{"id":2,"date":"2025-01-14T18:12:40","date_gmt":"2025-01-14T23:12:40","guid":{"rendered":"https:\/\/www.rahiperu.com.pe\/oficinas\/?page_id=2"},"modified":"2025-01-22T12:04:18","modified_gmt":"2025-01-22T17:04:18","slug":"inicio","status":"publish","type":"page","link":"https:\/\/www.rahiperu.com.pe\/oficinas\/","title":{"rendered":"Inicio"},"content":{"rendered":"\n\t<section class=\"section slider-inicio\" id=\"section_1139543179\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"slider-wrapper relative\" id=\"slider-1366447680\" >\n    <div class=\"slider slider-type-fade slider-nav-circle slider-nav-large slider-nav-light slider-style-normal\"\n        data-flickity-options='{\n            \"cellAlign\": \"center\",\n            \"imagesLoaded\": true,\n            \"lazyLoad\": 1,\n            \"freeScroll\": false,\n            \"wrapAround\": true,\n            \"autoPlay\": 6000,\n            \"pauseAutoPlayOnHover\" : true,\n            \"prevNextButtons\": false,\n            \"contain\" : true,\n            \"adaptiveHeight\" : true,\n            \"dragThreshold\" : 10,\n            \"percentPosition\": true,\n            \"pageDots\": true,\n            \"rightToLeft\": false,\n            \"draggable\": true,\n            \"selectedAttraction\": 0.1,\n            \"parallax\" : 0,\n            \"friction\": 0.6        }'\n        >\n        \n\n  <div class=\"banner has-hover\" id=\"banner-1175582846\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"788\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/slider-alquiler-de-oficinas-rahi-01.webp\" class=\"bg attachment-original size-original\" alt=\"\" \/>                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-1433291373\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n\t<div id=\"text-3731393467\" class=\"text sombra\">\n\t\t\n<h3 class=\"uppercase\"><strong>Alquila tu oficina desde US$ 12.00 x m2<\/strong><\/h3>\n<h3>Descubre la oficina perfecta para tu Empresa<\/h3>\n\t\t\t<\/div>\n\t\n<a href=\"#contacto\" class=\"button primary is-large\"  >\n\t\t<span>\u00a1Alquila ahora!<\/span>\n\t<\/a>\n\n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-1433291373 {\n  width: 92%;\n}\n#text-box-1433291373 .text-box-content {\n  font-size: 100%;\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1175582846 {\n  padding-top: 500px;\n}\n<\/style>\n  <\/div>\n\n\n\n  <div class=\"banner has-hover\" id=\"banner-903073047\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/slider-alquiler-de-oficinas-rahi-02.webp\" class=\"bg attachment-original size-original\" alt=\"\" \/>                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-1056516163\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n\t<div id=\"text-4122045913\" class=\"text sombra\">\n\t\t\n<h3 class=\"uppercase\"><strong>Alquila tu oficina desde US$ 12.00 x m2<\/strong><\/h3>\n<h3>Descubre la oficina perfecta para tu Empresa<\/h3>\n\t\t\t<\/div>\n\t\n<a href=\"#contacto\" class=\"button primary is-large\"  >\n\t\t<span>\u00a1Alquila ahora!<\/span>\n\t<\/a>\n\n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-1056516163 {\n  width: 85%;\n}\n#text-box-1056516163 .text-box-content {\n  font-size: 100%;\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-903073047 {\n  padding-top: 500px;\n}\n<\/style>\n  <\/div>\n\n\n\n  <div class=\"banner has-hover\" id=\"banner-1850447643\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img loading=\"lazy\" decoding=\"async\" width=\"1921\" height=\"907\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/slider-alquiler-de-oficinas-rahi-03.webp\" class=\"bg attachment-original size-original\" alt=\"\" \/>                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-688097376\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n\t<div id=\"text-4225120634\" class=\"text sombra\">\n\t\t\n<h3 class=\"uppercase\"><strong>Alquila tu oficina desde US$ 12.00 x m2<\/strong><\/h3>\n<h3>Descubre la oficina perfecta para tu Empresa<\/h3>\n\t\t\t<\/div>\n\t\n<a href=\"#contacto\" class=\"button primary is-large\"  >\n\t\t<span>\u00a1Alquila ahora!<\/span>\n\t<\/a>\n\n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-688097376 {\n  width: 85%;\n}\n#text-box-688097376 .text-box-content {\n  font-size: 100%;\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1850447643 {\n  padding-top: 500px;\n}\n<\/style>\n  <\/div>\n\n\n     <\/div>\n\n     <div class=\"loading-spin dark large centered\"><\/div>\n\n\t<\/div>\n\n\n<span class=\"scroll-to\" data-label=\"Scroll to: #contacto\" data-bullet=\"false\" data-link=\"#contacto\" data-title=\"Contacto\" ><a name=\"contacto\"><\/a><\/span>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1139543179 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section rahi\" id=\"section_534688338\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row align-center\"  id=\"row-483186639\">\n\n\t<div id=\"col-379063292\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2>Contrata con nosotros y obt\u00e9n el mejor espacio al mejor precio, adaptado a tus Necesidades y Presupuesto.<\/h2>\n<p>Haz clic en <a href=\"https:\/\/api.whatsapp.com\/send\/?phone=51997208805&amp;text&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><strong style=\"color: #bd0f36;\">Chatea con Nosotros<\/strong><\/a> y comienza a trabajar en un entorno que impulse tu \u00e9xito y competitividad.<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1614575141\" class=\"col medium-12 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div class=\"row\"  id=\"row-401419514\">\n\n\t<div id=\"col-289898170\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:rgb(243, 243, 243);\" >\n\t\t\t\n\t\t\t\n\t<div class=\"img has-hover border-10 x md-x lg-x y md-y lg-y\" id=\"image_1613737566\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner image-cover dark\" style=\"padding-top:400px;\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/espacios-a-tu-medida-rahi.webp\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/espacios-a-tu-medida-rahi.webp 500w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/espacios-a-tu-medida-rahi-300x300.webp 300w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/espacios-a-tu-medida-rahi-150x150.webp 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1613737566 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n<h4>ESPACIOS A TU MEDIDA<\/h4>\n<div class=\"is-divider divider clearfix\" style=\"height:1px;background-color:rgb(189, 15, 54);\"><\/div>\n\t<div id=\"text-2945555417\" class=\"text justificado\">\n\t\t\n<p>Sabemos lo importante que es encontrar una oficina que se ajuste a tus necesidades. Con nuestra amplia variedad de opciones, te ayudaremos a encontrar el espacio perfecto, dise\u00f1ado para adaptarse a tu giro de negocio, as\u00ed como a los requerimientos de tu equipo de trabajo. Ya sea que busques flexibilidad, comodidad y modernidad en un entorno profesional, tenemos las oficinas ideales para impulsar TU EXITO.<\/p>\n\t\t\n<style>\n#text-2945555417 {\n  line-height: 1.2;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-289898170 > .col-inner {\n  padding: 10px 10px 10px 10px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1264654213\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:rgb(243, 243, 243);\" >\n\t\t\t\n\t\t\t\n\t<div class=\"img has-hover border-10 x md-x lg-x y md-y lg-y\" id=\"image_1009441921\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner image-cover dark\" style=\"padding-top:400px;\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/contratos-flexibles-rahi.webp\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/contratos-flexibles-rahi.webp 500w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/contratos-flexibles-rahi-300x300.webp 300w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/contratos-flexibles-rahi-150x150.webp 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1009441921 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n<h4>CONTRATOS FLEXIBLES<\/h4>\n<div class=\"is-divider divider clearfix\" style=\"height:1px;background-color:rgb(189, 15, 54);\"><\/div>\n\t<div id=\"text-612184853\" class=\"text justificado\">\n\t\t\n<p>Nuestros Contratos se adaptan a las demandas y necesidades del mundo actual empresarial. Por eso, nuestros contratos est\u00e1n dise\u00f1ados para ofrecer flexibilidad y agilidad, con cl\u00e1usulas claras y condiciones siempre negociables. Nos aseguramos de que tu experiencia sea sencilla, transparente y ajustada a las necesidades de tu empresa. Se parte de las empresas que hoy en d\u00eda gozan de estos beneficios, haciendo sus negocios m\u00e1s rentables.<\/p>\n\t\t\n<style>\n#text-612184853 {\n  line-height: 1.2;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1264654213 > .col-inner {\n  padding: 10px 10px 10px 10px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-2098473584\" class=\"col pb-0 small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:rgb(243, 243, 243);\" >\n\t\t\t\n\t\t\t\n\t<div class=\"img has-hover border-10 x md-x lg-x y md-y lg-y\" id=\"image_835441355\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner image-cover dark\" style=\"padding-top:400px;\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/mejor-relacion-precio-calidad-rahi.webp\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/mejor-relacion-precio-calidad-rahi.webp 500w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/mejor-relacion-precio-calidad-rahi-300x300.webp 300w, https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/mejor-relacion-precio-calidad-rahi-150x150.webp 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_835441355 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n<h4>MEJOR RELACI\u00d3N PRECIO CALIDAD<\/h4>\n<div class=\"is-divider divider clearfix\" style=\"height:1px;background-color:rgb(189, 15, 54);\"><\/div>\n\t<div id=\"text-263983342\" class=\"text justificado\">\n\t\t\n<p>Al optar contratar con nosotros te garantizamos que encontrar\u00e1s el espacio de oficina perfecto, funcional y adaptado a tus necesidades comerciales y administrativas, nuestros precios pueden sujetarse a tu presupuesto a fin de hacer viable el arrendamiento o venta.<\/p>\n\t\t\n<style>\n#text-263983342 {\n  line-height: 1.2;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2098473584 > .col-inner {\n  padding: 10px 10px 10px 10px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-591443516\" class=\"col medium-8 small-12 large-6 medium-col-first\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:rgb(243, 243, 243);\" >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(229, 229, 229);border-radius:10px;border-width:1px 1px 1px 1px;\">\n\t<\/div>\n\t\t\t\n<div class=\"container section-title-container\" ><h3 class=\"section-title section-title-normal\"><b><\/b><span class=\"section-title-main\" >SOLICITA TU PRODUCTO<\/span><b><\/b><\/h3><\/div>\n<p>No pierdas mas tiempo y encuentra la <strong>Oficina Perfecta<\/strong> para tu empresa hoy mismo.<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-144 forminator-design--default forminator-custom forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-144\" data-uid=\"6a2384318a8f0\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-144\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-144 forminator-design--default forminator-custom forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"144\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"custom\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a2384318a8f0\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-1_6a2384318a8f0\" id=\"forminator-form-144__field--select-1_6a2384318a8f0-label\" class=\"forminator-label\">Seleccionar producto<\/label><select  id=\"forminator-form-144__field--select-1_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione producto\" data-search=\"false\" data-search-placeholder=\"Seleccione producto\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-1_6a2384318a8f0-label\"><option value=\"\"  >Seleccione producto<\/option><option value=\"one\"  data-calculation=\"0\">Oficinas<\/option><option value=\"two\"  data-calculation=\"0\">Coworking<\/option><option value=\"Carnet-de-extrangeria\"  data-calculation=\"0\">Salas de Reuniones<\/option><option value=\"RUC\"  data-calculation=\"0\">Almacenes<\/option><option value=\"Locales-Comerciales\"  data-calculation=\"0\">Locales Comerciales<\/option><option value=\"Locales-Industriales\"  data-calculation=\"0\">Locales Industriales<\/option><option value=\"Locales-Agro-Industriales\"  data-calculation=\"0\">Locales Agro Industriales<\/option><option value=\"Locales-Log\u00edsticos\"  data-calculation=\"0\">Locales Log\u00edsticos<\/option><option value=\"Terrenos-Lima\"  data-calculation=\"0\">Terrenos Lima<\/option><option value=\"Terrenos-Provincia\"  data-calculation=\"0\">Terrenos Provincia<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-5_6a2384318a8f0\" id=\"forminator-form-144__field--select-5_6a2384318a8f0-label\" class=\"forminator-label\">Departamento <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-5_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"Departamento*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-5_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Departamento*\" selected=\"selected\" data-calculation=\"0\">Departamento*<\/option><option value=\"one\"  data-calculation=\"0\">Amazonas<\/option><option value=\"two\"  data-calculation=\"0\">Ancash<\/option><option value=\"Apurimac\"  data-calculation=\"0\">Apurimac<\/option><option value=\"Arequipa\"  data-calculation=\"0\">Arequipa<\/option><option value=\"Ayacucho\"  data-calculation=\"0\">Ayacucho<\/option><option value=\"Cajamarca\"  data-calculation=\"0\">Cajamarca<\/option><option value=\"Callao\"  data-calculation=\"0\">Callao<\/option><option value=\"Cusco\"  data-calculation=\"0\">Cusco<\/option><option value=\"Huancavelica\"  data-calculation=\"0\">Huancavelica<\/option><option value=\"Huanuco\"  data-calculation=\"0\">Huanuco<\/option><option value=\"Ica\"  data-calculation=\"0\">Ica<\/option><option value=\"Junin\"  data-calculation=\"0\">Junin<\/option><option value=\"La-Libertad\"  data-calculation=\"0\">La Libertad<\/option><option value=\"Lambayeque\"  data-calculation=\"0\">Lambayeque<\/option><option value=\"Lima\"  data-calculation=\"0\">Lima<\/option><option value=\"Loreto\"  data-calculation=\"0\">Loreto<\/option><option value=\"Madre-de-Dios\"  data-calculation=\"0\">Madre de Dios<\/option><option value=\"Moquegua\"  data-calculation=\"0\">Moquegua<\/option><option value=\"Pasco\"  data-calculation=\"0\">Pasco<\/option><option value=\"Piura\"  data-calculation=\"0\">Piura<\/option><option value=\"Puno\"  data-calculation=\"0\">Puno<\/option><option value=\"San-Martin\"  data-calculation=\"0\">San Martin<\/option><option value=\"Tacna\"  data-calculation=\"0\">Tacna<\/option><option value=\"Tumbes\"  data-calculation=\"0\">Tumbes<\/option><option value=\"Ucayali\"  data-calculation=\"0\">Ucayali<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-6_6a2384318a8f0\" id=\"forminator-form-144__field--select-6_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Amazonas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-6_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-6_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"two\"  data-calculation=\"0\">Bagua<\/option><option value=\"Bongara\"  data-calculation=\"0\">Bongara<\/option><option value=\"Chachapoyas\"  