{"id":3357,"date":"2016-02-20T10:08:46","date_gmt":"2016-02-20T10:08:46","guid":{"rendered":"http:\/\/dukelanguage.com\/visa-application\/"},"modified":"2017-11-28T07:11:02","modified_gmt":"2017-11-28T07:11:02","slug":"visa-application","status":"publish","type":"page","link":"https:\/\/dukelanguage.com\/fr\/visa-application\/","title":{"rendered":"Formulaire de demande"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-39624b3d217116ab8beea9c300ba3536\">\n.avia-section.av-av_section-39624b3d217116ab8beea9c300ba3536{\nbackground-color:#1e73be;\nbackground-image:unset;\n}\n.avia-section.av-av_section-39624b3d217116ab8beea9c300ba3536 .av-extra-border-element .av-extra-border-inner{\nbackground-color:#1e73be;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-av_section-39624b3d217116ab8beea9c300ba3536 main_color avia-section-default avia-no-shadow  avia-builder-el-0  el_before_av_contact  avia-builder-el-first  avia-bg-style-scroll av-arrow-down-section container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><main  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3357'><div class='entry-content-wrapper clearfix'>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f '  ><div class='avia_textblock' ><h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visa Application Form<\/span><\/h1>\n<\/div><\/section>\n<\/div><\/div><\/main><!-- close content main element --><\/div><div class='av-extra-border-element border-extra-arrow-down'><div class='av-extra-border-outer'><div class='av-extra-border-inner'><\/div><\/div><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-3357'><div class='entry-content-wrapper clearfix'>\n<form action=\"https:\/\/dukelanguage.com\/fr\/visa-application\/\" method=\"post\" data-fields-with-error=\"Erreurs trouv\u00e9es dans les champs suivants :\" class=\"avia_ajax_form av-form-labels-visible   avia-builder-el-2  el_after_av_section  avia-builder-el-no-sibling   \" data-avia-form-id=\"1\" data-avia-redirect='' ><fieldset><div id='avia_1_1' class='av-form-text'><p>\nPersonal Information:<\/p>\n<\/div><p class='  first_form  form_element form_element_fourth' id='element_avia_2_1'><label for=\"avia_2_1\">Title <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_2_1\" class=\"select is_empty\" id=\"avia_2_1\"><option   value='Mr.'>Mr.<\/option><option   value='Mrs.'>Mrs.<\/option><option   value='Ms.'>Ms.<\/option><\/select><\/p><p class='  first_form  form_element form_element_third' id='element_avia_4_1'><label for=\"avia_4_1\">First Name <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_4_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_4_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_5_1'><label for=\"avia_5_1\">Middle Name<\/label> <input name=\"avia_5_1\" class=\"text_input \" type=\"text\" id=\"avia_5_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_6_1'><label for=\"avia_6_1\">Family (Last) Name <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_6_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_6_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_element_third' id='element_avia_7_1'><label for=\"avia_7_1\">E-Mail <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_7_1\" class=\"text_input is_email\" type=\"text\" id=\"avia_7_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_8_1'><label for=\"avia_8_1\">Mobile Number <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_8_1\" class=\"text_input is_phone\" type=\"text\" id=\"avia_8_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_9_1'><label for=\"avia_9_1\">Highest Level of Education <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_9_1\" class=\"select is_empty\" id=\"avia_9_1\"><option   value='High School Certificate'>High School Certificate<\/option><option   value='Diploma'>Diploma<\/option><option   value='Bachelor\u2018s Degree'>Bachelor\u2018s Degree<\/option><option   value='Master\u2019s Degree'>Master\u2019s Degree<\/option><option   value='PhD'>PhD<\/option><\/select><\/p><p class='  first_form  form_element form_element_third' id='element_avia_10_1'><label for=\"avia_10_1\">Passport Number <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_10_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_10_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_11_1'><label for=\"avia_11_1\">Country of Issue <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_11_1\" class=\"select is_empty\" id=\"avia_11_1\"><option   value='Afghanistan'>Afghanistan<\/option><option   value='Albania'>Albania<\/option><option   value='Algeria'>Algeria<\/option><option   value='American Samoa'>American Samoa<\/option><option   value='Andorra'>Andorra<\/option><option   value='Angola'>Angola<\/option><option   value='Anguilla'>Anguilla<\/option><option   value='Antarctica'>Antarctica<\/option><option   value='Antigua and Barbuda'>Antigua and Barbuda<\/option><option   value='Argentina'>Argentina<\/option><option   value='Armenia'>Armenia<\/option><option   value='Aruba'>Aruba<\/option><option   value='Australia'>Australia<\/option><option   value='Austria'>Austria<\/option><option   value='Azerbaijan'>Azerbaijan<\/option><option   value='Bahamas'>Bahamas<\/option><option   value='Bahrain'>Bahrain<\/option><option   value='Bangladesh'>Bangladesh<\/option><option   value='Barbados'>Barbados<\/option><option   value='Belarus'>Belarus<\/option><option   value='Belgium'>Belgium<\/option><option   value='Belize'>Belize<\/option><option   value='Benin'>Benin<\/option><option   value='Bermuda'>Bermuda<\/option><option   value='Bhutan'>Bhutan<\/option><option   value='Bolivia'>Bolivia<\/option><option   value='Bosnia and Herzegovina'>Bosnia and Herzegovina<\/option><option   value='Botswana'>Botswana<\/option><option   value='Bouvet Island'>Bouvet Island<\/option><option   value='Brazil'>Brazil<\/option><option   value='British Indian Ocean Territory'>British Indian Ocean Territory<\/option><option   value='Brunei Darussalam'>Brunei Darussalam<\/option><option   value='Bulgaria'>Bulgaria<\/option><option   