{"id":929,"date":"2022-02-17T14:30:06","date_gmt":"2022-02-17T14:30:06","guid":{"rendered":"https:\/\/e-viza-gov.com\/?page_id=929"},"modified":"2022-06-10T12:27:26","modified_gmt":"2022-06-10T12:27:26","slug":"esta-ans%c3%b6kan","status":"publish","type":"page","link":"https:\/\/e-viza-gov.com\/se\/esta-application","title":{"rendered":"ESTA-ans\u00f6kan"},"content":{"rendered":"\r\n<div id=\"\" class=\"wp-block-ugb-container ugb-container form-steps ugb-d3bd383 ugb-container--v2 ugb-container--design-basic ugb-main-block\"><style>.ugb-d3bd383-wrapper.ugb-container__wrapper{border-radius:0px !important;background-color:#f4f5f7 !important}.ugb-d3bd383-content-wrapper.ugb-container__content-wrapper{width:100% !important}.ugb-d3bd383-wrapper.ugb-container__wrapper:before{background-color:#f4f5f7 !important}.ugb-d3bd383-content-wrapper > h1,.ugb-d3bd383-content-wrapper > h2,.ugb-d3bd383-content-wrapper > h3,.ugb-d3bd383-content-wrapper > h4,.ugb-d3bd383-content-wrapper > h5,.ugb-d3bd383-content-wrapper > h6{color:#222222}.ugb-d3bd383-content-wrapper > p,.ugb-d3bd383-content-wrapper > ol li,.ugb-d3bd383-content-wrapper > ul li{color:#222222}<\/style>\r\n<div class=\"ugb-inner-block\">\r\n<div class=\"ugb-block-content\">\r\n<div class=\"ugb-container__wrapper ugb-d3bd383-wrapper ugb--shadow-0\">\r\n<div class=\"ugb-container__side\">\r\n<div class=\"ugb-container__content-wrapper ugb-d3bd383-content-wrapper\"> <a class=\"go-back-button\" href=\"https:\/\/e-viza-gov.com\/se\/\"> <img decoding=\"async\" src=\"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg\" \/>G\u00e5 tillbaka<\/a> \r\n\r\n\r\n<div class=\"wp-block-columns has-3-columns benefits container is-layout-flex wp-container-core%2Fcolumns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\r\n<div class=\"benefit-img\"><img decoding=\"async\" src=\"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2019\/09\/benefits-form.svg\" alt=\"\" \/><\/div>\r\n\r\n\r\n\r\n<h4 class=\"has-text-align-center wp-block-heading\">Skriv s\u00f6kandeinformation<\/h4>\r\n\r\n\r\n\r\n<p class=\"has-text-align-center wp-block-paragraph\">Fyll i personuppgifter i ans\u00f6kningsformul\u00e4ret.<\/p>\r\n<\/div>\r\n\r\n\r\n\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\r\n<div class=\"benefit-img\"><img decoding=\"async\" src=\"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2019\/09\/benefits-confirm.svg\" alt=\"\" \/><\/div>\r\n\r\n\r\n\r\n<h4 class=\"has-text-align-center wp-block-heading\">Granska din ans\u00f6kan<\/h4>\r\n\r\n\r\n\r\n<p class=\"has-text-align-center wp-block-paragraph\">Se till att all information \u00e4r korrekt.<\/p>\r\n<\/div>\r\n\r\n\r\n\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\r\n<div class=\"benefit-img\"><img decoding=\"async\" src=\"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2019\/09\/benefits-payment.svg\" alt=\"\" \/><\/div>\r\n\r\n\r\n\r\n<h4 class=\"has-text-align-center wp-block-heading\">Betala och avsluta<\/h4>\r\n\r\n\r\n\r\n<p class=\"has-text-align-center wp-block-paragraph\">Betala med VISA eller Mastercard etc.<\/p>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n\r\n<div id=\"\" class=\"wp-block-ugb-container ugb-container apply-form-top-container ugb-5644c7a ugb-container--v2 ugb-container--design-basic ugb-main-block\"><style>.ugb-5644c7a-wrapper.ugb-container__wrapper{border-radius:12px !important;}.ugb-5644c7a-content-wrapper.ugb-container__content-wrapper{width:100% !important}.ugb-5644c7a-wrapper.ugb-container__wrapper:before{background-color:#f1f1f1 !important}.ugb-5644c7a-content-wrapper > h1,.ugb-5644c7a-content-wrapper > h2,.ugb-5644c7a-content-wrapper > h3,.ugb-5644c7a-content-wrapper > h4,.ugb-5644c7a-content-wrapper > h5,.ugb-5644c7a-content-wrapper > h6{color:#222222}.ugb-5644c7a-content-wrapper > p,.ugb-5644c7a-content-wrapper > ol li,.ugb-5644c7a-content-wrapper > ul li{color:#222222}<\/style>\r\n<div class=\"ugb-inner-block\">\r\n<div class=\"ugb-block-content\">\r\n<div class=\"ugb-container__wrapper ugb-5644c7a-wrapper ugb--shadow-3\">\r\n<div class=\"ugb-container__side\">\r\n<div class=\"ugb-container__content-wrapper ugb-5644c7a-content-wrapper\">\r\n<div id=\"\" class=\"wp-block-ugb-container ugb-container container apply-form ugb-cc157d6 ugb-container--v2 ugb-container--design-basic ugb-main-block\"><style>.ugb-cc157d6-wrapper.ugb-container__wrapper{border-radius:0px !important;background-color:#ffffff !important}.ugb-cc157d6-content-wrapper.ugb-container__content-wrapper{width:100% !important}.ugb-cc157d6-wrapper.ugb-container__wrapper:before{background-color:#ffffff !important}.ugb-cc157d6-content-wrapper > h1,.ugb-cc157d6-content-wrapper > h2,.ugb-cc157d6-content-wrapper > h3,.ugb-cc157d6-content-wrapper > h4,.ugb-cc157d6-content-wrapper > h5,.ugb-cc157d6-content-wrapper > h6{color:#222222}.ugb-cc157d6-content-wrapper > p,.ugb-cc157d6-content-wrapper > ol li,.ugb-cc157d6-content-wrapper > ul li{color:#222222}<\/style>\r\n<div class=\"ugb-inner-block\">\r\n<div class=\"ugb-block-content\">\r\n<div class=\"ugb-container__wrapper ugb-cc157d6-wrapper ugb--shadow-0\">\r\n<div class=\"ugb-container__side\">\r\n<div class=\"ugb-container__content-wrapper ugb-cc157d6-content-wrapper\">        <div class=\"wpf_form_wrapper wpf_form_wrapper_35\">\n                                                <form  data-wpf_form_id='35' wpf_form_instance='wpf_form_instance_35_1' class='wpf_form wpf_form_instance_35_1 wpf_strip_default_style wpf_form_id_35 wpf_label_top wpf_asterisk_right wpf_submit_button_pos_left wpf_has_recaptcha wpf_recaptcha_v2_visible wpf_form_has_file_upload' method='POST' action='https:\/\/e-viza-gov.com' id='wpf_form_id_35' data-recaptcha_site_key='6Ld9M9YfAAAAAPulSH9Yyhm60kccdhIYKW8UTR56' data-recaptcha_version='v2' >\n                        <span style=\"display: none !important;\"><input type=\"checkbox\" name=\"item__35__wppay_checkme_\" value=\"1\"\n                                                       style=\"display: none !important;\" tabindex=\"-1\"><\/span>\n                        <input type=\"hidden\" name=\"__wpf_form_id\" value=\"35\" \/>\n                <input type=\"hidden\" name=\"__wpf_current_url\" value=\"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/pages\/929\/\">\n                <input type=\"hidden\" name=\"__wpf_current_page_id\" value=\"929\">\n                                    <div condition_id=\"custom_html\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles first-box-title\">\n    <span>Applicant Information<\/span>\n    <p class=\"form-box-title-desc\"> Fill out the ESTA Visa form below and make sure the information is correct.<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\" data-element_type=\"file_upload_input\" class=\"wpf_form_group wpf_item_file_upload_input\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_file_upload_input\" >Upload a picture of your passport. For accurate results, make sure the MRZ is contained within the full width of the photograph and the photograph is not blurry.  <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content wpf_file_upload_wrapper dropzone dropzone_parent\">\n                <input  data-target_name=\"file_upload_input\" type=\"file\" accept=\".jpg,.jpeg,.gif,.png,.bmp\" data-max_files=\"2\" data-max_file_size=\"15\" data-associate_key=\"__file_upload_input_files\" data-btn_txt=\"Drag &amp;amp; Drop your files or Browse. Max file size up to 15 MB.\" data-upload_token=\"1780705374:91bf2348943128fb3594ae5b146c92c19a848fc99e49de2ce429c720532ea28b\" class=\"wpf_form_control wpf_file_upload_element\" id=\"wpf_input_35_file_upload_input\" multiple=\"true\" name=\"file_upload_input\"  \/>\n                <input  type=\"hidden\" name=\"file_upload_input\" value=\"__file_upload_input_files\" data-required=\"yes\" data-type=\"file_upload\" condition_id=\"file_upload_input\"  \/>\n            <\/div>\n            <div class=\"upload_error_message\"><\/div>\n        <\/div>\n        <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_1\" >Last Name <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_name_1\" condition_id=\"customer_name_1\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_1\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name\" >First Name <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_name\" condition_id=\"customer_name\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_2\" >Gender <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_2\" class=\"wpf_form_control\" id=\"wpf_input_35_select_2\" required=\"1\" >\n                                                                                        <option  value=\"Select\" >Select<\/option>\n                                                                    <option  value=\"Female\" >Female<\/option>\n                                                                    <option  value=\"Male\" >Male<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style = \"display : block\" id=\"wpf_date\" data-element_type=\"date\"\n             class=\"wpf_form_group wpf_item_date\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_date\" >Birthday <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"date\" placeholder=\"\" value=\"\" type=\"text\" id=\"wpf_input_35_date\" class=\"wpf_form_control wpf_date_field\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text\" >City of Birth <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text\" condition_id=\"text\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_1\" >Country of Birth <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_1\" class=\"wpf_form_control\" id=\"wpf_input_35_select_1\" required=\"1\" >\n                                                                                        <option  value=\"Select\" >Select<\/option>\n                                                                    <option  value=\"Afghanistan\" >Afghanistan<\/option>\n                                                                    <option  value=\"Albania\" >Albania<\/option>\n                                                                    <option  value=\"Algeria\" >Algeria<\/option>\n                                                                    <option  value=\"Andorra\" >Andorra<\/option>\n                                                                    <option  value=\"Angola\" >Angola<\/option>\n                                                                    <option  value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option>\n                                                                    <option  value=\"Argentina\" >Argentina<\/option>\n                                                                    <option  value=\"Armenia\" >Armenia<\/option>\n                                                                    <option  value=\"Azerbaijan\" >Azerbaijan<\/option>\n                                                                    <option  value=\"Australia\" >Australia<\/option>\n                                                                    <option  value=\"B\" >B<\/option>\n                                                                    <option  value=\"Bahamas\" >Bahamas<\/option>\n                                                                    <option  value=\"Bahrain\" >Bahrain<\/option>\n                                                                    <option  value=\"Bangladesh\" >Bangladesh<\/option>\n                                                                    <option  value=\"Barbados\" >Barbados<\/option>\n                                                                    <option  value=\"Belgium\" >Belgium<\/option>\n                                                                    <option  value=\"Belize\" >Belize<\/option>\n                                                                    <option  value=\"Benin\" >Benin<\/option>\n                                                                    <option  value=\"Bhutan\" >Bhutan<\/option>\n                                                                    <option  value=\"Bolivia\" >Bolivia<\/option>\n                                                                    <option  value=\"Bosnia Herzegovina\" >Bosnia Herzegovina<\/option>\n                                                                    <option  value=\"Botswana\" >Botswana<\/option>\n                                                                    <option  value=\"Brazil\" >Brazil<\/option>\n                                                                    <option  value=\"Brunei\" >Brunei<\/option>\n                                                                    <option  value=\"Bulgaria\" >Bulgaria<\/option>\n                                                                    <option  value=\"Burkina Faso\" >Burkina Faso<\/option>\n                                                                    <option  value=\"Burundi\" >Burundi<\/option>\n                                                                    <option  value=\"C\" >C<\/option>\n                                                                    <option  value=\"Cambodia\" >Cambodia<\/option>\n                                                                    <option  value=\"Cameroun\" >Cameroun<\/option>\n                                                                    <option  value=\"Canada\" >Canada<\/option>\n                                                                    <option  value=\"Chad\" >Chad<\/option>\n                                                                    <option  value=\"Chile\" >Chile<\/option>\n                                                                    <option  value=\"Colombia\" >Colombia<\/option>\n                                                                    <option  value=\"Comorene\" >Comorene<\/option>\n                                                                    <option  value=\"Congo\" >Congo<\/option>\n                                                                    <option  value=\"Cook Islands\" >Cook Islands<\/option>\n                                                                    <option  value=\"Costa Rica\" >Costa Rica<\/option>\n                                                                    <option  value=\"Cuba\" >Cuba<\/option>\n                                                                    <option  value=\"Cyprus\" >Cyprus<\/option>\n                                                                    <option  value=\"D\" >D<\/option>\n                                                                    <option  value=\"Denmark\" >Denmark<\/option>\n                                                                    <option  value=\"Central African Republic\" >Central African Republic<\/option>\n                                                                    <option  value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option>\n                                                                    <option  value=\"Djibouti\" >Djibouti<\/option>\n                                                                    <option  value=\"Dominica\" >Dominica<\/option>\n                                                                    <option  value=\"Dominican Republic\" >Dominican Republic<\/option>\n                                                                    <option  value=\"E\" >E<\/option>\n                                                                    <option  value=\"Ecuador\" >Ecuador<\/option>\n                                                                    <option  value=\"Egypt\" >Egypt<\/option>\n                                                                    <option  value=\"El Salvador\" >El Salvador<\/option>\n                                                                    <option  value=\"Eritrea\" >Eritrea<\/option>\n                                                                    <option  value=\"Estonia\" >Estonia<\/option>\n                                                                    <option  value=\"Ethiopia\" >Ethiopia<\/option>\n                                                                    <option  value=\"F\" >F<\/option>\n                                                                    <option  value=\"Fiji\" >Fiji<\/option>\n                                                                    <option  value=\"Finland\" >Finland<\/option>\n                                                                    <option  value=\"Forenede Arabiske Emirater\" >Forenede Arabiske Emirater<\/option>\n                                                                    <option  value=\"Frankrig\" >Frankrig<\/option>\n                                                                    <option  value=\"G\" >G<\/option>\n                                                                    <option  value=\"Gabon\" >Gabon<\/option>\n                                                                    <option  value=\"Gambia\" >Gambia<\/option>\n                                                                    <option  value=\"Georgien\" >Georgien<\/option>\n                                                                    <option  value=\"Ghana\" >Ghana<\/option>\n                                                                    <option  value=\"Grenada\" >Grenada<\/option>\n                                                                    <option  value=\"Gr\u00e6kenland\" >Gr\u00e6kenland<\/option>\n                                                                    <option  value=\"Guatemala\" >Guatemala<\/option>\n                                                                    <option  value=\"Guinea\" >Guinea<\/option>\n                                                                    <option  value=\"Guinea-Bissau\" >Guinea-Bissau<\/option>\n                                                                    <option  value=\"Guyana\" >Guyana<\/option>\n                                                                    <option  value=\"H\" >H<\/option>\n                                                                    <option  value=\"Haiti\" >Haiti<\/option>\n                                                                    <option  value=\"Holland\" >Holland<\/option>\n                                                                    <option  value=\"Honduras\" >Honduras<\/option>\n                                                                    <option  value=\"Hviderusland (Belarus)\" >Hviderusland (Belarus)<\/option>\n                                                                    <option  