data-calculation=\"0\">Chachapoyas<\/option><option value=\"Condorcanqui\"  data-calculation=\"0\">Condorcanqui<\/option><option value=\"Luya\"  data-calculation=\"0\">Luya<\/option><option value=\"Rodriguez-de-Mendoza\"  data-calculation=\"0\">Rodriguez de Mendoza<\/option><option value=\"Utcubamba\"  data-calculation=\"0\">Utcubamba<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-7_6a2384318a8f0\" id=\"forminator-form-144__field--select-7_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Bagua* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-7_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-7\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-7_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Aramango<\/option><option value=\"Copallin\"  data-calculation=\"0\">Copallin<\/option><option value=\"Bongara\"  data-calculation=\"0\">El Parco<\/option><option value=\"Chachapoyas\"  data-calculation=\"0\">Imaza<\/option><option value=\"Condorcanqui\"  data-calculation=\"0\">La Peca<\/option><option value=\"Rodriguez-de-Mendoza\"  data-calculation=\"0\">Rodriguez de Mendoza<\/option><option value=\"Utcubamba\"  data-calculation=\"0\">Utcubamba<\/option><\/select><\/div><\/div><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-8_6a2384318a8f0\" id=\"forminator-form-144__field--select-8_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Bongara* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-8_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-8\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-8_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Chisquilla<\/option><option value=\"Copallin\"  data-calculation=\"0\">Churuja<\/option><option value=\"Bongara\"  data-calculation=\"0\">Corosha<\/option><option value=\"Chachapoyas\"  data-calculation=\"0\">Cuispes<\/option><option value=\"Condorcanqui\"  data-calculation=\"0\">Florida<\/option><option value=\"Rodriguez-de-Mendoza\"  data-calculation=\"0\">Jazan<\/option><option value=\"Utcubamba\"  data-calculation=\"0\">Jumbilla<\/option><option value=\"Recta\"  data-calculation=\"0\">Recta<\/option><option value=\"San-Carlos\"  data-calculation=\"0\">San Carlos<\/option><option value=\"Shipasbamba\"  data-calculation=\"0\">Shipasbamba<\/option><option value=\"Valera\"  data-calculation=\"0\">Valera<\/option><option value=\"Yambrasbamba\"  data-calculation=\"0\">Yambrasbamba<\/option><\/select><\/div><\/div><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-9_6a2384318a8f0\" id=\"forminator-form-144__field--select-9_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chachapoyas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-9_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-9\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-9_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Asuncion<\/option><option value=\"Copallin\"  data-calculation=\"0\">Balsas<\/option><option value=\"Bongara\"  data-calculation=\"0\">Chachapoyas<\/option><option value=\"Chachapoyas\"  data-calculation=\"0\">Cheto<\/option><option value=\"Condorcanqui\"  data-calculation=\"0\">Chiliquin<\/option><option value=\"Rodriguez-de-Mendoza\"  data-calculation=\"0\">Chuquibamba<\/option><option value=\"Utcubamba\"  data-calculation=\"0\">Granada<\/option><option value=\"Recta\"  data-calculation=\"0\">Huancas<\/option><option value=\"San-Carlos\"  data-calculation=\"0\">La Jalca<\/option><option value=\"Shipasbamba\"  data-calculation=\"0\">Leimebamba<\/option><option value=\"Valera\"  data-calculation=\"0\">Levanto<\/option><option value=\"Yambrasbamba\"  data-calculation=\"0\">Magdalena<\/option><option value=\"Mariscal-Castilla\"  data-calculation=\"0\">Mariscal Castilla<\/option><option value=\"Molinopampa\"  data-calculation=\"0\">Molinopampa<\/option><option value=\"Montevideo\"  data-calculation=\"0\">Montevideo<\/option><option value=\"Olleros\"  data-calculation=\"0\">Olleros<\/option><option value=\"Quinjalca\"  data-calculation=\"0\">Quinjalca<\/option><option value=\"San-Francisco-de-Daguas\"  data-calculation=\"0\">San Francisco de Daguas<\/option><option value=\"San-Isidro-de-Maino\"  data-calculation=\"0\">San Isidro de Maino<\/option><option value=\"Soloco\"  data-calculation=\"0\">Soloco<\/option><option value=\"Sonche\"  data-calculation=\"0\">Sonche<\/option><\/select><\/div><\/div><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-10_6a2384318a8f0\" id=\"forminator-form-144__field--select-10_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Condorcanqui* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-10_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-10\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-10_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">El Cenepa<\/option><option value=\"Copallin\"  data-calculation=\"0\">Nieva<\/option><option value=\"Bongara\"  data-calculation=\"0\">Rio Santiago<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-11_6a2384318a8f0\" id=\"forminator-form-144__field--select-11_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Luya* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-11_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-11\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-11_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">El Camporredondo<\/option><option value=\"Copallin\"  data-calculation=\"0\">Cocabamba<\/option><option value=\"Bongara\"  data-calculation=\"0\">Colcamar<\/option><option value=\"Conila\"  data-calculation=\"0\">Conila<\/option><option value=\"Inguilpata\"  data-calculation=\"0\">Inguilpata<\/option><option value=\"Lamud\"  data-calculation=\"0\">Lamud<\/option><option value=\"Longuita\"  data-calculation=\"0\">Longuita<\/option><option value=\"Lonya-Chico\"  data-calculation=\"0\">Lonya Chico<\/option><option value=\"Luya\"  data-calculation=\"0\">Luya<\/option><option value=\"Luya-Viejo\"  data-calculation=\"0\">Luya Viejo<\/option><option value=\"Maria\"  data-calculation=\"0\">Maria<\/option><option value=\"Ocalli\"  data-calculation=\"0\">Ocalli<\/option><option value=\"Ocumal\"  data-calculation=\"0\">Ocumal<\/option><option value=\"Pisuquia\"  data-calculation=\"0\">Pisuquia<\/option><option value=\"Providencia\"  data-calculation=\"0\">Providencia<\/option><option value=\"San-Cristobal\"  data-calculation=\"0\">San Cristobal<\/option><option value=\"San-Francisco-del-Yeso\"  data-calculation=\"0\">San Francisco del Yeso<\/option><option value=\"San-Jeronimo\"  data-calculation=\"0\">San Jeronimo<\/option><option value=\"San-Juan-de-Lopecancha\"  data-calculation=\"0\">San Juan de Lopecancha<\/option><option value=\"Santa-Catalina\"  data-calculation=\"0\">Santa Catalina<\/option><option value=\"Santo-Tomas\"  data-calculation=\"0\">Santo Tomas<\/option><option value=\"Tingo\"  data-calculation=\"0\">Tingo<\/option><option value=\"Trita\"  data-calculation=\"0\">Trita<\/option><\/select><\/div><\/div><div id=\"select-12\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-12_6a2384318a8f0\" id=\"forminator-form-144__field--select-12_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Rodriguez de Mendoza* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-12_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-12\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-12_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Chirimoto<\/option><option value=\"Copallin\"  data-calculation=\"0\">Cochamal<\/option><option value=\"Bongara\"  data-calculation=\"0\">Huambo<\/option><option value=\"Conila\"  data-calculation=\"0\">Limabamba<\/option><option value=\"Inguilpata\"  data-calculation=\"0\">Longar<\/option><option value=\"Lamud\"  data-calculation=\"0\">Mariscal Benavides<\/option><option value=\"Longuita\"  data-calculation=\"0\">Milpuc<\/option><option value=\"Lonya-Chico\"  data-calculation=\"0\">Omia<\/option><option value=\"Luya\"  data-calculation=\"0\">San Nicolas<\/option><option value=\"Luya-Viejo\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Maria\"  data-calculation=\"0\">Totora<\/option><option value=\"Ocalli\"  data-calculation=\"0\">Vista Alegre<\/option><\/select><\/div><\/div><div id=\"select-13\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-13_6a2384318a8f0\" id=\"forminator-form-144__field--select-13_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Utcubamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-13_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-13\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-13_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Bagua Grande<\/option><option value=\"Copallin\"  data-calculation=\"0\">Cajaruro<\/option><option value=\"Bongara\"  data-calculation=\"0\">Cumba<\/option><option value=\"Conila\"  data-calculation=\"0\">El Milagro<\/option><option value=\"Inguilpata\"  data-calculation=\"0\">Jamalca<\/option><option value=\"Lamud\"  data-calculation=\"0\">Lonya Grande<\/option><option value=\"Longuita\"  data-calculation=\"0\">Yamon<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-14\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-14_6a2384318a8f0\" id=\"forminator-form-144__field--select-14_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Ancash* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-14_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-14\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-14_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"two\"  data-calculation=\"0\">Aija<\/option><option value=\"Bongara\"  data-calculation=\"0\">Antonio Raymondi<\/option><option value=\"Chachapoyas\"  data-calculation=\"0\">Asuncion<\/option><option value=\"Condorcanqui\"  data-calculation=\"0\">Bolognesi<\/option><option value=\"Luya\"  data-calculation=\"0\">Carhuaz<\/option><option value=\"Rodriguez-de-Mendoza\"  data-calculation=\"0\">Carlos Fermin Fitzcarrald<\/option><option value=\"Utcubamba\"  data-calculation=\"0\">Casma<\/option><option value=\"Corongo\"  data-calculation=\"0\">Corongo<\/option><option value=\"Huaraz\"  data-calculation=\"0\">Huaraz<\/option><option value=\"Huari\"  data-calculation=\"0\">Huari<\/option><option value=\"Huarmey\"  data-calculation=\"0\">Huarmey<\/option><option value=\"Huaylas\"  data-calculation=\"0\">Huaylas<\/option><option value=\"Mariscal-Luzuriaga\"  data-calculation=\"0\">Mariscal Luzuriaga<\/option><option value=\"Ocros\"  data-calculation=\"0\">Ocros<\/option><option value=\"Pallasca\"  data-calculation=\"0\">Pallasca<\/option><option value=\"Pomabamba\"  data-calculation=\"0\">Pomabamba<\/option><option value=\"Recuay\"  data-calculation=\"0\">Recuay<\/option><option value=\"Santa\"  data-calculation=\"0\">Santa<\/option><option value=\"Sihuas\"  data-calculation=\"0\">Sihuas<\/option><option value=\"Yungay\"  data-calculation=\"0\">Yungay<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-15\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-15_6a2384318a8f0\" id=\"forminator-form-144__field--select-15_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Aija* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-15_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-15\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-15_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Aija<\/option><option value=\"Copallin\"  data-calculation=\"0\">Coris<\/option><option value=\"Bongara\"  data-calculation=\"0\">Huacllan<\/option><option value=\"Conila\"  data-calculation=\"0\">La Merced<\/option><option value=\"Inguilpata\"  data-calculation=\"0\">Succha<\/option><\/select><\/div><\/div><div id=\"select-16\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-16_6a2384318a8f0\" id=\"forminator-form-144__field--select-16_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Antonio Raymondi* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-16_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-16\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-16_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Aczo<\/option><option value=\"Copallin\"  data-calculation=\"0\">Chaccho<\/option><option value=\"Bongara\"  data-calculation=\"0\">Chingas<\/option><option value=\"Conila\"  data-calculation=\"0\">Llamellin<\/option><option value=\"Inguilpata\"  data-calculation=\"0\">Mirgas<\/option><option value=\"San-Juan-de-Rontoy\"  data-calculation=\"0\">San Juan de Rontoy<\/option><\/select><\/div><\/div><div id=\"select-17\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-17_6a2384318a8f0\" id=\"forminator-form-144__field--select-17_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Asuncion* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-17_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-17\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-17_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Acochaca<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Chacas<\/option><\/select><\/div><\/div><div id=\"select-18\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-18_6a2384318a8f0\" id=\"forminator-form-144__field--select-18_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Bolognesi* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-18_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-18\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-18_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Abelardo Pardo Lezameta<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Antonio Raymondi<\/option><option value=\"Aquia\"  data-calculation=\"0\">Aquia<\/option><option value=\"Cajacay\"  data-calculation=\"0\">Cajacay<\/option><option value=\"Canis\"  data-calculation=\"0\">Canis<\/option><option value=\"Chiquian\"  data-calculation=\"0\">Chiquian<\/option><option value=\"Colquioc\"  data-calculation=\"0\">Colquioc<\/option><option value=\"Huallanca\"  data-calculation=\"0\">Huallanca<\/option><option value=\"Huasta\"  data-calculation=\"0\">Huasta<\/option><option value=\"Huayllacayan\"  data-calculation=\"0\">Huayllacayan<\/option><option value=\"La-Primavera\"  data-calculation=\"0\">La Primavera<\/option><option value=\"Mangas\"  data-calculation=\"0\">Mangas<\/option><option value=\"Pacllon\"  data-calculation=\"0\">Pacllon<\/option><option value=\"San-Miguel-de-Corpanqui\"  data-calculation=\"0\">San Miguel de Corpanqui<\/option><option value=\"Ticllos\"  data-calculation=\"0\">Ticllos<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-19\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-19_6a2384318a8f0\" id=\"forminator-form-144__field--select-19_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Carhuaz* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-19_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-19\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-19_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Acopampa<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Amashca<\/option><option value=\"Aquia\"  data-calculation=\"0\">Anta<\/option><option value=\"Cajacay\"  data-calculation=\"0\">Ataquero<\/option><option value=\"Canis\"  data-calculation=\"0\">Carhuaz<\/option><option value=\"Chiquian\"  data-calculation=\"0\">Marcara<\/option><option value=\"Colquioc\"  data-calculation=\"0\">Pariahuanca<\/option><option value=\"Huallanca\"  data-calculation=\"0\">San Miguel de Aco<\/option><option value=\"Huasta\"  data-calculation=\"0\">Shilla<\/option><option value=\"Huayllacayan\"  data-calculation=\"0\">Tinco<\/option><option value=\"La-Primavera\"  data-calculation=\"0\">Yungar<\/option><\/select><\/div><\/div><div