value='Burkina Faso'>Burkina Faso<\/option><option   value='Burundi'>Burundi<\/option><option   value='Cambodia'>Cambodia<\/option><option   value='Cameroon'>Cameroon<\/option><option   value='Canada'>Canada<\/option><option   value='Cape Verde'>Cape Verde<\/option><option   value='Cayman Islands'>Cayman Islands<\/option><option   value='Central African Republic'>Central African Republic<\/option><option   value='Chad'>Chad<\/option><option   value='Chile'>Chile<\/option><option   value='China'>China<\/option><option   value='Christmas Island'>Christmas Island<\/option><option   value='Cocos (Keeling) Islands'>Cocos (Keeling) Islands<\/option><option   value='Colombia'>Colombia<\/option><option   value='Comoros'>Comoros<\/option><option   value='Congo'>Congo<\/option><option   value='Congo'>Congo<\/option><option   value='The Democratic Republic of The'>The Democratic Republic of The<\/option><option   value='Cook Islands'>Cook Islands<\/option><option   value='Costa Rica'>Costa Rica<\/option><option   value='Cote D\u2018ivoire'>Cote D\u2018ivoire<\/option><option   value='Croatia'>Croatia<\/option><option   value='Cuba'>Cuba<\/option><option   value='Cyprus'>Cyprus<\/option><option   value='Czech Republic'>Czech Republic<\/option><option   value='Denmark'>Denmark<\/option><option   value='Djibouti'>Djibouti<\/option><option   value='Dominica'>Dominica<\/option><option   value='Dominican Republic'>Dominican Republic<\/option><option   value='Ecuador'>Ecuador<\/option><option   value='Egypt'>Egypt<\/option><option   value='El Salvador'>El Salvador<\/option><option   value='Equatorial Guinea'>Equatorial Guinea<\/option><option   value='Eritrea'>Eritrea<\/option><option   value='Estonia'>Estonia<\/option><option   value='Ethiopia'>Ethiopia<\/option><option   value='Falkland Islands (Malvinas)'>Falkland Islands (Malvinas)<\/option><option   value='Faroe Islands'>Faroe Islands<\/option><option   value='Fiji'>Fiji<\/option><option   value='Finland'>Finland<\/option><option   value='France'>France<\/option><option   value='French Guiana'>French Guiana<\/option><option   value='French Polynesia'>French Polynesia<\/option><option   value='French Southern Territories'>French Southern Territories<\/option><option   value='Gabon'>Gabon<\/option><option   value='Gambia'>Gambia<\/option><option   value='Georgia'>Georgia<\/option><option   value='Germany'>Germany<\/option><option   value='Ghana'>Ghana<\/option><option   value='Gibraltar'>Gibraltar<\/option><option   value='Greece'>Greece<\/option><option   value='Greenland'>Greenland<\/option><option   value='Grenada'>Grenada<\/option><option   value='Guadeloupe'>Guadeloupe<\/option><option   value='Guam'>Guam<\/option><option   value='Guatemala'>Guatemala<\/option><option   value='Guinea'>Guinea<\/option><option   value='Guinea-bissau'>Guinea-bissau<\/option><option   value='Guyana'>Guyana<\/option><option   value='Haiti'>Haiti<\/option><option   value='Heard Island and Mcdonald Islands'>Heard Island and Mcdonald Islands<\/option><option   value='Holy See (Vatican City State)'>Holy See (Vatican City State)<\/option><option   value='Honduras'>Honduras<\/option><option   value='Hong Kong'>Hong Kong<\/option><option   value='Hungary'>Hungary<\/option><option   value='Iceland'>Iceland<\/option><option   value='India'>India<\/option><option   value='Indonesia'>Indonesia<\/option><option   value='Iran'>Iran<\/option><option   value='Islamic Republic of'>Islamic Republic of<\/option><option   value='Iraq'>Iraq<\/option><option   value='Ireland'>Ireland<\/option><option   value='Israel'>Israel<\/option><option   value='Italy'>Italy<\/option><option   value='Jamaica'>Jamaica<\/option><option   value='Japan'>Japan<\/option><option   value='Jordan'>Jordan<\/option><option   value='Kazakhstan'>Kazakhstan<\/option><option   value='Kenya'>Kenya<\/option><option   value='Kiribati'>Kiribati<\/option><option   value='Korea - Democratic People\u2019s Republic of'>Korea - Democratic People\u2019s Republic of<\/option><option   value='Korea - Republic of'>Korea - Republic of<\/option><option   value='Kuwait'>Kuwait<\/option><option   value='Kyrgyzstan'>Kyrgyzstan<\/option><option   value='Lao People\u2019s Democratic Republic'>Lao People\u2019s Democratic Republic<\/option><option   value='Latvia'>Latvia<\/option><option   value='Lebanon'>Lebanon<\/option><option   value='Lesotho'>Lesotho<\/option><option   value='Liberia'>Liberia<\/option><option   value='Libyan Arab Jamahiriya'>Libyan Arab Jamahiriya<\/option><option   value='Liechtenstein'>Liechtenstein<\/option><option   value='Lithuania'>Lithuania<\/option><option   value='Luxembourg'>Luxembourg<\/option><option   value='Macao'>Macao<\/option><option   value='Macedonia'>Macedonia<\/option><option   value='Madagascar'>Madagascar<\/option><option   value='Malawi'>Malawi<\/option><option   value='Malaysia'>Malaysia<\/option><option   value='Maldives'>Maldives<\/option><option   value='Mali'>Mali<\/option><option   value='Malta'>Malta<\/option><option   value='Marshall Islands'>Marshall Islands<\/option><option   value='Martinique'>Martinique<\/option><option   value='Mauritania'>Mauritania<\/option><option   value='Mauritius'>Mauritius<\/option><option   value='Mayotte'>Mayotte<\/option><option   value='Mexico'>Mexico<\/option><option   value='Micronesia'>Micronesia<\/option><option   value='Moldova'>Moldova<\/option><option   value='Monaco'>Monaco<\/option><option   value='Mongolia'>Mongolia<\/option><option   value='Montserrat'>Montserrat<\/option><option   value='Morocco'>Morocco<\/option><option   value='Mozambique'>Mozambique<\/option><option   value='Myanmar'>Myanmar<\/option><option   value='Namibia'>Namibia<\/option><option   value='Nauru'>Nauru<\/option><option   value='Nepal'>Nepal<\/option><option   value='Netherlands'>Netherlands<\/option><option   value='Netherlands Antilles'>Netherlands Antilles<\/option><option   value='New Caledonia'>New Caledonia<\/option><option   value='New Zealand'>New Zealand<\/option><option   