value=\"I\" >I<\/option>\n                                                                    <option  value=\"Indien\" >Indien<\/option>\n                                                                    <option  value=\"Indonesien\" >Indonesien<\/option>\n                                                                    <option  value=\"Irak\" >Irak<\/option>\n                                                                    <option  value=\"Iran\" >Iran<\/option>\n                                                                    <option  value=\"Irland\" >Irland<\/option>\n                                                                    <option  value=\"Island\" >Island<\/option>\n                                                                    <option  value=\"Israel\" >Israel<\/option>\n                                                                    <option  value=\"Italien\" >Italien<\/option>\n                                                                    <option  value=\"Ivory Coast\" >Ivory Coast<\/option>\n                                                                    <option  value=\"J\" >J<\/option>\n                                                                    <option  value=\"Jamaica\" >Jamaica<\/option>\n                                                                    <option  value=\"Japan\" >Japan<\/option>\n                                                                    <option  value=\"Jordan\" >Jordan<\/option>\n                                                                    <option  value=\"K\" >K<\/option>\n                                                                    <option  value=\"Kap Verde\" >Kap Verde<\/option>\n                                                                    <option  value=\"Kasakhstan\" >Kasakhstan<\/option>\n                                                                    <option  value=\"Kenya\" >Kenya<\/option>\n                                                                    <option  value=\"Kina\" >Kina<\/option>\n                                                                    <option  value=\"Kirgisistan\" >Kirgisistan<\/option>\n                                                                    <option  value=\"Kiribati\" >Kiribati<\/option>\n                                                                    <option  value=\"Kosovo\" >Kosovo<\/option>\n                                                                    <option  value=\"Kroatien\" >Kroatien<\/option>\n                                                                    <option  value=\"Kuwait\" >Kuwait<\/option>\n                                                                    <option  value=\"L\" >L<\/option>\n                                                                    <option  value=\"Laos\" >Laos<\/option>\n                                                                    <option  value=\"Lesotho\" >Lesotho<\/option>\n                                                                    <option  value=\"Letland\" >Letland<\/option>\n                                                                    <option  value=\"Libanon\" >Libanon<\/option>\n                                                                    <option  value=\"Liberia\" >Liberia<\/option>\n                                                                    <option  value=\"Libyen\" >Libyen<\/option>\n                                                                    <option  value=\"Liechtenstein\" >Liechtenstein<\/option>\n                                                                    <option  value=\"Litauen\" >Litauen<\/option>\n                                                                    <option  value=\"Luxembourg\" >Luxembourg<\/option>\n                                                                    <option  value=\"M\" >M<\/option>\n                                                                    <option  value=\"Madagaskar\" >Madagaskar<\/option>\n                                                                    <option  value=\"Makedonien\" >Makedonien<\/option>\n                                                                    <option  value=\"Malawi\" >Malawi<\/option>\n                                                                    <option  value=\"Malaysia\" >Malaysia<\/option>\n                                                                    <option  value=\"Maldiverne\" >Maldiverne<\/option>\n                                                                    <option  value=\"Mali\" >Mali<\/option>\n                                                                    <option  value=\"Malta\" >Malta<\/option>\n                                                                    <option  value=\"Marokko\" >Marokko<\/option>\n                                                                    <option  value=\"Marshall\u00f8erne\" >Marshall\u00f8erne<\/option>\n                                                                    <option  value=\"Mauritania\" >Mauritania<\/option>\n                                                                    <option  value=\"Mauritius\" >Mauritius<\/option>\n                                                                    <option  value=\"Mexico\" >Mexico<\/option>\n                                                                    <option  value=\"Mikronesien\" >Mikronesien<\/option>\n                                                                    <option  value=\"Moldova\" >Moldova<\/option>\n                                                                    <option  value=\"Monaco\" >Monaco<\/option>\n                                                                    <option  value=\"Mongoliet\" >Mongoliet<\/option>\n                                                                    <option  value=\"Montenegro\" >Montenegro<\/option>\n                                                                    <option  value=\"Mozambique\" >Mozambique<\/option>\n                                                                    <option  value=\"Myanmar (Burma)\" >Myanmar (Burma)<\/option>\n                                                                    <option  value=\"N\" >N<\/option>\n                                                                    <option  value=\"Namibia\" >Namibia<\/option>\n                                                                    <option  value=\"Nauru\" >Nauru<\/option>\n                                                                    <option  value=\"Nepal\" >Nepal<\/option>\n                                                                    <option  value=\"New Zealand\" >New Zealand<\/option>\n                                                                    <option  value=\"Nicaragua\" >Nicaragua<\/option>\n                                                                    <option  value=\"Niger\" >Niger<\/option>\n                                                                    <option  value=\"Nigeria\" >Nigeria<\/option>\n                                                                    <option  value=\"Niue\" >Niue<\/option>\n                                                                    <option  value=\"Nordkorea\" >Nordkorea<\/option>\n                                                                    <option  value=\"Norge\" >Norge<\/option>\n                                                                    <option  value=\"O\" >O<\/option>\n                                                                    <option  value=\"Oman\" >Oman<\/option>\n                                                                    <option  value=\"P\" >P<\/option>\n                                                                    <option  value=\"Pakistan\" >Pakistan<\/option>\n                                                                    <option  value=\"Palau\" >Palau<\/option>\n                                                                    <option  value=\"Pal\u00e6stina\" >Pal\u00e6stina<\/option>\n                                                                    <option  value=\"Panama\" >Panama<\/option>\n                                                                    <option  value=\"Papua Ny Guinea\" >Papua Ny Guinea<\/option>\n                                                                    <option  value=\"Paraguay\" >Paraguay<\/option>\n                                                                    <option  value=\"Peru\" >Peru<\/option>\n                                                                    <option  value=\"Phillipines\" >Phillipines<\/option>\n                                                                    <option  value=\"Polen\" >Polen<\/option>\n                                                                    <option  value=\"Portugal\" >Portugal<\/option>\n                                                                    <option  value=\"Q\" >Q<\/option>\n                                                                    <option  value=\"Qatar\" >Qatar<\/option>\n                                                                    <option  value=\"R\" >R<\/option>\n                                                                    <option  value=\"Rum\u00e6nien\" >Rum\u00e6nien<\/option>\n                                                                    <option  value=\"Rusland\" >Rusland<\/option>\n                                                                    <option  value=\"Rwanda\" >Rwanda<\/option>\n                                                                    <option  value=\"S\" >S<\/option>\n                                                                    <option  value=\"Saint Kitts og Nevis\" >Saint Kitts og Nevis<\/option>\n                                                                    <option  value=\"Saint Lucia\" >Saint Lucia<\/option>\n                                                                    <option  value=\"Saint Vincent og Grenadinerne\" >Saint Vincent og Grenadinerne<\/option>\n                                                                    <option  value=\"Salomon\u00f8erne\" >Salomon\u00f8erne<\/option>\n                                                                    <option  value=\"Samoa\" >Samoa<\/option>\n                                                                    <option  value=\"San Marino\" >San Marino<\/option>\n                                                                    <option  value=\"Saudi-Arabien\" >Saudi-Arabien<\/option>\n                                                                    <option  value=\"Schweiz\" >Schweiz<\/option>\n                                                                    <option  value=\"Senegal\" >Senegal<\/option>\n                                                                    <option  value=\"Serbien\" >Serbien<\/option>\n                                                                    <option  value=\"Seychellerne\" >Seychellerne<\/option>\n                                                                    <option  value=\"Sierra Leone\" >Sierra Leone<\/option>\n                                                                    <option  value=\"Singapore\" >Singapore<\/option>\n                                                                    <option  value=\"Slovakiet\" >Slovakiet<\/option>\n                                                                    <option  value=\"Slovenien\" >Slovenien<\/option>\n                                                                    <option  value=\"Somalia\" >Somalia<\/option>\n                                                                    <option  value=\"Spanien\" >Spanien<\/option>\n                                                                    <option  value=\"Sri Lanka\" >Sri Lanka<\/option>\n                                                                    <option  value=\"Storbritannien\" >Storbritannien<\/option>\n                                                                    <option  value=\"Sudan\" >Sudan<\/option>\n                                                                    <option  value=\"Surinam\" >Surinam<\/option>\n                                                                    <option  value=\"Sverige\" >Sverige<\/option>\n                                                                    <option  value=\"Swaziland\" >Swaziland<\/option>\n                                                                    <option  value=\"Sydafrika\" >Sydafrika<\/option>\n                                                                    <option  value=\"Sydkorea\" >Sydkorea<\/option>\n                                                                    <option  value=\"Sydsudan\" >Sydsudan<\/option>\n                                                                    <option  value=\"Syrien\" >Syrien<\/option>\n                                                                    <option  value=\"S\u00e3o Tom\u00e9 og Pr\u00edncipe\" >S\u00e3o Tom\u00e9 og Pr\u00edncipe<\/option>\n                                                                    <option  value=\"T\" >T<\/option>\n                                                                    <option  value=\"Tadsjikistan\" >Tadsjikistan<\/option>\n                                                                    <option  value=\"Taiwan\" >Taiwan<\/option>\n                                                                    <option  value=\"Tanzania\" >Tanzania<\/option>\n                                                                    <option  value=\"Thailand\" >Thailand<\/option>\n                                                                    <option  value=\"Tjekkiet\" >Tjekkiet<\/option>\n                                                                    <option  value=\"Togo\" >Togo<\/option>\n                                                                    <option  value=\"Tonga\" >Tonga<\/option>\n                                                                    <option  value=\"Trinidad og Tobago\" >Trinidad og Tobago<\/option>\n                                                                    <option  value=\"Tunesien\" >Tunesien<\/option>\n                                                                    <option  value=\"Turkmenistan\" >Turkmenistan<\/option>\n                                                                    <option  value=\"Tuvalu\" >Tuvalu<\/option>\n                                                                    <option  value=\"Tyrkiet\" >Tyrkiet<\/option>\n                                                                    <option  value=\"Tyskland\" >Tyskland<\/option>\n                                                                    <option  value=\"U\" >U<\/option>\n                                                                    <option  value=\"Uganda\" >Uganda<\/option>\n                                                                    <option  value=\"Ukraine\" >Ukraine<\/option>\n                                                                    <option  value=\"Ungarn\" >Ungarn<\/option>\n                                                                    <option  value=\"Uruguay\" >Uruguay<\/option>\n                                                                    <option  value=\"USA\" >USA<\/option>\n                                                                    <option  value=\"Usbekistan\" >Usbekistan<\/option>\n                                                                    <option  value=\"V\" >V<\/option>\n                                                                    <option  value=\"Vanuatu\" >Vanuatu<\/option>\n                                                                    <option  value=\"Vatikanstaten\" >Vatikanstaten<\/option>\n                                                                    <option  value=\"Venezuela\" >Venezuela<\/option>\n                                                                    <option  value=\"Vestsahara\" >Vestsahara<\/option>\n                                                                    <option  value=\"Vietnam\" >Vietnam<\/option>\n                                                                    <option  value=\"Y\" >Y<\/option>\n                                                                    <option  value=\"Yemen\" >Yemen<\/option>\n                                                                    <option  value=\"Z\" >Z<\/option>\n                                                                    <option  value=\"Zambia\" >Zambia<\/option>\n                                                                    <option  value=\"Zimbabwe\" >Zimbabwe<\/option>\n                                                                    <option  value=\"\u00c6\" >\u00c6<\/option>\n                                                                    <option  value=\"\u00c6kvatorialguinea\" >\u00c6kvatorialguinea<\/option>\n                                                                    <option  value=\"\u00d8\" >\u00d8<\/option>\n                                                                    <option  value=\"\u00d8strig\" >\u00d8strig<\/option>\n                                                                    <option  value=\"\u00d8sttimor\" >\u00d8sttimor<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_8\" >Country of Which You Are a National <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_8\" class=\"wpf_form_control\" id=\"wpf_input_35_select_8\" required=\"1\" >\n                                                                                        <option  value=\"Select\" >Select<\/option>\n                                                                    <option  value=\"Afghanistan\" >Afghanistan<\/option>\n                                                                    <option  value=\"Albania\" >Albania<\/option>\n                                                                    <option  value=\"Algeria\" >Algeria<\/option>\n                                                                    <option  value=\"Andorra\" >Andorra<\/option>\n                                                                    <option  value=\"Angola\" >Angola<\/option>\n                                                                    <option  value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option>\n                                                                    <option  value=\"Argentina\" >Argentina<\/option>\n                                                                    <option  value=\"Armenia\" >Armenia<\/option>\n                                                                    <option  