id=\"select-20\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-20_6a2384318a8f0\" id=\"forminator-form-144__field--select-20_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Carlos Fermin Fitzcarrald* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-20_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-20\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-20_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">San Luis<\/option><option value=\"Acochaca\"  data-calculation=\"0\">San Nicolas<\/option><option value=\"Aquia\"  data-calculation=\"0\">Yauya<\/option><\/select><\/div><\/div><div id=\"select-21\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-21_6a2384318a8f0\" id=\"forminator-form-144__field--select-21_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Casma* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-21_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-21\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-21_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Buena Vista Alta<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Casma<\/option><option value=\"Aquia\"  data-calculation=\"0\">Comandante Noel<\/option><option value=\"Yautan\"  data-calculation=\"0\">Yautan<\/option><\/select><\/div><\/div><div id=\"select-22\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-22_6a2384318a8f0\" id=\"forminator-form-144__field--select-22_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Corongo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-22_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-22\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-22_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Aco<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Bambas<\/option><option value=\"Aquia\"  data-calculation=\"0\">Corongo<\/option><option value=\"Yautan\"  data-calculation=\"0\">Cusca<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">La Pampa<\/option><option value=\"Yanac\"  data-calculation=\"0\">Yanac<\/option><option value=\"Yupan\"  data-calculation=\"0\">Yupan<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-23\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-23_6a2384318a8f0\" id=\"forminator-form-144__field--select-23_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huaraz* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-23_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-23\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-23_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Cochabamba<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Colcabamba<\/option><option value=\"Aquia\"  data-calculation=\"0\">Huanchay<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huaraz<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Independencia<\/option><option value=\"Yanac\"  data-calculation=\"0\">Jangas<\/option><option value=\"Yupan\"  data-calculation=\"0\">La Libertad<\/option><option value=\"La-Libertad\"  data-calculation=\"0\">Olleros<\/option><option value=\"Pampas\"  data-calculation=\"0\">Pampas<\/option><option value=\"Pariacoto\"  data-calculation=\"0\">Pariacoto<\/option><option value=\"Pira\"  data-calculation=\"0\">Pira<\/option><option value=\"Tarica\"  data-calculation=\"0\">Tarica<\/option><\/select><\/div><\/div><div id=\"select-24\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-24_6a2384318a8f0\" id=\"forminator-form-144__field--select-24_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huari* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-24_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-24\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-24_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Anra<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Cajay<\/option><option value=\"Aquia\"  data-calculation=\"0\">Chavin de Huantar<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huacachi<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Huacchis<\/option><option value=\"Yanac\"  data-calculation=\"0\">Huachis<\/option><option value=\"Yupan\"  data-calculation=\"0\">Huantar<\/option><option value=\"La-Libertad\"  data-calculation=\"0\">Huari<\/option><option value=\"Pampas\"  data-calculation=\"0\">Masin<\/option><option value=\"Pariacoto\"  data-calculation=\"0\">Paucas<\/option><option value=\"Pira\"  data-calculation=\"0\">Ponto<\/option><option value=\"Tarica\"  data-calculation=\"0\">Rahuapampa<\/option><option value=\"Rapayan\"  data-calculation=\"0\">Rapayan<\/option><option value=\"San-Marcos\"  data-calculation=\"0\">San Marcos<\/option><option value=\"San-Pedro-de-Chana\"  data-calculation=\"0\">San Pedro de Chana<\/option><option value=\"Uco\"  data-calculation=\"0\">Uco<\/option><\/select><\/div><\/div><div id=\"select-25\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-25_6a2384318a8f0\" id=\"forminator-form-144__field--select-25_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huarmey* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-25_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-25\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-25_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Cochapeti<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Culebras<\/option><option value=\"Aquia\"  data-calculation=\"0\">Huarmey<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huayan<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Malvas<\/option><\/select><\/div><\/div><div id=\"select-26\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-26_6a2384318a8f0\" id=\"forminator-form-144__field--select-26_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huaylas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-26_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-26\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-26_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Caraz<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Huallanca<\/option><option value=\"Aquia\"  data-calculation=\"0\">Huata<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huaylas<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Mato<\/option><option value=\"Pamparomas\"  data-calculation=\"0\">Pamparomas<\/option><option value=\"Pueblo-Libre\"  data-calculation=\"0\">Pueblo Libre<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><option value=\"Santo-Toribio\"  data-calculation=\"0\">Santo Toribio<\/option><option value=\"Yuracmarca\"  data-calculation=\"0\">Yuracmarca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-27\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-27_6a2384318a8f0\" id=\"forminator-form-144__field--select-27_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Mariscal Luzuriaga* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-27_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-27\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-27_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Casca<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Eleazar Guzman Barron<\/option><option value=\"Aquia\"  data-calculation=\"0\">Fidel Olivas Escudero<\/option><option value=\"Yautan\"  data-calculation=\"0\">Llama<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Llumpa<\/option><option value=\"Pamparomas\"  data-calculation=\"0\">Lucma<\/option><option value=\"Pueblo-Libre\"  data-calculation=\"0\">Musga<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Piscobamba<\/option><\/select><\/div><\/div><div id=\"select-28\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-28_6a2384318a8f0\" id=\"forminator-form-144__field--select-28_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ocros* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-28_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-28\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-28_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Acas<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Cajamarquilla<\/option><option value=\"Aquia\"  data-calculation=\"0\">Carhuapampa<\/option><option value=\"Yautan\"  data-calculation=\"0\">Cochas<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Congas<\/option><option value=\"Pamparomas\"  data-calculation=\"0\">Llipa<\/option><option value=\"Pueblo-Libre\"  data-calculation=\"0\">Ocros<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">San Cristobal de Rajan<\/option><option value=\"San-Pedro\"  data-calculation=\"0\">San Pedro<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Santiago de Chilcas<\/option><\/select><\/div><\/div><div id=\"select-29\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-29_6a2384318a8f0\" id=\"forminator-form-144__field--select-29_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pallasca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-29_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-29\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-29_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Bolognesi<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Cabana<\/option><option value=\"Aquia\"  data-calculation=\"0\">Conchucos<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huacaschuque<\/option><option value=\"La-Pampa\"  data-calculation=\"0\">Huandoval<\/option><option value=\"Pamparomas\"  data-calculation=\"0\">Lacabamba<\/option><option value=\"Pueblo-Libre\"  data-calculation=\"0\">Llapo<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Pallasca<\/option><option value=\"San-Pedro\"  data-calculation=\"0\">Pampas<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Tauca\"  data-calculation=\"0\">Tauca<\/option><\/select><\/div><\/div><div id=\"select-30\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-30_6a2384318a8f0\" id=\"forminator-form-144__field--select-30_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pomabamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-30_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-30\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-30_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Huayllan<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Parobamba<\/option><option value=\"Aquia\"  data-calculation=\"0\">Pomabamba<\/option><option value=\"Yautan\"  data-calculation=\"0\">Quinuabamba<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Tauca\"  data-calculation=\"0\">Tauca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-31\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-31_6a2384318a8f0\" id=\"forminator-form-144__field--select-31_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Recuay* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-31_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-31\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-31_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Catac<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Cotaparaco<\/option><option value=\"Aquia\"  data-calculation=\"0\">Huayllapampa<\/option><option value=\"Yautan\"  data-calculation=\"0\">Llacllin<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Marca<\/option><option value=\"Tauca\"  data-calculation=\"0\">Pampas Chico<\/option><option value=\"Pararin\"  data-calculation=\"0\">Pararin<\/option><option value=\"Recuay\"  data-calculation=\"0\">Recuay<\/option><option value=\"Tapacocha\"  data-calculation=\"0\">Tapacocha<\/option><option value=\"Ticapampa\"  data-calculation=\"0\">Ticapampa<\/option><\/select><\/div><\/div><div id=\"select-32\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-32_6a2384318a8f0\" id=\"forminator-form-144__field--select-32_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Santa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-32_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-32\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-32_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Caceres del Peru<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Chimbote<\/option><option value=\"Aquia\"  data-calculation=\"0\">Coishco<\/option><option value=\"Yautan\"  data-calculation=\"0\">Macate<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Moro<\/option><option value=\"Tauca\"  data-calculation=\"0\">Nepeqa<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Nuevo Chimbote<\/option><option value=\"Samanco\"  data-calculation=\"0\">Samanco<\/option><option value=\"Santa\"  data-calculation=\"0\">Santa<\/option><\/select><\/div><\/div><div id=\"select-33\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-33_6a2384318a8f0\" id=\"forminator-form-144__field--select-33_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Sihuas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-33_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-33\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-33_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Acobamba<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Alfonso Ugarte<\/option><option value=\"Aquia\"  data-calculation=\"0\">Cashapampa<\/option><option value=\"Yautan\"  data-calculation=\"0\">Chingalpo<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Huayllabamba<\/option><option value=\"Tauca\"  data-calculation=\"0\">Quiches<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Ragash<\/option><option value=\"Samanco\"  data-calculation=\"0\">San Juan<\/option><option value=\"Santa\"  data-calculation=\"0\">Sicsibamba<\/option><option value=\"Sihuas\"  data-calculation=\"0\">Sihuas<\/option><\/select><\/div><\/div><div id=\"select-34\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-34_6a2384318a8f0\" id=\"forminator-form-144__field--select-34_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Yungay* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-34_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-34\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-34_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Cascapara<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Mancos<\/option><option value=\"Aquia\"  data-calculation=\"0\">Matacoto<\/option><option value=\"Yautan\"  data-calculation=\"0\">Quillo<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Ranrahirca<\/option><option value=\"Tauca\"  data-calculation=\"0\">Shupluy<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Yanama<\/option><option value=\"Samanco\"  data-calculation=\"0\">Yungay<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-35\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-35_6a2384318a8f0\" id=\"forminator-form-144__field--select-35_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Apurimac* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-35_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-35\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-35_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Abancay\"  data-calculation=\"0\">Abancay<\/option><option value=\"Andahuaylas\"  data-calculation=\"0\">Andahuaylas<\/option><option value=\"Antabamba\"  data-calculation=\"0\">Antabamba<\/option><option value=\"Aymaraes\"  data-calculation=\"0\">Aymaraes<\/option><option value=\"Chincheros\"  data-calculation=\"0\">Chincheros<\/option><option value=\"Cotabambas\"  data-calculation=\"0\">Cotabambas<\/option><option value=\"Grau\"  data-calculation=\"0\">Grau<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-36\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-36_6a2384318a8f0\" id=\"forminator-form-144__field--select-36_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Abancay* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-36_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-36\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-36_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Abancay<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Chacoche<\/option><option