value='Nicaragua'>Nicaragua<\/option><option   value='Niger'>Niger<\/option><option   value='Nigeria'>Nigeria<\/option><option   value='Niue'>Niue<\/option><option   value='Norfolk Island'>Norfolk Island<\/option><option   value='Northern Mariana Islands'>Northern Mariana Islands<\/option><option   value='Norway'>Norway<\/option><option   value='Oman'>Oman<\/option><option   value='Pakistan'>Pakistan<\/option><option   value='Palau'>Palau<\/option><option   value='Panama'>Panama<\/option><option   value='Papua New Guinea'>Papua New Guinea<\/option><option   value='Paraguay'>Paraguay<\/option><option   value='Peru'>Peru<\/option><option   value='Philippines'>Philippines<\/option><option   value='Pitcairn'>Pitcairn<\/option><option   value='Poland'>Poland<\/option><option   value='Portugal'>Portugal<\/option><option   value='Puerto Rico'>Puerto Rico<\/option><option   value='Qatar'>Qatar<\/option><option   value='Reunion'>Reunion<\/option><option   value='Romania'>Romania<\/option><option   value='Russian Federation'>Russian Federation<\/option><option   value='Rwanda'>Rwanda<\/option><option   value='Saint Helena'>Saint Helena<\/option><option   value='Saint Kitts and Nevis'>Saint Kitts and Nevis<\/option><option   value='Saint Lucia'>Saint Lucia<\/option><option   value='Saint Pierre and Miquelon'>Saint Pierre and Miquelon<\/option><option   value='Saint Vincent and The Grenadines'>Saint Vincent and The Grenadines<\/option><option   value='Samoa'>Samoa<\/option><option   value='San Marino'>San Marino<\/option><option   value='Sao Tome and Principe'>Sao Tome and Principe<\/option><option   value='Saudi Arabia'>Saudi Arabia<\/option><option   value='Senegal'>Senegal<\/option><option   value='Serbia and Montenegro'>Serbia and Montenegro<\/option><option   value='Seychelles'>Seychelles<\/option><option   value='Sierra Leone'>Sierra Leone<\/option><option   value='Singapore'>Singapore<\/option><option   value='Slovakia'>Slovakia<\/option><option   value='Slovenia'>Slovenia<\/option><option   value='Solomon Islands'>Solomon Islands<\/option><option   value='Somalia'>Somalia<\/option><option   value='South Africa'>South Africa<\/option><option   value='South Georgia and The South Sandwich Islands'>South Georgia and The South Sandwich Islands<\/option><option   value='Spain'>Spain<\/option><option   value='Sri Lanka'>Sri Lanka<\/option><option   value='Sudan'>Sudan<\/option><option   value='Suriname'>Suriname<\/option><option   value='Svalbard and Jan Mayen'>Svalbard and Jan Mayen<\/option><option   value='Swaziland'>Swaziland<\/option><option   value='Sweden'>Sweden<\/option><option   value='Switzerland'>Switzerland<\/option><option   value='Syrian Arab Republic'>Syrian Arab Republic<\/option><option   value='Taiwan'>Taiwan<\/option><option   value='Province of China'>Province of China<\/option><option   value='Tajikistan'>Tajikistan<\/option><option   value='Tanzania'>Tanzania<\/option><option   value='United Republic of'>United Republic of<\/option><option   value='Thailand'>Thailand<\/option><option   value='Timor-leste'>Timor-leste<\/option><option   value='Togo'>Togo<\/option><option   value='Tokelau'>Tokelau<\/option><option   value='Tonga'>Tonga<\/option><option   value='Trinidad and Tobago'>Trinidad and Tobago<\/option><option   value='Tunisia'>Tunisia<\/option><option   value='Turkey'>Turkey<\/option><option   value='Turkmenistan'>Turkmenistan<\/option><option   value='Turks and Caicos Islands'>Turks and Caicos Islands<\/option><option   value='Tuvalu'>Tuvalu<\/option><option   value='Uganda'>Uganda<\/option><option   value='Ukraine'>Ukraine<\/option><option   value='United Arab Emirates'>United Arab Emirates<\/option><option   value='United Kingdom'>United Kingdom<\/option><option   value='United States'>United States<\/option><option   value='United States Minor Outlying Islands'>United States Minor Outlying Islands<\/option><option   value='Uruguay'>Uruguay<\/option><option   value='Uzbekistan'>Uzbekistan<\/option><option   value='Vanuatu'>Vanuatu<\/option><option   value='Venezuela'>Venezuela<\/option><option   value='Vietnam'>Vietnam<\/option><option   value='Virgin Islands'>Virgin Islands<\/option><option   value='Wallis and Futuna'>Wallis and Futuna<\/option><option   value='Western Sahara'>Western Sahara<\/option><option   value='Yemen'>Yemen<\/option><option   value='Zambia'>Zambia<\/option><option   value='Zimbabwe'>Zimbabwe<\/option><\/select><\/p><p class='  form_element form_element_third' id='element_avia_12_1'><label for=\"avia_12_1\">Nationality <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_12_1\" class=\"select is_empty\" id=\"avia_12_1\"><option   value='Afghan'>Afghan<\/option><option   value='Albanian'>Albanian<\/option><option   value='Algerian'>Algerian<\/option><option   value='American'>American<\/option><option   value='Andorran'>Andorran<\/option><option   value='Angolan'>Angolan<\/option><option   value='Antiguans'>Antiguans<\/option><option   value='Argentinean'>Argentinean<\/option><option   value='Armenian'>Armenian<\/option><option   value='Australian'>Australian<\/option><option   value='Austrian'>Austrian<\/option><option   value='Azerbaijani'>Azerbaijani<\/option><option   value='Bahamian'>Bahamian<\/option><option   value='Bahraini'>Bahraini<\/option><option   value='Bangladeshi'>Bangladeshi<\/option><option   value='Barbadian'>Barbadian<\/option><option   value='Barbudans'>Barbudans<\/option><option   value='Batswana'>Batswana<\/option><option   value='Belarusian'>Belarusian<\/option><option   value='Belgian'>Belgian<\/option><option   value='Belizean'>Belizean<\/option><option   value='Beninese'>Beninese<\/option><option   value='Bhutanese'>Bhutanese<\/option><option   value='Bolivian'>Bolivian<\/option><option   value='Bosnian'>Bosnian<\/option><option   value='Brazilian'>Brazilian<\/option><option   value='British'>British<\/option><option   value='Bruneian'>Bruneian<\/option><option   value='Bulgarian'>Bulgarian<\/option><option   value='Burkinabe'>Burkinabe<\/option><option   