{"id":20051,"date":"2023-03-23T22:04:59","date_gmt":"2023-03-24T03:04:59","guid":{"rendered":"https:\/\/rcgroup.com.pa\/services\/rc-lawyers\/digital-forms\/company-incorporation-form\/"},"modified":"2025-03-13T23:15:25","modified_gmt":"2025-03-14T04:15:25","slug":"form-for-the-incorporation-of-a-company-s-a-srl","status":"publish","type":"page","link":"https:\/\/rcgroup.com.pa\/en\/services\/rc-lawyers\/digital-forms\/form-for-the-incorporation-of-a-company-s-a-srl\/","title":{"rendered":"Form for the incorporation of a company (S.A. &#8211; SRL)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20051\" class=\"elementor elementor-20051 elementor-4483\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-71bfaec elementor-section-stretched elementor-section-height-min-height elementor-section-full_width elementor-section-height-default elementor-section-items-middle\" data-id=\"71bfaec\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-48d136e\" data-id=\"48d136e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ff2cec elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget elementor-widget-heading\" data-id=\"5ff2cec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Due Diligence Form - Company<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5df5f4 elementor-widget elementor-widget-heading\" data-id=\"b5df5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Due Diligence Form - Company<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-76d90eb3 elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"76d90eb3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65ff365f\" data-id=\"65ff365f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64f0297 elementor-widget elementor-widget-text-editor\" data-id=\"64f0297\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<link rel='stylesheet' id='formidable-css' href='https:\/\/rcgroup.com.pa\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=3181438' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_11_container\" data-token=\"7f8bc0d4b19fcd2d2915d960f0c0a302\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_formularioincorporacionsociedad\" data-token=\"7f8bc0d4b19fcd2d2915d960f0c0a302\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Formulario de incorporaci\u00f3n de sociedad<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"11\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_11\" id=\"frm_hide_fields_11\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"formularioincorporacionsociedad\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_11\" name=\"frm_submit_entry_11\" value=\"d65279c355\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/20051\" \/><div id=\"frm_field_623_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_7pj4353\" id=\"field_7pj4353_label\" class=\"frm_primary_label\">1. Nombre de la Compa\u00f1\u00eda \/ (Name of the Company):\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_7pj4353\" name=\"item_meta[623]\" value=\"\"  data-reqmsg=\"Campo Obligatorio\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_624_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_b1crr3\" id=\"field_b1crr3_label\" class=\"frm_primary_label\">2. Direcci\u00f3n de la Compa\u00f1\u00eda (Address of the Company):\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_b1crr3\" name=\"item_meta[624]\" value=\"\"  data-reqmsg=\"Campo Obligatorio\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_667_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_glctt\" id=\"field_glctt_label\" class=\"frm_primary_label\">3. Favor proveer una descripci\u00f3n detallada de la actividad de la Compa\u00f1\u00eda \/ (Please provide a detailed description of the activity of the Company):\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_glctt\" name=\"item_meta[667]\" value=\"\"  data-reqmsg=\"Campo Obligatorio\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_666_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_txe5x\" id=\"field_txe5x_label\" class=\"frm_primary_label\">4. Pa\u00eds(es) donde se lleva o llevar\u00e1 a cabo la actividad \/ (Country(ies) where the activity will take\/takes place)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_txe5x\" name=\"item_meta[666]\" value=\"\"  data-reqmsg=\"Campo Obligatorio\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_701_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\">5. Beneficiario(s) final(es)<\/p>\n<p style=\"text-align: justify;\">(Beneficial Owners)<\/p>\n<p style=\"text-align: justify;\"><strong>Si alguno de los Beneficiarios Finales es una persona jur\u00eddica que cumple con las caracter\u00edsticas establecidas en el punto 6, favor complete el punto 6:<\/strong><\/p>\n<p style=\"text-align: justify;\">(If any of the Beneficial Owner(s) is a legal person which comply with the requirements stablished in point 6, please complete point 6):<\/p>\n<\/div>\n<div id=\"frm_field_669_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Beneficiario N\u00ba1 \/ (Beneficiary N\u00ba1)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_671_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_mqa6h\" id=\"field_mqa6h_label\" class=\"frm_primary_label\">Nombre completo \/ (Complete name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mqa6h\" name=\"item_meta[671]\" value=\"\"  data-sectionid=\"669\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_686_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_9dicf\" id=\"field_9dicf_label\" class=\"frm_primary_label\">Ocupaci\u00f3n \/ (Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9dicf\" name=\"item_meta[686]\" value=\"\"  data-sectionid=\"669\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_687_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_q26yw\" id=\"field_q26yw_label\" class=\"frm_primary_label\">Direcci\u00f3n residencial \/ (Residential