www.citeline.com
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URL:
https://www.citeline.com/en/trialscope-intelligence?utm_campaign=CL-TSCOPEDISC-2309-Global-trialscope%20intelligence-new&...
Submission: On October 05 via manual from US — Scanned from DE
Submission: On October 05 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: citeline_interim_fastrack_form — POST /citeline-api/Forms/EloquaFormSubmit
<form id="form5466" method="post" class="form form--dark elq-form eloqua-fast-track-form" name="citeline_interim_fastrack_form" action="/citeline-api/Forms/EloquaFormSubmit" onsubmit="return handleFastTrackFormSubmit(event, this)">
<input value="citeline_interim_fastrack_form" type="hidden" name="elqFormName">
<input value="2492560" type="hidden" name="elqSiteId">
<input name="elqCampaignId" type="hidden">
<input name="__RequestVerificationToken" type="hidden" value="Gwgs2Kt8sOBWpyzcmEzNeA7cBW7d0Zh8Z7tNHtCSq7c5r5bptALE6ACAywCtgc5qrL8OrqGkDW5LMMM7mxAXSlvw4iu2S7ibIE7OmDmoLrA1">
<div class="layout container-fluid w-100 p-0 form">
<div class="row form__input form__input--50">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement0" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113061"> First Name <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<input type="text" class="elq-item-input" name="firstName" id="fe113061" value="" style="width:100%;">
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input form__input--50">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement1" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113062"> Last Name <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<input type="text" class="elq-item-input" name="lastName" id="fe113062" value="" style="width:100%;">
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement6" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113067"> Phone number <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<input type="text" class="elq-item-input" name="busPhone" id="fe113067" value="" style="width:100%;">
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement4" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113065"> Email Address <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<input type="text" class="elq-item-input" name="emailAddress" id="fe113065" value="" style="width:100%;">
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement5" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113066"> Country <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<div class="form__select-wrapper">
<select class="elq-item-select" id="fe113066" name="country" style="width: 100%;" data-value="~~eloqua..type--emailfield..syntax--Country~~">
<option value=""></option>
<option value="Afghanistan"> Afghanistan </option>
<option value="Aland Islands"> Aland Islands </option>
<option value="Albania"> Albania </option>
<option value="Algeria"> Algeria </option>
<option value="American Samoa"> American Samoa </option>
<option value="Andorra"> Andorra </option>
<option value="Angola"> Angola </option>
<option value="Anguilla"> Anguilla </option>
<option value="Antarctica"> Antarctica </option>
<option value="Antigua and Barbuda"> Antigua and Barbuda </option>
<option value="Argentina"> Argentina </option>
<option value="Armenia"> Armenia </option>
<option value="Aruba"> Aruba </option>
<option value="Australia"> Australia </option>
<option value="Austria"> Austria </option>
<option value="Azerbaijan"> Azerbaijan </option>
<option value="Bahamas"> Bahamas </option>
<option value="Bahrain"> Bahrain </option>
<option value="Bangladesh"> Bangladesh </option>
<option value="Barbados"> Barbados </option>
<option value="Belarus"> Belarus </option>
<option value="Belgium"> Belgium </option>
<option value="Belize"> Belize </option>
<option value="Benin"> Benin </option>
<option value="Bermuda"> Bermuda </option>
<option value="Bhutan"> Bhutan </option>
<option value="Bolivia, Plurinational State of"> Bolivia, Plurinational State of </option>
<option value="Bonaire, Sint Eustatius and Saba"> Bonaire, Sint Eustatius and Saba </option>
<option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
<option value="Botswana"> Botswana </option>
<option value="Bouvet Island"> Bouvet Island </option>
<option value="Brazil"> Brazil </option>
<option value="British Indian Ocean Territory"> British Indian Ocean Territory </option>
<option value="Brunei Darussalam"> Brunei Darussalam </option>
<option value="Bulgaria"> Bulgaria </option>
<option value="Burkina Faso"> Burkina Faso </option>
<option value="Burundi"> Burundi </option>
<option value="Cabo Verde"> Cabo Verde </option>
<option value="Cambodia"> Cambodia </option>
<option value="Cameroon"> Cameroon </option>
<option value="Canada"> Canada </option>
<option value="Cayman Islands"> Cayman Islands </option>
<option value="Central African Republic"> Central African Republic </option>
