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multi.php
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multi.php
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd">
<html class="supernova"><head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Detailed Resume Form</title>
<link href="https://cdn.jotfor.ms/static/formCss.css?3.3.16455" rel="stylesheet" type="text/css" />
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
<link type="text/css" media="print" rel="stylesheet" href="https://cdn.jotfor.ms/css/printForm.css?3.3.16455" />
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/css/styles/nova.css?3.3.16455" />
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/themes/CSS/566a91c2977cdfcd478b4567.css?themeRevisionID=5dca5ac9a5e86d17235d90c1"/>
<script type="text/javascript" src="https://gc.kis.v2.scr.kaspersky-labs.com/FD126C42-EBFA-4E12-B309-BB3FDD723AC1/main.js?attr=Gk80GG7PsDfe53YZlYlrTMoy7yUjOpkbFVafivcKuQKLFL8XozX8jpos_buCbAK8D7A-Ynp7Wp3SK78vcWhd63C-cBlCEypRJtnmvSbDnq1BXQin67aKGZlBxDaOw0qpJe0znAYmyJYQpatpSYeZbaGUY3cpr92ycIGFPjGul78OjWDgwKLsHl11Ry1vOYgBfTfc7qf90h3nKd7W-FCrcUUDYKB0UU6IuNHG8coXezgWBU3pYYneAjPvF_IYBAIK4De68m8jT7P8C0CP0stR6kx2SHfMVf7KutDcs3sR0yhGZcdFZrVdPUoo3IYSZONeONrRUMSQrFPh8fxyqF3x-XecPJEEfxzZsv7XUORbo4NPGotFYwjzgUZX7zPyuWhYlltrD59q4pIQhDN5IKAsX9D7plhWMrToWWFRpHxsc1mMB67nJXzQJgkag0IAuIaFHI1gD7Cnan6BIY5NyYe1608RUqiNsQtY4CVeVucMpN2YB9XQLfi9NgKW27m7r3v85ou5XIkv5FutJ24hLC0Zy5scHOmKP9-7CmOzoCYipFtFvIRPv_xRTjC8a-Ak6N4KN6mgUskD24QXCJgmcuuOCtS7ZzpfI0qdQ9WC_f8P8PJ_Q2EhBNZosRXsTXovTJlKLeHu9VEyXsWplgGfUAE7yP9W8nsg78LdzUTAQvVgW1vTQiwVBXOx96EqdEwEgweu-d6N7gurFa4mG-PZx6LHhFbC8T5dG3KRLpHUzJLQC6SCLs4sIXLInIAk6KfQLwcEsZ_8ARFtCOhQYf6lQPnjuGQbnSzTW1_cZXXMuSkZE-v-w10nfLcP36oPjzzmxZC547NEkM8z_MAGNvQ1VsJsyFhIIL5gsTpLlAMFeVV10hq7yVIAxBgTimsTTcC3zI-bKPQOR83sR19VdDNVLmLmzaF-JuGf3PqP80Hczl32EeuY6kQg-YxCy4TvDwVDB8q4_ZDuRyKjzFbMeFYwst4Dpebql5AOLzhfXtevu1WQdqHVXZcE9mf-HtRWulfHfsuhi2VE9eaM9lsOcI69jFZOBxIINVlCwfHDtRIivKC_z-gLD93iYHifd-vVefn9gd3vbthIHiz2GYG6OT-Pijcfll8NeCzV6Ybvg0XRxJT3erq0WtQBZ646UoqrIVJosPCMkVS1CL-M4bX1qbRKPQWY_dO94mvxG6Qcswwb3plo3LsJo3m0I1kR8X7Ie67RW430sjNQHqfrrSfwtz1NVXHlcw" nonce="8f25a84d650d72b949616eaf4147c3d2" charset="UTF-8"></script><style type="text/css">
.form-label-left{
width:150px;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:150px;
}
body{
background-image: url(img/banner-bg.jpg);
}
body, html{
margin:0;
padding:0;
}
.error{
color: red;
}
.push-right{
float:right;
}
.submit{
border-radius: 7px;
height: 50px;
width: 75px;
background-color: #ffb3b3;
}
.button {
color: black;
text-decoration: none;
background-color: #ffb3b3;
height: 50px;
width: 75px;
border-radius: 7px;
padding: 2px 6px 2px 6px;
}
.form-all{
margin:0px auto;
padding-top:0px;
width:690px;
color:#555 !important;
font-family:"Lucida Grande", "Lucida Sans Unicode", "Lucida Sans", Verdana, sans-serif;
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: false;
}
</style>
<script src="https://cdnjs.cloudflare.com/ajax/libs/punycode/1.4.1/punycode.min.js"></script>
</script>
</head>
<body>
<?php
$nameerr = $mobileerr = $emailerr = $birthPlaceerr = $ageerr = $photoerr = $addrerr= $cityerr = $stateerr = $postalerr = $countryerr = $nationalityerr = $edu1err =$skills1err = "";
$name = $email = $age = $mobile = $birthPlace = $photo = $address = $city = $state = $post = $country = $nationality = $edu1 = $skills1 = "";
function test_input($data) {
$data = trim($data);
$data = stripslashes($data);
$data = htmlspecialchars($data);
return $data;
}
if ($_SERVER["REQUEST_METHOD"] == "POST") {
if (empty($_POST["name"])) {
$nameerr = "First Name is required";
}
else {
$name = test_input($_POST["name"]);
}
if (ctype_alpha($name) === false) {
$nameerr = 'Name must only contain letters!';
}
if (empty($_POST["email"])) {
$emailerr = "Email is required";
} else {
$email = test_input($_POST["email"]);
}
if (empty($_POST["age"])) {
$ageerr = "age is required";
} else {
$age = test_input($_POST["age"]);
}
if (empty($_POST["birthPlace"])) {
$birthPlaceerr = "birth place required";
} else {
$birthPlace = test_input($_POST["birthPlace"]);
}
if (ctype_alpha($birthPlace) === false) {
$birthPlaceerr = 'place must only contain letters!';
}
if (empty($_POST["mobile"])) {
$mobileerr = "Mobile number is required";
} else {
$mobile = test_input($_POST["mobile"]);
}
if (empty($_POST["photo"])) {
$photoerr = "photo is to be chosen";
} else {
$photo = test_input($_POST["photo"]);
}
if (empty($_POST["address"])) {
$addrerr = "";
} else {
$address = test_input($_POST["address"]);
}
if (empty($_POST["city"])) {
$cityerr = "";
} else {
$city = test_input($_POST["city"]);
}
if (ctype_alpha($city) === false) {
$cityerr = 'city must only contain letters!';
}
if (empty($_POST["state"])) {
$stateerr = "";
} else {
$state = test_input($_POST["state"]);
} if (ctype_alpha($state) === false) {
$stateerr = 'State must only contain letters!';
}
if (empty($_POST["postal"])) {
$postalerr = "";
} else {
$postal = test_input($_POST["postal"]);
}
if (empty($_POST["edu1"])) {
$edu1err = "";
} else {
$edu1 = test_input($_POST["edu1"]);
}
if (ctype_alpha($edu1) === false) {
$edu1err = 'Education must only contain letters!';
}
if (empty($_POST["skills1"])) {
$skills1err = "";
} else {
$ski1 = test_input($_POST["skills1"]);
}
if (ctype_alpha($skills1) === false) {
$skills1err = 'skills1 must only contain letters!';
}
}
?>
<form method="post" action="conn.php" >
<div role="main" class="form-all">
<ul class="form-section page-section">
<li id="cid_224" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-default">
<div class="header-text httal htvam">
<h2 id="header_224" class="form-header" data-component="header">
CV DETAILS
</h2>
<div id="subHeader_224" class="form-subHeader">
Tell us about yourself
</div>
</div>
</div>
</li>
</li>
<li class="form-line" data-type="control_fullname" id="id_212">
<label class="form-label form-label-left form-label-auto" id="label_212" for="first_212"> Full Name </label>
<div id="cid_212" class="form-input">
<input type="text" id="name" name="name" size="10" value=" "/>
<!-- <input type="text" id="pu_per" name="pupercent" style="width:100px" value=""/>