Address)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q26yw\" name=\"item_meta[687]\" value=\"\"  data-sectionid=\"669\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_689_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_ld4i4\" id=\"field_ld4i4_label\" class=\"frm_primary_label\">Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[689]\" id=\"field_ld4i4\"  data-sectionid=\"669\"  data-frmval=\"Afganist\u00e1n\" data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\" selected='selected'>Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_690_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_qh9f0\" id=\"field_qh9f0_label\" class=\"frm_primary_label\">Porcentaje de beneficio \/ (Percentage Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qh9f0\" name=\"item_meta[690]\" value=\"\"  data-sectionid=\"669\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_692_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ecuwm\" id=\"field_ecuwm_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ (Date on which the final beneficiary status was acquired)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ecuwm\" name=\"item_meta[692]\" value=\"\"  data-sectionid=\"669\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_677_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Beneficiario N\u00ba2 \/ (Beneficiary N\u00ba2)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_685_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_zk5nn\" id=\"field_zk5nn_label\" class=\"frm_primary_label\">Nombre completo \/ (Complete name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zk5nn\" name=\"item_meta[685]\" value=\"\"  data-sectionid=\"677\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_672_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_r5jy9\" id=\"field_r5jy9_label\" class=\"frm_primary_label\">Ocupaci\u00f3n \/ (Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_r5jy9\" name=\"item_meta[672]\" value=\"\"  data-sectionid=\"677\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_673_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6oz33\" id=\"field_6oz33_label\" class=\"frm_primary_label\">Direcci\u00f3n residencial \/ (Residential Address)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6oz33\" name=\"item_meta[673]\" value=\"\"  data-sectionid=\"677\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_710_container\" class=\"frm_form_field form-field  frm_top_container\">\n\t<label for=\"field_41sax\" id=\"field_41sax_label\" class=\"frm_primary_label\">Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[710]\" id=\"field_41sax\"  data-sectionid=\"677\"  data-frmval=\"Afganist\u00e1n\" data-invmsg=\"Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\" selected='selected'>Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_675_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_4or99\" id=\"field_4or99_label\" class=\"frm_primary_label\">Porcentaje de beneficio \/ (Percentage Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4or99\" name=\"item_meta[675]\" value=\"\"  data-sectionid=\"677\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_711_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_dwuzs\" id=\"field_dwuzs_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ (Date on which the final beneficiary status was acquired)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dwuzs\" name=\"item_meta[711]\" value=\"\"  data-sectionid=\"677\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_693_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Beneficiario N\u00ba3 \/ (Beneficiary N\u00ba3)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_697_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_b6oyf\" id=\"field_b6oyf_label\" class=\"frm_primary_label\">Nombre completo \/ (Complete name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_b6oyf\" name=\"item_meta[697]\" value=\"\"  data-sectionid=\"693\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_694_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_9vyrh\" id=\"field_9vyrh_label\" class=\"frm_primary_label\">Ocupaci\u00f3n \/ (Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9vyrh\" name=\"item_meta[694]\" value=\"\"  data-sectionid=\"693\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_695_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_b4b6x\" id=\"field_b4b6x_label\" class=\"frm_primary_label\">Direcci\u00f3n residencial \/ (Residential Address)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_b4b6x\" name=\"item_meta[695]\" value=\"\"  data-sectionid=\"693\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_712_container\" class=\"frm_form_field form-field  frm_top_container\">\n\t<label for=\"field_8pxqz\" id=\"field_8pxqz_label\" class=\"frm_primary_label\">Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[712]\" id=\"field_8pxqz\"  data-sectionid=\"693\"  data-frmval=\"Afganist\u00e1n\" data-invmsg=\"Pa\u00eds donde ejerce su ocupaci\u00f3n \/ (Country where you carry out your occupation) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\" selected='selected'>Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_696_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_mb3hm\" id=\"field_mb3hm_label\" class=\"frm_primary_label\">Porcentaje de beneficio \/ (Percentage Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mb3hm\" name=\"item_meta[696]\" value=\"\"  data-sectionid=\"693\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_699_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_5jm77\" id=\"field_5jm77_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ (Date on which the final beneficiary status was acquired)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5jm77\" name=\"item_meta[699]\" value=\"\"  data-sectionid=\"693\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_668_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\">6. De acuerdo con el punto 5, si el