value='Burmese'>Burmese<\/option><option   value='Burundian'>Burundian<\/option><option   value='Cambodian'>Cambodian<\/option><option   value='Cameroonian'>Cameroonian<\/option><option   value='Canadian'>Canadian<\/option><option   value='Cape Verdean'>Cape Verdean<\/option><option   value='Central African'>Central African<\/option><option   value='Chadian'>Chadian<\/option><option   value='Chilean'>Chilean<\/option><option   value='Chinese'>Chinese<\/option><option   value='Colombian'>Colombian<\/option><option   value='Comoran'>Comoran<\/option><option   value='Congolese'>Congolese<\/option><option   value='Costa Rican'>Costa Rican<\/option><option   value='Croatian'>Croatian<\/option><option   value='Cuban'>Cuban<\/option><option   value='Cypriot'>Cypriot<\/option><option   value='Czech'>Czech<\/option><option   value='Danish'>Danish<\/option><option   value='Djibouti'>Djibouti<\/option><option   value='Dominican'>Dominican<\/option><option   value='Dutch'>Dutch<\/option><option   value='East Timorese'>East Timorese<\/option><option   value='Ecuadorean'>Ecuadorean<\/option><option   value='Egyptian'>Egyptian<\/option><option   value='Emirian'>Emirian<\/option><option   value='Equatorial Guinean'>Equatorial Guinean<\/option><option   value='Eritrean'>Eritrean<\/option><option   value='Estonian'>Estonian<\/option><option   value='Ethiopian'>Ethiopian<\/option><option   value='Fijian'>Fijian<\/option><option   value='Filipino'>Filipino<\/option><option   value='Finnish'>Finnish<\/option><option   value='French'>French<\/option><option   value='Gabonese'>Gabonese<\/option><option   value='Gambian'>Gambian<\/option><option   value='Georgian'>Georgian<\/option><option   value='German'>German<\/option><option   value='Ghanaian'>Ghanaian<\/option><option   value='Greek'>Greek<\/option><option   value='Grenadian'>Grenadian<\/option><option   value='Guatemalan'>Guatemalan<\/option><option   value='Guinea-Bissauan'>Guinea-Bissauan<\/option><option   value='Guinean'>Guinean<\/option><option   value='Guyanese'>Guyanese<\/option><option   value='Haitian'>Haitian<\/option><option   value='Herzegovinian'>Herzegovinian<\/option><option   value='Honduran'>Honduran<\/option><option   value='Hungarian'>Hungarian<\/option><option   value='Icelander'>Icelander<\/option><option   value='Indian'>Indian<\/option><option   value='Indonesian'>Indonesian<\/option><option   value='Iranian'>Iranian<\/option><option   value='Iraqi'>Iraqi<\/option><option   value='Irish'>Irish<\/option><option   value='Israeli'>Israeli<\/option><option   value='Italian'>Italian<\/option><option   value='Ivorian'>Ivorian<\/option><option   value='Jamaican'>Jamaican<\/option><option   value='Japanese'>Japanese<\/option><option   value='Jordanian'>Jordanian<\/option><option   value='Kazakhstani'>Kazakhstani<\/option><option   value='Kenyan'>Kenyan<\/option><option   value='Kittian and Nevisian'>Kittian and Nevisian<\/option><option   value='Kuwaiti'>Kuwaiti<\/option><option   value='Kyrgyz'>Kyrgyz<\/option><option   value='Laotian'>Laotian<\/option><option   value='Latvian'>Latvian<\/option><option   value='Lebanese'>Lebanese<\/option><option   value='Liberian'>Liberian<\/option><option   value='Libyan'>Libyan<\/option><option   value='Liechtensteiner'>Liechtensteiner<\/option><option   value='Lithuanian'>Lithuanian<\/option><option   value='Luxembourger'>Luxembourger<\/option><option   value='Macedonian'>Macedonian<\/option><option   value='Malagasy'>Malagasy<\/option><option   value='Malawian'>Malawian<\/option><option   value='Malaysian'>Malaysian<\/option><option   value='Maldivan'>Maldivan<\/option><option   value='Malian'>Malian<\/option><option   value='Maltese'>Maltese<\/option><option   value='Marshallese'>Marshallese<\/option><option   value='Mauritanian'>Mauritanian<\/option><option   value='Mauritian'>Mauritian<\/option><option   value='Mexican'>Mexican<\/option><option   value='Micronesian'>Micronesian<\/option><option   value='Moldovan'>Moldovan<\/option><option   value='Monacan'>Monacan<\/option><option   value='Mongolian'>Mongolian<\/option><option   value='Moroccan'>Moroccan<\/option><option   value='Mosotho'>Mosotho<\/option><option   value='Motswana'>Motswana<\/option><option   value='Mozambican'>Mozambican<\/option><option   value='Namibian'>Namibian<\/option><option   value='Nauruan'>Nauruan<\/option><option   value='Nepalese'>Nepalese<\/option><option   value='Netherlander'>Netherlander<\/option><option   value='New Zealander'>New Zealander<\/option><option   value='Ni-Vanuatu'>Ni-Vanuatu<\/option><option   value='Nicaraguan'>Nicaraguan<\/option><option   value='Nigerian'>Nigerian<\/option><option   value='Nigerien'>Nigerien<\/option><option   value='North Korean'>North Korean<\/option><option   value='Northern Irish'>Northern Irish<\/option><option   value='Norwegian'>Norwegian<\/option><option   value='Omani'>Omani<\/option><option   value='Pakistani'>Pakistani<\/option><option   value='Palauan'>Palauan<\/option><option   value='Panamanian'>Panamanian<\/option><option   value='Papua New Guinean'>Papua New Guinean<\/option><option   value='Paraguayan'>Paraguayan<\/option><option   value='Peruvian'>Peruvian<\/option><option   value='Polish'>Polish<\/option><option   value='Portuguese'>Portuguese<\/option><option   value='Qatari'>Qatari<\/option><option   value='Romanian'>Romanian<\/option><option   value='Russian'>Russian<\/option><option   value='Rwandan'>Rwandan<\/option><option   value='Saint Lucian'>Saint Lucian<\/option><option   value='Salvadoran'>Salvadoran<\/option><option   value='Samoan'>Samoan<\/option><option   value='San Marinese'>San Marinese<\/option><option   value='Sao Tomean'>Sao Tomean<\/option><option   value='Saudi'>Saudi<\/option><option   value='Scottish'>Scottish<\/option><option   value='Senegalese'>Senegalese<\/option><option   value='Serbian'>Serbian<\/option><option   value='Seychellois'>Seychellois<\/option><option   value='Sierra Leonean'>Sierra Leonean<\/option><option   value='Singaporean'>Singaporean<\/option><option   