-->
<span class="error">* <?php echo $nameerr;?></span>
</div></li>
<!-- <label>Name:<span><input type="text" style="width:125px;font-weight: bold;color:black;text-align: left" name="name" size="21" value=" "></span></label>
-->
<li class="form-line" data-type="control_address" id="id_215">
<label class="form-label form-label-left form-label-auto" id="label_215" for="input_215undefined" > Address </label>
<div id="cid_215" class="form-input">
<table summary="" class="form-address-table">
<tbody>
<tr>
<td colSpan="2">
<span class="form-sub-label-container " style="vertical-align:top">
<input type="text" id="addr" name="address" class="form-textbox form-address-line" placeholder="house/flat number and stree address" data-component="address_line_1" aria-labelledby="label_215 sublabel_215_addr_line1" value=" "/>
<label class="form-sub-label" for="input_215_city" id="sublabel_215_city" style="min-height:13px" aria-hidden="false"> street address </label>
<span class="error">* <?php echo $addrerr;?></span>
</span>
</td>
</tr>
<tr>
<td>
<span class="form-sub-label-container " style="vertical-align:top">
<input type="text" id="input_215_city" name="city" class="form-textbox form-address-city" size="21" data-component="city" aria-labelledby="label_215 sublabel_215_city" value=" "/>
<label class="form-sub-label" for="input_215_city" id="sublabel_215_city" style="min-height:13px" aria-hidden="false"> City </label>
<span class="error">* <?php echo $cityerr;?></span>
</span>
</td>
<td>
<span class="form-sub-label-container " style="vertical-align:top">
<input type="text" id="input_215_state" name="state" class="form-textbox form-address-state" size="22" data-component="state" aria-labelledby="label_215 sublabel_215_state" value=" " />
<label class="form-sub-label" for="input_215_state" id="sublabel_215_state" style="min-height:13px" aria-hidden="false"> State / Province </label>
<span class="error">* <?php echo $stateerr;?></span>
</span>
</td>
</tr>
<tr>
<td>
<span class="form-sub-label-container " style="vertical-align:top">
<input type="text" id="input_215_postal" name="postal" class="form-textbox form-address-postal" size="10" placeholder="6 digits" data-component="zip" aria-labelledby="label_215 sublabel_215_postal" value=" "/>
<label class="form-sub-label" for="input_215_postal" id="sublabel_215_postal" style="min-height:13px" aria-hidden="false"> Postal / Zip Code </label>
<span class="error">* <?php echo $postalerr;?></span>
</span>
</td>
<td>
<span class="form-sub-label-container " style="vertical-align:top">
<select class="form-dropdown form-address-country noTranslate" name="country" id="input_215_country" data-component="country" required="" aria-labelledby="label_215 sublabel_215_country" value=" ">
<option value=""> Please Select </option>
<option value="United States"> United States </option>
<option value="Afghanistan"> Afghanistan </option>
<option value="Albania"> Albania </option>
<option value="Algeria"> Algeria </option>
<option value="American Samoa"> American Samoa </option>
<option value="Andorra"> Andorra </option>
<option value="Angola"> Angola </option>
<option value="Anguilla"> Anguilla </option>
<option value="Antigua and Barbuda"> Antigua and Barbuda </option>
<option value="Argentina"> Argentina </option>
<option value="Armenia"> Armenia </option>
<option value="Aruba"> Aruba </option>
<option value="Australia"> Australia </option>
<option value="Austria"> Austria </option>
<option value="Azerbaijan"> Azerbaijan </option>
<option value="The Bahamas"> The Bahamas </option>
<option value="Bahrain"> Bahrain </option>
<option value="Bangladesh"> Bangladesh </option>
<option value="Barbados"> Barbados </option>
<option value="Belarus"> Belarus </option>
<option value="Belgium"> Belgium </option>
<option value="Belize"> Belize </option>
<option value="Benin"> Benin </option>
<option value="Bermuda"> Bermuda </option>
<option value="Bhutan"> Bhutan </option>
<option value="Bolivia"> Bolivia </option>
<option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
<option value="Botswana"> Botswana </option>
<option value="Brazil"> Brazil </option>
<option value="Brunei"> Brunei </option>
<option value="Bulgaria"> Bulgaria </option>
<option value="Burkina Faso"> Burkina Faso </option>
<option value="Burundi"> Burundi </option>
<option value="Cambodia"> Cambodia </option>
<option value="Cameroon"> Cameroon </option>
<option value="Canada"> Canada </option>
<option value="Cape Verde"> Cape Verde </option>
<option value="Cayman Islands"> Cayman Islands </option>
<option value="Central African Republic"> Central African Republic </option>
<option value="Chad"> Chad </option>
<option value="Chile"> Chile </option>
<option value="China"> China </option>
<option value="Christmas Island"> Christmas Island </option>
<option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
<option value="Colombia"> Colombia </option>
<option value="Comoros"> Comoros </option>
<option value="Congo"> Congo </option>
<option value="Cook Islands"> Cook Islands </option>
<option value="Costa Rica"> Costa Rica </option>
<option value="Cote d'Ivoire"> Cote d'Ivoire </option>
<option value="Croatia"> Croatia </option>
<option value="Cuba"> Cuba </option>
<option value="Cyprus"> Cyprus </option>
<option value="Czech Republic"> Czech Republic </option>
<option value="Democratic Republic of the Congo"> Democratic Republic of the Congo </option>
<option value="Denmark"> Denmark </option>
<option value="Djibouti"> Djibouti </option>
<option value="Dominica"> Dominica </option>
<option value="Dominican Republic"> Dominican Republic </option>
<option value="Ecuador"> Ecuador </option>
<option value="Egypt"> Egypt </option>
<option value="El Salvador"> El Salvador </option>
<option value="Equatorial Guinea"> Equatorial Guinea </option>
<option value="Eritrea"> Eritrea </option>
<option value="Estonia"> Estonia </option>
<option value="Ethiopia"> Ethiopia </option>
<option value="Falkland Islands"> Falkland Islands </option>
<option value="Faroe Islands"> Faroe Islands </option>
<option value="Fiji"> Fiji </option>