beneficiario final es una persona jur\u00eddica que cumple con alguna de las caracter\u00edsticas descritas a continuaci\u00f3n, por favor provea la siguiente informaci\u00f3n:<\/p>\n<p style=\"text-align: justify;\"><em>(According to point 5, if the final beneficial owner is a legal person which complies with any of the below characteristics, please provide the following information:)<\/em><\/p>\n<\/div>\n<div id=\"frm_field_713_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_ys3jc_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ys3jc_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_713-0\">\t\t\t<label  for=\"field_ys3jc-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[713][]\" id=\"field_ys3jc-0\" value=\"Cotiza en una bolsa de valores \/ (It is listed on a recognized securities exchange)\"  data-invmsg=\"This field is invalid\"   \/> Cotiza en una bolsa de valores \/ (It is listed on a recognized securities exchange)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_714_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_29h5w\" id=\"field_29h5w_label\" class=\"frm_primary_label\">Nombre completo \/ (Complete name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_29h5w\" name=\"item_meta[714]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_715_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_8be2e\" id=\"field_8be2e_label\" class=\"frm_primary_label\">Direcci\u00f3n registrada \/ (Registered address)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8be2e\" name=\"item_meta[715]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_716_container\" class=\"frm_form_field form-field  frm_top_container\">\n\t<label for=\"field_bak2x\" id=\"field_bak2x_label\" class=\"frm_primary_label\">Pa\u00eds de constituci\u00f3n \/ (Country of incorporation)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[716]\" id=\"field_bak2x\"  data-invmsg=\"Pa\u00eds de constituci\u00f3n \/ (Country of incorporation) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_706_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_9fu4d\" id=\"field_9fu4d_label\" class=\"frm_primary_label\">Nombre de la bolsa en la que se encuentra listada \/ (Name of the stock exchange where its listed)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9fu4d\" name=\"item_meta[706]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_707_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_zckir\" id=\"field_zckir_label\" class=\"frm_primary_label\">Jurisdicci\u00f3n de la bolsa en la que se encuentra listada \/ (Jurisdiction of the stock exchange where its listed)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zckir\" name=\"item_meta[707]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_718_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ygv2o\" id=\"field_ygv2o_label\" class=\"frm_primary_label\">% de Beneficio \/ (% Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ygv2o\" name=\"item_meta[718]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_719_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_exmv2\" id=\"field_exmv2_label\" class=\"frm_primary_label\">Fecha en la que, adquiere la condici\u00f3n de beneficiario final de la sociedad \/ (Date on which you acquire the status of final beneficiary of the legal person)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_exmv2\" name=\"item_meta[719]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_720_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_ufxr_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ufxr_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_720-0\">\t\t\t<label  for=\"field_ufxr-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[720][]\" id=\"field_ufxr-0\" value=\"Entidad Estatal o multilateral \/ (State entity or Multilateral entity)\"  data-invmsg=\"This field is invalid\"   \/> Entidad Estatal o multilateral \/ (State entity or Multilateral entity)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_717_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_bxt8o\" id=\"field_bxt8o_label\" class=\"frm_primary_label\">Nombre completo \/ (Complete name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bxt8o\" name=\"item_meta[717]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_704_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_nqhwb\" id=\"field_nqhwb_label\" class=\"frm_primary_label\">Direcci\u00f3n registrada \/ (Registered address)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nqhwb\" name=\"item_meta[704]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_721_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_1nklw\" id=\"field_1nklw_label\" class=\"frm_primary_label\">Pa\u00eds o sede \/ (Country or seat)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[721]\" id=\"field_1nklw\"  data-invmsg=\"Pa\u00eds o sede \/ (Country or seat) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_703_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_1l3xt\" id=\"field_1l3xt_label\" class=\"frm_primary_label\">Nombre completo del representante legal o su equivalente \/ (Complete name of its legal representative or equivalent)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1l3xt\" name=\"item_meta[703]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_723_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_n4ewz\" id=\"field_n4ewz_label\" class=\"frm_primary_label\">% de Beneficio \/ (% Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_n4ewz\" name=\"item_meta[723]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_724_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_a7e7i\" id=\"field_a7e7i_label\" class=\"frm_primary_label\">Fecha en la que, adquiere la condici\u00f3n de beneficiario final de la sociedad \/ (Date on which you acquire the status of final beneficiary of the legal