value=\"Aquia\"  data-calculation=\"0\">Circa<\/option><option value=\"Yautan\"  data-calculation=\"0\">Curahuasi<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Huanipaca<\/option><option value=\"Tauca\"  data-calculation=\"0\">Lambrama<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Pichirhua<\/option><option value=\"Samanco\"  data-calculation=\"0\">San Pedro de Cachora<\/option><option value=\"Tamburco\"  data-calculation=\"0\">Tamburco<\/option><\/select><\/div><\/div><div id=\"select-37\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-37_6a2384318a8f0\" id=\"forminator-form-144__field--select-37_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Andahuaylas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-37_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-37\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-37_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Andahuaylas<\/option><option value=\"Acochaca\"  data-calculation=\"0\">Andarapa<\/option><option value=\"Aquia\"  data-calculation=\"0\">Chiara<\/option><option value=\"Yautan\"  data-calculation=\"0\">Huancarama<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Huancaray<\/option><option value=\"Tauca\"  data-calculation=\"0\">Huayana<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Kaquiabamba<\/option><option value=\"Samanco\"  data-calculation=\"0\">Kishuara<\/option><option value=\"Tamburco\"  data-calculation=\"0\">Pacobamba<\/option><option value=\"Pacucha\"  data-calculation=\"0\">Pacucha<\/option><option value=\"Pampachiri\"  data-calculation=\"0\">Pampachiri<\/option><option value=\"Pomacocha\"  data-calculation=\"0\">Pomacocha<\/option><option value=\"San-Antonio-de-Cachi\"  data-calculation=\"0\">San Antonio de Cachi<\/option><option value=\"San-Jeronimo\"  data-calculation=\"0\">San Jeronimo<\/option><option value=\"San-Miguel-de-Chaccrampa\"  data-calculation=\"0\">San Miguel de Chaccrampa<\/option><option value=\"Santa-Maria-de-Chicmo\"  data-calculation=\"0\">Santa Maria de Chicmo<\/option><option value=\"Talavera\"  data-calculation=\"0\">Talavera<\/option><option value=\"Tumay-Huaraca\"  data-calculation=\"0\">Tumay Huaraca<\/option><option value=\"Turpo\"  data-calculation=\"0\">Turpo<\/option><\/select><\/div><\/div><div id=\"select-38\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-38_6a2384318a8f0\" id=\"forminator-form-144__field--select-38_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Antabamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-38_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-38\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-38_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"two\"  data-calculation=\"0\">Antabamba<\/option><option value=\"Acochaca\"  data-calculation=\"0\">El Oro<\/option><option value=\"Aquia\"  data-calculation=\"0\">Huaquirca<\/option><option value=\"Yautan\"  data-calculation=\"0\">Juan Espinoza Medrano<\/option><option value=\"Santiago-de-Chilcas\"  data-calculation=\"0\">Oropesa<\/option><option value=\"Tauca\"  data-calculation=\"0\">Pachaconas<\/option><option value=\"Nuevo-Chimbote\"  data-calculation=\"0\">Sabaino<\/option><\/select><\/div><\/div><div id=\"select-39\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-39_6a2384318a8f0\" id=\"forminator-form-144__field--select-39_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Aymaraes* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-39_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-39\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-39_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Capaya\"  data-calculation=\"0\">Capaya<\/option><option value=\"Caraybamba\"  data-calculation=\"0\">Caraybamba<\/option><option value=\"Chalhuanca\"  data-calculation=\"0\">Chalhuanca<\/option><option value=\"Chapimarca\"  data-calculation=\"0\">Chapimarca<\/option><option value=\"Colcabamba\"  data-calculation=\"0\">Colcabamba<\/option><option value=\"Cotaruse\"  data-calculation=\"0\">Cotaruse<\/option><option value=\"Huayllo\"  data-calculation=\"0\">Huayllo<\/option><option value=\"Justo-Apu-Sahuaraura\"  data-calculation=\"0\">Justo Apu Sahuaraura<\/option><option value=\"Lucre\"  data-calculation=\"0\">Lucre<\/option><option value=\"Pocohuanca\"  data-calculation=\"0\">Pocohuanca<\/option><option value=\"San-Juan-de-Chacqa\"  data-calculation=\"0\">San Juan de Chacqa<\/option><option value=\"Saqayca\"  data-calculation=\"0\">Saqayca<\/option><option value=\"Soraya\"  data-calculation=\"0\">Soraya<\/option><option value=\"Tapairihua\"  data-calculation=\"0\">Tapairihua<\/option><option value=\"Tintay\"  data-calculation=\"0\">Tintay<\/option><option value=\"Toraya\"  data-calculation=\"0\">Toraya<\/option><option value=\"Yanaca\"  data-calculation=\"0\">Yanaca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-40\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-40_6a2384318a8f0\" id=\"forminator-form-144__field--select-40_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chincheros* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-40_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-40\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-40_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Anco-Huallo\"  data-calculation=\"0\">Anco-Huallo<\/option><option value=\"Chincheros\"  data-calculation=\"0\">Chincheros<\/option><option value=\"Cocharcas\"  data-calculation=\"0\">Cocharcas<\/option><option value=\"Huaccana\"  data-calculation=\"0\">Huaccana<\/option><option value=\"Ocobamba\"  data-calculation=\"0\">Ocobamba<\/option><option value=\"Ongoy\"  data-calculation=\"0\">Ongoy<\/option><option value=\"Ranracancha\"  data-calculation=\"0\">Ranracancha<\/option><option value=\"Uranmarca\"  data-calculation=\"0\">Uranmarca<\/option><\/select><\/div><\/div><div id=\"select-41\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-41_6a2384318a8f0\" id=\"forminator-form-144__field--select-41_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cotabambas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-41_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-41\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-41_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Challhuahuacho\"  data-calculation=\"0\">Challhuahuacho<\/option><option value=\"Cotabambas\"  data-calculation=\"0\">Cotabambas<\/option><option value=\"Coyllurqui\"  data-calculation=\"0\">Coyllurqui<\/option><option value=\"Haquira\"  data-calculation=\"0\">Haquira<\/option><option value=\"Mara\"  data-calculation=\"0\">Mara<\/option><option value=\"Tambobamba\"  data-calculation=\"0\">Tambobamba<\/option><\/select><\/div><\/div><div id=\"select-42\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-42_6a2384318a8f0\" id=\"forminator-form-144__field--select-42_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Grau* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-42_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-42\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-42_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chuquibambilla\"  data-calculation=\"0\">Chuquibambilla<\/option><option value=\"Curasco\"  data-calculation=\"0\">Curasco<\/option><option value=\"Curpahuasi\"  data-calculation=\"0\">Curpahuasi<\/option><option value=\"Gamarra\"  data-calculation=\"0\">Gamarra<\/option><option value=\"Huayllati\"  data-calculation=\"0\">Huayllati<\/option><option value=\"Mamara\"  data-calculation=\"0\">Mamara<\/option><option value=\"Micaela-Bastidas\"  data-calculation=\"0\">Micaela Bastidas<\/option><option value=\"Pataypampa\"  data-calculation=\"0\">Pataypampa<\/option><option value=\"Progreso\"  data-calculation=\"0\">Progreso<\/option><option value=\"San-Antonio\"  data-calculation=\"0\">San Antonio<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Turpay\"  data-calculation=\"0\">Turpay<\/option><option value=\"Vilcabamba\"  data-calculation=\"0\">Vilcabamba<\/option><option value=\"Virundo\"  data-calculation=\"0\">Virundo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-43\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-43_6a2384318a8f0\" id=\"forminator-form-144__field--select-43_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Arequipa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-43_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-43\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-43_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Arequipa\"  data-calculation=\"0\">Arequipa<\/option><option value=\"Camana\"  data-calculation=\"0\">Camana<\/option><option value=\"Caraveli\"  data-calculation=\"0\">Caraveli<\/option><option value=\"Castilla\"  data-calculation=\"0\">Castilla<\/option><option value=\"Caylloma\"  data-calculation=\"0\">Caylloma<\/option><option value=\"Condesuyos\"  data-calculation=\"0\">Condesuyos<\/option><option value=\"Islay\"  data-calculation=\"0\">Islay<\/option><option value=\"La-Union\"  data-calculation=\"0\">La Union<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-44\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-44_6a2384318a8f0\" id=\"forminator-form-144__field--select-44_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Arequipa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-44_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-44\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-44_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Alto-Selva-Alegre\"  data-calculation=\"0\">Alto Selva Alegre<\/option><option value=\"Arequipa\"  data-calculation=\"0\">Arequipa<\/option><option value=\"Cayma\"  data-calculation=\"0\">Cayma<\/option><option value=\"Cerro-Colorado\"  data-calculation=\"0\">Cerro Colorado<\/option><option value=\"Characato\"  data-calculation=\"0\">Characato<\/option><option value=\"Chiguata\"  data-calculation=\"0\">Chiguata<\/option><option value=\"Jacobo-Hunter\"  data-calculation=\"0\">Jacobo Hunter<\/option><option value=\"Jose-Luis-Bustamante-y-Rivero\"  data-calculation=\"0\">Jose Luis Bustamante y Rivero<\/option><option value=\"La-Joya\"  data-calculation=\"0\">La Joya<\/option><option value=\"Mariano-Melgar\"  data-calculation=\"0\">Mariano Melgar<\/option><option value=\"Miraflores\"  data-calculation=\"0\">Miraflores<\/option><option value=\"Mollebaya\"  data-calculation=\"0\">Mollebaya<\/option><option value=\"Paucarpata\"  data-calculation=\"0\">Paucarpata<\/option><option value=\"Pocsi\"  data-calculation=\"0\">Pocsi<\/option><option value=\"Polobaya\"  data-calculation=\"0\">Polobaya<\/option><option value=\"Quequeqa\"  data-calculation=\"0\">Quequeqa<\/option><option value=\"Sabandia\"  data-calculation=\"0\">Sabandia<\/option><option value=\"Sachaca\"  data-calculation=\"0\">Sachaca<\/option><option value=\"San-Juan-de-Siguas\"  data-calculation=\"0\">San Juan de Siguas<\/option><option value=\"San-Juan-de-Tarucani\"  data-calculation=\"0\">San Juan de Tarucani<\/option><option value=\"Santa-Isabel-de-Siguas\"  data-calculation=\"0\">Santa Isabel de Siguas<\/option><option value=\"Santa-Rita-de-Siguas\"  data-calculation=\"0\">Santa Rita de Siguas<\/option><option value=\"Socabaya\"  data-calculation=\"0\">Socabaya<\/option><option value=\"Tiabaya\"  data-calculation=\"0\">Tiabaya<\/option><option value=\"Uchumayo\"  data-calculation=\"0\">Uchumayo<\/option><option value=\"Vitor\"  data-calculation=\"0\">Vitor<\/option><option value=\"Yanahuara\"  data-calculation=\"0\">Yanahuara<\/option><option value=\"Yarabamba\"  data-calculation=\"0\">Yarabamba<\/option><option value=\"Yura\"  data-calculation=\"0\">Yura<\/option><\/select><\/div><\/div><div id=\"select-45\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-45_6a2384318a8f0\" id=\"forminator-form-144__field--select-45_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Camana* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-45_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-45\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-45_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Camana\"  data-calculation=\"0\">Camana<\/option><option value=\"Jose-Maria-Quimper\"  data-calculation=\"0\">Jose Maria Quimper<\/option><option value=\"Mariano-Nicolas-Valcarcel\"  data-calculation=\"0\">Mariano Nicolas Valcarcel<\/option><option value=\"Mariscal-Caceres\"  data-calculation=\"0\">Mariscal Caceres<\/option><option value=\"Nicolas-de-Pierola\"  data-calculation=\"0\">Nicolas de Pierola<\/option><option value=\"Ocoqa\"  data-calculation=\"0\">Ocoqa<\/option><option value=\"Quilca\"  data-calculation=\"0\">Quilca<\/option><option value=\"Samuel-Pastor\"  data-calculation=\"0\">Samuel Pastor<\/option><\/select><\/div><\/div><div id=\"select-46\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-46_6a2384318a8f0\" id=\"forminator-form-144__field--select-46_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Caraveli* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-46_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-46\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-46_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Acari\"  data-calculation=\"0\">Acari<\/option><option value=\"Atico\"  data-calculation=\"0\">Atico<\/option><option value=\"Atiquipa\"  data-calculation=\"0\">Atiquipa<\/option><option value=\"Bella-Uni\u00f3n\"  data-calculation=\"0\">Bella Uni\u00f3n<\/option><option value=\"Cahuacho\"  data-calculation=\"0\">Cahuacho<\/option><option value=\"Caravel\u00ed\"  data-calculation=\"0\">Caravel\u00ed<\/option><option value=\"Chala\"  data-calculation=\"0\">Chala<\/option><option value=\"Ch\u00e1parra\"  data-calculation=\"0\">Ch\u00e1parra<\/option><option value=\"Huanuhuanu\"  data-calculation=\"0\">Huanuhuanu<\/option><option value=\"qu\u00ed\"  data-calculation=\"0\">Jaqu\u00ed<\/option><option value=\"Lomas\"  data-calculation=\"0\">Lomas<\/option><option value=\"Quicacha\"  data-calculation=\"0\">Quicacha<\/option><option value=\"Yauca\"  data-calculation=\"0\">Yauca<\/option><\/select><\/div><\/div><div id=\"select-47\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-47_6a2384318a8f0\" id=\"forminator-form-144__field--select-47_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Castilla* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-47_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-47\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-47_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Aplao\"  data-calculation=\"0\">Aplao<\/option><option value=\"Andahua\"  data-calculation=\"0\">Andahua<\/option><option value=\"Ayo\"  data-calculation=\"0\">Ayo<\/option><option value=\"Chachas\"  data-calculation=\"0\">Chachas<\/option><option value=\"Chilcaymarca\"  data-calculation=\"0\">Chilcaymarca<\/option><option value=\"Choco\"  data-calculation=\"0\">Choco<\/option><option value=\"Huancarqui\"  data-calculation=\"0\">Huancarqui<\/option><option value=\"Machaguay\"  data-calculation=\"0\">Machaguay<\/option><option value=\"Orcopampa\"  data-calculation=\"0\">Orcopampa<\/option><option value=\"Pampacolca\"  data-calculation=\"0\">Pampacolca<\/option><option value=\"Tip\u00e1n\"  data-calculation=\"0\">Tip\u00e1n<\/option><option value=\"U\u00f1\u00f3n\"  data-calculation=\"0\">U\u00f1\u00f3n<\/option><option value=\"Uraca\"  