<option value="Finland"> Finland </option>
<option value="France"> France </option>
<option value="French Polynesia"> French Polynesia </option>
<option value="Gabon"> Gabon </option>
<option value="The Gambia"> The Gambia </option>
<option value="Georgia"> Georgia </option>
<option value="Germany"> Germany </option>
<option value="Ghana"> Ghana </option>
<option value="Gibraltar"> Gibraltar </option>
<option value="Greece"> Greece </option>
<option value="Greenland"> Greenland </option>
<option value="Grenada"> Grenada </option>
<option value="Guadeloupe"> Guadeloupe </option>
<option value="Guam"> Guam </option>
<option value="Guatemala"> Guatemala </option>
<option value="Guernsey"> Guernsey </option>
<option value="Guinea"> Guinea </option>
<option value="Guinea-Bissau"> Guinea-Bissau </option>
<option value="Guyana"> Guyana </option>
<option value="Haiti"> Haiti </option>
<option value="Honduras"> Honduras </option>
<option value="Hong Kong"> Hong Kong </option>
<option value="Hungary"> Hungary </option>
<option value="Iceland"> Iceland </option>
<option value="India"> India </option>
<option value="Indonesia"> Indonesia </option>
<option value="Iran"> Iran </option>
<option value="Iraq"> Iraq </option>
<option value="Ireland"> Ireland </option>
<option value="Israel"> Israel </option>
<option value="Italy"> Italy </option>
<option value="Jamaica"> Jamaica </option>
<option value="Japan"> Japan </option>
<option value="Jersey"> Jersey </option>
<option value="Jordan"> Jordan </option>
<option value="Kazakhstan"> Kazakhstan </option>
<option value="Kenya"> Kenya </option>
<option value="Kiribati"> Kiribati </option>
<option value="North Korea"> North Korea </option>
<option value="South Korea"> South Korea </option>
<option value="Kosovo"> Kosovo </option>
<option value="Kuwait"> Kuwait </option>
<option value="Kyrgyzstan"> Kyrgyzstan </option>
<option value="Laos"> Laos </option>
<option value="Latvia"> Latvia </option>
<option value="Lebanon"> Lebanon </option>
<option value="Lesotho"> Lesotho </option>
<option value="Liberia"> Liberia </option>
<option value="Libya"> Libya </option>
<option value="Liechtenstein"> Liechtenstein </option>
<option value="Lithuania"> Lithuania </option>
<option value="Luxembourg"> Luxembourg </option>
<option value="Macau"> Macau </option>
<option value="Macedonia"> Macedonia </option>
<option value="Madagascar"> Madagascar </option>
<option value="Malawi"> Malawi </option>
<option value="Malaysia"> Malaysia </option>
<option value="Maldives"> Maldives </option>
<option value="Mali"> Mali </option>
<option value="Malta"> Malta </option>
<option value="Marshall Islands"> Marshall Islands </option>
<option value="Martinique"> Martinique </option>
<option value="Mauritania"> Mauritania </option>
<option value="Mauritius"> Mauritius </option>
<option value="Mayotte"> Mayotte </option>
<option value="Mexico"> Mexico </option>
<option value="Micronesia"> Micronesia </option>
<option value="Moldova"> Moldova </option>
<option value="Monaco"> Monaco </option>
<option value="Mongolia"> Mongolia </option>
<option value="Montenegro"> Montenegro </option>
<option value="Montserrat"> Montserrat </option>
<option value="Morocco"> Morocco </option>
<option value="Mozambique"> Mozambique </option>
<option value="Myanmar"> Myanmar </option>
<option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
<option value="Namibia"> Namibia </option>
<option value="Nauru"> Nauru </option>
<option value="Nepal"> Nepal </option>
<option value="Netherlands"> Netherlands </option>
<option value="Netherlands Antilles"> Netherlands Antilles </option>
<option value="New Caledonia"> New Caledonia </option>
<option value="New Zealand"> New Zealand </option>
<option value="Nicaragua"> Nicaragua </option>
<option value="Niger"> Niger </option>
<option value="Nigeria"> Nigeria </option>
<option value="Niue"> Niue </option>
<option value="Norfolk Island"> Norfolk Island </option>
<option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
<option value="Northern Mariana"> Northern Mariana </option>
<option value="Norway"> Norway </option>
<option value="Oman"> Oman </option>
<option value="Pakistan"> Pakistan </option>
<option value="Palau"> Palau </option>
<option value="Palestine"> Palestine </option>
<option value="Panama"> Panama </option>
<option value="Papua New Guinea"> Papua New Guinea </option>
<option value="Paraguay"> Paraguay </option>
<option value="Peru"> Peru </option>
<option value="Philippines"> Philippines </option>
<option value="Pitcairn Islands"> Pitcairn Islands </option>
<option value="Poland"> Poland </option>
<option value="Portugal"> Portugal </option>
<option value="Puerto Rico"> Puerto Rico </option>
<option value="Qatar"> Qatar </option>
<option value="Republic of the Congo"> Republic of the Congo </option>
<option value="Romania"> Romania </option>
<option value="Russia"> Russia </option>
<option value="Rwanda"> Rwanda </option>
<option value="Saint Barthelemy"> Saint Barthelemy </option>
<option value="Saint Helena"> Saint Helena </option>
<option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
<option value="Saint Lucia"> Saint Lucia </option>
<option value="Saint Martin"> Saint Martin </option>
<option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
<option value="Samoa"> Samoa </option>
<option value="San Marino"> San Marino </option>
<option value="Sao Tome and Principe"> Sao Tome and Principe </option>
<option value="Saudi Arabia"> Saudi Arabia </option>
<option value="Senegal"> Senegal </option>
<option value="Serbia"> Serbia </option>
<option value="Seychelles"> Seychelles </option>
<option value="Sierra Leone"> Sierra Leone </option>
<option value="Singapore"> Singapore </option>
<option value="Slovakia"> Slovakia </option>
<option value="Slovenia"> Slovenia </option>
<option value="Solomon Islands"> Solomon Islands </option>
<option value="Somalia"> Somalia </option>
<option value="Somaliland"> Somaliland </option>
<option value="South Africa"> South Africa </option>
<option value="South Ossetia"> South Ossetia </option>
<option value="South Sudan"> South Sudan </option>