person)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_a7e7i\" name=\"item_meta[724]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_702_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_6zzla_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_6zzla_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_702-0\">\t\t\t<label  for=\"field_6zzla-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[702][]\" id=\"field_6zzla-0\" value=\"Es un Estado \/ (It is a State)\"  data-invmsg=\"This field is invalid\"   \/> Es un Estado \/ (It is a State)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_688_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_lm2ac\" id=\"field_lm2ac_label\" class=\"frm_primary_label\">Nombre completo del pa\u00eds \/ (Complete name of the country)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[688]\" id=\"field_lm2ac\"  data-invmsg=\"Nombre completo del pa\u00eds \/ (Complete name of the country) is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_691_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ugotb\" id=\"field_ugotb_label\" class=\"frm_primary_label\">Fecha de constituci\u00f3n \/ (Date of incorporation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ugotb\" name=\"item_meta[691]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_708_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_sdfzq\" id=\"field_sdfzq_label\" class=\"frm_primary_label\">% de Beneficio \/ (% Ownership)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sdfzq\" name=\"item_meta[708]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_722_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_j0vkx\" id=\"field_j0vkx_label\" class=\"frm_primary_label\">Fecha en la que, adquiere la condici\u00f3n de beneficiario final de la sociedad \/ (Date on which you acquire the status of final beneficiary of the legal person)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j0vkx\" name=\"item_meta[722]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_725_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\"><strong>Nota:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>En los casos que el accionista sea una fundaci\u00f3n\/fideicomiso revocable y no discrecional en cuanto al pago de beneficios, se deber\u00e1 identificar como beneficiario final a la persona natural que funja como fundador o aportante de los bienes\/fideicomitente, al\/los beneficiario (s) seg\u00fan el Reglamento\/Contrato de fideicomiso o a cualquier persona natural que ejerza control efectivo y definitivo sobre la fundaci\u00f3n\/fideicomiso.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>(En caso de fundaciones\/fideicomisos no revocables y\/o discrecionales por favor contactarnos para asistirle).<\/strong><\/p>\n<p style=\"text-align: justify;\">(In cases where the shareholder is a revocable and not discretionary foundation\/trusts in terms of the payment of benefits, the natural person acting as founder or contributor of the assets\/settlor, the beneficiary (ies) according to the Regulations\/Trust Agreement or any natural person who exercises effective and definitive control over the foundation; must be identified as final beneficiary.)<\/p>\n<p style=\"text-align: justify;\">(Please contact us in the case of non-revocable and\/or discretionary foundations\/trust, in order to give our assistance).<\/p>\n<\/div>\n<div id=\"frm_field_726_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\"><strong><u>Documentos de soporte (Favor adjuntar)<\/u><\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Supporting documents (Please attach))<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0A. Para cada Beneficiario Final<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(For each Beneficial Owner)<\/em><\/p>\n<p style=\"text-align: justify;\">o\u00a0\u00a0 Copia simple de un documento de identidad (paname\u00f1o)\/ pasaporte (extranjero)<\/p>\n<p style=\"text-align: justify;\"><em>(Simple copy of an official Number of Personal ID (Panamanian)\/Passport Number (Foreign))<\/em><\/p>\n<p style=\"text-align: justify;\">o\u00a0\u00a0 Copia de un comprobante de domicilio reciente (con no menos de 3 meses de emisi\u00f3n), con una traducci\u00f3n oficial al espa\u00f1ol, cuando el comprobante de domicilio se proporcione en cualquier idioma que no sea espa\u00f1ol.<\/p>\n<p style=\"text-align: justify;\"><em>(Copy of a recent proof of address (with no less than 3 months of being issued), with an official translation into Spanish, where the proof of address is provided in any language other than Spanish.<\/em><\/p>\n<\/div>\n<div id=\"frm_field_1116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_pqz7d\" id=\"field_pqz7d_label\" class=\"frm_primary_label\">Adjuntar documento(s) &#8211; Punto A\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-reqmsg=\"Este campo no puede estar en blanco.\" data-invmsg=\"Subida de archivo no es v\u00e1lido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[1116][]\"  data-reqmsg=\"Este campo no puede estar en blanco.\"  value=\"\" data-frmfile=\"1116\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file1116_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file1116[]\" id=\"field_pqz7d\"\n\t\t\t data-frmfile=\"1116\" multiple=\"multiple\"  data-reqmsg=\"Este campo no puede estar en blanco.\" data-invmsg=\"Subida de archivo no es v\u00e1lido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Adjuntar documento(s) - Punto A. Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Adjuntar documento(s) - Punto A. Choose File. Maximum file size: 5MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1114_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\"><strong>B. Para la compa\u00f1\u00eda listada en bolsa, propiedad de una entidad estatal o multilateral, o de un estado <\/strong><strong>soberano o subsidiaria de un Estado soberano<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(For the company listed on a recognized securities exchange, property of a state entity or Multilateral entity or of an estate).