value=\"Azerbaijan\" >Azerbaijan<\/option>\n                                                                    <option  value=\"Australia\" >Australia<\/option>\n                                                                    <option  value=\"B\" >B<\/option>\n                                                                    <option  value=\"Bahamas\" >Bahamas<\/option>\n                                                                    <option  value=\"Bahrain\" >Bahrain<\/option>\n                                                                    <option  value=\"Bangladesh\" >Bangladesh<\/option>\n                                                                    <option  value=\"Barbados\" >Barbados<\/option>\n                                                                    <option  value=\"Belgium\" >Belgium<\/option>\n                                                                    <option  value=\"Belize\" >Belize<\/option>\n                                                                    <option  value=\"Benin\" >Benin<\/option>\n                                                                    <option  value=\"Bhutan\" >Bhutan<\/option>\n                                                                    <option  value=\"Bolivia\" >Bolivia<\/option>\n                                                                    <option  value=\"Bosnia Herzegovina\" >Bosnia Herzegovina<\/option>\n                                                                    <option  value=\"Botswana\" >Botswana<\/option>\n                                                                    <option  value=\"Brazil\" >Brazil<\/option>\n                                                                    <option  value=\"Brunei\" >Brunei<\/option>\n                                                                    <option  value=\"Bulgaria\" >Bulgaria<\/option>\n                                                                    <option  value=\"Burkina Faso\" >Burkina Faso<\/option>\n                                                                    <option  value=\"Burundi\" >Burundi<\/option>\n                                                                    <option  value=\"C\" >C<\/option>\n                                                                    <option  value=\"Cambodia\" >Cambodia<\/option>\n                                                                    <option  value=\"Cameroun\" >Cameroun<\/option>\n                                                                    <option  value=\"Canada\" >Canada<\/option>\n                                                                    <option  value=\"Chad\" >Chad<\/option>\n                                                                    <option  value=\"Chile\" >Chile<\/option>\n                                                                    <option  value=\"Colombia\" >Colombia<\/option>\n                                                                    <option  value=\"Comorene\" >Comorene<\/option>\n                                                                    <option  value=\"Congo\" >Congo<\/option>\n                                                                    <option  value=\"Cook Islands\" >Cook Islands<\/option>\n                                                                    <option  value=\"Costa Rica\" >Costa Rica<\/option>\n                                                                    <option  value=\"Cuba\" >Cuba<\/option>\n                                                                    <option  value=\"Cyprus\" >Cyprus<\/option>\n                                                                    <option  value=\"D\" >D<\/option>\n                                                                    <option  value=\"Denmark\" >Denmark<\/option>\n                                                                    <option  value=\"Central African Republic\" >Central African Republic<\/option>\n                                                                    <option  value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option>\n                                                                    <option  value=\"Djibouti\" >Djibouti<\/option>\n                                                                    <option  value=\"Dominica\" >Dominica<\/option>\n                                                                    <option  value=\"Dominican Republic\" >Dominican Republic<\/option>\n                                                                    <option  value=\"E\" >E<\/option>\n                                                                    <option  value=\"Ecuador\" >Ecuador<\/option>\n                                                                    <option  value=\"Egypt\" >Egypt<\/option>\n                                                                    <option  value=\"El Salvador\" >El Salvador<\/option>\n                                                                    <option  value=\"Eritrea\" >Eritrea<\/option>\n                                                                    <option  value=\"Estonia\" >Estonia<\/option>\n                                                                    <option  value=\"Ethiopia\" >Ethiopia<\/option>\n                                                                    <option  value=\"F\" >F<\/option>\n                                                                    <option  value=\"Fiji\" >Fiji<\/option>\n                                                                    <option  value=\"Finland\" >Finland<\/option>\n                                                                    <option  value=\"Forenede Arabiske Emirater\" >Forenede Arabiske Emirater<\/option>\n                                                                    <option  value=\"Frankrig\" >Frankrig<\/option>\n                                                                    <option  value=\"G\" >G<\/option>\n                                                                    <option  value=\"Gabon\" >Gabon<\/option>\n                                                                    <option  value=\"Gambia\" >Gambia<\/option>\n                                                                    <option  value=\"Georgien\" >Georgien<\/option>\n                                                                    <option  value=\"Ghana\" >Ghana<\/option>\n                                                                    <option  value=\"Grenada\" >Grenada<\/option>\n                                                                    <option  value=\"Gr\u00e6kenland\" >Gr\u00e6kenland<\/option>\n                                                                    <option  value=\"Guatemala\" >Guatemala<\/option>\n                                                                    <option  value=\"Guinea\" >Guinea<\/option>\n                                                                    <option  value=\"Guinea-Bissau\" >Guinea-Bissau<\/option>\n                                                                    <option  value=\"Guyana\" >Guyana<\/option>\n                                                                    <option  value=\"H\" >H<\/option>\n                                                                    <option  value=\"Haiti\" >Haiti<\/option>\n                                                                    <option  value=\"Holland\" >Holland<\/option>\n                                                                    <option  value=\"Honduras\" >Honduras<\/option>\n                                                                    <option  value=\"Hviderusland (Belarus)\" >Hviderusland (Belarus)<\/option>\n                                                                    <option  value=\"I\" >I<\/option>\n                                                                    <option  value=\"Indien\" >Indien<\/option>\n                                                                    <option  value=\"Indonesien\" >Indonesien<\/option>\n                                                                    <option  value=\"Irak\" >Irak<\/option>\n                                                                    <option  value=\"Iran\" >Iran<\/option>\n                                                                    <option  value=\"Irland\" >Irland<\/option>\n                                                                    <option  value=\"Island\" >Island<\/option>\n                                                                    <option  value=\"Israel\" >Israel<\/option>\n                                                                    <option  value=\"Italien\" >Italien<\/option>\n                                                                    <option  value=\"Ivory Coast\" >Ivory Coast<\/option>\n                                                                    <option  value=\"J\" >J<\/option>\n                                                                    <option  value=\"Jamaica\" >Jamaica<\/option>\n                                                                    <option  value=\"Japan\" >Japan<\/option>\n                                                                    <option  value=\"Jordan\" >Jordan<\/option>\n                                                                    <option  value=\"K\" >K<\/option>\n                                                                    <option  value=\"Kap Verde\" >Kap Verde<\/option>\n                                                                    <option  value=\"Kasakhstan\" >Kasakhstan<\/option>\n                                                                    <option  value=\"Kenya\" >Kenya<\/option>\n                                                                    <option  value=\"Kina\" >Kina<\/option>\n                                                                    <option  value=\"Kirgisistan\" >Kirgisistan<\/option>\n                                                                    <option  value=\"Kiribati\" >Kiribati<\/option>\n                                                                    <option  value=\"Kosovo\" >Kosovo<\/option>\n                                                                    <option  value=\"Kroatien\" >Kroatien<\/option>\n                                                                    <option  value=\"Kuwait\" >Kuwait<\/option>\n                                                                    <option  value=\"L\" >L<\/option>\n                                                                    <option  value=\"Laos\" >Laos<\/option>\n                                                                    <option  value=\"Lesotho\" >Lesotho<\/option>\n                                                                    <option  value=\"Letland\" >Letland<\/option>\n                                                                    <option  value=\"Libanon\" >Libanon<\/option>\n                                                                    <option  value=\"Liberia\" >Liberia<\/option>\n                                                                    <option  value=\"Libyen\" >Libyen<\/option>\n                                                                    <option  value=\"Liechtenstein\" >Liechtenstein<\/option>\n                                                                    <option  value=\"Litauen\" >Litauen<\/option>\n                                                                    <option  value=\"Luxembourg\" >Luxembourg<\/option>\n                                                                    <option  value=\"M\" >M<\/option>\n                                                                    <option  value=\"Madagaskar\" >Madagaskar<\/option>\n                                                                    <option  value=\"Makedonien\" >Makedonien<\/option>\n                                                                    <option  value=\"Malawi\" >Malawi<\/option>\n                                                                    <option  value=\"Malaysia\" >Malaysia<\/option>\n                                                                    <option  value=\"Maldiverne\" >Maldiverne<\/option>\n                                                                    <option  value=\"Mali\" >Mali<\/option>\n                                                                    <option  value=\"Malta\" >Malta<\/option>\n                                                                    <option  value=\"Marokko\" >Marokko<\/option>\n                                                                    <option  value=\"Marshall\u00f8erne\" >Marshall\u00f8erne<\/option>\n                                                                    <option  value=\"Mauritania\" >Mauritania<\/option>\n                                                                    <option  value=\"Mauritius\" >Mauritius<\/option>\n                                                                    <option  value=\"Mexico\" >Mexico<\/option>\n                                                                    <option  value=\"Mikronesien\" >Mikronesien<\/option>\n                                                                    <option  value=\"Moldova\" >Moldova<\/option>\n                                                                    <option  value=\"Monaco\" >Monaco<\/option>\n                                                                    <option  value=\"Mongoliet\" >Mongoliet<\/option>\n                                                                    <option  value=\"Montenegro\" >Montenegro<\/option>\n                                                                    <option  value=\"Mozambique\" >Mozambique<\/option>\n                                                                    <option  value=\"Myanmar (Burma)\" >Myanmar (Burma)<\/option>\n                                                                    <option  value=\"N\" >N<\/option>\n                                                                    <option  value=\"Namibia\" >Namibia<\/option>\n                                                                    <option  value=\"Nauru\" >Nauru<\/option>\n                                                                    <option  value=\"Nepal\" >Nepal<\/option>\n                                                                    <option  value=\"New Zealand\" >New Zealand<\/option>\n                                                                    <option  value=\"Nicaragua\" >Nicaragua<\/option>\n                                                                    <option  value=\"Niger\" >Niger<\/option>\n                                                                    <option  value=\"Nigeria\" >Nigeria<\/option>\n                                                                    <option  value=\"Niue\" >Niue<\/option>\n                                                                    <option  value=\"Nordkorea\" >Nordkorea<\/option>\n                                                                    <option  value=\"Norge\" >Norge<\/option>\n                                                                    <option  value=\"O\" >O<\/option>\n                                                                    <option  value=\"Oman\" >Oman<\/option>\n                                                                    <option  value=\"P\" >P<\/option>\n                                                                    <option  value=\"Pakistan\" >Pakistan<\/option>\n                                                                    <option  value=\"Palau\" >Palau<\/option>\n                                                                    <option  value=\"Pal\u00e6stina\" >Pal\u00e6stina<\/option>\n                                                                    <option  value=\"Panama\" >Panama<\/option>\n                                                                    <option  value=\"Papua Ny Guinea\" >Papua Ny Guinea<\/option>\n                                                                    <option  value=\"Paraguay\" >Paraguay<\/option>\n                                                                    <option  value=\"Peru\" >Peru<\/option>\n                                                                    <option  value=\"Phillipines\" >Phillipines<\/option>\n                                                                    <option  value=\"Polen\" >Polen<\/option>\n                                                                    <option  value=\"Portugal\" >Portugal<\/option>\n                                                                    <option  value=\"Q\" >Q<\/option>\n                                                                    <option  value=\"Qatar\" >Qatar<\/option>\n                                                                    <option  value=\"R\" >R<\/option>\n                                                                    <option  value=\"Rum\u00e6nien\" >Rum\u00e6nien<\/option>\n                                                                    <option  value=\"Rusland\" >Rusland<\/option>\n                                                                    <option  value=\"Rwanda\" >Rwanda<\/option>\n                                                                    <option  value=\"S\" >S<\/option>\n                                                                    <option  value=\"Saint Kitts og Nevis\" >Saint Kitts og Nevis<\/option>\n                                                                    <option  value=\"Saint Lucia\" >Saint Lucia<\/option>\n                                                                    <option  value=\"Saint Vincent og Grenadinerne\" >Saint Vincent og Grenadinerne<\/option>\n                                                                    <option  value=\"Salomon\u00f8erne\" >Salomon\u00f8erne<\/option>\n                                                                    <option  value=\"Samoa\" >Samoa<\/option>\n                                                                    <option  value=\"San Marino\" >San Marino<\/option>\n                                                                    <option  value=\"Saudi-Arabien\" >Saudi-Arabien<\/option>\n                                                                    <option  value=\"Schweiz\" >Schweiz<\/option>\n                                                                    <option  value=\"Senegal\" >Senegal<\/option>\n                                                                    <option  