<option value="Spain"> Spain </option>
<option value="Sri Lanka"> Sri Lanka </option>
<option value="Sudan"> Sudan </option>
<option value="Suriname"> Suriname </option>
<option value="Svalbard"> Svalbard </option>
<option value="eSwatini"> eSwatini </option>
<option value="Sweden"> Sweden </option>
<option value="Switzerland"> Switzerland </option>
<option value="Syria"> Syria </option>
<option value="Taiwan"> Taiwan </option>
<option value="Tajikistan"> Tajikistan </option>
<option value="Tanzania"> Tanzania </option>
<option value="Thailand"> Thailand </option>
<option value="Timor-Leste"> Timor-Leste </option>
<option value="Togo"> Togo </option>
<option value="Tokelau"> Tokelau </option>
<option value="Tonga"> Tonga </option>
<option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
<option value="Trinidad and Tobago"> Trinidad and Tobago </option>
<option value="Tristan da Cunha"> Tristan da Cunha </option>
<option value="Tunisia"> Tunisia </option>
<option value="Turkey"> Turkey </option>
<option value="Turkmenistan"> Turkmenistan </option>
<option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
<option value="Tuvalu"> Tuvalu </option>
<option value="Uganda"> Uganda </option>
<option value="Ukraine"> Ukraine </option>
<option value="United Arab Emirates"> United Arab Emirates </option>
<option value="United Kingdom"> United Kingdom </option>
<option value="Uruguay"> Uruguay </option>
<option value="Uzbekistan"> Uzbekistan </option>
<option value="Vanuatu"> Vanuatu </option>
<option value="Vatican City"> Vatican City </option>
<option value="Venezuela"> Venezuela </option>
<option value="Vietnam"> Vietnam </option>
<option value="British Virgin Islands"> British Virgin Islands </option>
<option value="Isle of Man"> Isle of Man </option>
<option value="US Virgin Islands"> US Virgin Islands </option>
<option value="Wallis and Futuna"> Wallis and Futuna </option>
<option value="Western Sahara"> Western Sahara </option>
<option value="Yemen"> Yemen </option>
<option value="Zambia"> Zambia </option>
<option value="Zimbabwe"> Zimbabwe </option>
<option value="other"> Other </option>
</select>
<span class="error">* <?php echo $countryerr;?></span>
<label class="form-sub-label" for="input_215_country" id="sublabel_215_country" style="min-height:13px" aria-hidden="false"> Country </label>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</li>
<li class="form-line" data-type="control_birthdate" id="id_213">
<label class="form-label form-label-left form-label-auto" id="label_18" for="input_18"> Birth Date </label>
<input type="date" id="birthday" name="birthday" value=" ">
</li>
<li class="form-line" data-type="control_textbox" id="id_18">
<label class="form-label form-label-left form-label-auto" id="label_18" for="input_18"> Birth Place </label>
<div id="cid_18" class="form-input">
<input type="text" id="input_18" name="birthPlace" data-type="input-textbox" class="form-textbox" size="20" placeholder=" " data-component="textbox" aria-labelledby="label_18" value=" " />
<span class="error">* <?php echo $birthPlaceerr;?></span>
</div>
</li>
<li class="form-line" data-type="control_dropdown" id="id_225">
<label class="form-label form-label-left form-label-auto" id="label_225" for="input_225"> Nationality </label>
<div id="cid_225" class="form-input">
<select class="form-dropdown" id="input_225" name="nationality" style="width:150px" data-component="dropdown" aria-labelledby="label_225" value=" ">
<option value=""> </option>
<option value="United States"> United States </option>
<option value="Afghanistan"> Afghanistan </option>
<option value="Albania"> Albania </option>
<option value="Algeria"> Algeria </option>
<option value="American Samoa"> American Samoa </option>
<option value="Andorra"> Andorra </option>
<option value="Angola"> Angola </option>
<option value="Anguilla"> Anguilla </option>
<option value="Antigua and Barbuda"> Antigua and Barbuda </option>
<option value="Argentina"> Argentina </option>
<option value="Armenia"> Armenia </option>
<option value="Aruba"> Aruba </option>
<option value="Australia"> Australia </option>
<option value="Austria"> Austria </option>
<option value="Azerbaijan"> Azerbaijan </option>
<option value="The Bahamas"> The Bahamas </option>
<option value="Bahrain"> Bahrain </option>
<option value="Bangladesh"> Bangladesh </option>
<option value="Barbados"> Barbados </option>
<option value="Belarus"> Belarus </option>
<option value="Belgium"> Belgium </option>
<option value="Belize"> Belize </option>
<option value="Benin"> Benin </option>
<option value="Bermuda"> Bermuda </option>
<option value="Bhutan"> Bhutan </option>
<option value="Bolivia"> Bolivia </option>
<option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
<option value="Botswana"> Botswana </option>
<option value="Brazil"> Brazil </option>
<option value="Brunei"> Brunei </option>
<option value="Bulgaria"> Bulgaria </option>
<option value="Burkina Faso"> Burkina Faso </option>
<option value="Burundi"> Burundi </option>
<option value="Cambodia"> Cambodia </option>
<option value="Cameroon"> Cameroon </option>
<option value="Canada"> Canada </option>
<option value="Cape Verde"> Cape Verde </option>
<option value="Cayman Islands"> Cayman Islands </option>
<option value="Central African Republic"> Central African Republic </option>
<option value="Chad"> Chad </option>
<option value="Chile"> Chile </option>
<option value="China"> China </option>
<option value="Christmas Island"> Christmas Island </option>
<option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
<option value="Colombia"> Colombia </option>
<option value="Comoros"> Comoros </option>
<option value="Congo"> Congo </option>
<option value="Cook Islands"> Cook Islands </option>
<option value="Costa Rica"> Costa Rica </option>
<option value="Cote d'Ivoire"> Cote d'Ivoire </option>
<option value="Croatia"> Croatia </option>
<option value="Cuba"> Cuba </option>
<option value="Cyprus"> Cyprus </option>
<option value="Czech Republic"> Czech Republic </option>
<option value="Democratic Republic of the Congo"> Democratic Republic of the Congo </option>
