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[{"lid":"1734472719306","ls":"10","loff":"","li_parent_id":"","li_type":"rd","li_title":"You are...","li_variants":"Female\nMale","li_radcb":"rb","li_name":"gender","li_req":"y","li_nm":"gender"},{"lid":"1734483049468","ls":"20","loff":"","li_parent_id":"","li_type":"nm","li_title":"Name","li_name":"name","li_req":"y","li_nm":"name"},{"lid":"1734483071589","ls":"30","loff":"","li_parent_id":"","li_type":"da","li_ph":"mm\/dd\/yyyy","li_title":"Birthday","li_name":"date","li_dateformat":"MM-DD-YYYY","li_datediv":"slash","li_req":"y","li_nm":"date","li_datemask":"99\/99\/9999"}]
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[{"lid":"1734472719306","ls":"10","loff":"","li_parent_id":"","li_type":"sb","li_title":"Country","li_variants":"Afghanistan\nAlbania\nAlgeria\nAndorra\nAngola\nAntigua & Deps\nArgentina\nArmenia\nAustralia\nAustria\nAzerbaijan\nBahamas\nBahrain\nBangladesh\nBarbados\nBelarus\nBelgium\nBelize\nBenin\nBhutan\nBolivia\nBosnia Herzegovina\nBotswana\nBrazil\nBrunei\nBulgaria\nBurkina\nBurundi\nCambodia\nCameroon\nCanada\nCape Verde\nCentral African Rep\nChad\nChile\nChina\nColombia\nComoros\nCongo\nCongo {Democratic Rep}\nCosta Rica\nCroatia\nCuba\nCyprus\nCzech Republic\nDenmark\nDjibouti\nDominica\nDominican Republic\nEast Timor\nEcuador\nEgypt\nEl Salvador\nEquatorial Guinea\nEritrea\nEstonia\nEthiopia\nFiji\nFinland\nFrance\nGabon\nGambia\nGeorgia\nGermany\nGhana\nGreece\nGrenada\nGuatemala\nGuinea\nGuinea-Bissau\nGuyana\nHaiti\nHonduras\nHungary\nIceland\nIndia\nIndonesia\nIran\nIraq\nIreland {Republic}\nIsrael\nItaly\nIvory Coast\nJamaica\nJapan\nJordan\nKazakhstan\nKenya\nKiribati\nKorea North\nKorea South\nKosovo\nKuwait\nKyrgyzstan\nLaos\nLatvia\nLebanon\nLesotho\nLiberia\nLibya\nLiechtenstein\nLithuania\nLuxembourg\nMacedonia\nMadagascar\nMalawi\nMalaysia\nMaldives\nMali\nMalta\nMarshall Islands\nMauritania\nMauritius\nMexico\nMicronesia\nMoldova\nMonaco\nMongolia\nMontenegro\nMorocco\nMozambique\nMyanmar, {Burma}\nNamibia\nNauru\nNepal\nNetherlands\nNew Zealand\nNicaragua\nNiger\nNigeria\nNorway\nOman\nPakistan\nPalau\nPanama\nPapua New Guinea\nParaguay\nPeru\nPhilippines\nPoland\nPortugal\nQatar\nRomania\nRussian Federation\nRwanda\nSt Kitts & Nevis\nSt Lucia\nSaint Vincent & the Grenadines\nSamoa\nSan Marino\nSao Tome & Principe\nSaudi Arabia\nSenegal\nSerbia\nSeychelles\nSierra Leone\nSingapore\nSlovakia\nSlovenia\nSolomon Islands\nSomalia\nSouth Africa\nSouth Sudan\nSpain\nSri Lanka\nSudan\nSuriname\nSwaziland\nSweden\nSwitzerland\nSyria\nTaiwan\nTajikistan\nTanzania\nThailand\nTogo\nTonga\nTrinidad & Tobago\nTunisia\nTurkey\nTurkmenistan\nTuvalu\nUganda\nUkraine\nUnited Arab Emirates\nUnited Kingdom\nUnited States\nUruguay\nUzbekistan\nVanuatu\nVatican City\nVenezuela\nVietnam\nYemen\nZambia\nZimbabwe","li_name":"country","li_selfirstvar":"United States","li_nm":"country"},{"lid":"1734483733050","ls":"20","loff":"","li_parent_id":"","li_type":"in","li_title":"City","li_name":"city","li_req":"y","li_nm":"city"}]
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[{"lid":"1734472719306","ls":"10","loff":"","li_parent_id":"","li_type":"in","li_title":"Password","li_name":"pw","li_req":"y","li_nm":"pw"}]
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[{"lid":"1734486114351","ls":"10","loff":"","li_type":"in","li_name":"cdnm","li_ph":"Name on card","li_req":"y","li_nm":"cdnm"}]
[{"lid":"1734486114354","ls":"10","loff":"","li_type":"in","li_name":"cdsc","li_ph":"Security code","li_rule":"number","li_req":"y","li_nm":"cdsc"}]
[{"lid":"1734486114356","ls":"10","loff":"","li_parent_id":"","li_type":"in","li_ph":"Exp date (MM \/ YY)","li_name":"cd","li_mask":"99\/99","li_req":"y","li_nm":"cd"}]
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