value=\"Serbien\" >Serbien<\/option>\n                                                                    <option  value=\"Seychellerne\" >Seychellerne<\/option>\n                                                                    <option  value=\"Sierra Leone\" >Sierra Leone<\/option>\n                                                                    <option  value=\"Singapore\" >Singapore<\/option>\n                                                                    <option  value=\"Slovakiet\" >Slovakiet<\/option>\n                                                                    <option  value=\"Slovenien\" >Slovenien<\/option>\n                                                                    <option  value=\"Somalia\" >Somalia<\/option>\n                                                                    <option  value=\"Spanien\" >Spanien<\/option>\n                                                                    <option  value=\"Sri Lanka\" >Sri Lanka<\/option>\n                                                                    <option  value=\"Storbritannien\" >Storbritannien<\/option>\n                                                                    <option  value=\"Sudan\" >Sudan<\/option>\n                                                                    <option  value=\"Surinam\" >Surinam<\/option>\n                                                                    <option  value=\"Sverige\" >Sverige<\/option>\n                                                                    <option  value=\"Swaziland\" >Swaziland<\/option>\n                                                                    <option  value=\"Sydafrika\" >Sydafrika<\/option>\n                                                                    <option  value=\"Sydkorea\" >Sydkorea<\/option>\n                                                                    <option  value=\"Sydsudan\" >Sydsudan<\/option>\n                                                                    <option  value=\"Syrien\" >Syrien<\/option>\n                                                                    <option  value=\"S\u00e3o Tom\u00e9 og Pr\u00edncipe\" >S\u00e3o Tom\u00e9 og Pr\u00edncipe<\/option>\n                                                                    <option  value=\"T\" >T<\/option>\n                                                                    <option  value=\"Tadsjikistan\" >Tadsjikistan<\/option>\n                                                                    <option  value=\"Taiwan\" >Taiwan<\/option>\n                                                                    <option  value=\"Tanzania\" >Tanzania<\/option>\n                                                                    <option  value=\"Thailand\" >Thailand<\/option>\n                                                                    <option  value=\"Tjekkiet\" >Tjekkiet<\/option>\n                                                                    <option  value=\"Togo\" >Togo<\/option>\n                                                                    <option  value=\"Tonga\" >Tonga<\/option>\n                                                                    <option  value=\"Trinidad og Tobago\" >Trinidad og Tobago<\/option>\n                                                                    <option  value=\"Tunesien\" >Tunesien<\/option>\n                                                                    <option  value=\"Turkmenistan\" >Turkmenistan<\/option>\n                                                                    <option  value=\"Tuvalu\" >Tuvalu<\/option>\n                                                                    <option  value=\"Tyrkiet\" >Tyrkiet<\/option>\n                                                                    <option  value=\"Tyskland\" >Tyskland<\/option>\n                                                                    <option  value=\"U\" >U<\/option>\n                                                                    <option  value=\"Uganda\" >Uganda<\/option>\n                                                                    <option  value=\"Ukraine\" >Ukraine<\/option>\n                                                                    <option  value=\"Ungarn\" >Ungarn<\/option>\n                                                                    <option  value=\"Uruguay\" >Uruguay<\/option>\n                                                                    <option  value=\"USA\" >USA<\/option>\n                                                                    <option  value=\"Usbekistan\" >Usbekistan<\/option>\n                                                                    <option  value=\"V\" >V<\/option>\n                                                                    <option  value=\"Vanuatu\" >Vanuatu<\/option>\n                                                                    <option  value=\"Vatikanstaten\" >Vatikanstaten<\/option>\n                                                                    <option  value=\"Venezuela\" >Venezuela<\/option>\n                                                                    <option  value=\"Vestsahara\" >Vestsahara<\/option>\n                                                                    <option  value=\"Vietnam\" >Vietnam<\/option>\n                                                                    <option  value=\"Y\" >Y<\/option>\n                                                                    <option  value=\"Yemen\" >Yemen<\/option>\n                                                                    <option  value=\"Z\" >Z<\/option>\n                                                                    <option  value=\"Zambia\" >Zambia<\/option>\n                                                                    <option  value=\"Zimbabwe\" >Zimbabwe<\/option>\n                                                                    <option  value=\"\u00c6\" >\u00c6<\/option>\n                                                                    <option  value=\"\u00c6kvatorialguinea\" >\u00c6kvatorialguinea<\/option>\n                                                                    <option  value=\"\u00d8\" >\u00d8<\/option>\n                                                                    <option  value=\"\u00d8strig\" >\u00d8strig<\/option>\n                                                                    <option  value=\"\u00d8sttimor\" >\u00d8sttimor<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_4\" >Passport Number <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text_4\" condition_id=\"text_4\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_4\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div style = \"display : block\" id=\"wpf_date\" data-element_type=\"date\"\n             class=\"wpf_form_group wpf_item_date\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_date_1\" >Passport Issue Date <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"date_1\" placeholder=\"\" value=\"\" type=\"text\" id=\"wpf_input_35_date_1\" class=\"wpf_form_control wpf_date_field\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div style = \"display : block\" id=\"wpf_date\" data-element_type=\"date\"\n             class=\"wpf_form_group wpf_item_date\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_date_2\" >Passport Expiration Date <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"date_2\" placeholder=\"\" value=\"\" type=\"text\" id=\"wpf_input_35_date_2\" class=\"wpf_form_control wpf_date_field\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_9\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Are you a member of CBP Global Entry?<\/span>\n    <p class=\"form-box-title-desc\">Fill in below if YES (ONLY FOR MEMBERS OF CBP).<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_3\" >Are you a member of the CBP Global Entry program?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_3\" class=\"wpf_form_control\" id=\"wpf_input_35_select_3\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_10\" >If YES to the members of CBP GLobal please write your PASSID \/ member number here<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_10\" condition_id=\"text_10\" placeholder=\"PASSID \/ Membership Number\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_10\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_10\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Are you known by another Name \/ Alias<\/span>\n    <p class=\"form-box-title-desc\">Only fill in below if YES<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select\" >Are they known by another name? <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select\" class=\"wpf_form_control\" id=\"wpf_input_35_select\" required=\"1\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_3\" >If Yes<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"customer_name_3\" condition_id=\"customer_name_3\" placeholder=\"Which?\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_3\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_3\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Other Citizenship \/ Other Nationality<\/span>\n    <p class=\"form-box-title-desc\">Fill in below if YES<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_9\" >Have you ever been issued a passport or a national identity card for travel use by another country?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_9\" class=\"wpf_form_control\" id=\"wpf_input_35_select_9\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_10\" >Are you currently a citizen of another country?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_10\" class=\"wpf_form_control\" id=\"wpf_input_35_select_10\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_11\" >Have you ever been a citizen of another country?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_11\" class=\"wpf_form_control\" id=\"wpf_input_35_select_11\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_7\" >Country from which the passport or ID is granted<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_7\" class=\"wpf_form_control\" id=\"wpf_input_35_select_7\" >\n                                                                                        <option  value=\"Select\" >Select<\/option>\n                                                                    <option  value=\"Denmark\" >Denmark<\/option>\n                                                                    <option  value=\"Afghanistan\" >Afghanistan<\/option>\n                                                                    <option  value=\"Albania\" >Albania<\/option>\n                                                                    <option  value=\"Algeria\" >Algeria<\/option>\n                                                                    <option  value=\"Andorra\" >Andorra<\/option>\n                                                                    <option  value=\"Angola\" >Angola<\/option>\n                                                                    <option  value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option>\n                                                                    <option  value=\"Argentina\" >Argentina<\/option>\n                                                                    <option  value=\"Armenia\" >Armenia<\/option>\n                                                                    <option  value=\"Azerbaijan\" >Azerbaijan<\/option>\n                                                                    <option  value=\"Australia\" >Australia<\/option>\n                                                                    <option  value=\"B\" >B<\/option>\n                                                                    <option  value=\"Bahamas\" >Bahamas<\/option>\n                                                                    <option  value=\"Bahrain\" >Bahrain<\/option>\n                                                                    <option  value=\"Bangladesh\" >Bangladesh<\/option>\n                                                                    <option  value=\"Barbados\" >Barbados<\/option>\n                                                                    <option  value=\"Belgium\" >Belgium<\/option>\n                                                                    <option  value=\"Belize\" >Belize<\/option>\n                                                                    <option  value=\"Benin\" >Benin<\/option>\n                                                                    <option  value=\"Bhutan\" >Bhutan<\/option>\n                                                                    <option  value=\"Bolivia\" >Bolivia<\/option>\n                                                                    <option  value=\"Bosnia Herzegovina\" >Bosnia Herzegovina<\/option>\n                                                                    <option  value=\"Botswana\" >Botswana<\/option>\n                                                                    <option  value=\"Brazil\" >Brazil<\/option>\n                                                                    <option  value=\"Brunei\" >Brunei<\/option>\n                                                                    <option  value=\"Bulgaria\" >Bulgaria<\/option>\n                                                                    <option  value=\"Burkina Faso\" >Burkina Faso<\/option>\n                                                                    <option  value=\"Burundi\" >Burundi<\/option>\n                                                                    <option  value=\"C\" >C<\/option>\n                                                                    <option  value=\"Cambodia\" >Cambodia<\/option>\n                                                                    <option  value=\"Cameroun\" >Cameroun<\/option>\n                                                                    <option  value=\"Canada\" >Canada<\/option>\n                                                                    <option  value=\"Chad\" >Chad<\/option>\n                                                                    <option  value=\"Chile\" >Chile<\/option>\n                                                                    <option  value=\"Colombia\" >Colombia<\/option>\n                                                                    <option  value=\"Comorene\" >Comorene<\/option>\n                                                                    <option  value=\"Congo\" >Congo<\/option>\n                                                                    <option  value=\"Cook Islands\" >Cook Islands<\/option>\n                                                                    <option  value=\"Costa Rica\" >Costa Rica<\/option>\n                                                                    <option  value=\"Cuba\" >Cuba<\/option>\n                                                                    <option  value=\"Cyprus\" >Cyprus<\/option>\n                                                                    <option  value=\"D\" >D<\/option>\n                                                                    <option  value=\"Denmark\" >Denmark<\/option>\n                                                                    <option  value=\"Central African Republic\" >Central African Republic<\/option>\n                                                                    <option  value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option>\n                                                                    <option  value=\"Djibouti\" >Djibouti<\/option>\n                                                                    <option  value=\"Dominica\" >Dominica<\/option>\n                                                                    <option  value=\"Dominican Republic\" >Dominican Republic<\/option>\n                                                                    <option  value=\"E\" >E<\/option>\n                                                                    <option  value=\"Ecuador\" >Ecuador<\/option>\n                                                                    <option  value=\"Egypt\" >Egypt<\/option>\n                                                                    <option  value=\"El Salvador\" >El Salvador<\/option>\n                                                                    <option  value=\"Eritrea\" >Eritrea<\/option>\n                                                                    <option  value=\"Estonia\" >Estonia<\/option>\n                                                                    <option  value=\"Ethiopia\" >Ethiopia<\/option>\n                                                                    <option  value=\"F\" >F<\/option>\n                                                                    <option  value=\"Fiji\" >Fiji<\/option>\n                                                                    <option  value=\"Finland\" >Finland<\/option>\n                                                                    <option  value=\"Forenede Arabiske Emirater\" >Forenede Arabiske Emirater<\/option>\n                                                                    <option  value=\"Frankrig\" >Frankrig<\/option>\n                                                                    <option  value=\"G\" >G<\/option>\n                                                                    <option  value=\"Gabon\" >Gabon<\/option>\n                                                                    <option  value=\"Gambia\" >Gambia<\/option>\n                                                                    <option  value=\"Georgien\" >Georgien<\/option>\n                                                                    <option  value=\"Ghana\" >Ghana<\/option>\n                                                                    <option  value=\"Grenada\" >Grenada<\/option>\n                                                                    <option  value=\"Gr\u00e6kenland\" >Gr\u00e6kenland<\/option>\n                                                                    <option  value=\"Guatemala\" >Guatemala<\/option>\n                                                                    <option  value=\"Guinea\" >Guinea<\/option>\n                                                                    <option  value=\"Guinea-Bissau\" >Guinea-Bissau<\/option>\n                                                                    <option  value=\"Guyana\" >Guyana<\/option>\n                                                                    <option  value=\"H\" >H<\/option>\n                                                                    <option  value=\"Haiti\" >Haiti<\/option>\n                                                                    <option  value=\"Holland\" >Holland<\/option>\n                                                                    <option  value=\"Honduras\" >Honduras<\/option>\n                                                                    <option  value=\"Hviderusland (Belarus)\" >Hviderusland (Belarus)<\/option>\n                                                                    <option  value=\"I\" >I<\/option>\n                                                                    <option  value=\"Indien\" >Indien<\/option>\n                                                                    <option  value=\"Indonesien\" >Indonesien<\/option>\n                                                                    <option  value=\"Irak\" >Irak<\/option>\n                                                                    <option  value=\"Iran\" >Iran<\/option>\n                                                                    <option  value=\"Irland\" >Irland<\/option>\n                                                                    <option  value=\"Island\" >Island<\/option>\n                                                                    <option  value=\"Israel\" >Israel<\/option>\n                                                                    <option  value=\"Italien\" >Italien<\/option>\n                                                                    <option  value=\"Ivory Coast\" >Ivory Coast<\/option>\n                                                                    <option  value=\"J\" >J<\/option>\n                                                                    <option  value=\"Jamaica\" >Jamaica<\/option>\n                                                                    <option  value=\"Japan\" >Japan<\/option>\n                                                                    <option  value=\"Jordan\" >Jordan<\/option>\n                                                                    <option  value=\"K\" >K<\/option>\n                                                                    <option  value=\"Kap Verde\" >Kap Verde<\/option>\n                                                                    <option  value=\"Kasakhstan\" >Kasakhstan<\/option>\n                                                                    <option  value=\"Kenya\" >Kenya<\/option>\n                                                                    <option  value=\"Kina\" >Kina<\/option>\n                                                                    <option  value=\"Kirgisistan\" >Kirgisistan<\/option>\n                                                                    <option  value=\"Kiribati\" >Kiribati<\/option>\n                                                                    <option  value=\"Kosovo\" >Kosovo<\/option>\n                                                                    <option  value=\"Kroatien\" >Kroatien<\/option>\n                                                                    <option  value=\"Kuwait\" >Kuwait<\/option>\n                                                                    <option  value=\"L\" >L<\/option>\n                                                                    <option  value=\"Laos\" >Laos<\/option>\n                                                                    <option  value=\"Lesotho\" >Lesotho<\/option>\n                                                                    <option  value=\"Letland\" >Letland<\/option>\n                                                                    <option  value=\"Libanon\" >Libanon<\/option>\n                                                                    <option  value=\"Liberia\" >Liberia<\/option>\n                                                                    <option  value=\"Libyen\" >Libyen<\/option>\n                                                                    <option  value=\"Liechtenstein\" >Liechtenstein<\/option>\n                                                                    <option  value=\"Litauen\" >Litauen<\/option>\n                                                                    <option  value=\"Luxembourg\" >Luxembourg<\/option>\n                                                                    <option  value=\"M\" >M<\/option>\n                                                                    <option  value=\"Madagaskar\" >Madagaskar<\/option>\n                                                                    <option  value=\"Makedonien\" >Makedonien<\/option>\n                                                                    <option  value=\"Malawi\" >Malawi<\/option>\n                                                                    <option  value=\"Malaysia\" >Malaysia<\/option>\n                                                                    <option  value=\"Maldiverne\" >Maldiverne<\/option>\n                                                                    <option  value=\"Mali\" >Mali<\/option>\n                                                                    <option  value=\"Malta\" >Malta<\/option>\n                                                                    <option  value=\"Marokko\" >Marokko<\/option>\n                                                                    <option  value=\"Marshall\u00f8erne\" >Marshall\u00f8erne<\/option>\n                                                                    <option  value=\"Mauritania\" >Mauritania<\/option>\n                                                                    <option  value=\"Mauritius\" >Mauritius<\/option>\n                                                                    <option  value=\"Mexico\" >Mexico<\/option>\n                                                                    <option  value=\"Mikronesien\" >Mikronesien<\/option>\n                                                                    <option  value=\"Moldova\" >Moldova<\/option>\n                                                                    <option  value=\"Monaco\" >Monaco<\/option>\n                                                                    <option  value=\"Mongoliet\" >Mongoliet<\/option>\n                                                                    <option  value=\"Montenegro\" >Montenegro<\/option>\n                                                                    <option  value=\"Mozambique\" >Mozambique<\/option>\n                                                                    <option  value=\"Myanmar (Burma)\" >Myanmar (Burma)<\/option>\n                                                                    <option  value=\"N\" >N<\/option>\n                                                                    <option  value=\"Namibia\" >Namibia<\/option>\n                                                                    <option  value=\"Nauru\" >Nauru<\/option>\n                                                                    <option  value=\"Nepal\" >Nepal<\/option>\n                                                                    <option  value=\"New Zealand\" >New Zealand<\/option>\n                                                                    <option  value=\"Nicaragua\" >Nicaragua<\/option>\n                                                                    <option  value=\"Niger\" >Niger<\/option>\n                                                                    <option  value=\"Nigeria\" >Nigeria<\/option>\n                                                                    <option  value=\"Niue\" >Niue<\/option>\n                                                                    <option  value=\"Nordkorea\" >Nordkorea<\/option>\n                                                                    <option  value=\"Norge\" >Norge<\/option>\n                                                                    <option  value=\"O\" >O<\/option>\n                                                                    <option  value=\"Oman\" >Oman<\/option>\n                                                                    <option  value=\"P\" >P<\/option>\n                                                                    <option  value=\"Pakistan\" >Pakistan<\/option>\n                                                                    <option  value=\"Palau\" >Palau<\/option>\n                                                                    <option  value=\"Pal\u00e6stina\" >Pal\u00e6stina<\/option>\n                                                                    <option  value=\"Panama\" >Panama<\/option>\n                                                                    <option  value=\"Papua Ny Guinea\" >Papua Ny Guinea<\/option>\n                                                                    <option  value=\"Paraguay\" >Paraguay<\/option>\n                                                                    <option  value=\"Peru\" >Peru<\/option>\n                                                                    <option  value=\"Phillipines\" >Phillipines<\/option>\n                                                                    <option  value=\"Polen\" >Polen<\/option>\n                                                                    <option  value=\"Portugal\" >Portugal<\/option>\n                                                                    <option  value=\"Q\" >Q<\/option>\n                                                                    <option  value=\"Qatar\" >Qatar<\/option>\n                                                                    <option  value=\"R\" >R<\/option>\n                                                                    <option  value=\"Rum\u00e6nien\" >Rum\u00e6nien<\/option>\n                                                                    <option  value=\"Rusland\" >Rusland<\/option>\n                                                                    <option  value=\"Rwanda\" >Rwanda<\/option>\n                                                                    <option  value=\"S\" >S<\/option>\n                                                                    <option  value=\"Saint Kitts og Nevis\" >Saint Kitts og Nevis<\/option>\n                                                                    <option  value=\"Saint Lucia\" >Saint Lucia<\/option>\n                                                                    <option  value=\"Saint Vincent og Grenadinerne\" >Saint Vincent og Grenadinerne<\/option>\n                                                                    <option  value=\"Salomon\u00f8erne\" >Salomon\u00f8erne<\/option>\n                                                                    <option  value=\"Samoa\" >Samoa<\/option>\n                                                                    <option  value=\"San Marino\" >San Marino<\/option>\n                                                                    <option  value=\"Saudi-Arabien\" >Saudi-Arabien<\/option>\n                                                                    <option  value=\"Schweiz\" >Schweiz<\/option>\n                                                                    <option  value=\"Senegal\" >Senegal<\/option>\n                                                                    <option  value=\"Serbien\" >Serbien<\/option>\n                                                                    <option  value=\"Seychellerne\" >Seychellerne<\/option>\n                                                                    <option  value=\"Sierra Leone\" >Sierra Leone<\/option>\n                                                                    <option  value=\"Singapore\" >Singapore<\/option>\n                                                                    <option  value=\"Slovakiet\" >Slovakiet<\/option>\n                                                                    <option  value=\"Slovenien\" >Slovenien<\/option>\n                                                                    <option  value=\"Somalia\" >Somalia<\/option>\n                                                                    <option  value=\"Spanien\" >Spanien<\/option>\n                                                                    <option  value=\"Sri Lanka\" >Sri Lanka<\/option>\n                                                                    <option  value=\"Storbritannien\" >Storbritannien<\/option>\n                                                                    <option  value=\"Sudan\" >Sudan<\/option>\n                                                                    <option  value=\"Surinam\" >Surinam<\/option>\n                                                                    <option  value=\"Sverige\" >Sverige<\/option>\n                                                                    <option  value=\"Swaziland\" >Swaziland<\/option>\n                                                                    <option  value=\"Sydafrika\" >Sydafrika<\/option>\n                                                                    <option  value=\"Sydkorea\" >Sydkorea<\/option>\n                                                                    <option  value=\"Sydsudan\" >Sydsudan<\/option>\n                                                                    <option  value=\"Syrien\" >Syrien<\/option>\n                                                                    <option  value=\"S\u00e3o Tom\u00e9 og Pr\u00edncipe\" >S\u00e3o Tom\u00e9 og Pr\u00edncipe<\/option>\n                                                                    <option  value=\"T\" >T<\/option>\n                                                                    <option  value=\"Tadsjikistan\" >Tadsjikistan<\/option>\n                                                                    <option  value=\"Taiwan\" >Taiwan<\/option>\n                                                                    <option  value=\"Tanzania\" >Tanzania<\/option>\n                                                                    <option  value=\"Thailand\" >Thailand<\/option>\n                                                                    <option  value=\"Tjekkiet\" >Tjekkiet<\/option>\n                                                                    <option  value=\"Togo\" >Togo<\/option>\n                                                                    <option  value=\"Tonga\" >Tonga<\/option>\n                                                                    <option  value=\"Trinidad og Tobago\" >Trinidad og Tobago<\/option>\n                                                                    <option  value=\"Tunesien\" >Tunesien<\/option>\n                                                                    <option  value=\"Turkmenistan\" >Turkmenistan<\/option>\n                                                                    <option  value=\"Tuvalu\" >Tuvalu<\/option>\n                                                                    <option  value=\"Tyrkiet\" >Tyrkiet<\/option>\n                                                                    <option  value=\"Tyskland\" >Tyskland<\/option>\n                                                                    <option  value=\"U\" >U<\/option>\n                                                                    <option  value=\"Uganda\" >Uganda<\/option>\n                                                                    <option  value=\"Ukraine\" >Ukraine<\/option>\n                                                                    <option  value=\"Ungarn\" >Ungarn<\/option>\n                                                                    <option  value=\"Uruguay\" >Uruguay<\/option>\n                                                                    <option  value=\"USA\" >USA<\/option>\n                                                                    <option  value=\"Usbekistan\" >Usbekistan<\/option>\n                                                                    <option  value=\"V\" >V<\/option>\n                                                                    <option  value=\"Vanuatu\" >Vanuatu<\/option>\n                                                                    <option  value=\"Vatikanstaten\" >Vatikanstaten<\/option>\n                                                                    <option  value=\"Venezuela\" >Venezuela<\/option>\n                                                                    <option  value=\"Vestsahara\" >Vestsahara<\/option>\n                                                                    <option  value=\"Vietnam\" >Vietnam<\/option>\n                                                                    <option  value=\"Y\" >Y<\/option>\n                                                                    <option  value=\"Yemen\" >Yemen<\/option>\n                                                                    <option  value=\"Z\" >Z<\/option>\n                                                                    <option  value=\"Zambia\" >Zambia<\/option>\n                                                                    <option  value=\"Zimbabwe\" >Zimbabwe<\/option>\n                                                                    <option  value=\"\u00c6\" >\u00c6<\/option>\n                                                                    <option  value=\"\u00c6kvatorialguinea\" >\u00c6kvatorialguinea<\/option>\n                                                                    <option  value=\"\u00d8\" >\u00d8<\/option>\n                                                                    <option  value=\"\u00d8strig\" >\u00d8strig<\/option>\n                                                                    <option  value=\"\u00d8sttimor\" >\u00d8sttimor<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_1\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Parents - Biological, Adoptive, Stepparents or Guardians<\/span>\n    <p class=\"form-box-title-desc\"> Enter your parents' names below.<\/p>\n<\/div>        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_2\" >Parent 1 - First Name and Last Name <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_name_2\" condition_id=\"customer_name_2\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_2\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_4\" >Parent 2 - First Name and Last Name <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_name_4\" condition_id=\"customer_name_4\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_4\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_2\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Contact Info<\/span>\n    <p class=\"form-box-title-desc\"> Enter your contact information below.