Web Development\"  >Web Development<\/option><option value=\"Computrize Accuonting\"  >Computrize Accuonting<\/option><option value=\"Advance Auto CAD\"  >Advance Auto CAD<\/option><option value=\"Big Data Analytics With PowerBI\"  >Big Data Analytics With PowerBI<\/option><option value=\"Computer IT Assistant\"  >Computer IT Assistant<\/option><option value=\"Graphic Designing and details Editing\"  >Graphic Designing and details Editing<\/option><option value=\"Beaking and Pastries\"  >Beaking and Pastries<\/option><option value=\"- Graphic Designing &amp; Video Editing\"  >- Graphic Designing & Video Editing<\/option><option value=\"item_2\"  >Item 2<\/option><option value=\"item_1\"  >Item 1<\/option><option value=\"Multimedia Graphic Design \"  >Multimedia Graphic Design<\/option><\/select><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_address_1_address_line_1_'>Current Address<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_15_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Current Address\" data-key_name=\"address_line_1\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_address_1_address_line_2_'>Permanent Address<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_15_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Permanent Address\" data-key_name=\"address_line_2\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_15_address_1_city_'>City<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_15_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_15_address_1_country_'>Country<\/label> <\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_15_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-key_name=\"country\" ><option value=''>Select Country<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='PW' >Belau<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo (Brazzaville)<\/option><option value='CD' >Congo (Kinshasa)<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura&ccedil;ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >Reunion<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='ST' >S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option><option value='BL' >Saint Barth&eacute;lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SZ' >Swaziland<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit<\/button><\/div><\/form><div id='fluentform_15_errors' class='ff-errors-in-stack ff_form_instance_15_1 ff-form-loading_errors ff_form_instance_15_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_15_1 = 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