<option value="Chad"> Chad </option>
<option value="Chile"> Chile </option>
<option value="China"> China </option>
<option value="Christmas Island"> Christmas Island </option>
<option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
<option value="Colombia"> Colombia </option>
<option value="Comoros"> Comoros </option>
<option value="Congo"> Congo </option>
<option value="Congo, the Democratic Republic of the"> Congo, the Democratic Republic of the </option>
<option value="Cook Islands"> Cook Islands </option>
<option value="Costa Rica"> Costa Rica </option>
<option value="Cote d'Ivoire"> Cote d'Ivoire </option>
<option value="Croatia"> Croatia </option>
<option value="Cuba"> Cuba </option>
<option value="Curaçao"> Curaçao </option>
<option value="Cyprus"> Cyprus </option>
<option value="Czech Republic"> Czech Republic </option>
<option value="Denmark"> Denmark </option>
<option value="Djibouti"> Djibouti </option>
<option value="Dominica"> Dominica </option>
<option value="Dominican Republic"> Dominican Republic </option>
<option value="Ecuador"> Ecuador </option>
<option value="Egypt"> Egypt </option>
<option value="El Salvador"> El Salvador </option>
<option value="Equatorial Guinea"> Equatorial Guinea </option>
<option value="Eritrea"> Eritrea </option>
<option value="Estonia"> Estonia </option>
<option value="Ethiopia"> Ethiopia </option>
<option value="Falkland Islands (Malvinas)"> Falkland Islands (Malvinas) </option>
<option value="Faroe Islands"> Faroe Islands </option>
<option value="Fiji"> Fiji </option>
<option value="Finland"> Finland </option>
<option value="France"> France </option>
<option value="French Guiana"> French Guiana </option>
<option value="French Polynesia"> French Polynesia </option>
<option value="French Southern Territories"> French Southern Territories </option>
<option value="Gabon"> Gabon </option>
<option value="Gambia"> Gambia </option>
<option value="Georgia"> Georgia </option>
<option value="Germany"> Germany </option>
<option value="Ghana"> Ghana </option>
<option value="Gibraltar"> Gibraltar </option>
<option value="Greece"> Greece </option>
<option value="Greenland"> Greenland </option>
<option value="Grenada"> Grenada </option>
<option value="Guadeloupe"> Guadeloupe </option>
<option value="Guam"> Guam </option>
<option value="Guatemala"> Guatemala </option>
<option value="Guernsey"> Guernsey </option>
<option value="Guinea"> Guinea </option>
<option value="Guinea-Bissau"> Guinea-Bissau </option>
<option value="Guyana"> Guyana </option>
<option value="Haiti"> Haiti </option>
<option value="Heard Island and McDonald Islands"> Heard Island and McDonald Islands </option>
<option value="Holy See (Vatican City State)"> Holy See (Vatican City State) </option>
<option value="Honduras"> Honduras </option>
<option value="Hong Kong"> Hong Kong, S.A.R., China </option>
<option value="Hungary"> Hungary </option>
<option value="Iceland"> Iceland </option>
<option value="India"> India </option>
<option value="Indonesia"> Indonesia </option>
<option value="Iran(Islamic Republic of)"> Iran(Islamic Republic of) </option>
<option value="Iraq"> Iraq </option>
<option value="Ireland"> Ireland </option>
<option value="Isle of Man"> Isle of Man </option>
<option value="Israel"> Israel </option>
<option value="Italy"> Italy </option>
<option value="Jamaica"> Jamaica </option>
<option value="Japan"> Japan </option>
<option value="Jersey"> Jersey </option>
<option value="Jordan"> Jordan </option>
<option value="Kazakhstan"> Kazakhstan </option>
<option value="Kenya"> Kenya </option>
<option value="Kiribati"> Kiribati </option>
<option value="Korea(Democratic People's Republic of)"> Korea(Democratic People's Republic of) </option>
<option value="Korea(Republic of)"> Korea(Republic of) </option>
<option value="Kuwait"> Kuwait </option>
<option value="Kyrgyzstan"> Kyrgyzstan </option>
<option value="Lao People's Democratic Republic"> Lao People's Democratic Republic </option>
<option value="Latvia"> Latvia </option>
<option value="Lebanon"> Lebanon </option>
<option value="Lesotho"> Lesotho </option>
<option value="Liberia"> Liberia </option>
<option value="Libya"> Libya </option>
<option value="Liechtenstein"> Liechtenstein </option>
<option value="Lithuania"> Lithuania </option>
<option value="Luxembourg"> Luxembourg </option>
<option value="Macao"> Macao, S.A.R., China </option>
<option value="Madagascar"> Madagascar </option>
<option value="Malawi"> Malawi </option>
<option value="Malaysia"> Malaysia </option>
<option value="Maldives"> Maldives </option>
<option value="Mali"> Mali </option>
<option value="Malta"> Malta </option>
<option value="Marshall Islands"> Marshall Islands </option>
<option value="Martinique"> Martinique </option>
<option value="Mauritania"> Mauritania </option>
<option value="Mauritius"> Mauritius </option>
<option value="Mayotte"> Mayotte </option>