<\/p>\n<\/div>        <\/div>\n                <div style = \"display : block\" data-element_type=\"textarea\"\n             class=\"wpf_form_group wpf_item_textarea\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_wpf_form_instance_35_1_textarea\" >Address <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <textarea  data-required=\"yes\" data-type=\"textarea\" name=\"textarea\" placeholder=\"\" class=\"wpf_form_control\" id=\"wpf_input_wpf_form_instance_35_1_textarea\" style=\"min-height: 100px;\" required=\"1\" ><\/textarea>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_1\" >Post Number <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text_1\" condition_id=\"text_1\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_1\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_2\" >City <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text_2\" condition_id=\"text_2\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_2\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_4\" >Country <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_4\" class=\"wpf_form_control\" id=\"wpf_input_35_select_4\" required=\"1\" >\n                                            <option data-type=\"placeholder\" value= >Select<\/option>\n                                                                                        <option  value=\"Afghanistan\" >Afghanistan<\/option>\n                                                                    <option  value=\"Albanien\" >Albanien<\/option>\n                                                                    <option  value=\"Algeriet\" >Algeriet<\/option>\n                                                                    <option  value=\"Andorra\" >Andorra<\/option>\n                                                                    <option  value=\"Angola\" >Angola<\/option>\n                                                                    <option  value=\"Antigua og Barbuda\" >Antigua og Barbuda<\/option>\n                                                                    <option  value=\"Argentina\" >Argentina<\/option>\n                                                                    <option  value=\"Armenien\" >Armenien<\/option>\n                                                                    <option  value=\"Aserbajdsjan\" >Aserbajdsjan<\/option>\n                                                                    <option  value=\"Australien\" >Australien<\/option>\n                                                                    <option  value=\"B\" >B<\/option>\n                                                                    <option  value=\"Bahamas\" >Bahamas<\/option>\n                                                                    <option  value=\"Bahrain\" >Bahrain<\/option>\n                                                                    <option  value=\"Bangladesh\" >Bangladesh<\/option>\n                                                                    <option  value=\"Barbados\" >Barbados<\/option>\n                                                                    <option  value=\"Belgien\" >Belgien<\/option>\n                                                                    <option  value=\"Belgien\" >Belgien<\/option>\n                                                                    <option  value=\"Belize\" >Belize<\/option>\n                                                                    <option  value=\"Benin\" >Benin<\/option>\n                                                                    <option  value=\"Bhutan\" >Bhutan<\/option>\n                                                                    <option  value=\"Bolivia\" >Bolivia<\/option>\n                                                                    <option  value=\"Bosnien-Hercegovina\" >Bosnien-Hercegovina<\/option>\n                                                                    <option  value=\"Botswana\" >Botswana<\/option>\n                                                                    <option  value=\"Brasilien\" >Brasilien<\/option>\n                                                                    <option  value=\"Brunei\" >Brunei<\/option>\n                                                                    <option  value=\"Bulgarien\" >Bulgarien<\/option>\n                                                                    <option  value=\"Burkina Faso\" >Burkina Faso<\/option>\n                                                                    <option  value=\"Burundi\" >Burundi<\/option>\n                                                                    <option  value=\"C\" >C<\/option>\n                                                                    <option  value=\"Cambodja\" >Cambodja<\/option>\n                                                                    <option  value=\"Cameroun\" >Cameroun<\/option>\n                                                                    <option  value=\"Canada\" >Canada<\/option>\n                                                                    <option  value=\"Chad\" >Chad<\/option>\n                                                                    <option  value=\"Chile\" >Chile<\/option>\n                                                                    <option  value=\"Colombia\" >Colombia<\/option>\n                                                                    <option  value=\"Comorene\" >Comorene<\/option>\n                                                                    <option  value=\"Congo\" >Congo<\/option>\n                                                                    <option  value=\"Cook\u00f8erne\" >Cook\u00f8erne<\/option>\n                                                                    <option  value=\"Costa Rica\" >Costa Rica<\/option>\n                                                                    <option  value=\"Cuba\" >Cuba<\/option>\n                                                                    <option  value=\"Cypern\" >Cypern<\/option>\n                                                                    <option  value=\"D\" >D<\/option>\n                                                                    <option  value=\"Danmark\" >Danmark<\/option>\n                                                                    <option  value=\"Den Centralafrikanske Republik\" >Den Centralafrikanske Republik<\/option>\n                                                                    <option  value=\"Den Demokratiske Republik Congo\" >Den Demokratiske Republik Congo<\/option>\n                                                                    <option  value=\"Djibouti\" >Djibouti<\/option>\n                                                                    <option  value=\"Dominica\" >Dominica<\/option>\n                                                                    <option  value=\"Dominikanske Republik\" >Dominikanske Republik<\/option>\n                                                                    <option  value=\"E\" >E<\/option>\n                                                                    <option  value=\"Ecuador\" >Ecuador<\/option>\n                                                                    <option  value=\"Egypten\" >Egypten<\/option>\n                                                                    <option  value=\"El Salvador\" >El Salvador<\/option>\n                                                                    <option  value=\"Elfenbenskysten\" >Elfenbenskysten<\/option>\n                                                                    <option  value=\"Eritrea\" >Eritrea<\/option>\n                                                                    <option  value=\"Estland\" >Estland<\/option>\n                                                                    <option  value=\"Etiopien\" >Etiopien<\/option>\n                                                                    <option  value=\"F\" >F<\/option>\n                                                                    <option  value=\"Fiji\" >Fiji<\/option>\n                                                                    <option  value=\"Filippinerne\" >Filippinerne<\/option>\n                                                                    <option  value=\"Finland\" >Finland<\/option>\n                                                                    <option  value=\"Forenede Arabiske Emirater\" >Forenede Arabiske Emirater<\/option>\n                                                                    <option  value=\"Frankrig\" >Frankrig<\/option>\n                                                                    <option  value=\"G\" >G<\/option>\n                                                                    <option  value=\"Gabon\" >Gabon<\/option>\n                                                                    <option  value=\"Gambia\" >Gambia<\/option>\n                                                                    <option  value=\"Georgien\" >Georgien<\/option>\n                                                                    <option  value=\"Ghana\" >Ghana<\/option>\n                                                                    <option  value=\"Grenada\" >Grenada<\/option>\n                                                                    <option  value=\"Gr\u00e6kenland\" >Gr\u00e6kenland<\/option>\n                                                                    <option  value=\"Guatemala\" >Guatemala<\/option>\n                                                                    <option  value=\"Guinea\" >Guinea<\/option>\n                                                                    <option  value=\"Guinea-Bissau\" >Guinea-Bissau<\/option>\n                                                                    <option  value=\"Guyana\" >Guyana<\/option>\n                                                                    <option  value=\"H\" >H<\/option>\n                                                                    <option  value=\"Haiti\" >Haiti<\/option>\n                                                                    <option  value=\"Holland\" >Holland<\/option>\n                                                                    <option  value=\"Honduras\" >Honduras<\/option>\n                                                                    <option  value=\"Hviderusland (Belarus)\" >Hviderusland (Belarus)<\/option>\n                                                                    <option  value=\"I\" >I<\/option>\n                                                                    <option  value=\"Indien\" >Indien<\/option>\n                                                                    <option  value=\"Indonesien\" >Indonesien<\/option>\n                                                                    <option  value=\"Irak\" >Irak<\/option>\n                                                                    <option  value=\"Iran\" >Iran<\/option>\n                                                                    <option  value=\"Irland\" >Irland<\/option>\n                                                                    <option  value=\"Island\" >Island<\/option>\n                                                                    <option  value=\"Israel\" >Israel<\/option>\n                                                                    <option  value=\"Italien\" >Italien<\/option>\n                                                                    <option  value=\"J\" >J<\/option>\n                                                                    <option  value=\"Jamaica\" >Jamaica<\/option>\n                                                                    <option  value=\"Japan\" >Japan<\/option>\n                                                                    <option  value=\"Jordan\" >Jordan<\/option>\n                                                                    <option  value=\"K\" >K<\/option>\n                                                                    <option  value=\"Kap Verde\" >Kap Verde<\/option>\n                                                                    <option  value=\"Kasakhstan\" >Kasakhstan<\/option>\n                                                                    <option  value=\"Kenya\" >Kenya<\/option>\n                                                                    <option  value=\"Kina\" >Kina<\/option>\n                                                                    <option  value=\"Kirgisistan\" >Kirgisistan<\/option>\n                                                                    <option  value=\"Kiribati\" >Kiribati<\/option>\n                                                                    <option  value=\"Kosovo\" >Kosovo<\/option>\n                                                                    <option  value=\"Kroatien\" >Kroatien<\/option>\n                                                                    <option  value=\"Kuwait\" >Kuwait<\/option>\n                                                                    <option  value=\"L\" >L<\/option>\n                                                                    <option  value=\"Laos\" >Laos<\/option>\n                                                                    <option  value=\"Lesotho\" >Lesotho<\/option>\n                                                                    <option  value=\"Letland\" >Letland<\/option>\n                                                                    <option  value=\"Libanon\" >Libanon<\/option>\n                                                                    <option  value=\"Liberia\" >Liberia<\/option>\n                                                                    <option  value=\"Libyen\" >Libyen<\/option>\n                                                                    <option  value=\"Liechtenstein\" >Liechtenstein<\/option>\n                                                                    <option  value=\"Litauen\" >Litauen<\/option>\n                                                                    <option  value=\"Luxembourg\" >Luxembourg<\/option>\n                                                                    <option  value=\"M\" >M<\/option>\n                                                                    <option  value=\"Madagaskar\" >Madagaskar<\/option>\n                                                                    <option  value=\"Makedonien\" >Makedonien<\/option>\n                                                                    <option  value=\"Malawi\" >Malawi<\/option>\n                                                                    <option  value=\"Malaysia\" >Malaysia<\/option>\n                                                                    <option  value=\"Maldiverne\" >Maldiverne<\/option>\n                                                                    <option  value=\"Mali\" >Mali<\/option>\n                                                                    <option  value=\"Malta\" >Malta<\/option>\n                                                                    <option  value=\"Marokko\" >Marokko<\/option>\n                                                                    <option  value=\"Marshall\u00f8erne\" >Marshall\u00f8erne<\/option>\n                                                                    <option  value=\"Mauritania\" >Mauritania<\/option>\n                                                                    <option  value=\"Mauritius\" >Mauritius<\/option>\n                                                                    <option  value=\"Mexico\" >Mexico<\/option>\n                                                                    <option  value=\"Mikronesien\" >Mikronesien<\/option>\n                                                                    <option  value=\"Moldova\" >Moldova<\/option>\n                                                                    <option  value=\"Monaco\" >Monaco<\/option>\n                                                                    <option  value=\"Mongoliet\" >Mongoliet<\/option>\n                                                                    <option  value=\"Montenegro\" >Montenegro<\/option>\n                                                                    <option  value=\"Mozambique\" >Mozambique<\/option>\n                                                                    <option  value=\"Myanmar (Burma)\" >Myanmar (Burma)<\/option>\n                                                                    <option  value=\"N\" >N<\/option>\n                                                                    <option  value=\"Namibia\" >Namibia<\/option>\n                                                                    <option  value=\"Nauru\" >Nauru<\/option>\n                                                                    <option  value=\"Nepal\" >Nepal<\/option>\n                                                                    <option  value=\"New Zealand\" >New Zealand<\/option>\n                                                                    <option  value=\"Nicaragua\" >Nicaragua<\/option>\n                                                                    <option  value=\"Niger\" >Niger<\/option>\n                                                                    <option  value=\"Nigeria\" >Nigeria<\/option>\n                                                                    <option  value=\"Niue\" >Niue<\/option>\n                                                                    <option  value=\"Nordkorea\" >Nordkorea<\/option>\n                                                                    <option  value=\"Norge\" >Norge<\/option>\n                                                                    <option  value=\"O\" >O<\/option>\n                                                                    <option  value=\"Oman\" >Oman<\/option>\n                                                                    <option  value=\"P\" >P<\/option>\n                                                                    <option  value=\"Pakistan\" >Pakistan<\/option>\n                                                                    <option  value=\"Palau\" >Palau<\/option>\n                                                                    <option  