data-calculation=\"0\">Uraca<\/option><option value=\"Viraco\"  data-calculation=\"0\">Viraco<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-48\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-48_6a2384318a8f0\" id=\"forminator-form-144__field--select-48_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Caylloma* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-48_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-48\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-48_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Achoma\"  data-calculation=\"0\">Achoma<\/option><option value=\"Cabanaconde\"  data-calculation=\"0\">Cabanaconde<\/option><option value=\"Callalli\"  data-calculation=\"0\">Callalli<\/option><option value=\"Caylloma\"  data-calculation=\"0\">Caylloma<\/option><option value=\"Chivay\"  data-calculation=\"0\">Chivay<\/option><option value=\"Coporaque\"  data-calculation=\"0\">Coporaque<\/option><option value=\"Huambo\"  data-calculation=\"0\">Huambo<\/option><option value=\"Huanca\"  data-calculation=\"0\">Huanca<\/option><option value=\"Ichupampa\"  data-calculation=\"0\">Ichupampa<\/option><option value=\"Lari\"  data-calculation=\"0\">Lari<\/option><option value=\"Lluta\"  data-calculation=\"0\">Lluta<\/option><option value=\"Maca\"  data-calculation=\"0\">Maca<\/option><option value=\"Madrigal\"  data-calculation=\"0\">Madrigal<\/option><option value=\"Majes\"  data-calculation=\"0\">Majes<\/option><option value=\"San-Antonio-de-Chuca\"  data-calculation=\"0\">San Antonio de Chuca<\/option><option value=\"Sibayo\"  data-calculation=\"0\">Sibayo<\/option><option value=\"Tapay\"  data-calculation=\"0\">Tapay<\/option><option value=\"Tisco\"  data-calculation=\"0\">Tisco<\/option><option value=\"Tuti\"  data-calculation=\"0\">Tuti<\/option><option value=\"Yanque\"  data-calculation=\"0\">Yanque<\/option><\/select><\/div><\/div><div id=\"select-49\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-49_6a2384318a8f0\" id=\"forminator-form-144__field--select-49_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Condesuyos* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-49_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-49\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-49_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Andaray\"  data-calculation=\"0\">Andaray<\/option><option value=\"Cayarani\"  data-calculation=\"0\">Cayarani<\/option><option value=\"Chichas\"  data-calculation=\"0\">Chichas<\/option><option value=\"Chuquibamba\"  data-calculation=\"0\">Chuquibamba<\/option><option value=\"Iray\"  data-calculation=\"0\">Iray<\/option><option value=\"R\u00edo-Grande\"  data-calculation=\"0\">R\u00edo Grande<\/option><option value=\"Salamanca\"  data-calculation=\"0\">Salamanca<\/option><option value=\"Yanaquihua\"  data-calculation=\"0\">Yanaquihua<\/option><\/select><\/div><\/div><div id=\"select-50\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-50_6a2384318a8f0\" id=\"forminator-form-144__field--select-50_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Islay* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-50_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-50\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-50_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cocachacra\"  data-calculation=\"0\">Cocachacra<\/option><option value=\"De\u00e1n-Valdivia\"  data-calculation=\"0\">De\u00e1n Valdivia<\/option><option value=\"Islay\"  data-calculation=\"0\">Islay<\/option><option value=\"Mej\u00eda\"  data-calculation=\"0\">Mej\u00eda<\/option><option value=\"Mollendo\"  data-calculation=\"0\">Mollendo<\/option><option value=\"Punta-de-Bomb\u00f3n\"  data-calculation=\"0\">Punta de Bomb\u00f3n<\/option><\/select><\/div><\/div><div id=\"select-51\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-51_6a2384318a8f0\" id=\"forminator-form-144__field--select-51_6a2384318a8f0-label\" class=\"forminator-label\">Distrito La Union* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-51_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-51\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-51_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Alca\"  data-calculation=\"0\">Alca<\/option><option value=\"Cotahuasi\"  data-calculation=\"0\">Cotahuasi<\/option><option value=\"Charcana\"  data-calculation=\"0\">Charcana<\/option><option value=\"Huaynacotas\"  data-calculation=\"0\">Huaynacotas<\/option><option value=\"Pampamarca\"  data-calculation=\"0\">Pampamarca<\/option><option value=\"Puyca\"  data-calculation=\"0\">Puyca<\/option><option value=\"Quechualla\"  data-calculation=\"0\">Quechualla<\/option><option value=\"Sayla\"  data-calculation=\"0\">Sayla<\/option><option value=\"Taur\u00eda\"  data-calculation=\"0\">Taur\u00eda<\/option><option value=\"Tomepampa\"  data-calculation=\"0\">Tomepampa<\/option><option value=\"Toro\"  data-calculation=\"0\">Toro<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-52\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-52_6a2384318a8f0\" id=\"forminator-form-144__field--select-52_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Ayacucho* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-52_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-52\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-52_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Cangallo\"  data-calculation=\"0\">Cangallo<\/option><option value=\"Huamanga\"  data-calculation=\"0\">Huamanga<\/option><option value=\"Huanca-Sancos\"  data-calculation=\"0\">Huanca Sancos<\/option><option value=\"Huanta\"  data-calculation=\"0\">Huanta<\/option><option value=\"La-Mar\"  data-calculation=\"0\">La Mar<\/option><option value=\"Lucanas\"  data-calculation=\"0\">Lucanas<\/option><option value=\"Parinacochas\"  data-calculation=\"0\">Parinacochas<\/option><option value=\"P\u00e1ucar-del-Sara-Sara\"  data-calculation=\"0\">P\u00e1ucar del Sara Sara<\/option><option value=\"Sucre\"  data-calculation=\"0\">Sucre<\/option><option value=\"V\u00edctor-Fajardo\"  data-calculation=\"0\">V\u00edctor Fajardo<\/option><option value=\"Vilcashuam\u00e1n\"  data-calculation=\"0\">Vilcashuam\u00e1n<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-53\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-53_6a2384318a8f0\" id=\"forminator-form-144__field--select-53_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cangallo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-53_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-53\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-53_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cangallo\"  data-calculation=\"0\">Cangallo<\/option><option value=\"Chuschi\"  data-calculation=\"0\">Chuschi<\/option><option value=\"Los-Morochucos\"  data-calculation=\"0\">Los Morochucos<\/option><option value=\"Mar\u00eda-Parado-de-Bellido\"  data-calculation=\"0\">Mar\u00eda Parado de Bellido<\/option><option value=\"Paras\"  data-calculation=\"0\">Paras<\/option><option value=\"Totos\"  data-calculation=\"0\">Totos<\/option><\/select><\/div><\/div><div id=\"select-54\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-54_6a2384318a8f0\" id=\"forminator-form-144__field--select-54_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huamanga* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-54_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-54\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-54_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Acocro\"  data-calculation=\"0\">Acocro<\/option><option value=\"Acos-Vinchos\"  data-calculation=\"0\">Acos Vinchos<\/option><option value=\"Andr\u00e9s-Avelino-C\u00e1ceres-Dorregaray\"  data-calculation=\"0\">Andr\u00e9s Avelino C\u00e1ceres Dorregaray<\/option><option value=\"Ayacucho\"  data-calculation=\"0\">Ayacucho<\/option><option value=\"Carmen-Alto\"  data-calculation=\"0\">Carmen Alto<\/option><option value=\"Chiara\"  data-calculation=\"0\">Chiara<\/option><option value=\"Jes\u00fas-Nazareno\"  data-calculation=\"0\">Jes\u00fas Nazareno<\/option><option value=\"Ocros\"  data-calculation=\"0\">Ocros<\/option><option value=\"Pacaycasa\"  data-calculation=\"0\">Pacaycasa<\/option><option value=\"Quinua\"  data-calculation=\"0\">Quinua<\/option><option value=\"San-Jos\u00e9-de-Ticllas\"  data-calculation=\"0\">San Jos\u00e9 de Ticllas<\/option><option value=\"San-Juan-Bautista\"  data-calculation=\"0\">San Juan Bautista<\/option><option value=\"Santiago-de-Pischa\"  data-calculation=\"0\">Santiago de Pischa<\/option><option value=\"Socos\"  data-calculation=\"0\">Socos<\/option><option value=\"Tambillo\"  data-calculation=\"0\">Tambillo<\/option><option value=\"Vinchos\"  data-calculation=\"0\">Vinchos<\/option><\/select><\/div><\/div><div id=\"select-55\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-55_6a2384318a8f0\" id=\"forminator-form-144__field--select-55_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huanca Sancos* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-55_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-55\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-55_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Carapo\"  data-calculation=\"0\">Carapo<\/option><option value=\"Sacsamarca\"  data-calculation=\"0\">Sacsamarca<\/option><option value=\"Sancos\"  data-calculation=\"0\">Sancos<\/option><option value=\"Santiago-de-Lucanamarca\"  data-calculation=\"0\">Santiago de Lucanamarca<\/option><\/select><\/div><\/div><div id=\"select-56\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-56_6a2384318a8f0\" id=\"forminator-form-144__field--select-56_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huanta* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-56_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-56\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-56_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ayahuanco\"  data-calculation=\"0\">Ayahuanco<\/option><option value=\"Canayre\"  data-calculation=\"0\">Canayre<\/option><option value=\"Chaca\"  data-calculation=\"0\">Chaca<\/option><option value=\"Huamanguilla\"  data-calculation=\"0\">Huamanguilla<\/option><option value=\"Huanta\"  data-calculation=\"0\">Huanta<\/option><option value=\"Igua\u00edn\"  data-calculation=\"0\">Igua\u00edn<\/option><option value=\"Llochegua\"  data-calculation=\"0\">Llochegua<\/option><option value=\"Luricocha\"  data-calculation=\"0\">Luricocha<\/option><option value=\"Pucacolpa\"  data-calculation=\"0\">Pucacolpa<\/option><option value=\"Santillana\"  data-calculation=\"0\">Santillana<\/option><option value=\"Sivia\"  data-calculation=\"0\">Sivia<\/option><option value=\"Uchuraccay\"  data-calculation=\"0\">Uchuraccay<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-57\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-57_6a2384318a8f0\" id=\"forminator-form-144__field--select-57_6a2384318a8f0-label\" class=\"forminator-label\">Distrito La Mar* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-57_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-57\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-57_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Anchihuay\"  data-calculation=\"0\">Anchihuay<\/option><option value=\"Anco\"  data-calculation=\"0\">Anco<\/option><option value=\"Ayna\"  data-calculation=\"0\">Ayna<\/option><option value=\"Chilcas\"  data-calculation=\"0\">Chilcas<\/option><option value=\"Chungui\"  data-calculation=\"0\">Chungui<\/option><option value=\"Luis-Carranza\"  data-calculation=\"0\">Luis Carranza<\/option><option value=\"Oronccoy\"  data-calculation=\"0\">Oronccoy<\/option><option value=\"Samugari\"  data-calculation=\"0\">Samugari<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Tambo\"  data-calculation=\"0\">Tambo<\/option><\/select><\/div><\/div><div id=\"select-58\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-58_6a2384318a8f0\" id=\"forminator-form-144__field--select-58_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lucanas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-58_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-58\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-58_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Aucaras\"  data-calculation=\"0\">Aucaras<\/option><option value=\"Cabana-Sur\"  data-calculation=\"0\">Cabana Sur<\/option><option value=\"Carmen-Salcedo\"  data-calculation=\"0\">Carmen Salcedo<\/option><option value=\"Chavi\u00f1a\"  data-calculation=\"0\">Chavi\u00f1a<\/option><option value=\"Chipao\"  data-calculation=\"0\">Chipao<\/option><option value=\"Huacuas\"  data-calculation=\"0\">Huacuas<\/option><option value=\"Laramate\"  data-calculation=\"0\">Laramate<\/option><option value=\"Leoncio-Prado\"  data-calculation=\"0\">Leoncio Prado<\/option><option value=\"Llauta\"  data-calculation=\"0\">Llauta<\/option><option value=\"Lucanas\"  data-calculation=\"0\">Lucanas<\/option><option value=\"Oca\u00f1a\"  data-calculation=\"0\">Oca\u00f1a<\/option><option value=\"Otoca\"  data-calculation=\"0\">Otoca<\/option><option value=\"Puquio\"  data-calculation=\"0\">Puquio<\/option><option value=\"Saisa\"  data-calculation=\"0\">Saisa<\/option><option value=\"San-Crist\u00f3bal\"  data-calculation=\"0\">San Crist\u00f3bal<\/option><option value=\"San-Juan\"  data-calculation=\"0\">San Juan<\/option><option value=\"San-Pedro\"  data-calculation=\"0\">San Pedro<\/option><option value=\"San-Pedro-de-Palco\"  data-calculation=\"0\">San Pedro de Palco<\/option><option value=\"Sancos\"  data-calculation=\"0\">Sancos<\/option><option value=\"Santa-Ana-de-Huaycahuacho\"  data-calculation=\"0\">Santa Ana de Huaycahuacho<\/option><option value=\"Santa-Luc\u00eda\"  data-calculation=\"0\">Santa Luc\u00eda<\/option><\/select><\/div><\/div><div id=\"select-59\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-59_6a2384318a8f0\" id=\"forminator-form-144__field--select-59_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Parinacochas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-59_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-59\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-59_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Coracora\"  data-calculation=\"0\">Coracora<\/option><option value=\"Chumpi\"  data-calculation=\"0\">Chumpi<\/option><option value=\"Coronel-Casta\u00f1eda\"  data-calculation=\"0\">Coronel Casta\u00f1eda<\/option><option value=\"Pacapausa\"  data-calculation=\"0\">Pacapausa<\/option><option value=\"Pullo\"  data-calculation=\"0\">Pullo<\/option><option value=\"Puyusca\"  data-calculation=\"0\">Puyusca<\/option><option value=\"San-Francisco-de-Ravacayco\"  data-calculation=\"0\">San Francisco de Ravacayco<\/option><option value=\"Upahuacho\"  data-calculation=\"0\">Upahuacho<\/option><\/select><\/div><\/div><div id=\"select-60\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-60_6a2384318a8f0\" id=\"forminator-form-144__field--select-60_6a2384318a8f0-label\" class=\"forminator-label\">Distrito P\u00e1ucar del Sara Sara* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-60_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-60\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-60_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Colta\"  data-calculation=\"0\">Colta<\/option><option value=\"Corculla\"  data-calculation=\"0\">Corculla<\/option><option value=\"Lampa\"  data-calculation=\"0\">Lampa<\/option><option value=\"Marcabamba\"  data-calculation=\"0\">Marcabamba<\/option><option