<option value="Mexico"> Mexico </option>
<option value="Micronesia"> Micronesia </option>
<option value="Moldova, Republic of"> Moldova, Republic of </option>
<option value="Monaco"> Monaco </option>
<option value="Mongolia"> Mongolia </option>
<option value="Montenegro"> Montenegro </option>
<option value="Montserrat"> Montserrat </option>
<option value="Morocco"> Morocco </option>
<option value="Mozambique"> Mozambique </option>
<option value="Myanmar"> Myanmar </option>
<option value="Namibia"> Namibia </option>
<option value="Nauru"> Nauru </option>
<option value="Nepal"> Nepal </option>
<option value="Netherlands"> Netherlands </option>
<option value="New Caledonia"> New Caledonia </option>
<option value="New Zealand"> New Zealand </option>
<option value="Nicaragua"> Nicaragua </option>
<option value="Niger"> Niger </option>
<option value="Nigeria"> Nigeria </option>
<option value="Niue"> Niue </option>
<option value="Norfolk Island"> Norfolk Island </option>
<option value="Northern Mariana Islands"> Northern Mariana Islands </option>
<option value="Norway"> Norway </option>
<option value="Oman"> Oman </option>
<option value="Pakistan"> Pakistan </option>
<option value="Palau"> Palau </option>
<option value="Palestine"> Palestine </option>
<option value="Panama"> Panama </option>
<option value="Papua New Guinea"> Papua New Guinea </option>
<option value="Paraguay"> Paraguay </option>
<option value="Peru"> Peru </option>
<option value="Philippines"> Philippines </option>
<option value="Pitcairn"> Pitcairn </option>
<option value="Poland"> Poland </option>
<option value="Portugal"> Portugal </option>
<option value="Puerto Rico"> Puerto Rico </option>
<option value="Qatar"> Qatar </option>
<option value="Republic of North Macedonia"> Republic of North Macedonia </option>
<option value="Reunion"> Reunion </option>
<option value="Romania"> Romania </option>
<option value="Russian Federation"> Russian Federation </option>
<option value="Rwanda"> Rwanda </option>
<option value="Saint Barthélemy"> Saint Barthélemy </option>
<option value="Saint Helena, Ascension and Tristan da Cunha"> Saint Helena, Ascension and Tristan da Cunha </option>
<option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
<option value="Saint Lucia"> Saint Lucia </option>
<option value="Saint Martin (French part)"> Saint Martin (French part) </option>
<option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
<option value="Samoa"> Samoa </option>
<option value="San Marino"> San Marino </option>
<option value="Sao Tome and Principe"> Sao Tome and Principe </option>
<option value="Saudi Arabia"> Saudi Arabia </option>
<option value="Senegal"> Senegal </option>
<option value="Serbia"> Serbia </option>
<option value="Seychelles"> Seychelles </option>
<option value="Sierra Leone"> Sierra Leone </option>
<option value="Singapore"> Singapore </option>
<option value="Sint Maarten (Dutch part)"> Sint Maarten (Dutch part) </option>
<option value="Slovakia"> Slovakia </option>
<option value="Slovenia"> Slovenia </option>
<option value="Solomon Islands"> Solomon Islands </option>
<option value="Somalia"> Somalia </option>
<option value="South Africa"> South Africa </option>
<option value="South Georgia and the South Sandwich Islands"> South Georgia and the South Sandwich Islands </option>
<option value="South Sudan"> South Sudan </option>
<option value="Spain"> Spain </option>
<option value="Sri Lanka"> Sri Lanka </option>
<option value="Sudan"> Sudan </option>
<option value="Suriname"> Suriname </option>
<option value="Svalbard and Jan Mayen"> Svalbard and Jan Mayen </option>
<option value="Swaziland"> Swaziland </option>
<option value="Sweden"> Sweden </option>
<option value="Switzerland"> Switzerland </option>
<option value="Syrian Arab Republic"> Syrian Arab Republic </option>
<option value="Taiwan"> Taiwan, China </option>
<option value="Tajikistan"> Tajikistan </option>
<option value="Tanzania, United Republic of"> Tanzania, United Republic of </option>
<option value="Thailand"> Thailand </option>
<option value="Timor-Leste"> Timor-Leste </option>
<option value="Togo"> Togo </option>
<option value="Tokelau"> Tokelau </option>
<option value="Tonga"> Tonga </option>
<option value="Trinidad and Tobago"> Trinidad and Tobago </option>
<option value="Tunisia"> Tunisia </option>
<option value="Turkey"> Turkey </option>
<option value="Turkmenistan"> Turkmenistan </option>
<option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
<option value="Tuvalu"> Tuvalu </option>
<option value="Uganda"> Uganda </option>
<option value="Ukraine"> Ukraine </option>
<option value="United States Minor Outlying Islands"> United States Minor Outlying Islands </option>
<option value="United Arab Emirates"> United Arab Emirates </option>
<option value="United Kingdom"> United Kingdom </option>
<option value="United States"> United States </option>
<option value="Uruguay"> Uruguay </option>