<option value="Denmark"> Denmark </option>
<option value="Djibouti"> Djibouti </option>
<option value="Dominica"> Dominica </option>
<option value="Dominican Republic"> Dominican Republic </option>
<option value="Ecuador"> Ecuador </option>
<option value="Egypt"> Egypt </option>
<option value="El Salvador"> El Salvador </option>
<option value="Equatorial Guinea"> Equatorial Guinea </option>
<option value="Eritrea"> Eritrea </option>
<option value="Estonia"> Estonia </option>
<option value="Ethiopia"> Ethiopia </option>
<option value="Falkland Islands"> Falkland Islands </option>
<option value="Faroe Islands"> Faroe Islands </option>
<option value="Fiji"> Fiji </option>
<option value="Finland"> Finland </option>
<option value="France"> France </option>
<option value="French Polynesia"> French Polynesia </option>
<option value="Gabon"> Gabon </option>
<option value="The Gambia"> The Gambia </option>
<option value="Georgia"> Georgia </option>
<option value="Germany"> Germany </option>
<option value="Ghana"> Ghana </option>
<option value="Gibraltar"> Gibraltar </option>
<option value="Greece"> Greece </option>
<option value="Greenland"> Greenland </option>
<option value="Grenada"> Grenada </option>
<option value="Guadeloupe"> Guadeloupe </option>
<option value="Guam"> Guam </option>
<option value="Guatemala"> Guatemala </option>
<option value="Guernsey"> Guernsey </option>
<option value="Guinea"> Guinea </option>
<option value="Guinea-Bissau"> Guinea-Bissau </option>
<option value="Guyana"> Guyana </option>
<option value="Haiti"> Haiti </option>
<option value="Honduras"> Honduras </option>
<option value="Hong Kong"> Hong Kong </option>
<option value="Hungary"> Hungary </option>
<option value="Iceland"> Iceland </option>
<option value="India"> India </option>
<option value="Indonesia"> Indonesia </option>
<option value="Iran"> Iran </option>
<option value="Iraq"> Iraq </option>
<option value="Ireland"> Ireland </option>
<option value="Israel"> Israel </option>
<option value="Italy"> Italy </option>
<option value="Jamaica"> Jamaica </option>
<option value="Japan"> Japan </option>
<option value="Jersey"> Jersey </option>
<option value="Jordan"> Jordan </option>
<option value="Kazakhstan"> Kazakhstan </option>
<option value="Kenya"> Kenya </option>
<option value="Kiribati"> Kiribati </option>
<option value="North Korea"> North Korea </option>
<option value="South Korea"> South Korea </option>
<option value="Kosovo"> Kosovo </option>
<option value="Kuwait"> Kuwait </option>
<option value="Kyrgyzstan"> Kyrgyzstan </option>
<option value="Laos"> Laos </option>
<option value="Latvia"> Latvia </option>
<option value="Lebanon"> Lebanon </option>
<option value="Lesotho"> Lesotho </option>
<option value="Liberia"> Liberia </option>
<option value="Libya"> Libya </option>
<option value="Liechtenstein"> Liechtenstein </option>
<option value="Lithuania"> Lithuania </option>
<option value="Luxembourg"> Luxembourg </option>
<option value="Macau"> Macau </option>
<option value="Macedonia"> Macedonia </option>
<option value="Madagascar"> Madagascar </option>
<option value="Malawi"> Malawi </option>
<option value="Malaysia"> Malaysia </option>
<option value="Maldives"> Maldives </option>
<option value="Mali"> Mali </option>
<option value="Malta"> Malta </option>
<option value="Marshall Islands"> Marshall Islands </option>
<option value="Martinique"> Martinique </option>
<option value="Mauritania"> Mauritania </option>
<option value="Mauritius"> Mauritius </option>
<option value="Mayotte"> Mayotte </option>
<option value="Mexico"> Mexico </option>
<option value="Micronesia"> Micronesia </option>
<option value="Moldova"> Moldova </option>
<option value="Monaco"> Monaco </option>
<option value="Mongolia"> Mongolia </option>
<option value="Montenegro"> Montenegro </option>
<option value="Montserrat"> Montserrat </option>
<option value="Morocco"> Morocco </option>
<option value="Mozambique"> Mozambique </option>
<option value="Myanmar"> Myanmar </option>
<option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
<option value="Namibia"> Namibia </option>
<option value="Nauru"> Nauru </option>
<option value="Nepal"> Nepal </option>
<option value="Netherlands"> Netherlands </option>
<option value="Netherlands Antilles"> Netherlands Antilles </option>
<option value="New Caledonia"> New Caledonia </option>
<option value="New Zealand"> New Zealand </option>
<option value="Nicaragua"> Nicaragua </option>
<option value="Niger"> Niger </option>
<option value="Nigeria"> Nigeria </option>
<option value="Niue"> Niue </option>
<option value="Norfolk Island"> Norfolk Island </option>
<option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
<option value="Northern Mariana"> Northern Mariana </option>
<option value="Norway"> Norway </option>
<option value="Oman"> Oman </option>
<option value="Pakistan"> Pakistan </option>
<option value="Palau"> Palau </option>
<option value="Palestine"> Palestine </option>
<option value="Panama"> Panama </option>
<option value="Papua New Guinea"> Papua New Guinea </option>
<option value="Paraguay"> Paraguay </option>
<option value="Peru"> Peru </option>
<option value="Philippines"> Philippines </option>
<option value="Pitcairn Islands"> Pitcairn Islands </option>
<option value="Poland"> Poland </option>
<option value="Portugal"> Portugal </option>
<option value="Puerto Rico"> Puerto Rico </option>
<option value="Qatar"> Qatar </option>
<option value="Republic of the Congo"> Republic of the Congo </option>
<option value="Romania"> Romania </option>
<option value="Russia"> Russia </option>
<option value="Rwanda"> Rwanda </option>
<option value="Saint Barthelemy"> Saint Barthelemy </option>
<option value="Saint Helena"> Saint Helena </option>
<option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
<option value="Saint Lucia"> Saint Lucia </option>
<option value="Saint Martin"> Saint Martin </option>
<option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
<option value="Samoa"> Samoa </option>
<option value="San Marino"> San Marino </option>
<option value="Sao Tome and Principe"> Sao Tome and Principe </option>