value='Slovakian'>Slovakian<\/option><option   value='Slovenian'>Slovenian<\/option><option   value='Solomon Islander'>Solomon Islander<\/option><option   value='Somali'>Somali<\/option><option   value='South African'>South African<\/option><option   value='South Korean'>South Korean<\/option><option   value='Spanish'>Spanish<\/option><option   value='Sri Lankan'>Sri Lankan<\/option><option   value='Sudanese'>Sudanese<\/option><option   value='Surinamer'>Surinamer<\/option><option   value='Swazi'>Swazi<\/option><option   value='Swedish'>Swedish<\/option><option   value='Swiss'>Swiss<\/option><option   value='Syrian'>Syrian<\/option><option   value='Taiwanese'>Taiwanese<\/option><option   value='Tajik'>Tajik<\/option><option   value='Tanzanian'>Tanzanian<\/option><option   value='Thai'>Thai<\/option><option   value='Togolese'>Togolese<\/option><option   value='Tongan'>Tongan<\/option><option   value='Trinidadian or Tobagonian'>Trinidadian or Tobagonian<\/option><option   value='Tunisian'>Tunisian<\/option><option   value='Turkish'>Turkish<\/option><option   value='Tuvaluan'>Tuvaluan<\/option><option   value='Ugandan'>Ugandan<\/option><option   value='Ukrainian'>Ukrainian<\/option><option   value='Uruguayan'>Uruguayan<\/option><option   value='Uzbekistani'>Uzbekistani<\/option><option   value='Venezuelan'>Venezuelan<\/option><option   value='Vietnamese'>Vietnamese<\/option><option   value='Welsh'>Welsh<\/option><option   value='Yemenite'>Yemenite<\/option><option   value='Zambian'>Zambian<\/option><option   value='Zimbabwean'>Zimbabwean<\/option><\/select><\/p><div id='avia_13_1' class='av-form-text'><p>\nDate of Birth:<\/p>\n<\/div><p class='  first_form  form_element form_element_third' id='element_avia_14_1'><label for=\"avia_14_1\">Day <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_14_1\" class=\"select is_empty\" id=\"avia_14_1\"><option   value='1'>1<\/option><option   value='2'>2<\/option><option   value='3'>3<\/option><option   value='4'>4<\/option><option   value='5'>5<\/option><option   value='6'>6<\/option><option   value='7'>7<\/option><option   value='8'>8<\/option><option   value='9'>9<\/option><option   value='10'>10<\/option><option   value='11'>11<\/option><option   value='12'>12<\/option><option   value='13'>13<\/option><option   value='14'>14<\/option><option   value='15'>15<\/option><option   value='16'>16<\/option><option   value='17'>17<\/option><option   value='18'>18<\/option><option   value='19'>19<\/option><option   value='20'>20<\/option><option   value='21'>21<\/option><option   value='22'>22<\/option><option   value='23'>23<\/option><option   value='24'>24<\/option><option   value='25'>25<\/option><option   value='26'>26<\/option><option   value='27'>27<\/option><option   value='28'>28<\/option><option   value='29'>29<\/option><option   value='30'>30<\/option><option   value='31'>31<\/option><\/select><\/p><p class='  form_element form_element_third' id='element_avia_15_1'><label for=\"avia_15_1\">Month <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_15_1\" class=\"select is_empty\" id=\"avia_15_1\"><option   value='1 - Janaury'>1 - Janaury<\/option><option   value='2 - February'>2 - February<\/option><option   value='3 - March'>3 - March<\/option><option   value='4 - April'>4 - April<\/option><option   value='5 - May'>5 - May<\/option><option   value='6 - June'>6 - June<\/option><option   value='7 - July'>7 - July<\/option><option   value='8 - August'>8 - August<\/option><option   value='9 - September'>9 - September<\/option><option   value='10 - October'>10 - October<\/option><option   value='11 - November'>11 - November<\/option><option   value='12 - December'>12 - December<\/option><\/select><\/p><p class='  form_element form_element_third' id='element_avia_16_1'><label for=\"avia_16_1\">Year <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_16_1\" class=\"select is_empty\" id=\"avia_16_1\"><option   value='1930'>1930<\/option><option   value='1931'>1931<\/option><option   value='1932'>1932<\/option><option   value='1933'>1933<\/option><option   value='1934'>1934<\/option><option   value='1935'>1935<\/option><option   value='1936'>1936<\/option><option   value='1937'>1937<\/option><option   value='1938'>1938<\/option><option   value='1939'>1939<\/option><option   value='1940'>1940<\/option><option   value='1941'>1941<\/option><option   value='1942'>1942<\/option><option   value='1943'>1943<\/option><option   value='1944'>1944<\/option><option   value='1945'>1945<\/option><option   value='1946'>1946<\/option><option   value='1947'>1947<\/option><option   value='1948'>1948<\/option><option   value='1949'>1949<\/option><option   value='1950'>1950<\/option><option   value='1951'>1951<\/option><option   value='1952'>1952<\/option><option   value='1953'>1953<\/option><option   value='1954'>1954<\/option><option   value='1955'>1955<\/option><option   value='1956'>1956<\/option><option   value='1957'>1957<\/option><option   value='1958'>1958<\/option><option   value='1959'>1959<\/option><option   value='1960'>1960<\/option><option   value='1961'>1961<\/option><option   value='1962'>1962<\/option><option   value='1963'>1963<\/option><option   value='1964'>1964<\/option><option   value='1965'>1965<\/option><option   value='1966'>1966<\/option><option   value='1967'>1967<\/option><option   value='1968'>1968<\/option><option   value='1969'>1969<\/option><option   value='1970'>1970<\/option><option   value='1971'>1971<\/option><option   value='1972'>1972<\/option><option   value='1973'>1973<\/option><option   value='1974'>1974<\/option><option   value='1975'>1975<\/option><option   value='1976'>1976<\/option><option   value='1977'>1977<\/option><option   value='1978'>1978<\/option><option   value='1979'>1979<\/option><option   value='1980'>1980<\/option><option   value='1981'>1981<\/option><option   value='1982'>1982<\/option><option   value='1983'>1983<\/option><option   value='1984'>1984<\/option><option   value='1985'>1985<\/option><option   value='1986'>1986<\/option><option   