<option value="Uzbekistan"> Uzbekistan </option>
<option value="Vanuatu"> Vanuatu </option>
<option value="Venezuela, Bolivarian Republic of"> Venezuela, Bolivarian Republic of </option>
<option value="Vietnam"> Vietnam </option>
<option value="Virgin Islands(British)"> Virgin Islands(British) </option>
<option value="Virgin Islands(U.S.)"> Virgin Islands(U.S.) </option>
<option value="Wallis and Futuna"> Wallis and Futuna </option>
<option value="Western Sahara"> Western Sahara </option>
<option value="Yemen"> Yemen </option>
<option value="Zambia"> Zambia </option>
<option value="Zimbabwe"> Zimbabwe </option>
</select>
<svg class="form__select-arrow" width="12" height="6" viewBox="0 0 12 6" fill="none" xmlns="http://www.w3.org/2000/svg">
<path fill-rule="evenodd" clip-rule="evenodd"
d="M10.9328 0.292893C11.3375 0.683417 11.3375 1.31658 10.9328 1.70711L6.78733 5.70711C6.3826 6.09763 5.72642 6.09763 5.32169 5.70711L1.17624 1.70711C0.77151 1.31658 0.77151 0.683418 1.17624 0.292893C1.58096 -0.097631 2.23715 -0.097631 2.64188 0.292893L6.05451 3.58579L9.46714 0.292893C9.87187 -0.0976311 10.5281 -0.0976311 10.9328 0.292893Z"
fill="currentColor"></path>
</svg>
</div>
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input form__input--50">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement2" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113063"> Company <span class="elq-required"> * </span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper form__input-wrapper">
<input type="text" class="elq-item-input" name="company" id="fe113063" value="" style="width:100%;">
<span class="form__input-icon"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input form__input--50">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement3" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113064"> Job Title </label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="title" id="fe113064" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__input">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement7" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113462"> How Can We Help </label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<textarea class="elq-item-input form__input-area" name="howCanWeHelp" id="fe113462" value="" style="width:100%;"></textarea>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__checkbox form__hidden">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-8">
<div>
<div class="single-checkbox-row row form__checkbox-container">
<input type="checkbox" name="informaMarketingOptIn1" id="fe113069" value="True" checked="checked">
<label class="checkbox-aligned elq-item-label checkbox-label" for="fe113069"> Informa Marketing Opt In </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__checkbox form__hidden">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement9" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-8">
<div>
<div class="single-checkbox-row row form__checkbox-container">
<input type="checkbox" name="3rdPartyOptIn1" id="fe113070">
<label class="checkbox-aligned elq-item-label checkbox-label" for="fe113070"> 3rd Party Opt In </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__hidden">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement10" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113078"> utm_source </label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="utm_source" id="fe113078" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__hidden">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement11" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113079"> utm_medium </label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="utm_medium" id="fe113079" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row form__hidden">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement12" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe113080"> utm_campaign </label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="utm_campaign" id="fe113080" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
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Using our compare feature, you can: * Access comprehensive coverage of regulatory and trial registry requirements across 200+ countries * Compare global clinical trial disclosure regulations in seconds * Review regulations in their original language, context and format * Reference English translations of crucial disclosure documents and passages * Explore exclusive expert and journalistic analysis on latest disclosure developments * And much more Download fact sheet DID YOU KNOW THAT YOU CAN COMPARE GLOBAL CLINICAL TRIAL DISCLOSURE REGULATIONS IN JUST SECONDS WITH TRIALSCOPE INTELLIGENCE? Did you know that you can compare global clinical trial disclosure regulations in just seconds with TrialScope Intelligence? 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