<option value="Saudi Arabia"> Saudi Arabia </option>
<option value="Senegal"> Senegal </option>
<option value="Serbia"> Serbia </option>
<option value="Seychelles"> Seychelles </option>
<option value="Sierra Leone"> Sierra Leone </option>
<option value="Singapore"> Singapore </option>
<option value="Slovakia"> Slovakia </option>
<option value="Slovenia"> Slovenia </option>
<option value="Solomon Islands"> Solomon Islands </option>
<option value="Somalia"> Somalia </option>
<option value="Somaliland"> Somaliland </option>
<option value="South Africa"> South Africa </option>
<option value="South Ossetia"> South Ossetia </option>
<option value="South Sudan"> South Sudan </option>
<option value="Spain"> Spain </option>
<option value="Sri Lanka"> Sri Lanka </option>
<option value="Sudan"> Sudan </option>
<option value="Suriname"> Suriname </option>
<option value="Svalbard"> Svalbard </option>
<option value="eSwatini"> eSwatini </option>
<option value="Sweden"> Sweden </option>
<option value="Switzerland"> Switzerland </option>
<option value="Syria"> Syria </option>
<option value="Taiwan"> Taiwan </option>
<option value="Tajikistan"> Tajikistan </option>
<option value="Tanzania"> Tanzania </option>
<option value="Thailand"> Thailand </option>
<option value="Timor-Leste"> Timor-Leste </option>
<option value="Togo"> Togo </option>
<option value="Tokelau"> Tokelau </option>
<option value="Tonga"> Tonga </option>
<option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
<option value="Trinidad and Tobago"> Trinidad and Tobago </option>
<option value="Tristan da Cunha"> Tristan da Cunha </option>
<option value="Tunisia"> Tunisia </option>
<option value="Turkey"> Turkey </option>
<option value="Turkmenistan"> Turkmenistan </option>
<option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
<option value="Tuvalu"> Tuvalu </option>
<option value="Uganda"> Uganda </option>
<option value="Ukraine"> Ukraine </option>
<option value="United Arab Emirates"> United Arab Emirates </option>
<option value="United Kingdom"> United Kingdom </option>
<option value="Uruguay"> Uruguay </option>
<option value="Uzbekistan"> Uzbekistan </option>
<option value="Vanuatu"> Vanuatu </option>
<option value="Vatican City"> Vatican City </option>
<option value="Venezuela"> Venezuela </option>
<option value="Vietnam"> Vietnam </option>
<option value="British Virgin Islands"> British Virgin Islands </option>
<option value="Isle of Man"> Isle of Man </option>
<option value="US Virgin Islands"> US Virgin Islands </option>
<option value="Wallis and Futuna"> Wallis and Futuna </option>
<option value="Western Sahara"> Western Sahara </option>
<option value="Yemen"> Yemen </option>
<option value="Zambia"> Zambia </option>
<option value="Zimbabwe"> Zimbabwe </option>
</select>
<span class="error">* <?php echo $nationalityerr;?></span>
</div>
</li>
<li class="form-line" data-type="control_phone" id="id_226">
<label class="form-label form-label-left form-label-auto" id="label_226" for="input_226_area"> Mobile Number </label>
<div id="cid_226" class="form-input">
<div data-wrapper-react="true">
<span class="form-sub-label-container " style="vertical-align:top" data-input-type="areaCode">
<select name="countryCode" id="" value=" ">
<option data-countryCode="GB" value="44" Selected>UK (+44)</option>
<option data-countryCode="US" value="1">USA (+1)</option>
<optgroup label="Other countries">
<option data-countryCode="DZ" value="213">Algeria (+213)</option>
<option data-countryCode="AD" value="376">Andorra (+376)</option>
<option data-countryCode="AO" value="244">Angola (+244)</option>
<option data-countryCode="AI" value="1264">Anguilla (+1264)</option>
<option data-countryCode="AG" value="1268">Antigua & Barbuda (+1268)</option>
<option data-countryCode="AR" value="54">Argentina (+54)</option>
<option data-countryCode="AM" value="374">Armenia (+374)</option>
<option data-countryCode="AW" value="297">Aruba (+297)</option>
<option data-countryCode="AU" value="61">Australia (+61)</option>
<option data-countryCode="AT" value="43">Austria (+43)</option>
<option data-countryCode="AZ" value="994">Azerbaijan (+994)</option>
<option data-countryCode="BS" value="1242">Bahamas (+1242)</option>
<option data-countryCode="BH" value="973">Bahrain (+973)</option>
<option data-countryCode="BD" value="880">Bangladesh (+880)</option>
<option data-countryCode="BB" value="1246">Barbados (+1246)</option>
<option data-countryCode="BY" value="375">Belarus (+375)</option>
<option data-countryCode="BE" value="32">Belgium (+32)</option>
<option data-countryCode="BZ" value="501">Belize (+501)</option>
<option data-countryCode="BJ" value="229">Benin (+229)</option>
<option data-countryCode="BM" value="1441">Bermuda (+1441)</option>
<option data-countryCode="BT" value="975">Bhutan (+975)</option>
<option data-countryCode="BO" value="591">Bolivia (+591)</option>
<option data-countryCode="BA" value="387">Bosnia Herzegovina (+387)</option>
<option data-countryCode="BW" value="267">Botswana (+267)</option>
<option data-countryCode="BR" value="55">Brazil (+55)</option>
<option data-countryCode="BN" value="673">Brunei (+673)</option>
<option data-countryCode="BG" value="359">Bulgaria (+359)</option>
<option data-countryCode="BF" value="226">Burkina Faso (+226)</option>
<option data-countryCode="BI" value="257">Burundi (+257)</option>
<option data-countryCode="KH" value="855">Cambodia (+855)</option>
<option data-countryCode="CM" value="237">Cameroon (+237)</option>
<option data-countryCode="CA" value="1">Canada (+1)</option>
<option data-countryCode="CV" value="238">Cape Verde Islands (+238)</option>
<option data-countryCode="KY" value="1345">Cayman Islands (+1345)</option>
<option data-countryCode="CF" value="236">Central African Republic (+236)</option>
<option data-countryCode="CL" value="56">Chile (+56)</option>
<option data-countryCode="CN" value="86">China (+86)</option>
<option data-countryCode="CO" value="57">Colombia (+57)</option>
<option data-countryCode="KM" value="269">Comoros (+269)</option>
<option data-countryCode="CG" value="242">Congo (+242)</option>