value='1987'>1987<\/option><option   value='1988'>1988<\/option><option   value='1989'>1989<\/option><option   value='1990'>1990<\/option><option   value='1991'>1991<\/option><option   value='1992'>1992<\/option><option   value='1993'>1993<\/option><option   value='1994'>1994<\/option><option   value='1995'>1995<\/option><option   value='1996'>1996<\/option><option   value='1997'>1997<\/option><option   value='1998'>1998<\/option><option   value='1999'>1999<\/option><option   value='2000'>2000<\/option><option   value='2001'>2001<\/option><option   value='2002'>2002<\/option><option   value='2003'>2003<\/option><option   value='2004'>2004<\/option><option   value='2005'>2005<\/option><option   value='2006'>2006<\/option><option   value='2007'>2007<\/option><option   value='2008'>2008<\/option><option   value='2009'>2009<\/option><option   value='2010'>2010<\/option><option   value='2011'>2011<\/option><option   value='2012'>2012<\/option><option   value='2013'>2013<\/option><option   value='2014'>2014<\/option><option   value='2015'>2015<\/option><option   value='2016'>2016<\/option><\/select><\/p><div id='avia_17_1' class='av-form-text'><p>\nAddress in Thailand:<\/p>\n<\/div><p class='  first_form  form_element form_element_third' id='element_avia_18_1'><label for=\"avia_18_1\">Address No. <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_18_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_18_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_19_1'><label for=\"avia_19_1\">Road <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_19_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_19_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_20_1'><label for=\"avia_20_1\">Sub-District <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_20_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_20_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_element_third' id='element_avia_21_1'><label for=\"avia_21_1\">District <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_21_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_21_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_22_1'><label for=\"avia_22_1\">Province\/City <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_22_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_22_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_23_1'><label for=\"avia_23_1\">Postal Code <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_23_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_23_1\" value=\"\" \/><\/p><div id='avia_25_1' class='av-form-text'><p>\nAddress in Home Country:<\/p>\n<\/div><p class='  first_form  form_element form_element_third' id='element_avia_26_1'><label for=\"avia_26_1\">Address No. <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_26_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_26_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_27_1'><label for=\"avia_27_1\">Road\/Street <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_27_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_27_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_28_1'><label for=\"avia_28_1\">Sub-District<\/label> <input name=\"avia_28_1\" class=\"text_input \" type=\"text\" id=\"avia_28_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_element_third' id='element_avia_29_1'><label for=\"avia_29_1\">District <\/label> <input name=\"avia_29_1\" class=\"text_input \" type=\"text\" id=\"avia_29_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_30_1'><label for=\"avia_30_1\">Province\/City <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_30_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_30_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_31_1'><label for=\"avia_31_1\">Postal Code <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_31_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_31_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_element_third' id='element_avia_32_1'><label for=\"avia_32_1\">Country <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_32_1\" class=\"select is_empty\" id=\"avia_32_1\"><option   value='Afghanistan'>Afghanistan<\/option><option   value='Albania'>Albania<\/option><option   value='Algeria'>Algeria<\/option><option   value='American Samoa'>American Samoa<\/option><option   value='Andorra'>Andorra<\/option><option   value='Angola'>Angola<\/option><option   value='Anguilla'>Anguilla<\/option><option   value='Antarctica'>Antarctica<\/option><option   value='Antigua and Barbuda'>Antigua and Barbuda<\/option><option   value='Argentina'>Argentina<\/option><option   value='Armenia'>Armenia<\/option><option   value='Aruba'>Aruba<\/option><option   value='Australia'>Australia<\/option><option   value='Austria'>Austria<\/option><option   value='Azerbaijan'>Azerbaijan<\/option><option   value='Bahamas'>Bahamas<\/option><option   value='Bahrain'>Bahrain<\/option><option   value='Bangladesh'>Bangladesh<\/option><option   value='Barbados'>Barbados<\/option><option   value='Belarus'>Belarus<\/option><option   value='Belgium'>Belgium<\/option><option   value='Belize'>Belize<\/option><option   value='Benin'>Benin<\/option><option   value='Bermuda'>Bermuda<\/option><option   value='Bhutan'>Bhutan<\/option><option   value='Bolivia'>Bolivia<\/option><option   value='Bosnia and Herzegovina'>Bosnia and Herzegovina<\/option><option   value='Botswana'>Botswana<\/option><option   value='Bouvet Island'>Bouvet Island<\/option><option   value='Brazil'>Brazil<\/option><option   value='British Indian Ocean Territory'>British Indian Ocean Territory<\/option><option   value='Brunei Darussalam'>Brunei Darussalam<\/option><option   value='Bulgaria'>Bulgaria<\/option><option   value='Burkina Faso'>Burkina Faso<\/option><option   value='Burundi'>Burundi<\/option><option   value='Cambodia'>Cambodia<\/option><option   value='Cameroon'>Cameroon<\/option><option   value='Canada'>Canada<\/option><option   value='Cape Verde'>Cape Verde<\/option><option   value='Cayman Islands'>Cayman