<\/em><\/p>\n<p style=\"text-align: justify;\"><em>o\u00a0\u00a0 Copia simple del Certificado de Incorporaci\u00f3n o extracto de registro que acredite su vigencia y existencia.<\/em><\/p>\n<p style=\"text-align: justify;\"><em>(Simple copy of the Certificate of Incorporation or extract of Public Registry evidencing the validity and existence)<\/em><\/p>\n<\/div>\n<div id=\"frm_field_1117_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_hr0p8\" id=\"field_hr0p8_label\" class=\"frm_primary_label\">Adjuntar documento(s) &#8211; Punto B\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-reqmsg=\"Este campo no puede estar en blanco.\" data-invmsg=\"Subida de archivo no es v\u00e1lido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[1117][]\"  data-reqmsg=\"Este campo no puede estar en blanco.\"  value=\"\" data-frmfile=\"1117\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file1117_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file1117[]\" id=\"field_hr0p8\"\n\t\t\t data-frmfile=\"1117\" multiple=\"multiple\"  data-reqmsg=\"Este campo no puede estar en blanco.\" data-invmsg=\"Subida de archivo no es v\u00e1lido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Adjuntar documento(s) - Punto B. Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Adjuntar documento(s) - Punto B. Choose File. Maximum file size: 5MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1115_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\"><strong>C.<\/strong> <strong>Para los casos en los que el beneficiario final no pueda ser identificado por participaci\u00f3n accionaria, un acta, certificaci\u00f3n o declaraci\u00f3n jurada debidamente suscrita por los representantes o personas autorizadas donde detalle los beneficiarios finales descritos en el presente formulario. <\/strong><strong>(ver ejemplo en el Anexo I)<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(A resolution, a certification or an affidavit duly signed by the representatives or authorized persons detailing the final beneficiaries stated in this form in the cases where the final beneficiary cannot be identified by shareholding)<br \/>(See Annex I).<\/em><\/p>\n<\/div>\n<div id=\"frm_field_727_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">DECLARACI\u00d3N \/ (Declaration)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_729_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_sif1b\" id=\"field_sif1b_label\" class=\"frm_primary_label\">Yo \/ I\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sif1b\" name=\"item_meta[729]\" value=\"\"  data-sectionid=\"727\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_730_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n    <label for=\"field_g1lac\" id=\"field_g1lac_label\" class=\"frm_primary_label\">con documento de identidad\/pasaporte n\u00famero \/ with personal identity document\/passport number \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_g1lac\" name=\"item_meta[730]\" value=\"\"  data-sectionid=\"727\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_731_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\">por medio de la presente \/ hereby:<\/p>\n<p style=\"text-align: justify;\"><strong>1. Confirmo que estoy debidamente autorizado para completar el presente formulario por y en nombre de la Compa\u00f1\u00eda.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Confirm that I am duly authorized to complete this form for or on behalf of the company).<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>2. Confirmo la veracidad y exactitud de la informaci\u00f3n suministrada<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Confirm the accuracy and truthfulness of the information stated herein).<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>3. Me comprometo a informar a R&#038;C LAWYERS de cualquier cambio en la informaci\u00f3n aqu\u00ed suministrada.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Undertake to inform R&#038;C LAWYERS of any change in the information stated herein).<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>4. Me comprometo a notificar a R&#038;C LAWYERS dentro de los 30 d\u00edas desde el momento en que llegue a saber de alg\u00fan cambio en la informaci\u00f3n establecida con respecto al beneficiario final y la fecha en que tales cambios se dieron.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Undertake to notify R&#038;C LAWYERS within 30 days of becoming aware of a change of any of the<\/em> <em>prescribed information relating to beneficial owner or registrable legal enters and the date such change took place).<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>5. Declaro que he buscado asesor\u00eda de un abogado en los pa\u00edses donde resido, con respecto a los servicios que me brindar\u00e1 R&#038;C LAWYERS en relaci\u00f3n con la formaci\u00f3n y administraci\u00f3n de veh\u00edculos corporativos y fiduciarios.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(I Declare that I have sought the advice of counsel in the countries where I reside regarding the services to be provided to me from R&#038;C LAWYERS in connection with the formation and administration of corporate and fiduciary vehicles).<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>6. Entiendo que R&#038;C LAWYERS se reserva el derecho de solicitar informaci\u00f3n\/documentaci\u00f3n adicional.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>(Understand that R&#038;C LAWYERS reserves the right to request for additional documentation\/information).