value=\"Pal\u00e6stina\" >Pal\u00e6stina<\/option>\n                                                                    <option  value=\"Panama\" >Panama<\/option>\n                                                                    <option  value=\"Papua Ny Guinea\" >Papua Ny Guinea<\/option>\n                                                                    <option  value=\"Paraguay\" >Paraguay<\/option>\n                                                                    <option  value=\"Peru\" >Peru<\/option>\n                                                                    <option  value=\"Polen\" >Polen<\/option>\n                                                                    <option  value=\"Portugal\" >Portugal<\/option>\n                                                                    <option  value=\"Q\" >Q<\/option>\n                                                                    <option  value=\"Qatar\" >Qatar<\/option>\n                                                                    <option  value=\"R\" >R<\/option>\n                                                                    <option  value=\"Rum\u00e6nien\" >Rum\u00e6nien<\/option>\n                                                                    <option  value=\"Rusland\" >Rusland<\/option>\n                                                                    <option  value=\"Rwanda\" >Rwanda<\/option>\n                                                                    <option  value=\"S\" >S<\/option>\n                                                                    <option  value=\"Saint Kitts og Nevis\" >Saint Kitts og Nevis<\/option>\n                                                                    <option  value=\"Saint Lucia\" >Saint Lucia<\/option>\n                                                                    <option  value=\"Saint Vincent og Grenadinerne\" >Saint Vincent og Grenadinerne<\/option>\n                                                                    <option  value=\"Salomon\u00f8erne\" >Salomon\u00f8erne<\/option>\n                                                                    <option  value=\"Samoa\" >Samoa<\/option>\n                                                                    <option  value=\"San Marino\" >San Marino<\/option>\n                                                                    <option  value=\"Saudi-Arabien\" >Saudi-Arabien<\/option>\n                                                                    <option  value=\"Schweiz\" >Schweiz<\/option>\n                                                                    <option  value=\"Senegal\" >Senegal<\/option>\n                                                                    <option  value=\"Serbien\" >Serbien<\/option>\n                                                                    <option  value=\"Seychellerne\" >Seychellerne<\/option>\n                                                                    <option  value=\"Sierra Leone\" >Sierra Leone<\/option>\n                                                                    <option  value=\"Singapore\" >Singapore<\/option>\n                                                                    <option  value=\"Slovakiet\" >Slovakiet<\/option>\n                                                                    <option  value=\"Slovenien\" >Slovenien<\/option>\n                                                                    <option  value=\"Somalia\" >Somalia<\/option>\n                                                                    <option  value=\"Spanien\" >Spanien<\/option>\n                                                                    <option  value=\"Sri Lanka\" >Sri Lanka<\/option>\n                                                                    <option  value=\"Storbritannien\" >Storbritannien<\/option>\n                                                                    <option  value=\"Sudan\" >Sudan<\/option>\n                                                                    <option  value=\"Surinam\" >Surinam<\/option>\n                                                                    <option  value=\"Sverige\" >Sverige<\/option>\n                                                                    <option  value=\"Swaziland\" >Swaziland<\/option>\n                                                                    <option  value=\"Sydafrika\" >Sydafrika<\/option>\n                                                                    <option  value=\"Sydkorea\" >Sydkorea<\/option>\n                                                                    <option  value=\"Sydsudan\" >Sydsudan<\/option>\n                                                                    <option  value=\"Syrien\" >Syrien<\/option>\n                                                                    <option  value=\"S\u00e3o Tom\u00e9 og Pr\u00edncipe\" >S\u00e3o Tom\u00e9 og Pr\u00edncipe<\/option>\n                                                                    <option  value=\"T\" >T<\/option>\n                                                                    <option  value=\"Tadsjikistan\" >Tadsjikistan<\/option>\n                                                                    <option  value=\"Taiwan\" >Taiwan<\/option>\n                                                                    <option  value=\"Tanzania\" >Tanzania<\/option>\n                                                                    <option  value=\"Thailand\" >Thailand<\/option>\n                                                                    <option  value=\"Tjekkiet\" >Tjekkiet<\/option>\n                                                                    <option  value=\"Togo\" >Togo<\/option>\n                                                                    <option  value=\"Tonga\" >Tonga<\/option>\n                                                                    <option  value=\"Trinidad og Tobago\" >Trinidad og Tobago<\/option>\n                                                                    <option  value=\"Tunesien\" >Tunesien<\/option>\n                                                                    <option  value=\"Turkmenistan\" >Turkmenistan<\/option>\n                                                                    <option  value=\"Tuvalu\" >Tuvalu<\/option>\n                                                                    <option  value=\"Tyrkiet\" >Tyrkiet<\/option>\n                                                                    <option  value=\"Tyskland\" >Tyskland<\/option>\n                                                                    <option  value=\"U\" >U<\/option>\n                                                                    <option  value=\"Uganda\" >Uganda<\/option>\n                                                                    <option  value=\"Ukraine\" >Ukraine<\/option>\n                                                                    <option  value=\"Ungarn\" >Ungarn<\/option>\n                                                                    <option  value=\"Uruguay\" >Uruguay<\/option>\n                                                                    <option  value=\"USA\" >USA<\/option>\n                                                                    <option  value=\"Usbekistan\" >Usbekistan<\/option>\n                                                                    <option  value=\"V\" >V<\/option>\n                                                                    <option  value=\"Vanuatu\" >Vanuatu<\/option>\n                                                                    <option  value=\"Vatikanstaten\" >Vatikanstaten<\/option>\n                                                                    <option  value=\"Venezuela\" >Venezuela<\/option>\n                                                                    <option  value=\"Vestsahara\" >Vestsahara<\/option>\n                                                                    <option  value=\"Vietnam\" >Vietnam<\/option>\n                                                                    <option  value=\"Y\" >Y<\/option>\n                                                                    <option  value=\"Yemen\" >Yemen<\/option>\n                                                                    <option  value=\"Z\" >Z<\/option>\n                                                                    <option  value=\"Zambia\" >Zambia<\/option>\n                                                                    <option  value=\"Zimbabwe\" >Zimbabwe<\/option>\n                                                                    <option  value=\"\u00c6\" >\u00c6<\/option>\n                                                                    <option  value=\"\u00c6kvatorialguinea\" >\u00c6kvatorialguinea<\/option>\n                                                                    <option  value=\"\u00d8\" >\u00d8<\/option>\n                                                                    <option  value=\"\u00d8strig\" >\u00d8strig<\/option>\n                                                                    <option  value=\"\u00d8sttimor\" >\u00d8sttimor<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_email\"\n             class=\"wpf_form_group wpf_item_email\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_email\" >E-Mail Adress <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_email\" condition_id=\"customer_email\" placeholder=\"\" value=\"\" type=\"email\" class=\"wpf_form_control wpf_customer_email\" id=\"wpf_input_35_customer_email\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_email\"\n             class=\"wpf_form_group wpf_item_email\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35___confirm_customer_email\" >Confirm E-mail <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"__confirm_customer_email\" condition_id=\"__confirm_customer_email\" placeholder=\"Confirm Email\" value=\"\" type=\"email\" class=\"wpf_form_control wpf_confirm_email\" id=\"wpf_input_35___confirm_customer_email\" required=\"1\" data-parent_confirm_name=\"customer_email\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_3\" >Phone Number <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text_3\" condition_id=\"text_3\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_3\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_4\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Contact Information In case of emergency in or outside the United States<\/span>\n    <p class=\"form-box-title-desc\">Enter your contact information below.<\/p>\n<\/div>        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_6\" >First Name and Last name <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_name_6\" condition_id=\"customer_name_6\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_6\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text second-phone-2\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_5\" >Phone Number <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"text_5\" condition_id=\"text_5\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_5\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_email\"\n             class=\"wpf_form_group wpf_item_email clear-fix\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_email_1\" >E-mail Address <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"yes\" data-type=\"input\" name=\"customer_email_1\" condition_id=\"customer_email_1\" placeholder=\"\" value=\"\" type=\"email\" class=\"wpf_form_control wpf_customer_email\" id=\"wpf_input_35_customer_email_1\" required=\"1\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_15\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles first-box-title\">\n    <span>Social Media (Optional)<\/span>\n    <p class=\"form-box-title-desc\"> Enter information associated with your online presence.<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_5\" >Social Media (Optional)<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_5\" class=\"wpf_form_control\" id=\"wpf_input_35_select_5\" >\n                                            <option data-type=\"placeholder\" value= >Select<\/option>\n                                                                                        <option  value=\"Facebook\" >Facebook<\/option>\n                                                                    <option  value=\"Instagram\" >Instagram<\/option>\n                                                                    <option  value=\"Twitter\" >Twitter<\/option>\n                                                                    <option  value=\"Tumblr\" >Tumblr<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_7\" >ID on Social Media<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_7\" condition_id=\"text_7\" placeholder=\"\/username\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_7\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_5\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Travel Information<\/span>\n    <p class=\"form-box-title-desc\"><\/p>\n<p class=\"form-box-title-desc\">If NO, all fields must be filled out<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_13\" >Are you traveling to the United States in transit to another country? <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_13\" class=\"wpf_form_control\" id=\"wpf_input_35_select_13\" required=\"1\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_11\" >Name of Person or Hotel They Are Staying At<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_11\" condition_id=\"text_11\" placeholder=\"Name\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_11\"  \/>\n            <\/div>\n        <\/div>\n                <div style = \"display : block\" data-element_type=\"textarea\"\n             class=\"wpf_form_group wpf_item_textarea\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_wpf_form_instance_35_2_textarea\" >Address, City, State, etc.<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <textarea  data-required=\"no\" data-type=\"textarea\" name=\"textarea_1\" placeholder=\"\" class=\"wpf_form_control\" id=\"wpf_input_wpf_form_instance_35_2_textarea\" style=\"min-height: 100px;\" ><\/textarea>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_6\" >Phone Number<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_6\" condition_id=\"text_6\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_6\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_6\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Work Information<\/span>\n    <p class=\"form-box-title-desc\">If YES, all fields must be filled out<\/p>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_14\" >Do you have a current or former employer? <span class=\"wpf_required_sign wpf_required_sign_left\">*<\/span><\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"yes\" name=\"select_14\" class=\"wpf_form_control\" id=\"wpf_input_35_select_14\" required=\"1\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"customer_name\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_customer_name_5\" >Name of employer<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"customer_name_5\" condition_id=\"customer_name_5\" placeholder=\"Name\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_customer_name_5\"  \/>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_9\" >Job Title<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_9\" condition_id=\"text_9\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_9\"  \/>\n            <\/div>\n        <\/div>\n                <div style = \"display : block\" data-element_type=\"textarea\"\n             class=\"wpf_form_group wpf_item_textarea\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_wpf_form_instance_35_3_textarea\" >Address<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <textarea  data-required=\"no\" data-type=\"textarea\" name=\"textarea_2\" placeholder=\"\" class=\"wpf_form_control\" id=\"wpf_input_wpf_form_instance_35_3_textarea\" style=\"min-height: 100px;\" ><\/textarea>\n            <\/div>\n        <\/div>\n                <div data-element_type=\"text\"\n             class=\"wpf_form_group wpf_item_text\" style=\"display: block\">\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_text_12\" >Phone number<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <input  data-required=\"no\" data-type=\"input\" name=\"text_12\" condition_id=\"text_12\" placeholder=\"\" value=\"\" type=\"text\" class=\"wpf_form_control\" id=\"wpf_input_35_text_12\"  \/>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_7\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Information About The Traveler<\/span>\n    <p class=\"form-box-title-desc\"><\/p>\n<\/div>        <\/div>\n                <div condition_id=\"custom_html_8\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"apply-form-plain-text\">\n    <span>Do you have a physical or mental disability, or are you addicted to or using drugs, or do you currently have any of the following diseases (infectious diseases are specified under section 361 (b) of the Public Health Service Act):<\/span>\n    <ul>\n        <li>Cholera<\/li>\n        <li>Diphtheria<\/li>\n        <li>Tuberculosis, contagious<\/li>\n        <li>Plague<\/li>\n        <li>copper<\/li>\n        <li>Yellow fever<\/li>\n        <li>Viral hemorrhagic fever including Ebola, lassa, marburg, Crimea-Congo<\/li>\n        <li>Severe acute respiratory diseases that can be transmitted to other persons and are likely to result in death<\/li>\n    <\/ul>\n<\/div>        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select more-info-field\" >\n                        <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_15\" class=\"wpf_form_control\" id=\"wpf_input_35_select_15\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select more-info-field\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_16\" >1.2. Have you at any time been arrested or convicted of a crime that resulted in serious damage to property or serious harm to another person or state authority?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_16\" class=\"wpf_form_control\" id=\"wpf_input_35_select_16\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select clear-fix\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_17\" >Have you ever violated any law regarding the possession, use or distribution of illegal drugs?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_17\" class=\"wpf_form_control\" id=\"wpf_input_35_select_17\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_18\" >Are you seeking participation in, or have you ever participated in, terrorist activities, espionage, sabotage or genocide?