Islands<\/option><option   value='Central African Republic'>Central African Republic<\/option><option   value='Chad'>Chad<\/option><option   value='Chile'>Chile<\/option><option   value='China'>China<\/option><option   value='Christmas Island'>Christmas Island<\/option><option   value='Cocos (Keeling) Islands'>Cocos (Keeling) Islands<\/option><option   value='Colombia'>Colombia<\/option><option   value='Comoros'>Comoros<\/option><option   value='Congo'>Congo<\/option><option   value='Congo'>Congo<\/option><option   value='The Democratic Republic of The'>The Democratic Republic of The<\/option><option   value='Cook Islands'>Cook Islands<\/option><option   value='Costa Rica'>Costa Rica<\/option><option   value='Cote D\u2018ivoire'>Cote D\u2018ivoire<\/option><option   value='Croatia'>Croatia<\/option><option   value='Cuba'>Cuba<\/option><option   value='Cyprus'>Cyprus<\/option><option   value='Czech Republic'>Czech Republic<\/option><option   value='Denmark'>Denmark<\/option><option   value='Djibouti'>Djibouti<\/option><option   value='Dominica'>Dominica<\/option><option   value='Dominican Republic'>Dominican Republic<\/option><option   value='Ecuador'>Ecuador<\/option><option   value='Egypt'>Egypt<\/option><option   value='El Salvador'>El Salvador<\/option><option   value='Equatorial Guinea'>Equatorial Guinea<\/option><option   value='Eritrea'>Eritrea<\/option><option   value='Estonia'>Estonia<\/option><option   value='Ethiopia'>Ethiopia<\/option><option   value='Falkland Islands (Malvinas)'>Falkland Islands (Malvinas)<\/option><option   value='Faroe Islands'>Faroe Islands<\/option><option   value='Fiji'>Fiji<\/option><option   value='Finland'>Finland<\/option><option   value='France'>France<\/option><option   value='French Guiana'>French Guiana<\/option><option   value='French Polynesia'>French Polynesia<\/option><option   value='French Southern Territories'>French Southern Territories<\/option><option   value='Gabon'>Gabon<\/option><option   value='Gambia'>Gambia<\/option><option   value='Georgia'>Georgia<\/option><option   value='Germany'>Germany<\/option><option   value='Ghana'>Ghana<\/option><option   value='Gibraltar'>Gibraltar<\/option><option   value='Greece'>Greece<\/option><option   value='Greenland'>Greenland<\/option><option   value='Grenada'>Grenada<\/option><option   value='Guadeloupe'>Guadeloupe<\/option><option   value='Guam'>Guam<\/option><option   value='Guatemala'>Guatemala<\/option><option   value='Guinea'>Guinea<\/option><option   value='Guinea-bissau'>Guinea-bissau<\/option><option   value='Guyana'>Guyana<\/option><option   value='Haiti'>Haiti<\/option><option   value='Heard Island and Mcdonald Islands'>Heard Island and Mcdonald Islands<\/option><option   value='Holy See (Vatican City State)'>Holy See (Vatican City State)<\/option><option   value='Honduras'>Honduras<\/option><option   value='Hong Kong'>Hong Kong<\/option><option   value='Hungary'>Hungary<\/option><option   value='Iceland'>Iceland<\/option><option   value='India'>India<\/option><option   value='Indonesia'>Indonesia<\/option><option   value='Iran'>Iran<\/option><option   value='Islamic Republic of'>Islamic Republic of<\/option><option   value='Iraq'>Iraq<\/option><option   value='Ireland'>Ireland<\/option><option   value='Israel'>Israel<\/option><option   value='Italy'>Italy<\/option><option   value='Jamaica'>Jamaica<\/option><option   value='Japan'>Japan<\/option><option   value='Jordan'>Jordan<\/option><option   value='Kazakhstan'>Kazakhstan<\/option><option   value='Kenya'>Kenya<\/option><option   value='Kiribati'>Kiribati<\/option><option   value='Korea - Democratic People\u2019s Republic of'>Korea - Democratic People\u2019s Republic of<\/option><option   value='Korea - Republic of'>Korea - Republic of<\/option><option   value='Kuwait'>Kuwait<\/option><option   value='Kyrgyzstan'>Kyrgyzstan<\/option><option   value='Lao People\u2019s Democratic Republic'>Lao People\u2019s Democratic Republic<\/option><option   value='Latvia'>Latvia<\/option><option   value='Lebanon'>Lebanon<\/option><option   value='Lesotho'>Lesotho<\/option><option   value='Liberia'>Liberia<\/option><option   value='Libyan Arab Jamahiriya'>Libyan Arab Jamahiriya<\/option><option   value='Liechtenstein'>Liechtenstein<\/option><option   value='Lithuania'>Lithuania<\/option><option   value='Luxembourg'>Luxembourg<\/option><option   value='Macao'>Macao<\/option><option   value='Macedonia'>Macedonia<\/option><option   value='Madagascar'>Madagascar<\/option><option   value='Malawi'>Malawi<\/option><option   value='Malaysia'>Malaysia<\/option><option   value='Maldives'>Maldives<\/option><option   value='Mali'>Mali<\/option><option   value='Malta'>Malta<\/option><option   value='Marshall Islands'>Marshall Islands<\/option><option   value='Martinique'>Martinique<\/option><option   value='Mauritania'>Mauritania<\/option><option   value='Mauritius'>Mauritius<\/option><option   value='Mayotte'>Mayotte<\/option><option   value='Mexico'>Mexico<\/option><option   value='Micronesia'>Micronesia<\/option><option   value='Moldova'>Moldova<\/option><option   value='Monaco'>Monaco<\/option><option   value='Mongolia'>Mongolia<\/option><option   value='Montserrat'>Montserrat<\/option><option   value='Morocco'>Morocco<\/option><option   value='Mozambique'>Mozambique<\/option><option   value='Myanmar'>Myanmar<\/option><option   value='Namibia'>Namibia<\/option><option   value='Nauru'>Nauru<\/option><option   value='Nepal'>Nepal<\/option><option   value='Netherlands'>Netherlands<\/option><option   value='Netherlands Antilles'>Netherlands Antilles<\/option><option   value='New Caledonia'>New Caledonia<\/option><option   value='New Zealand'>New Zealand<\/option><option   value='Nicaragua'>Nicaragua<\/option><option   value='Niger'>Niger<\/option><option   value='Nigeria'>Nigeria<\/option><option   value='Niue'>Niue<\/option><option   value='Norfolk Island'>Norfolk Island<\/option><option   value='Northern Mariana Islands'>Northern Mariana Islands<\/option><option   value='Norway'>Norway<\/option><option   