<\/em><\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_653_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Firma Digital \/ Digital Signature<\/h3>\r\n\r\n\r\n<div id=\"frm_field_654_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first frm_half\">\r\n    <label for=\"field_s5g0r73\" id=\"field_s5g0r73_label\" class=\"frm_primary_label\">Nombre Completo \/ Complete Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_s5g0r73\" name=\"item_meta[654]\" value=\"\"  data-sectionid=\"653\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_655_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_mx3nn73\" id=\"field_mx3nn73_label\" class=\"frm_primary_label\">Firma \/ Signature\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"sigPad\" id='sigPad655' style=\"max-width:400px;\">\n\t<div class=\"sig sigWrapper\" style=\"height:150px;border-color:#BFC3C8;--bg-color:#ffffff;--active:#579AF6;--inactive:#eaeaea;--active-text:#ffffff;--inactive-text:#3f4b5b;--button-margin:22px;--button-size:20px;--button-padding:10px;--button-side-margin:22px;--icon:20px\">\n\n\t\t<ul class=\"sigNav\">\n\t\t\t\t<li class=\"drawIt\">\n\t\t\t\t\t<a href=\"#\" class=\"frm-active-sig-type\" title=\"Draw It\" aria-label=\"Draw It\">\n\t\t\t\t\t\t<svg  viewBox=\"0 0 22 20\" class=\"frmsvg\">\n\t<title>signature<\/title>\n\t<path d=\"M19.7 2.2A3.5 3.5 0 0 0 14 1.1L1.7 13.4a1 1 0 0 0-.3.4l-1.3 5a.9.9 0 0 0 0 .5 1 1 0 0 0 1 .6l5-1.3c.2 0 .4-.1.5-.3L18.9 6a3.5 3.5 0 0 0 .7-3.8zm-6.8 2.6L15.2 7l-8.6 8.7-2.4-2.4zm-10.7 13l1-3.3L5.4 17zM18 4.2l-.4.5L16.3 6 14 3.7l1.3-1.3A1.7 1.7 0 0 1 18 3.6l-.1.6zM9 17.9h11v1H9v-1z\"><\/path>\n\n<\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"typeIt\">\n\t\t\t\t\t<a href=\"#\" class=\"\" title=\"Type It\" aria-label=\"Type It\">\n\t\t\t\t\t\t<svg  viewBox=\"0 0 22 20\" class=\"frmsvg\">\n\t<title>keyboard<\/title>\n\t<path d=\"M20.6 2.5H2c-1 0-1.9.8-1.9 1.9v11.2c0 1 .8 1.9 1.9 1.9h18.7c1 0 1.9-.8 1.9-1.9V4.4c0-1-.8-1.9-1.9-1.9zm.3 13.1c0 .2-.1.3-.3.3H2a.3.3 0 0 1-.3-.3V4.4c0-.2.1-.3.3-.3h18.7c.2 0 .3.1.3.3v11.2zm-14.3-5V9.4c0-.3-.2-.5-.4-.5H5c-.3 0-.5.2-.5.5v1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0V9.4c0-.3-.2-.5-.5-.5H9c-.3 0-.5.2-.5.5v1c0 .3.2.5.4.5H10c.3 0 .5-.2.5-.5zm3.7 0V9.4c0-.3-.2-.5-.4-.5h-1.1c-.3 0-.5.2-.5.5v1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0V9.4c0-.3-.2-.5-.5-.5h-1c-.3 0-.5.2-.5.5v1c0 .3.2.5.4.5h1.1c.3 0 .5-.2.5-.5zM4.8 7.2v-1c0-.3-.2-.5-.5-.5H3.2c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm3.7 0v-1c0-.3-.2-.5-.5-.5H7c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0v-1c0-.3-.2-.5-.5-.5h-1.1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm3.7 0v-1c0-.3-.2-.5-.5-.5h-1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0v-1c0-.3-.2-.5-.5-.5h-1.1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm-2 6.2V13c0-.3-.2-.5-.6-.5h-12c-.3 0-.6.2-.6.5v.6c0 .3.3.5.7.5h12c.3 0 .6-.2.6-.5z\"><\/path>\n<\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t<\/ul>\n\n\t\t<span class=\"frm-typed-drawline\"><\/span>\n\n\t\t<div class=\"typed\">\n\t\t\t<input type=\"text\" name=\"item_meta[655][typed]\" class=\"name\" id=\"field_mx3nn73\" autocomplete=\"off\" value=\"\"  data-sectionid=\"653\"  style=\"width:400px\" maxlength=\"150\" data-reqmsg=\"Firma Obligatoria\" aria-required=\"true\" class=\"auto_width\" aria-invalid=\"false\"   \/>\n\t\t<\/div>\n\n\t\t<canvas class=\"pad\" data-fieldid=\"655\" data-fieldname=\"item_meta[655]\" width=\"396\" height=\"150\"><\/canvas>\n\t\t<div class=\"clearButton\"><a href=\"#clear\">Clear<\/a><\/div>\n\n\t\t<input type=\"hidden\" name=\"item_meta[655][output]\" class=\"output\" value=\"\" \/>\n\t<\/div>\n<\/div>\n\r\n    <div class=\"frm_description\" id=\"frm_desc_field_mx3nn73\">(Por favor firmar igual que en su c\u00e9dula de identidad personal\/pasaporte)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_656_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_half\">\r\n    <label for=\"field_c779r73\" id=\"field_c779r73_label\" class=\"frm_primary_label\">Fecha \/ Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c779r73\" name=\"item_meta[656]\" value=\"04\/28\/2026\"  readonly=\"readonly\"  data-sectionid=\"653\"  maxlength=\"10\" data-frmval=\"04\/28\/2026\" data-invmsg=\"Fecha no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_732_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">ANEXO I (Annex I)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_734_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: justify;\"><strong><em>DECLARACI\u00d3N JURADA<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">A fin de cumplir con las normas legales dirigidas a: (i) la identificaci\u00f3n del \u00faltimo (s) beneficiario (s); y (ii) prevenir el blanqueo de capitales y el financiamiento al terrorismo,<\/p>\n<p style=\"text-align: justify;\"><em><strong>Final Beneficiary Identification Affidavit<\/strong><\/em><\/p>\n<p style=\"text-align: justify;\"><em>In order to comply with the legal regulations aimed to: (i) identify of the final beneficiary (ies); and (ii) prevent money laundering and terrorist financing,<\/em><\/p>\n<\/div>\n<div id=\"frm_field_735_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_toolv\" id=\"field_toolv_label\" class=\"frm_primary_label\">Yo \/ I\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_toolv\" name=\"item_meta[735]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_toolv\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_toolv\">Nombre del declarante \/ NAME OF PRESIDENT\/SECRETARY<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_736_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_dd9iy\" id=\"field_dd9iy_label\" class=\"frm_primary_label\">actuando como \/ in my capacity as\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dd9iy\" name=\"item_meta[736]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_dd9iy\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_dd9iy\">Presidente\/Secretario \/ PRESIDENT\/SECRETARY<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_737_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_p5rca\" id=\"field_p5rca_label\" class=\"frm_primary_label\">de \/ of\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_p5rca\" name=\"item_meta[737]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_p5rca\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_p5rca\">Nombre de la Compa\u00f1\u00eda \/ NAME OF THE COMPANY<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_738_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_5lw3t\" id=\"field_5lw3t_label\" class=\"frm_primary_label\">compa\u00f1\u00eda incorporada bajo las leyes de \/ company constituted under \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_5lw3t\" name=\"item_meta[738]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_5lw3t\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_5lw3t\">Jurisdicci\u00f3n \/ JURISDICTION LAW<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_739_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_d1k26\" id=\"field_d1k26_label\" class=\"frm_primary_label\">con \/ with\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_d1k26\" name=\"item_meta[739]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_d1k26\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_d1k26\">RUC \/ IBC N\u00b0 (RUC\/IBC NUMBER)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_740_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_nossq\" id=\"field_nossq_label\" class=\"frm_primary_label\"><p style=\"text-align: justify;\">declaro bajo la gravedad del juramento que las siguientes personas son los beneficiarios finales las acciones emitidas y en circulaci\u00f3n de \/ hereby declare under penalty of perjury that the final beneficiaries of all shares emitted and in circulation of (fill in below) are as following:<\/p>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nossq\" name=\"item_meta[740]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_nossq\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_nossq\">Nombre de la Compa\u00f1\u00eda \/ NAME OF THE COMPANY<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_741_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_oirwm\" id=\"field_oirwm_label\" class=\"frm_primary_label\">Nombre \/ Name (1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_oirwm\" name=\"item_meta[741]\" value=\"\"  data-sectionid=\"732\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_742_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_27fh4\" id=\"field_27fh4_label\" class=\"frm_primary_label\">N\u00ba de c\u00e9dula\/pasaporte (ID number) (1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_27fh4\" name=\"item_meta[742]\" value=\"\"  data-sectionid=\"732\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_743_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_dqaxa\" id=\"field_dqaxa_label\" class=\"frm_primary_label\">Porcentaje (%) \/ Percentage (%) (1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dqaxa\" name=\"item_meta[743]\" value=\"\"  data-sectionid=\"732\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_744_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_xl66b\" id=\"field_xl66b_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ Date on which the final beneficiary status was acquired (1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xl66b\" name=\"item_meta[744]\" value=\"\"  data-sectionid=\"732\"  maxlength=\"10\" data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_749_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_la28f\" id=\"field_la28f_label\" class=\"frm_primary_label\">Nombre \/ Name (2)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_la28f\" name=\"item_meta[749]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_750_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_s2b5j\" id=\"field_s2b5j_label\" class=\"frm_primary_label\">N\u00ba de c\u00e9dula\/pasaporte (ID number) (2)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_s2b5j\" name=\"item_meta[750]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_748_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_1dp3d\" id=\"field_1dp3d_label\" class=\"frm_primary_label\">Porcentaje (%) \/ Percentage (%) (2)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1dp3d\" name=\"item_meta[748]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_747_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_trqko\" id=\"field_trqko_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ Date on which the final beneficiary status was acquired (2)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_trqko\" name=\"item_meta[747]\" value=\"\"  data-sectionid=\"732\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_745_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ro1hd\" id=\"field_ro1hd_label\" class=\"frm_primary_label\">Nombre \/ Name (3)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ro1hd\" name=\"item_meta[745]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_746_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_6gfxl\" id=\"field_6gfxl_label\" class=\"frm_primary_label\">N\u00ba de c\u00e9dula\/pasaporte (ID number) (3)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6gfxl\" name=\"item_meta[746]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_751_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_bn4wp\" id=\"field_bn4wp_label\" class=\"frm_primary_label\">Porcentaje (%) \/ Percentage (%) (3)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bn4wp\" name=\"item_meta[751]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_752_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_wdat9\" id=\"field_wdat9_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ Date on which the final beneficiary status was acquired (3)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wdat9\" name=\"item_meta[752]\" value=\"\"  data-sectionid=\"732\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_754_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_pei57\" id=\"field_pei57_label\" class=\"frm_primary_label\">Nombre \/ Name (4)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pei57\" name=\"item_meta[754]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_753_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_jwmfk\" id=\"field_jwmfk_label\" class=\"frm_primary_label\">N\u00ba de c\u00e9dula\/pasaporte (ID number) (4)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_jwmfk\" name=\"item_meta[753]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_756_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_bczs2\" id=\"field_bczs2_label\" class=\"frm_primary_label\">Porcentaje (%) \/ Percentage (%) (4)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bczs2\" name=\"item_meta[756]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_755_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_ja31u\" id=\"field_ja31u_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ Date on which the final beneficiary status was acquired (4)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ja31u\" name=\"item_meta[755]\" value=\"\"  data-sectionid=\"732\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_758_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_12eoc\" id=\"field_12eoc_label\" class=\"frm_primary_label\">Nombre \/ Name (5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_12eoc\" name=\"item_meta[758]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_759_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_ca9t3\" id=\"field_ca9t3_label\" class=\"frm_primary_label\">N\u00ba de c\u00e9dula\/pasaporte (ID number) (5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ca9t3\" name=\"item_meta[759]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_761_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_6uxp1\" id=\"field_6uxp1_label\" class=\"frm_primary_label\">Porcentaje (%) \/ Percentage (%) (5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6uxp1\" name=\"item_meta[761]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_760_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_niwjf\" id=\"field_niwjf_label\" class=\"frm_primary_label\">Fecha en la que adquiri\u00f3 la condici\u00f3n de beneficiario final \/ Date on which the final beneficiary status was acquired (5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_niwjf\" name=\"item_meta[760]\" value=\"\"  data-sectionid=\"732\"  maxlength=\"10\" data-invmsg=\"Fecha no es v\u00e1lido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_763_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ccl3v\" id=\"field_ccl3v_label\" class=\"frm_primary_label\">NOMBRE DEL DECLARANTE \/ NAME\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ccl3v\" name=\"item_meta[763]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_762_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_5a7bk\" id=\"field_5a7bk_label\" class=\"frm_primary_label\">N\u00daMERO DE DOCUMENTO \/ ID NUMBER\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_5a7bk\" name=\"item_meta[762]\" value=\"\"  data-sectionid=\"732\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_764_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_h7b2z\" id=\"field_h7b2z_label\" class=\"frm_primary_label\">Fecha \/ Fecha\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h7b2z\" name=\"item_meta[764]\" value=\"04\/28\/2026\"  readonly=\"readonly\"  data-sectionid=\"732\"  maxlength=\"10\" data-frmval=\"04\/28\/2026\" data-invmsg=\"Fecha no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_765_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_q4mod\" id=\"field_q4mod_label\" class=\"frm_primary_label\">Ciudad \/ City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q4mod\" name=\"item_meta[765]\" value=\"\"  data-sectionid=\"732\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_766_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_61flo\" id=\"field_61flo_label\" class=\"frm_primary_label\">Pa\u00eds \/ Country\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[766]\" id=\"field_61flo\"  data-sectionid=\"732\"  data-invmsg=\"Pa\u00eds \/ Country is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/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=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica\">Rep\u00fablica Central de \u00c1frica<\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_657_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_8c3zu73_label\" class=\"frm_primary_label\">\u00bfEres humano? \/ Are you human?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_8c3zu73\" class=\"frm-g-recaptcha\" data-sitekey=\"6LfMeEElAAAAAHbYPyhee2qD1DE3Y74Xn9xEyYm3\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_1119_container\">\n\t\t\t<label for=\"field_mmpn0\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_mmpn0\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[1119]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"y7CTR79on9yYZZrDIw5qjIewFHa5+d6gYQG8SwNVuWO\/\/BJAzCfD3d0iu9kHhbXe\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Enviar Datos<\/button>\r\n\r\n<a href=\"#\" tabindex=\"0\" class=\"frm_start_over\" >Empezar nuevamente<\/a>\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Due Diligence Form &#8211; Company Due Diligence Form &#8211; Company<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":20036,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-20051","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/pages\/20051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/comments?post=20051"}],"version-history":[{"count":2,"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/pages\/20051\/revisions"}],"predecessor-version":[{"id":20204,"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/pages\/20051\/revisions\/20204"}],"up":[{"embeddable":true,"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/pages\/20036"}],"wp:attachment":[{"href":"https:\/\/rcgroup.com.pa\/en\/wp-json\/wp\/v2\/media?parent=20051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}