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_18\" class=\"wpf_form_control\" id=\"wpf_input_35_select_18\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_19\" >Have you ever committed fraud or given a misleading image of yourself in order to obtain, or help others obtain, a visa or access to the United States?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_19\" class=\"wpf_form_control\" id=\"wpf_input_35_select_19\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_20\" >Are you currently looking for work in the United States, or have you previously been employed in the United States without prior permission from the United States Government?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_20\" class=\"wpf_form_control\" id=\"wpf_input_35_select_20\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_21\" >Have you ever been denied a US visa that you applied for with your current or previous passport, or have you ever been denied entry to the United States or had your application for entry into the United States withdrawn at a U.S. entry point?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_21\" class=\"wpf_form_control\" id=\"wpf_input_35_select_21\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_22\" >Have you ever stayed longer in the United States than the period allotted to you by the U.S. government?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_22\" class=\"wpf_form_control\" id=\"wpf_input_35_select_22\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div style=\"display : block\"  id=\"wpf_select\" data-element_type=\"select\" class=\"wpf_form_group wpf_item_select\" >\n                        <div class=\"wpf_input_label\">\n                <label  for=\"wpf_input_35_select_23\" >Have you traveled to or been to Iran, Iraq, Libya, North Korea, Somalia, Sudan, Syria or Yemen on March 1, 2011 or later?<\/label>\n            <\/div>\n                    <div class=\"wpf_input_content\">\n                <select  data-required=\"no\" name=\"select_23\" class=\"wpf_form_control\" id=\"wpf_input_35_select_23\" >\n                                                                                        <option  value=\"No\" >No<\/option>\n                                                                    <option  value=\"Yes\" >Yes<\/option>\n                                    <\/select>\n            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_11\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Waiver of Rights<\/span>\n    <p class=\"form-box-title-desc\"><\/p>\n<\/div>        <\/div>\n                <div condition_id=\"custom_html_12\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"apply-form-plain-text\">\n    <p>I have read and understand that I hereby waive my right to reconsider or appeal a CBP (US Customs and Border Protection) official's decision to enter for the entire period of my travel permit obtained through ESTA, or to contest the deportation as a result of an application for entry under the Visa Waiver Program except in the case of an application for asylum.<\/p>\n\n<p>In addition to the above waiver as a condition of each entry into the United States under the Visa Waiver Program, I accept that submission of biometric identifiers (including fingerprints and photographs) during the process of arrival in the United States reaffirms my waiver of any right to reconsider or appeal a CBP (US) Customs and Border Protection) official's decision to enter and contest the deportation following an application for entry under the Visa Waiver Program except in the case of an asylum application.<\/p>\n<\/div>        <\/div>\n                <div condition_id=\"custom_html_13\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Terms and Conditions<\/span>\n    <p class=\"form-box-title-desc\"><\/p>\n<\/div>        <\/div>\n                <div\n            style=\"display : block\"  data-element_type=\"checkbox\" class=\"wpf_form_group wpf_item_checkbox\" data-target_element=\"checkbox\" required_id=\"checkbox\" data-selection_limit=\"0\" data-checkbox_required=\"yes\" >\n                        <div class=\"wpf_multi_form_controls wpf_input_content\">\n                                                        <div class=\"form-check\">\n                        <input  class=\"form-check-input wpf_form_control\" type=\"checkbox\" name=\"checkbox[]\" condition_id=\"checkbox\" id=\"checkbox_0_35\" value=\"I accept the General Terms and Conditions of Use of the Service, Terms and Conditions, Privacy Policy and the Waiver of Rights.&lt;p class=&quot;checkbox-link&quot;&gt;&lt;a href=&quot;\/vilkar-og-betingelser&quot; target=&quot;_blank&quot;&gt;See all Terms and Conditions and the entire Privacy Policy.&lt;\/a&gt;&lt;\/p&gt;\" >\n                        <label class=\"form-check-label\" for=\"checkbox_0_35\">\n                            I accept the General Terms and Conditions of Use of the Service, Terms and Conditions, Privacy Policy and the Waiver of Rights.<p class=\"checkbox-link\"><a href=\"\/vilkar-og-betingelser\" target=\"_blank\">See all Terms and Conditions and the entire Privacy Policy.<\/a><\/p>                        <\/label>\n                    <\/div>\n                                                        <div class=\"form-check\">\n                        <input  class=\"form-check-input wpf_form_control\" type=\"checkbox\" name=\"checkbox[]\" condition_id=\"checkbox\" id=\"checkbox_1_35\" value=\"I, the applicant, confirm that I have read, or have read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information provided in this application are, to the best of my knowledge, true and correct.\" >\n                        <label class=\"form-check-label\" for=\"checkbox_1_35\">\n                            I, the applicant, confirm that I have read, or have read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information provided in this application are, to the best of my knowledge, true and correct.                        <\/label>\n                    <\/div>\n                            <\/div>\n        <\/div>\n                <div condition_id=\"custom_html_14\"\n             style=\"display : block\"\n             class=\"wpf_html_content_wrapper \">\n            <div class=\"form-box-titles\">\n    <span>Pay with Paypal<\/span>\n    <p class=\"form-box-title-desc\">The cost of your visa application and processing is $ 89 if you pay with Paypal. Subsequently, you will receive an E-mail with the application ID and further information.\n<\/p>\n<\/div>        <\/div>\n        <input data-wpf_payment_method=\"paypal\" type=\"hidden\" name=\"__paypal_payment_gateway\" value=\"paypal\" \/>        <div single-paymen-item=\"payment_item\" style=\"display : block\" class=\"\">\n                            <div  data-element_type=\"payment_item\" required_id=\"payment_item\" class=\"wpf_form_group wpf_item_payment_item\" >\n                    <div class=\"wpf_input_label wpf_single_amount_label\">\n                        ESTA Visa Application: <span name=payment_item class=\"wpf_single_amount\">89 $<\/span>\n                    <\/div>\n                <\/div>\n            <input customname=\"ESTA Visa Application\" name=\"payment_item\" type=\"hidden\" class=\"wpf_payment_item\" data-price=\"8900\" value=\"89\" \/>        <\/div>\n                    \n                                    <div class=\"wpf_form_group wpf_form_recaptcha\">\n                        <div id=\"wpf_recaptcha_35\"><\/div>\n                    <\/div>\n                \n                \n                <div class=\"wpf_form_group wpf_form_submissions\" style=\"margin-top: 20px;\">\n                    <button  id='stripe_form_submit_35' disabled='1' class='wpf_submit_button btn blue-btn ' >\n                        <span class=\"wpf_txt_normal\">Pay with PayPal<\/span>\n                        <span style=\"display: none;\" class=\"wpf_txt_loading\">\n                            Please Wait\u2026                        <\/span>\n                    <\/button>\n                    <div class=\"wpf_loading_svg\">\n                        <svg version=\"1.1\" id=\"loader-1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" width=\"30px\" height=\"30px\" viewBox=\"0 0 40 40\" enable-background=\"new 0 0 40 40\" xml:space=\"preserve\">\n                            <path opacity=\"0.2\" fill=\"#000\" d=\"M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z\" \/>\n                            <path fill=\"#000\" d=\"M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z\">\n                                <animateTransform attributeType=\"xml\" attributeName=\"transform\" type=\"rotate\" from=\"0 20 20\" to=\"360 20 20\" dur=\"0.5s\" repeatCount=\"indefinite\" \/>\n                            <\/path>\n                        <\/svg>\n                    <\/div>\n                <\/div>\n                            <\/form>\n                            <div style=\"display: none\" class=\"wpf_form_notices\"><\/div>\n                                            <\/div>\n\n        \n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n\r\n<div id=\"\" class=\"wp-block-ugb-container ugb-container right-info ugb-f886957 ugb-container--v2 ugb-container--design-basic ugb-main-block\"><style>.ugb-f886957-wrapper.ugb-container__wrapper{border-radius:0px !important;background-color:transparent !important}.ugb-f886957-content-wrapper.ugb-container__content-wrapper{width:100% !important}.ugb-f886957-wrapper.ugb-container__wrapper:before{background-color:transparent !important}.ugb-f886957-content-wrapper > h1,.ugb-f886957-content-wrapper > h2,.ugb-f886957-content-wrapper > h3,.ugb-f886957-content-wrapper > h4,.ugb-f886957-content-wrapper > h5,.ugb-f886957-content-wrapper > h6{color:#222222}.ugb-f886957-content-wrapper > p,.ugb-f886957-content-wrapper > ol li,.ugb-f886957-content-wrapper > ul li{color:#222222}<\/style>\r\n<div class=\"ugb-inner-block\">\r\n<div class=\"ugb-block-content\">\r\n<div class=\"ugb-container__wrapper ugb-f886957-wrapper ugb--shadow-0\">\r\n<div class=\"ugb-container__side\">\r\n<div class=\"ugb-container__content-wrapper ugb-f886957-content-wrapper\">\r\n<h1 class=\"wp-block-heading\">ESTA-ans\u00f6kan &#8211; USA<\/h1>\r\n\r\n\r\nESTA ans\u00f6kan till USA. ESTA \u00e4r det obligatoriska resetillst\u00e5ndssystemet f\u00f6r resen\u00e4rer som m\u00e5ste passera Amerikas gr\u00e4nser, antingen med flyg eller till sj\u00f6ss, under mindre \u00e4n 90 dagar f\u00f6r turism, transit eller aff\u00e4rer.<br \/>\r\n\r\n\r\n<h4 class=\"wp-block-heading\">Betalning<\/h4>\r\n\r\n\r\nBetalning sker med Mastercard eller Visa betalkort. Priset f\u00f6r en individuell ESTA-visumans\u00f6kan \u00e4r $89 &#8211; kom ih\u00e5g att g\u00f6ra en ans\u00f6kan f\u00f6r varje familjemedlem eller medlem i resegruppen.<br \/>\r\n\r\n\r\n<h4 class=\"wp-block-heading\">ESTA-ans\u00f6kan med snabb handl\u00e4ggning<\/h4>\r\n\r\n\r\nVi str\u00e4var efter att behandla din ans\u00f6kan s\u00e5 fort som m\u00f6jligt och har d\u00e4rf\u00f6r inf\u00f6rt omedelbar betalningsanm\u00e4lan, varvid din ans\u00f6kan omedelbart behandlas av visum- och reseexperter varefter ditt ESTA-tillst\u00e5nd levereras direkt till din e-post.<br \/>\r\n\r\n\r\n<h4 class=\"wp-block-heading\">S\u00e4ker SSL-transaktion och fillagring<\/h4>\r\n\r\n\r\nVi f\u00f6ljer de \u00f6vergripande internationella reglerna inom standard betalkortsindustrin &#8211; datas\u00e4kerhetsstandarden som antagits av de ledande kreditkortsf\u00f6retagen f\u00f6r att skydda din personliga information s\u00e5v\u00e4l som alla filer.<br \/>\r\n\r\n\r\n<h4 class=\"wp-block-heading\">Kundsupport<\/h4>\r\n\r\n\r\nVi har ett trevligt kundsupportteam som finns tillg\u00e4ngligt dygnet runt f\u00f6r att svara p\u00e5 alla typer av fr\u00e5gor i samband med ans\u00f6kan. Om du \u00e4r os\u00e4ker p\u00e5 din visumsituation eller beh\u00f6righet kan du se v\u00e4gledningsguiden utformad f\u00f6r detta.<br \/><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"<p>G\u00e5 tillbaka Skriv s\u00f6kandeinformation Fyll i personuppgifter i ans\u00f6kningsformul\u00e4ret. Granska din ans\u00f6kan Se till att all information \u00e4r korrekt. Betala och avsluta Betala med VISA eller Mastercard etc. ESTA-ans\u00f6kan &#8211; USA ESTA ans\u00f6kan till USA. ESTA \u00e4r det obligatoriska resetillst\u00e5ndssystemet f\u00f6r resen\u00e4rer som m\u00e5ste passera Amerikas gr\u00e4nser, antingen med flyg eller till sj\u00f6ss, under mindre [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-929","page","type-page","status-publish","hentry"],"featured_image_urls_v2":{"full":"","thumbnail":"","medium":"","medium_large":"","large":"","1536x1536":"","2048x2048":"","woocommerce_thumbnail":"","woocommerce_single":"","woocommerce_gallery_thumbnail":""},"post_excerpt_stackable_v2":"<p>G\u00e5 tillbaka Skriv s\u00f6kandeinformation Fyll i personuppgifter i ans\u00f6kningsformul\u00e4ret. Granska din ans\u00f6kan Se till att all information \u00e4r korrekt. Betala och avsluta Betala med VISA eller Mastercard etc. Applicant Information Fill out the ESTA Visa form below and make sure the information is correct. Upload a picture of your passport. For accurate results, make sure the MRZ is contained within the full width of the photograph and the photograph is not blurry. * Last Name * First Name * Gender * Select Female Male Birthday * City of Birth * Country of Birth * Select Afghanistan Albania Algeria Andorra Angola&hellip;<\/p>\n","category_list_v2":"","author_info_v2":{"name":"admin","url":"https:\/\/e-viza-gov.com\/se\/author\/admin\/"},"comments_num_v2":"0 comments","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll<\/title>\n<meta name=\"description\" content=\"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/e-viza-gov.com\/se\/esta-ans\u00f6kan\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll\" \/>\n<meta property=\"og:description\" content=\"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll\" \/>\n<meta property=\"og:url\" content=\"https:\/\/e-viza-gov.com\/se\/esta-ans\u00f6kan\/\" \/>\n<meta property=\"og:site_name\" content=\"ESTA Visum USA - Officiel Esta Visum til USA Online | U.S. Gr&aelig;nsekontrol\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-10T12:27:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/\",\"url\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/\",\"name\":\"ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/e-viza-gov.com\\\/wp-content\\\/uploads\\\/2020\\\/04\\\/back-icon.svg\",\"datePublished\":\"2022-02-17T14:30:06+00:00\",\"dateModified\":\"2022-06-10T12:27:26+00:00\",\"description\":\"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/#breadcrumb\"},\"inLanguage\":\"se-SE\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"se-SE\",\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/#primaryimage\",\"url\":\"https:\\\/\\\/e-viza-gov.com\\\/wp-content\\\/uploads\\\/2020\\\/04\\\/back-icon.svg\",\"contentUrl\":\"https:\\\/\\\/e-viza-gov.com\\\/wp-content\\\/uploads\\\/2020\\\/04\\\/back-icon.svg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/esta-ans%c3%b6kan\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/e-viza-gov.com\\\/se\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"ESTA-ans\u00f6kan\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/e-viza-gov.com\\\/#website\",\"url\":\"https:\\\/\\\/e-viza-gov.com\\\/\",\"name\":\"ESTA Visum USA - Officiel Esta Visum til USA Online | U.S. Gr&aelig;nsekontrol\",\"description\":\"Det elektroniske rejsetilladelsessystem\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/e-viza-gov.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"se-SE\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll","description":"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/e-viza-gov.com\/se\/esta-ans\u00f6kan\/","og_locale":"en_US","og_type":"article","og_title":"ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll","og_description":"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll","og_url":"https:\/\/e-viza-gov.com\/se\/esta-ans\u00f6kan\/","og_site_name":"ESTA Visum USA - Officiel Esta Visum til USA Online | U.S. Gr&aelig;nsekontrol","article_modified_time":"2022-06-10T12:27:26+00:00","og_image":[{"url":"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/","url":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/","name":"ESTA Ans\u00f6kan, Officiellt ESTA Visa USA Online | U.S. Gr\u00e4nskontroll","isPartOf":{"@id":"https:\/\/e-viza-gov.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/#primaryimage"},"image":{"@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/#primaryimage"},"thumbnailUrl":"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg","datePublished":"2022-02-17T14:30:06+00:00","dateModified":"2022-06-10T12:27:26+00:00","description":"ESTA Ans\u00f6kan online, officiellt ESTA visum till USA. Fyll i ans\u00f6kan nu och f\u00e5 ditt turistvisum till USA - U.S. Gr\u00e4nskontroll","breadcrumb":{"@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/#breadcrumb"},"inLanguage":"se-SE","potentialAction":[{"@type":"ReadAction","target":["https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/"]}]},{"@type":"ImageObject","inLanguage":"se-SE","@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/#primaryimage","url":"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg","contentUrl":"https:\/\/e-viza-gov.com\/wp-content\/uploads\/2020\/04\/back-icon.svg"},{"@type":"BreadcrumbList","@id":"https:\/\/e-viza-gov.com\/se\/esta-ans%c3%b6kan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/e-viza-gov.com\/se\/"},{"@type":"ListItem","position":2,"name":"ESTA-ans\u00f6kan"}]},{"@type":"WebSite","@id":"https:\/\/e-viza-gov.com\/#website","url":"https:\/\/e-viza-gov.com\/","name":"ESTA Visum USA - Officiel Esta Visum til USA Online | U.S. Gr&aelig;nsekontrol","description":"Det elektroniske rejsetilladelsessystem","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/e-viza-gov.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"se-SE"}]}},"_links":{"self":[{"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/pages\/929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/comments?post=929"}],"version-history":[{"count":7,"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/pages\/929\/revisions"}],"predecessor-version":[{"id":1222,"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/pages\/929\/revisions\/1222"}],"wp:attachment":[{"href":"https:\/\/e-viza-gov.com\/se\/wp-json\/wp\/v2\/media?parent=929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}