value=\"Oyolo\"  data-calculation=\"0\">Oyolo<\/option><option value=\"Pararca\"  data-calculation=\"0\">Pararca<\/option><option value=\"Pauza\"  data-calculation=\"0\">Pauza<\/option><option value=\"San-Javier-de-Alpabamba\"  data-calculation=\"0\">San Javier de Alpabamba<\/option><option value=\"San-Jos\u00e9-de-Ushua\"  data-calculation=\"0\">San Jos\u00e9 de Ushua<\/option><option value=\"Sara-Sara\"  data-calculation=\"0\">Sara Sara<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-61\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-61_6a2384318a8f0\" id=\"forminator-form-144__field--select-61_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Sucre* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-61_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-61\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-61_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Bel\u00e9n\"  data-calculation=\"0\">Bel\u00e9n<\/option><option value=\"Chalcos\"  data-calculation=\"0\">Chalcos<\/option><option value=\"Chilcayoc\"  data-calculation=\"0\">Chilcayoc<\/option><option value=\"Huaca\u00f1a\"  data-calculation=\"0\">Huaca\u00f1a<\/option><option value=\"Morcolla\"  data-calculation=\"0\">Morcolla<\/option><option value=\"Paico\"  data-calculation=\"0\">Paico<\/option><option value=\"Querobamba\"  data-calculation=\"0\">Querobamba<\/option><option value=\"San-Pedro-de-Larcay\"  data-calculation=\"0\">San Pedro de Larcay<\/option><option value=\"San-Salvador-de-Quije\"  data-calculation=\"0\">San Salvador de Quije<\/option><option value=\"Santiago-de-Paucaray\"  data-calculation=\"0\">Santiago de Paucaray<\/option><option value=\"Soras\"  data-calculation=\"0\">Soras<\/option><\/select><\/div><\/div><div id=\"select-62\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-62_6a2384318a8f0\" id=\"forminator-form-144__field--select-62_6a2384318a8f0-label\" class=\"forminator-label\">Distrito V\u00edctor Fajardo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-62_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-62\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-62_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Alcamenca\"  data-calculation=\"0\">Alcamenca<\/option><option value=\"Apongo\"  data-calculation=\"0\">Apongo<\/option><option value=\"Asquipata\"  data-calculation=\"0\">Asquipata<\/option><option value=\"Canaria\"  data-calculation=\"0\">Canaria<\/option><option value=\"Cayara\"  data-calculation=\"0\">Cayara<\/option><option value=\"Colca\"  data-calculation=\"0\">Colca<\/option><option value=\"Huamanquiquia\"  data-calculation=\"0\">Huamanquiquia<\/option><option value=\"Huancapi\"  data-calculation=\"0\">Huancapi<\/option><option value=\"Huancaraylla\"  data-calculation=\"0\">Huancaraylla<\/option><option value=\"Huaya\"  data-calculation=\"0\">Huaya<\/option><option value=\"Sarhua\"  data-calculation=\"0\">Sarhua<\/option><option value=\"Vilcanchos\"  data-calculation=\"0\">Vilcanchos<\/option><\/select><\/div><\/div><div id=\"select-63\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-63_6a2384318a8f0\" id=\"forminator-form-144__field--select-63_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Vilcashuam\u00e1n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-63_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-63\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-63_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Accomarca\"  data-calculation=\"0\">Accomarca<\/option><option value=\"Carhuanca\"  data-calculation=\"0\">Carhuanca<\/option><option value=\"Concepci\u00f3n\"  data-calculation=\"0\">Concepci\u00f3n<\/option><option value=\"Huambalpa\"  data-calculation=\"0\">Huambalpa<\/option><option value=\"Independencia\"  data-calculation=\"0\">Independencia<\/option><option value=\"Saurama\"  data-calculation=\"0\">Saurama<\/option><option value=\"Vilcashuam\u00e1n\"  data-calculation=\"0\">Vilcashuam\u00e1n<\/option><option value=\"Vischongo\"  data-calculation=\"0\">Vischongo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-64\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-64_6a2384318a8f0\" id=\"forminator-form-144__field--select-64_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Cajamarca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-64_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-64\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-64_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Cajamarca\"  data-calculation=\"0\">Cajamarca<\/option><option value=\"Cajabamba\"  data-calculation=\"0\">Cajabamba<\/option><option value=\"Celendin\"  data-calculation=\"0\">Celendin<\/option><option value=\"Chota\"  data-calculation=\"0\">Chota<\/option><option value=\"Contumaza\"  data-calculation=\"0\">Contumaza<\/option><option value=\"Cutervo\"  data-calculation=\"0\">Cutervo<\/option><option value=\"Hualgayoc\"  data-calculation=\"0\">Hualgayoc<\/option><option value=\"Jaen\"  data-calculation=\"0\">Jaen<\/option><option value=\"San-Ignacio\"  data-calculation=\"0\">San Ignacio<\/option><option value=\"San-Marcos\"  data-calculation=\"0\">San Marcos<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><option value=\"San-Pablo\"  data-calculation=\"0\">San Pablo<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-84\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-84_6a2384318a8f0\" id=\"forminator-form-144__field--select-84_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cajamarca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-84_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-84\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-84_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cajamarca\"  data-calculation=\"0\">Cajamarca<\/option><option value=\"Asunci\u00f3n\"  data-calculation=\"0\">Asunci\u00f3n<\/option><option value=\"Chetilla\"  data-calculation=\"0\">Chetilla<\/option><option value=\"Cosp\u00e1n\"  data-calculation=\"0\">Cosp\u00e1n<\/option><option value=\"Enca\u00f1ada\"  data-calculation=\"0\">Enca\u00f1ada<\/option><option value=\"Jes\u00fas\"  data-calculation=\"0\">Jes\u00fas<\/option><option value=\"Llacanora\"  data-calculation=\"0\">Llacanora<\/option><option value=\"Los-Ba\u00f1os-del-Inca\"  data-calculation=\"0\">Los Ba\u00f1os del Inca<\/option><option value=\"Magdalena\"  data-calculation=\"0\">Magdalena<\/option><option value=\"Matara\"  data-calculation=\"0\">Matara<\/option><option value=\"Namora\"  data-calculation=\"0\">Namora<\/option><option value=\"San-Juan\"  data-calculation=\"0\">San Juan<\/option><\/select><\/div><\/div><div id=\"select-85\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-85_6a2384318a8f0\" id=\"forminator-form-144__field--select-85_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cajabamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-85_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-85\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-85_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cajabamba\"  data-calculation=\"0\">Cajabamba<\/option><option value=\"Cachachi\"  data-calculation=\"0\">Cachachi<\/option><option value=\"Condebamba\"  data-calculation=\"0\">Condebamba<\/option><option value=\"Sitacocha\"  data-calculation=\"0\">Sitacocha<\/option><\/select><\/div><\/div><div id=\"select-86\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-86_6a2384318a8f0\" id=\"forminator-form-144__field--select-86_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Celend\u00edn* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-86_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-86\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-86_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Celend\u00edn\"  data-calculation=\"0\">Celend\u00edn<\/option><option value=\"Ch\u00famuch\"  data-calculation=\"0\">Ch\u00famuch<\/option><option value=\"Cortegana\"  data-calculation=\"0\">Cortegana<\/option><option value=\"Huasm\u00edn\"  data-calculation=\"0\">Huasm\u00edn<\/option><option value=\"Jorge-Ch\u00e1vez\"  data-calculation=\"0\">Jorge Ch\u00e1vez<\/option><option value=\"Jos\u00e9-G\u00e1lvez\"  data-calculation=\"0\">Jos\u00e9 G\u00e1lvez<\/option><option value=\"La-Libertad-de-Pall\u00e1n\"  data-calculation=\"0\">La Libertad de Pall\u00e1n<\/option><option value=\"Miguel-Iglesias\"  data-calculation=\"0\">Miguel Iglesias<\/option><option value=\"Oxamarca\"  data-calculation=\"0\">Oxamarca<\/option><option value=\"Sorochuco\"  data-calculation=\"0\">Sorochuco<\/option><option value=\"Sucre\"  data-calculation=\"0\">Sucre<\/option><option value=\"Utco\"  data-calculation=\"0\">Utco<\/option><\/select><\/div><\/div><div id=\"select-87\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-87_6a2384318a8f0\" id=\"forminator-form-144__field--select-87_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chota* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-87_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-87\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-87_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chota\"  data-calculation=\"0\">Chota<\/option><option value=\"Angu\u00eda\"  data-calculation=\"0\">Angu\u00eda<\/option><option value=\"Chad\u00edn\"  data-calculation=\"0\">Chad\u00edn<\/option><option value=\"Chalamarca\"  data-calculation=\"0\">Chalamarca<\/option><option value=\"Chiguirip\"  data-calculation=\"0\">Chiguirip<\/option><option value=\"Chimb\u00e1n\"  data-calculation=\"0\">Chimb\u00e1n<\/option><option value=\"Choropampa\"  data-calculation=\"0\">Choropampa<\/option><option value=\"Cochabamba\"  data-calculation=\"0\">Cochabamba<\/option><option value=\"Conch\u00e1n\"  data-calculation=\"0\">Conch\u00e1n<\/option><option value=\"Huambos\"  data-calculation=\"0\">Huambos<\/option><option value=\"Lajas\"  data-calculation=\"0\">Lajas<\/option><option value=\"Llama\"  data-calculation=\"0\">Llama<\/option><option value=\"Miracosta\"  data-calculation=\"0\">Miracosta<\/option><option value=\"Paccha\"  data-calculation=\"0\">Paccha<\/option><option value=\"Pi\u00f3n\"  data-calculation=\"0\">Pi\u00f3n<\/option><option value=\"Querocoto\"  data-calculation=\"0\">Querocoto<\/option><option value=\"San-Juan-de-Licupis\"  data-calculation=\"0\">San Juan de Licupis<\/option><option value=\"Tacabamba\"  data-calculation=\"0\">Tacabamba<\/option><option value=\"Tocmoche\"  data-calculation=\"0\">Tocmoche<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-88\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-88_6a2384318a8f0\" id=\"forminator-form-144__field--select-88_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Contumaz\u00e1* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-88_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-88\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-88_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Contumaz\u00e1\"  data-calculation=\"0\">Contumaz\u00e1<\/option><option value=\"Chilete\"  data-calculation=\"0\">Chilete<\/option><option value=\"Cupisnique\"  data-calculation=\"0\">Cupisnique<\/option><option value=\"Guzmango\"  data-calculation=\"0\">Guzmango<\/option><option value=\"San-Benito\"  data-calculation=\"0\">San Benito<\/option><option value=\"Santa-Cruz-de-Toledo\"  data-calculation=\"0\">Santa Cruz de Toledo<\/option><option value=\"Tantarica\"  data-calculation=\"0\">Tantarica<\/option><option value=\"Yon\u00e1n\"  data-calculation=\"0\">Yon\u00e1n<\/option><\/select><\/div><\/div><div id=\"select-89\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-89_6a2384318a8f0\" id=\"forminator-form-144__field--select-89_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cutervo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-89_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-89\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-89_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cutervo\"  data-calculation=\"0\">Cutervo<\/option><option value=\"Call\u00e1yuc\"  data-calculation=\"0\">Call\u00e1yuc<\/option><option value=\"Choros\"  data-calculation=\"0\">Choros<\/option><option value=\"Cujillo\"  data-calculation=\"0\">Cujillo<\/option><option value=\"La-Ramada\"  data-calculation=\"0\">La Ramada<\/option><option value=\"Pimpingos\"  data-calculation=\"0\">Pimpingos<\/option><option value=\"Querocotillo\"  data-calculation=\"0\">Querocotillo<\/option><option value=\"San-Andr\u00e9s-de-Cutervo\"  data-calculation=\"0\">San Andr\u00e9s de Cutervo<\/option><option value=\"an-Juan-de-Cutervo\"  data-calculation=\"0\">San Juan de Cutervo<\/option><option value=\"San-Luis-de-Lucma\"  data-calculation=\"0\">San Luis de Lucma<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><option value=\"Santo-Domingo-de-la-Capilla\"  data-calculation=\"0\">Santo Domingo de la Capilla<\/option><option value=\"Santo-Tom\u00e1s\"  data-calculation=\"0\">Santo Tom\u00e1s<\/option><option value=\"S\u00f3cota\"  data-calculation=\"0\">S\u00f3cota<\/option><option value=\"Toribio-Casanova\"  data-calculation=\"0\">Toribio Casanova<\/option><\/select><\/div><\/div><div id=\"select-90\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-90_6a2384318a8f0\" id=\"forminator-form-144__field--select-90_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Hualgayoc* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-90_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-90\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-90_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Bambamarca\"  data-calculation=\"0\">Bambamarca<\/option><option value=\"Chugur\"  data-calculation=\"0\">Chugur<\/option><option value=\"Hualgayoc\"  data-calculation=\"0\">Hualgayoc<\/option><\/select><\/div><\/div><div id=\"select-91\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-91_6a2384318a8f0\" id=\"forminator-form-144__field--select-91_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ja\u00e9n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-91_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-91\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-91_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ja\u00e9n\"  data-calculation=\"0\">Ja\u00e9n<\/option><option value=\"Bellavista\"  data-calculation=\"0\">Bellavista<\/option><option value=\"Chontal\u00ed\"  data-calculation=\"0\">Chontal\u00ed<\/option><option value=\"Colasay\"  data-calculation=\"0\">Colasay<\/option><option value=\"Huabal\"  data-calculation=\"0\">Huabal<\/option><option value=\"Las-Pirias\"  data-calculation=\"0\">Las Pirias<\/option><option value=\"Pomahuaca\"  data-calculation=\"0\">Pomahuaca<\/option><option value=\"Pucar\u00e1\"  data-calculation=\"0\">Pucar\u00e1<\/option><option value=\"Sallique\"  data-calculation=\"0\">Sallique<\/option><option value=\"San-Felipe\"  data-calculation=\"0\">San Felipe<\/option><option value=\"San-Jos\u00e9-del-Alto\"  data-calculation=\"0\">San Jos\u00e9 del Alto<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-92\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-92_6a2384318a8f0\" id=\"forminator-form-144__field--select-92_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Ignacio* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-92_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-92\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-92_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"San-Ignacio\"  data-calculation=\"0\">San Ignacio<\/option><option value=\"Chirinos\"  data-calculation=\"0\">Chirinos<\/option><option value=\"Huarango\"  