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Date Of Birth (mm/dd/yyyy)		Country of Residence	Select Country Aeolian (Lipari) Islands Afghanistan Aland Islands Albania Algeria an Mayen Andorra ANGOLA Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas Bahrain Balearic Islands Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia/Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroun Canada Canary Islands Cape Verde Capri Cayman Islands Central Africa Republic Chad Channel Islands Chechnya Chile China Colombia Comoros Congo Brazzaville Cook Islands Corsica Costa Rica Croatia Cuba Curacao Cyclades Islands Cyprus Czech Republic Denmark Djibouti Dodecanese Islands Dominica Dominican Rep. DRC East Timor Ecuador Egypt El Salvador Elba England Equatorial Guinea Eritrea Estonia Ethiopia European Russia Faeroe Islands Falklands Islands Fiji Finland France French Guyana Gabon Gambia Georgia Germany Ghana Gibraltar Gotland Great Britain Greece Greenland Grenada Guatemala Guernsey Guinea Guinea-Bassau Guyana Haiti Helgoland Honduras Hong Kong Hungary Iceland India Indonesia Ionian Islands Iran Iraq Ireland Isle of Man Isle of Skye Isle of Wight Isreal Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Lofoten Islands Luxembourg Macau Macedonia Madagascar Madeira islands Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Northern Ireland Norway Oland Oman Orkney Islands Outer Hebrides Pakistan Panama Papua New Guinea Paraguay PERU Phillipines Poland Portugal Puerto Rico Qatar Republic of Congo Brazaville Republic of Southern Sudan Reunion Island Romania Rugen Russian Fed (european) Russian Federation Rwanda Saipan Islands Samoa San Marino Sao Tome & Principle Sardinia Saudi Arabia Scotland Senegal Serbia Seychelles Shetland Islands Sicily Sierra Leone Singapore Slovakia Slovenia Solomon Islands SOMALIA Somaliland South Africa Spain Sporades Islands Sri Lanka St. Barthelemy St. Eustatius St. Kitts & Nevis St. Lucia St. Maarten St. Vincent and the Grenadines Sudan Suriname Svalbard Islands Swaziland Sweden Switzerland Sylt Syria Tahiti Taiwan Tajikistan Tanzania Thailand the Caribbean Togo Tonga Trindad and Tobago Tunisia Turkey (european) Turkmenistan Turks and Caicos Islands Tuvalu Uganda UK(LHR) Ukraine United Arab Emirates United Kingdom (UK) Uruguay USA USA(JFK) Uzbekistan Vanuata Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wales Western Sahara Yemen YUGOSLAVIA Zambia Zimbabwe
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