<option data-countryCode="CK" value="682">Cook Islands (+682)</option>
<option data-countryCode="CR" value="506">Costa Rica (+506)</option>
<option data-countryCode="HR" value="385">Croatia (+385)</option>
<option data-countryCode="CU" value="53">Cuba (+53)</option>
<option data-countryCode="CY" value="90392">Cyprus North (+90392)</option>
<option data-countryCode="CY" value="357">Cyprus South (+357)</option>
<option data-countryCode="CZ" value="42">Czech Republic (+42)</option>
<option data-countryCode="DK" value="45">Denmark (+45)</option>
<option data-countryCode="DJ" value="253">Djibouti (+253)</option>
<option data-countryCode="DM" value="1809">Dominica (+1809)</option>
<option data-countryCode="DO" value="1809">Dominican Republic (+1809)</option>
<option data-countryCode="EC" value="593">Ecuador (+593)</option>
<option data-countryCode="EG" value="20">Egypt (+20)</option>
<option data-countryCode="SV" value="503">El Salvador (+503)</option>
<option data-countryCode="GQ" value="240">Equatorial Guinea (+240)</option>
<option data-countryCode="ER" value="291">Eritrea (+291)</option>
<option data-countryCode="EE" value="372">Estonia (+372)</option>
<option data-countryCode="ET" value="251">Ethiopia (+251)</option>
<option data-countryCode="FK" value="500">Falkland Islands (+500)</option>
<option data-countryCode="FO" value="298">Faroe Islands (+298)</option>
<option data-countryCode="FJ" value="679">Fiji (+679)</option>
<option data-countryCode="FI" value="358">Finland (+358)</option>
<option data-countryCode="FR" value="33">France (+33)</option>
<option data-countryCode="GF" value="594">French Guiana (+594)</option>
<option data-countryCode="PF" value="689">French Polynesia (+689)</option>
<option data-countryCode="GA" value="241">Gabon (+241)</option>
<option data-countryCode="GM" value="220">Gambia (+220)</option>
<option data-countryCode="GE" value="7880">Georgia (+7880)</option>
<option data-countryCode="DE" value="49">Germany (+49)</option>
<option data-countryCode="GH" value="233">Ghana (+233)</option>
<option data-countryCode="GI" value="350">Gibraltar (+350)</option>
<option data-countryCode="GR" value="30">Greece (+30)</option>
<option data-countryCode="GL" value="299">Greenland (+299)</option>
<option data-countryCode="GD" value="1473">Grenada (+1473)</option>
<option data-countryCode="GP" value="590">Guadeloupe (+590)</option>
<option data-countryCode="GU" value="671">Guam (+671)</option>
<option data-countryCode="GT" value="502">Guatemala (+502)</option>
<option data-countryCode="GN" value="224">Guinea (+224)</option>
<option data-countryCode="GW" value="245">Guinea - Bissau (+245)</option>
<option data-countryCode="GY" value="592">Guyana (+592)</option>
<option data-countryCode="HT" value="509">Haiti (+509)</option>
<option data-countryCode="HN" value="504">Honduras (+504)</option>
<option data-countryCode="HK" value="852">Hong Kong (+852)</option>
<option data-countryCode="HU" value="36">Hungary (+36)</option>
<option data-countryCode="IS" value="354">Iceland (+354)</option>
<option data-countryCode="IN" value="91">India (+91)</option>
<option data-countryCode="ID" value="62">Indonesia (+62)</option>
<option data-countryCode="IR" value="98">Iran (+98)</option>
<option data-countryCode="IQ" value="964">Iraq (+964)</option>
<option data-countryCode="IE" value="353">Ireland (+353)</option>
<option data-countryCode="IL" value="972">Israel (+972)</option>
<option data-countryCode="IT" value="39">Italy (+39)</option>
<option data-countryCode="JM" value="1876">Jamaica (+1876)</option>
<option data-countryCode="JP" value="81">Japan (+81)</option>
<option data-countryCode="JO" value="962">Jordan (+962)</option>
<option data-countryCode="KZ" value="7">Kazakhstan (+7)</option>
<option data-countryCode="KE" value="254">Kenya (+254)</option>
<option data-countryCode="KI" value="686">Kiribati (+686)</option>
<option data-countryCode="KP" value="850">Korea North (+850)</option>
<option data-countryCode="KR" value="82">Korea South (+82)</option>
<option data-countryCode="KW" value="965">Kuwait (+965)</option>
<option data-countryCode="KG" value="996">Kyrgyzstan (+996)</option>
<option data-countryCode="LA" value="856">Laos (+856)</option>
<option data-countryCode="LV" value="371">Latvia (+371)</option>
<option data-countryCode="LB" value="961">Lebanon (+961)</option>
<option data-countryCode="LS" value="266">Lesotho (+266)</option>
<option data-countryCode="LR" value="231">Liberia (+231)</option>
<option data-countryCode="LY" value="218">Libya (+218)</option>
<option data-countryCode="LI" value="417">Liechtenstein (+417)</option>
<option data-countryCode="LT" value="370">Lithuania (+370)</option>
<option data-countryCode="LU" value="352">Luxembourg (+352)</option>
<option data-countryCode="MO" value="853">Macao (+853)</option>
<option data-countryCode="MK" value="389">Macedonia (+389)</option>
<option data-countryCode="MG" value="261">Madagascar (+261)</option>
<option data-countryCode="MW" value="265">Malawi (+265)</option>
<option data-countryCode="MY" value="60">Malaysia (+60)</option>
<option data-countryCode="MV" value="960">Maldives (+960)</option>
<option data-countryCode="ML" value="223">Mali (+223)</option>
<option data-countryCode="MT" value="356">Malta (+356)</option>
<option data-countryCode="MH" value="692">Marshall Islands (+692)</option>
<option data-countryCode="MQ" value="596">Martinique (+596)</option>
<option data-countryCode="MR" value="222">Mauritania (+222)</option>
<option data-countryCode="YT" value="269">Mayotte (+269)</option>
<option data-countryCode="MX" value="52">Mexico (+52)</option>
<option data-countryCode="FM" value="691">Micronesia (+691)</option>
<option data-countryCode="MD" value="373">Moldova (+373)</option>
<option data-countryCode="MC" value="377">Monaco (+377)</option>
<option data-countryCode="MN" value="976">Mongolia (+976)</option>
<option data-countryCode="MS" value="1664">Montserrat (+1664)</option>
<option data-countryCode="MA" value="212">Morocco (+212)</option>
<option data-countryCode="MZ" value="258">Mozambique (+258)</option>
<option data-countryCode="MN" value="95">Myanmar (+95)</option>