data-calculation=\"0\">Huarango<\/option><option value=\"La-Coipa\"  data-calculation=\"0\">La Coipa<\/option><option value=\"Namballe\"  data-calculation=\"0\">Namballe<\/option><option value=\"San-Jos\u00e9-de-Lourdes\"  data-calculation=\"0\">San Jos\u00e9 de Lourdes<\/option><option value=\"Tabaconas\"  data-calculation=\"0\">Tabaconas<\/option><\/select><\/div><\/div><div id=\"select-93\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-93_6a2384318a8f0\" id=\"forminator-form-144__field--select-93_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Marcos* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-93_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-93\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-93_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Pedro-G\u00e1lvez\"  data-calculation=\"0\">Pedro G\u00e1lvez<\/option><option value=\"Chancay\"  data-calculation=\"0\">Chancay<\/option><option value=\"Eduardo-Villanueva\"  data-calculation=\"0\">Eduardo Villanueva<\/option><option value=\"Gregorio-Pita\"  data-calculation=\"0\">Gregorio Pita<\/option><option value=\"Ichoc\u00e1n\"  data-calculation=\"0\">Ichoc\u00e1n<\/option><option value=\"Jos\u00e9-Manuel-Quiroz\"  data-calculation=\"0\">Jos\u00e9 Manuel Quiroz<\/option><option value=\"Jos\u00e9-Sabogal\"  data-calculation=\"0\">Jos\u00e9 Sabogal<\/option><\/select><\/div><\/div><div id=\"select-94\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-94_6a2384318a8f0\" id=\"forminator-form-144__field--select-94_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Miguel* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-94_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-94\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-94_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><option value=\"Bol\u00edvar\"  data-calculation=\"0\">Bol\u00edvar<\/option><option value=\"Calquis\"  data-calculation=\"0\">Calquis<\/option><option value=\"Catilluc\"  data-calculation=\"0\">Catilluc<\/option><option value=\"El-Prado\"  data-calculation=\"0\">El Prado<\/option><option value=\"La-Florida\"  data-calculation=\"0\">La Florida<\/option><option value=\"Llapa\"  data-calculation=\"0\">Llapa<\/option><option value=\"Nanchoc\"  data-calculation=\"0\">Nanchoc<\/option><option value=\"Niepos\"  data-calculation=\"0\">Niepos<\/option><option value=\"San-Gregorio\"  data-calculation=\"0\">San Gregorio<\/option><option value=\"San-Silvestre-de-Conch\u00e1n\"  data-calculation=\"0\">San Silvestre de Conch\u00e1n<\/option><option value=\"Tongod\"  data-calculation=\"0\">Tongod<\/option><option value=\"Uni\u00f3n-Agua-Blanca\"  data-calculation=\"0\">Uni\u00f3n Agua Blanca<\/option><\/select><\/div><\/div><div id=\"select-97\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-97_6a2384318a8f0\" id=\"forminator-form-144__field--select-97_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Pablo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-97_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-97\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-97_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"San-Pablo\"  data-calculation=\"0\">San Pablo<\/option><option value=\"San-Bernardino\"  data-calculation=\"0\">San Bernardino<\/option><option value=\"San-Luis\"  data-calculation=\"0\">San Luis<\/option><option value=\"umbad\u00e9n\"  data-calculation=\"0\">Tumbad\u00e9n<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-96\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-96_6a2384318a8f0\" id=\"forminator-form-144__field--select-96_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Santa Cruz* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-96_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-96\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-96_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><option value=\"Andabamba\"  data-calculation=\"0\">Andabamba<\/option><option value=\"Catache\"  data-calculation=\"0\">Catache<\/option><option value=\"Chancayba\u00f1os\"  data-calculation=\"0\">Chancayba\u00f1os<\/option><option value=\"La-Esperanza\"  data-calculation=\"0\">La Esperanza<\/option><option value=\"Ninabamba\"  data-calculation=\"0\">Ninabamba<\/option><option value=\"Pul\u00e1n\"  data-calculation=\"0\">Pul\u00e1n<\/option><option value=\"Saucepampa\"  data-calculation=\"0\">Saucepampa<\/option><option value=\"Sexi\"  data-calculation=\"0\">Sexi<\/option><option value=\"Uticyacu\"  data-calculation=\"0\">Uticyacu<\/option><option value=\"Yauyucan\"  data-calculation=\"0\">Yauyucan<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-65\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-65_6a2384318a8f0\" id=\"forminator-form-144__field--select-65_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Callao* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-65_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-65\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-65_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Callao\"  data-calculation=\"0\">Callao<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-95\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-95_6a2384318a8f0\" id=\"forminator-form-144__field--select-95_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Callao* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-95_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-95\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-95_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Callao\"  data-calculation=\"0\">Callao<\/option><option value=\"Bellavista\"  data-calculation=\"0\">Bellavista<\/option><option value=\"Carmen-de-La-Legua-Reynoso\"  data-calculation=\"0\">Carmen de La Legua Reynoso<\/option><option value=\"La-Perla\"  data-calculation=\"0\">La Perla<\/option><option value=\"La-Punta\"  data-calculation=\"0\">La Punta<\/option><option value=\"Ventanilla\"  data-calculation=\"0\">Ventanilla<\/option><option value=\"Mi-Per\u00fa\"  data-calculation=\"0\">Mi Per\u00fa<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-66\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-66_6a2384318a8f0\" id=\"forminator-form-144__field--select-66_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Cusco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-66_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-66\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-66_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Cusco\"  data-calculation=\"0\">Cusco<\/option><option value=\"Acomayo\"  data-calculation=\"0\">Acomayo<\/option><option value=\"Anta\"  data-calculation=\"0\">Anta<\/option><option value=\"Calca\"  data-calculation=\"0\">Calca<\/option><option value=\"Canas\"  data-calculation=\"0\">Canas<\/option><option value=\"Canchis\"  data-calculation=\"0\">Canchis<\/option><option value=\"Chumbivilcas\"  data-calculation=\"0\">Chumbivilcas<\/option><option value=\"Espinar\"  data-calculation=\"0\">Espinar<\/option><option value=\"La-Convenci\u00f3n\"  data-calculation=\"0\">La Convenci\u00f3n<\/option><option value=\"Paruro\"  data-calculation=\"0\">Paruro<\/option><option value=\"Paucartambo\"  data-calculation=\"0\">Paucartambo<\/option><option value=\"Quispicanchi\"  data-calculation=\"0\">Quispicanchi<\/option><option value=\"Urubamba\"  data-calculation=\"0\">Urubamba<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-98\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-98_6a2384318a8f0\" id=\"forminator-form-144__field--select-98_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cusco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-98_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-98\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-98_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cusco\"  data-calculation=\"0\">Cusco<\/option><option value=\"Ccorca\"  data-calculation=\"0\">Ccorca<\/option><option value=\"Poroy\"  data-calculation=\"0\">Poroy<\/option><option value=\"San-Jer\u00f3nimo\"  data-calculation=\"0\">San Jer\u00f3nimo<\/option><option value=\"San-Sebasti\u00e1n\"  data-calculation=\"0\">San Sebasti\u00e1n<\/option><option value=\"Santiago\"  data-calculation=\"0\">Santiago<\/option><option value=\"Saylla\"  data-calculation=\"0\">Saylla<\/option><option value=\"W\u00e1nchaq\"  data-calculation=\"0\">W\u00e1nchaq<\/option><\/select><\/div><\/div><div id=\"select-99\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-99_6a2384318a8f0\" id=\"forminator-form-144__field--select-99_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Acomayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-99_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-99\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-99_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Acomayo\"  data-calculation=\"0\">Acomayo<\/option><option value=\"Acop\u00eda\"  data-calculation=\"0\">Acop\u00eda<\/option><option value=\"Acos\"  data-calculation=\"0\">Acos<\/option><option value=\"Mosoc-Llacta\"  data-calculation=\"0\">Mosoc Llacta<\/option><option value=\"Pomacanchi\"  data-calculation=\"0\">Pomacanchi<\/option><option value=\"Rondocan\"  data-calculation=\"0\">Rondocan<\/option><option value=\"Sangarar\u00e1\"  data-calculation=\"0\">Sangarar\u00e1<\/option><\/select><\/div><\/div><div id=\"select-100\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-100_6a2384318a8f0\" id=\"forminator-form-144__field--select-100_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Anta* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-100_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-100\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-100_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Anta\"  data-calculation=\"0\">Anta<\/option><option value=\"Ancahuasi\"  data-calculation=\"0\">Ancahuasi<\/option><option value=\"Cachimayo\"  data-calculation=\"0\">Cachimayo<\/option><option value=\"Chinchaypujio\"  data-calculation=\"0\">Chinchaypujio<\/option><option value=\"Huarocondo\"  data-calculation=\"0\">Huarocondo<\/option><option value=\"Limatambo\"  data-calculation=\"0\">Limatambo<\/option><option value=\"Mollepata\"  data-calculation=\"0\">Mollepata<\/option><option value=\"Pucyura\"  data-calculation=\"0\">Pucyura<\/option><option value=\"Zurite\"  data-calculation=\"0\">Zurite<\/option><\/select><\/div><\/div><div id=\"select-101\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-101_6a2384318a8f0\" id=\"forminator-form-144__field--select-101_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Calca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-101_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-101\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-101_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Calca\"  data-calculation=\"0\">Calca<\/option><option value=\"Coya\"  data-calculation=\"0\">Coya<\/option><option value=\"Lamay\"  data-calculation=\"0\">Lamay<\/option><option value=\"Lares\"  data-calculation=\"0\">Lares<\/option><option value=\"P\u00edsac\"  data-calculation=\"0\">P\u00edsac<\/option><option value=\"San-Salvador\"  data-calculation=\"0\">San Salvador<\/option><option value=\"Taray\"  data-calculation=\"0\">Taray<\/option><option value=\"Yanatile\"  data-calculation=\"0\">Yanatile<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-102\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-102_6a2384318a8f0\" id=\"forminator-form-144__field--select-102_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Canas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-102_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-102\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-102_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yanaoca\"  data-calculation=\"0\">Yanaoca<\/option><option value=\"Checca\"  data-calculation=\"0\">Checca<\/option><option value=\"Kunturkanki\"  data-calculation=\"0\">Kunturkanki<\/option><option value=\"Langui\"  data-calculation=\"0\">Langui<\/option><option value=\"Layo\"  data-calculation=\"0\">Layo<\/option><option value=\"Pampamarca\"  data-calculation=\"0\">Pampamarca<\/option><option value=\"Quehue\"  data-calculation=\"0\">Quehue<\/option><option value=\"T\u00fapac-Amaru\"  data-calculation=\"0\">T\u00fapac Amaru<\/option><\/select><\/div><\/div><div id=\"select-103\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-103_6a2384318a8f0\" id=\"forminator-form-144__field--select-103_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Canchis* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-103_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-103\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-103_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Sicuani\"  data-calculation=\"0\">Sicuani<\/option><option value=\"Checacupe\"  data-calculation=\"0\">Checacupe<\/option><option value=\"Combapata\"  data-calculation=\"0\">Combapata<\/option><option value=\"Marangan\u00ed\"  data-calculation=\"0\">Marangan\u00ed<\/option><option value=\"Pitumarca\"  data-calculation=\"0\">Pitumarca<\/option><option value=\"San-Pablo\"  data-calculation=\"0\">San Pablo<\/option><option value=\"San-Pedro\"  data-calculation=\"0\">San Pedro<\/option><option value=\"Tinta\"  data-calculation=\"0\">Tinta<\/option><\/select><\/div><\/div><div id=\"select-104\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-104_6a2384318a8f0\" id=\"forminator-form-144__field--select-104_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chumbivilcas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-104_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-104\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-104_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Santo-Tom\u00e1s\"  data-calculation=\"0\">Santo Tom\u00e1s<\/option><option value=\"Capacmarca\"  data-calculation=\"0\">Capacmarca<\/option><option value=\"Chamaca\"  data-calculation=\"0\">Chamaca<\/option><option value=\"Colquemarca\"  data-calculation=\"0\">Colquemarca<\/option><option value=\"Livitaca\"  data-calculation=\"0\">Livitaca<\/option><option value=\"Llusco\"  data-calculation=\"0\">Llusco<\/option><option value=\"Qui\u00f1ota\"  data-calculation=\"0\">Qui\u00f1ota<\/option><option value=\"Velille\"  data-calculation=\"0\">Velille<\/option><\/select><\/div><\/div><div id=\"select-105\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-105_6a2384318a8f0\" id=\"forminator-form-144__field--select-105_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Espinar* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-105_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-105\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-105_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yauri\"  data-calculation=\"0\">Yauri<\/option><option value=\"Condoroma\"  data-calculation=\"0\">Condoroma<\/option><option value=\"Coporaque\"  data-calculation=\"0\">Coporaque<\/option><option value=\"Ocoruro\"  data-calculation=\"0\">Ocoruro<\/option><option value=\"Pallpata\"  data-calculation=\"0\">Pallpata<\/option><option value=\"Pichigua\"  data-calculation=\"0\">Pichigua<\/option><option value=\"Suyckutambo\"  data-calculation=\"0\">Suyckutambo<\/option><option value=\"Alto-Pichigua\"  data-calculation=\"0\">Alto Pichigua<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-106\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-106_6a2384318a8f0\" id=\"forminator-form-144__field--select-106_6a2384318a8f0-label\" class=\"forminator-label\">Distrito