value='Oman'>Oman<\/option><option   value='Pakistan'>Pakistan<\/option><option   value='Palau'>Palau<\/option><option   value='Panama'>Panama<\/option><option   value='Papua New Guinea'>Papua New Guinea<\/option><option   value='Paraguay'>Paraguay<\/option><option   value='Peru'>Peru<\/option><option   value='Philippines'>Philippines<\/option><option   value='Pitcairn'>Pitcairn<\/option><option   value='Poland'>Poland<\/option><option   value='Portugal'>Portugal<\/option><option   value='Puerto Rico'>Puerto Rico<\/option><option   value='Qatar'>Qatar<\/option><option   value='Reunion'>Reunion<\/option><option   value='Romania'>Romania<\/option><option   value='Russian Federation'>Russian Federation<\/option><option   value='Rwanda'>Rwanda<\/option><option   value='Saint Helena'>Saint Helena<\/option><option   value='Saint Kitts and Nevis'>Saint Kitts and Nevis<\/option><option   value='Saint Lucia'>Saint Lucia<\/option><option   value='Saint Pierre and Miquelon'>Saint Pierre and Miquelon<\/option><option   value='Saint Vincent and The Grenadines'>Saint Vincent and The Grenadines<\/option><option   value='Samoa'>Samoa<\/option><option   value='San Marino'>San Marino<\/option><option   value='Sao Tome and Principe'>Sao Tome and Principe<\/option><option   value='Saudi Arabia'>Saudi Arabia<\/option><option   value='Senegal'>Senegal<\/option><option   value='Serbia and Montenegro'>Serbia and Montenegro<\/option><option   value='Seychelles'>Seychelles<\/option><option   value='Sierra Leone'>Sierra Leone<\/option><option   value='Singapore'>Singapore<\/option><option   value='Slovakia'>Slovakia<\/option><option   value='Slovenia'>Slovenia<\/option><option   value='Solomon Islands'>Solomon Islands<\/option><option   value='Somalia'>Somalia<\/option><option   value='South Africa'>South Africa<\/option><option   value='South Georgia and The South Sandwich Islands'>South Georgia and The South Sandwich Islands<\/option><option   value='Spain'>Spain<\/option><option   value='Sri Lanka'>Sri Lanka<\/option><option   value='Sudan'>Sudan<\/option><option   value='Suriname'>Suriname<\/option><option   value='Svalbard and Jan Mayen'>Svalbard and Jan Mayen<\/option><option   value='Swaziland'>Swaziland<\/option><option   value='Sweden'>Sweden<\/option><option   value='Switzerland'>Switzerland<\/option><option   value='Syrian Arab Republic'>Syrian Arab Republic<\/option><option   value='Taiwan'>Taiwan<\/option><option   value='Province of China'>Province of China<\/option><option   value='Tajikistan'>Tajikistan<\/option><option   value='Tanzania'>Tanzania<\/option><option   value='United Republic of'>United Republic of<\/option><option   value='Thailand'>Thailand<\/option><option   value='Timor-leste'>Timor-leste<\/option><option   value='Togo'>Togo<\/option><option   value='Tokelau'>Tokelau<\/option><option   value='Tonga'>Tonga<\/option><option   value='Trinidad and Tobago'>Trinidad and Tobago<\/option><option   value='Tunisia'>Tunisia<\/option><option   value='Turkey'>Turkey<\/option><option   value='Turkmenistan'>Turkmenistan<\/option><option   value='Turks and Caicos Islands'>Turks and Caicos Islands<\/option><option   value='Tuvalu'>Tuvalu<\/option><option   value='Uganda'>Uganda<\/option><option   value='Ukraine'>Ukraine<\/option><option   value='United Arab Emirates'>United Arab Emirates<\/option><option   value='United Kingdom'>United Kingdom<\/option><option   value='United States'>United States<\/option><option   value='United States Minor Outlying Islands'>United States Minor Outlying Islands<\/option><option   value='Uruguay'>Uruguay<\/option><option   value='Uzbekistan'>Uzbekistan<\/option><option   value='Vanuatu'>Vanuatu<\/option><option   value='Venezuela'>Venezuela<\/option><option   value='Vietnam'>Vietnam<\/option><option   value='Virgin Islands'>Virgin Islands<\/option><option   value='Wallis and Futuna'>Wallis and Futuna<\/option><option   value='Western Sahara'>Western Sahara<\/option><option   value='Yemen'>Yemen<\/option><option   value='Zambia'>Zambia<\/option><option   value='Zimbabwe'>Zimbabwe<\/option><\/select><\/p><div id='avia_33_1' class='av-form-text'><p>\nParents Information:<\/p>\n<\/div><p class='  first_form  form_element form_element_third' id='element_avia_34_1'><label for=\"avia_34_1\"> Father\u2019s Name <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_34_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_34_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_35_1'><label for=\"avia_35_1\"> Father\u2019s Nationality <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_35_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_35_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_36_1'><label for=\"avia_36_1\">Father\u2019s Occupation <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_36_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_36_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_element_third' id='element_avia_37_1'><label for=\"avia_37_1\"> Mother\u2019s Name <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_37_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_37_1\" value=\"\" \/><\/p><p class='  form_element form_element_third' id='element_avia_38_1'><label for=\"avia_38_1\">Mother\u2019s Nationality <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_38_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_38_1\" value=\"\" \/><\/p><p class='  form_element form_element_third av-last-visible-form-element' id='element_avia_39_1'><label for=\"avia_39_1\">Mother\u2019s Occupation <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_39_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_39_1\" value=\"\" \/><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_40_1\" class=\"hidden \" id=\"avia_40_1\" value=\"\" \/><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Submit\" class=\"button\"  data-sending-label=\"Envoi\"\/><\/p><\/fieldset><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 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