<option data-countryCode="NA" value="264">Namibia (+264)</option>
<option data-countryCode="NR" value="674">Nauru (+674)</option>
<option data-countryCode="NP" value="977">Nepal (+977)</option>
<option data-countryCode="NL" value="31">Netherlands (+31)</option>
<option data-countryCode="NC" value="687">New Caledonia (+687)</option>
<option data-countryCode="NZ" value="64">New Zealand (+64)</option>
<option data-countryCode="NI" value="505">Nicaragua (+505)</option>
<option data-countryCode="NE" value="227">Niger (+227)</option>
<option data-countryCode="NG" value="234">Nigeria (+234)</option>
<option data-countryCode="NU" value="683">Niue (+683)</option>
<option data-countryCode="NF" value="672">Norfolk Islands (+672)</option>
<option data-countryCode="NP" value="670">Northern Marianas (+670)</option>
<option data-countryCode="NO" value="47">Norway (+47)</option>
<option data-countryCode="OM" value="968">Oman (+968)</option>
<option data-countryCode="PW" value="680">Palau (+680)</option>
<option data-countryCode="PA" value="507">Panama (+507)</option>
<option data-countryCode="PG" value="675">Papua New Guinea (+675)</option>
<option data-countryCode="PY" value="595">Paraguay (+595)</option>
<option data-countryCode="PE" value="51">Peru (+51)</option>
<option data-countryCode="PH" value="63">Philippines (+63)</option>
<option data-countryCode="PL" value="48">Poland (+48)</option>
<option data-countryCode="PT" value="351">Portugal (+351)</option>
<option data-countryCode="PR" value="1787">Puerto Rico (+1787)</option>
<option data-countryCode="QA" value="974">Qatar (+974)</option>
<option data-countryCode="RE" value="262">Reunion (+262)</option>
<option data-countryCode="RO" value="40">Romania (+40)</option>
<option data-countryCode="RU" value="7">Russia (+7)</option>
<option data-countryCode="RW" value="250">Rwanda (+250)</option>
<option data-countryCode="SM" value="378">San Marino (+378)</option>
<option data-countryCode="ST" value="239">Sao Tome & Principe (+239)</option>
<option data-countryCode="SA" value="966">Saudi Arabia (+966)</option>
<option data-countryCode="SN" value="221">Senegal (+221)</option>
<option data-countryCode="CS" value="381">Serbia (+381)</option>
<option data-countryCode="SC" value="248">Seychelles (+248)</option>
<option data-countryCode="SL" value="232">Sierra Leone (+232)</option>
<option data-countryCode="SG" value="65">Singapore (+65)</option>
<option data-countryCode="SK" value="421">Slovak Republic (+421)</option>
<option data-countryCode="SI" value="386">Slovenia (+386)</option>
<option data-countryCode="SB" value="677">Solomon Islands (+677)</option>
<option data-countryCode="SO" value="252">Somalia (+252)</option>
<option data-countryCode="ZA" value="27">South Africa (+27)</option>
<option data-countryCode="ES" value="34">Spain (+34)</option>
<option data-countryCode="LK" value="94">Sri Lanka (+94)</option>
<option data-countryCode="SH" value="290">St. Helena (+290)</option>
<option data-countryCode="KN" value="1869">St. Kitts (+1869)</option>
<option data-countryCode="SC" value="1758">St. Lucia (+1758)</option>
<option data-countryCode="SD" value="249">Sudan (+249)</option>
<option data-countryCode="SR" value="597">Suriname (+597)</option>
<option data-countryCode="SZ" value="268">Swaziland (+268)</option>
<option data-countryCode="SE" value="46">Sweden (+46)</option>
<option data-countryCode="CH" value="41">Switzerland (+41)</option>
<option data-countryCode="SI" value="963">Syria (+963)</option>
<option data-countryCode="TW" value="886">Taiwan (+886)</option>
<option data-countryCode="TJ" value="7">Tajikstan (+7)</option>
<option data-countryCode="TH" value="66">Thailand (+66)</option>
<option data-countryCode="TG" value="228">Togo (+228)</option>
<option data-countryCode="TO" value="676">Tonga (+676)</option>
<option data-countryCode="TT" value="1868">Trinidad & Tobago (+1868)</option>
<option data-countryCode="TN" value="216">Tunisia (+216)</option>
<option data-countryCode="TR" value="90">Turkey (+90)</option>
<option data-countryCode="TM" value="7">Turkmenistan (+7)</option>
<option data-countryCode="TM" value="993">Turkmenistan (+993)</option>
<option data-countryCode="TC" value="1649">Turks & Caicos Islands (+1649)</option>
<option data-countryCode="TV" value="688">Tuvalu (+688)</option>
<option data-countryCode="UG" value="256">Uganda (+256)</option>
<!-- <option data-countryCode="GB" value="44">UK (+44)</option> -->
<option data-countryCode="UA" value="380">Ukraine (+380)</option>
<option data-countryCode="AE" value="971">United Arab Emirates (+971)</option>
<option data-countryCode="UY" value="598">Uruguay (+598)</option>
<!-- <option data-countryCode="US" value="1">USA (+1)</option> -->
<option data-countryCode="UZ" value="7">Uzbekistan (+7)</option>
<option data-countryCode="VU" value="678">Vanuatu (+678)</option>
<option data-countryCode="VA" value="379">Vatican City (+379)</option>
<option data-countryCode="VE" value="58">Venezuela (+58)</option>
<option data-countryCode="VN" value="84">Vietnam (+84)</option>
<option data-countryCode="VG" value="84">Virgin Islands - British (+1284)</option>
<option data-countryCode="VI" value="84">Virgin Islands - US (+1340)</option>
<option data-countryCode="WF" value="681">Wallis & Futuna (+681)</option>
<option data-countryCode="YE" value="969">Yemen (North)(+969)</option>
<option data-countryCode="YE" value="967">Yemen (South)(+967)</option>
<option data-countryCode="ZM" value="260">Zambia (+260)</option>
<option data-countryCode="ZW" value="263">Zimbabwe (+263)</option>
</optgroup>
</select>
<span class="phone-separate" aria-hidden="true">
-
</span>
<label class="form-sub-label" for="input_226_area" id="sublabel_226_area" style="min-height:13px" aria-hidden="false"> Area Code </label>
</span>
<span class="form-sub-label-container " style="vertical-align:top" data-input-type="phone">
<input type="tel" id="input_226_phone" name="mobile" class="form-textbox" size="12" data-component="phone" maxlength="11" aria-labelledby="label_226 sublabel_226_phone" value=" "/>
<span class="error">* <?php echo $mobileerr;?></span>