La Convenci\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-106_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-106\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-106_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Santa-Ana\"  data-calculation=\"0\">Santa Ana<\/option><option value=\"Echarate\"  data-calculation=\"0\">Echarate<\/option><option value=\"Huayopata\"  data-calculation=\"0\">Huayopata<\/option><option value=\"Maranura\"  data-calculation=\"0\">Maranura<\/option><option value=\"Ocobamba\"  data-calculation=\"0\">Ocobamba<\/option><option value=\"Quellouno\"  data-calculation=\"0\">Quellouno<\/option><option value=\"Kimbiri\"  data-calculation=\"0\">Kimbiri<\/option><option value=\"Santa-Teresa\"  data-calculation=\"0\">Santa Teresa<\/option><option value=\"Vilcabamba\"  data-calculation=\"0\">Vilcabamba<\/option><option value=\"Pichari\"  data-calculation=\"0\">Pichari<\/option><option value=\"Inkawasi\"  data-calculation=\"0\">Inkawasi<\/option><option value=\"Villa-Virgen\"  data-calculation=\"0\">Villa Virgen<\/option><option value=\"Villa-Kintiarina\"  data-calculation=\"0\">Villa Kintiarina<\/option><option value=\"Megantoni\"  data-calculation=\"0\">Megantoni<\/option><option value=\"Kumpirushiato\"  data-calculation=\"0\">Kumpirushiato<\/option><option value=\"Cielopunco\"  data-calculation=\"0\">Cielopunco<\/option><option value=\"Manitea\"  data-calculation=\"0\">Manitea<\/option><option value=\"Uni\u00f3n-Ash\u00e1ninca\"  data-calculation=\"0\">Uni\u00f3n Ash\u00e1ninca<\/option><\/select><\/div><\/div><div id=\"select-107\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-107_6a2384318a8f0\" id=\"forminator-form-144__field--select-107_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Paruro* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-107_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-107\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-107_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Paruro\"  data-calculation=\"0\">Paruro<\/option><option value=\"Accha\"  data-calculation=\"0\">Accha<\/option><option value=\"Ccapi\"  data-calculation=\"0\">Ccapi<\/option><option value=\"Colcha\"  data-calculation=\"0\">Colcha<\/option><option value=\"Huanoquite\"  data-calculation=\"0\">Huanoquite<\/option><option value=\"Omacha\"  data-calculation=\"0\">Omacha<\/option><option value=\"Paccaritambo\"  data-calculation=\"0\">Paccaritambo<\/option><option value=\"Pillpinto\"  data-calculation=\"0\">Pillpinto<\/option><option value=\"Yaurisque\"  data-calculation=\"0\">Yaurisque<\/option><\/select><\/div><\/div><div id=\"select-108\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-108_6a2384318a8f0\" id=\"forminator-form-144__field--select-108_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Paucartambo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-108_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-108\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-108_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Paucartambo\"  data-calculation=\"0\">Paucartambo<\/option><option value=\"Caicay\"  data-calculation=\"0\">Caicay<\/option><option value=\"Challabamba\"  data-calculation=\"0\">Challabamba<\/option><option value=\"Colquepata\"  data-calculation=\"0\">Colquepata<\/option><option value=\"Kos\u00f1ipata\"  data-calculation=\"0\">Kos\u00f1ipata<\/option><option value=\"Huancarani\"  data-calculation=\"0\">Huancarani<\/option><\/select><\/div><\/div><div id=\"select-109\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-109_6a2384318a8f0\" id=\"forminator-form-144__field--select-109_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Quispicanchi* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-109_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-109\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-109_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Andahuaylillas\"  data-calculation=\"0\">Andahuaylillas<\/option><option value=\"Camanti\"  data-calculation=\"0\">Camanti<\/option><option value=\"Ccarhuayo\"  data-calculation=\"0\">Ccarhuayo<\/option><option value=\"Ccatca\"  data-calculation=\"0\">Ccatca<\/option><option value=\"Cusipata\"  data-calculation=\"0\">Cusipata<\/option><option value=\"Huaro\"  data-calculation=\"0\">Huaro<\/option><option value=\"Lucre\"  data-calculation=\"0\">Lucre<\/option><option value=\"Marcapata\"  data-calculation=\"0\">Marcapata<\/option><option value=\"Ocongate\"  data-calculation=\"0\">Ocongate<\/option><option value=\"Oropesa\"  data-calculation=\"0\">Oropesa<\/option><option value=\"Quiquijana\"  data-calculation=\"0\">Quiquijana<\/option><option value=\"Urcos\"  data-calculation=\"0\">Urcos<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-110\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-110_6a2384318a8f0\" id=\"forminator-form-144__field--select-110_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Urubamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-110_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-110\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-110_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chinchero\"  data-calculation=\"0\">Chinchero<\/option><option value=\"Huayllabamba\"  data-calculation=\"0\">Huayllabamba<\/option><option value=\"Machupicchu\"  data-calculation=\"0\">Machupicchu<\/option><option value=\"Maras\"  data-calculation=\"0\">Maras<\/option><option value=\"Ollantaytambo\"  data-calculation=\"0\">Ollantaytambo<\/option><option value=\"Urubamba\"  data-calculation=\"0\">Urubamba<\/option><option value=\"Yucay\"  data-calculation=\"0\">Yucay<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-67\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-67_6a2384318a8f0\" id=\"forminator-form-144__field--select-67_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Huancavelica* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-67_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-67\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-67_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Huancavelica\"  data-calculation=\"0\">Huancavelica<\/option><option value=\"Acobamba\"  data-calculation=\"0\">Acobamba<\/option><option value=\"Angaraes\"  data-calculation=\"0\">Angaraes<\/option><option value=\"Castrovirreyna\"  data-calculation=\"0\">Castrovirreyna<\/option><option value=\"Churcampa\"  data-calculation=\"0\">Churcampa<\/option><option value=\"Huaytara\"  data-calculation=\"0\">Huaytara<\/option><option value=\"Tayacaja\"  data-calculation=\"0\">Tayacaja<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-111\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-111_6a2384318a8f0\" id=\"forminator-form-144__field--select-111_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huancavelica* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-111_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-111\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-111_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Acobambilla\"  data-calculation=\"0\">Acobambilla<\/option><option value=\"Acoria\"  data-calculation=\"0\">Acoria<\/option><option value=\"Ascensi\u00f3n\"  data-calculation=\"0\">Ascensi\u00f3n<\/option><option value=\"Conayca\"  data-calculation=\"0\">Conayca<\/option><option value=\"Cuenca\"  data-calculation=\"0\">Cuenca<\/option><option value=\"Huachocolpa\"  data-calculation=\"0\">Huachocolpa<\/option><option value=\"Huando\"  data-calculation=\"0\">Huando<\/option><option value=\"Huancavelica\"  data-calculation=\"0\">Huancavelica<\/option><option value=\"Huayllahuara\"  data-calculation=\"0\">Huayllahuara<\/option><option value=\"Izcuchaca\"  data-calculation=\"0\">Izcuchaca<\/option><option value=\"Laria\"  data-calculation=\"0\">Laria<\/option><option value=\"Manta\"  data-calculation=\"0\">Manta<\/option><option value=\"Mariscal-C\u00e1ceres\"  data-calculation=\"0\">Mariscal C\u00e1ceres<\/option><option value=\"Moya\"  data-calculation=\"0\">Moya<\/option><option value=\"Nuevo-Occoro\"  data-calculation=\"0\">Nuevo Occoro<\/option><option value=\"Palca\"  data-calculation=\"0\">Palca<\/option><option value=\"Pilchaca\"  data-calculation=\"0\">Pilchaca<\/option><option value=\"Vilca\"  data-calculation=\"0\">Vilca<\/option><option value=\"Yauli\"  data-calculation=\"0\">Yauli<\/option><\/select><\/div><\/div><div id=\"select-112\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-112_6a2384318a8f0\" id=\"forminator-form-144__field--select-112_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Acobamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-112_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-112\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-112_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Acobamba\"  data-calculation=\"0\">Acobamba<\/option><option value=\"Andabamba\"  data-calculation=\"0\">Andabamba<\/option><option value=\"Anta\"  data-calculation=\"0\">Anta<\/option><option value=\"Caja\"  data-calculation=\"0\">Caja<\/option><option value=\"Marcas\"  data-calculation=\"0\">Marcas<\/option><option value=\"Paucar\u00e1\"  data-calculation=\"0\">Paucar\u00e1<\/option><option value=\"Pomacocha\"  data-calculation=\"0\">Pomacocha<\/option><option value=\"Rosario\"  data-calculation=\"0\">Rosario<\/option><\/select><\/div><\/div><div id=\"select-113\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-113_6a2384318a8f0\" id=\"forminator-form-144__field--select-113_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Angaraes* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-113_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-113\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-113_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Lircay\"  data-calculation=\"0\">Lircay<\/option><option value=\"Anchonga\"  data-calculation=\"0\">Anchonga<\/option><option value=\"Callanmarca\"  data-calculation=\"0\">Callanmarca<\/option><option value=\"Ccochaccasa\"  data-calculation=\"0\">Ccochaccasa<\/option><option value=\"Chincho\"  data-calculation=\"0\">Chincho<\/option><option value=\"Congalla\"  data-calculation=\"0\">Congalla<\/option><option value=\"Huanca-Huanca\"  data-calculation=\"0\">Huanca Huanca<\/option><option value=\"Huayllay-Grande\"  data-calculation=\"0\">Huayllay Grande<\/option><option value=\"Julcamarca\"  data-calculation=\"0\">Julcamarca<\/option><option value=\"San-Antonio-de-Antaparco\"  data-calculation=\"0\">San Antonio de Antaparco<\/option><option value=\"Santo-Tom\u00e1s-de-Pata\"  data-calculation=\"0\">Santo Tom\u00e1s de Pata<\/option><option value=\"Seclla\"  data-calculation=\"0\">Seclla<\/option><\/select><\/div><\/div><div id=\"select-114\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-114_6a2384318a8f0\" id=\"forminator-form-144__field--select-114_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Castrovirreyna* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-114_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-114\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-114_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Castrovirreyna\"  data-calculation=\"0\">Castrovirreyna<\/option><option value=\"Arma\"  data-calculation=\"0\">Arma<\/option><option value=\"Aurahu\u00e1\"  data-calculation=\"0\">Aurahu\u00e1<\/option><option value=\"Capillas\"  data-calculation=\"0\">Capillas<\/option><option value=\"Chupamarca\"  data-calculation=\"0\">Chupamarca<\/option><option value=\"Cocas\"  data-calculation=\"0\">Cocas<\/option><option value=\"Huachos\"  data-calculation=\"0\">Huachos<\/option><option value=\"Huamatambo,\"  data-calculation=\"0\">Huamatambo,<\/option><option value=\"Mollepampa\"  data-calculation=\"0\">Mollepampa<\/option><option value=\"San-Juan\"  data-calculation=\"0\">San Juan<\/option><option value=\"Santa-Ana\"  data-calculation=\"0\">Santa Ana<\/option><option value=\"Tantara\"  data-calculation=\"0\">Tantara<\/option><option value=\"Ticrapo\"  data-calculation=\"0\">Ticrapo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-115\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-115_6a2384318a8f0\" id=\"forminator-form-144__field--select-115_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Churcampa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-115_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-115\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-115_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Churcampa\"  data-calculation=\"0\">Churcampa<\/option><option value=\"Anco\"  data-calculation=\"0\">Anco<\/option><option value=\"Chinchihuasi\"  data-calculation=\"0\">Chinchihuasi<\/option><option value=\"Cosme\"  data-calculation=\"0\">Cosme<\/option><option value=\"El-Carmen\"  data-calculation=\"0\">El Carmen<\/option><option value=\"La-Merced\"  data-calculation=\"0\">La Merced<\/option><option value=\"Locroja\"  data-calculation=\"0\">Locroja<\/option><option value=\"Pachamarca\"  data-calculation=\"0\">Pachamarca<\/option><option value=\"Paucarbamba\"  data-calculation=\"0\">Paucarbamba<\/option><option value=\"San-Miguel-de-Mayocc\"  data-calculation=\"0\">San Miguel de Mayocc<\/option><option value=\"San-Pedro-de-Coris\"  data-calculation=\"0\">San Pedro de Coris<\/option><\/select><\/div><\/div><div id=\"select-116\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-116_6a2384318a8f0\" id=\"forminator-form-144__field--select-116_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huaytar\u00e1* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-116_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-116\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-116_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Huaytar\u00e1\"  data-calculation=\"0\">Huaytar\u00e1<\/option><option value=\"Ayav\u00ed\"  data-calculation=\"0\">Ayav\u00ed<\/option><option value=\"C\u00f3rdova\"  data-calculation=\"0\">C\u00f3rdova<\/option><option value=\"Huayacundo-Arma\"  data-calculation=\"0\">Huayacundo-Arma<\/option><option value=\"Laramarca\"  data-calculation=\"0\">Laramarca<\/option><option value=\"Ocoyo\"  data-calculation=\"0\">Ocoyo<\/option><option value=\"Pilpichaca\"  data-calculation=\"0\">Pilpichaca<\/option><option value=\"Querco\"  data-calculation=\"0\">Querco<\/option><option value=\"Quito-Arma\"  data-calculation=\"0\">Quito-Arma<\/option><option value=\"San-Antonio-de-Cusicancha\"  data-calculation=\"0\">San Antonio de Cusicancha<\/option><option value=\"San-Francisco-de-Sangayaico\"  data-calculation=\"0\">San Francisco de Sangayaico<\/option><option value=\"San-Isidro\"  data-calculation=\"0\">San Isidro<\/option><option value=\"Santiago-de-Chocorvos\"  data-calculation=\"0\">Santiago de Chocorvos<\/option><option value=\"Santiago-de-Quirahuara\"  data-calculation=\"0\">Santiago de Quirahuara<\/option><option value=\"Santo-Domingo-de-Capillas\"  data-calculation=\"0\">Santo Domingo de Capillas<\/option><option value=\"Tambo\"  data-calculation=\"0\">Tambo<\/option><\/select><\/div><\/div><div id=\"select-117\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-117_6a2384318a8f0\" id=\"forminator-form-144__field--select-117_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tayacaja* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-117_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-117\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-117_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Pampas\"  data-calculation=\"0\">Pampas<\/option><option value=\"Acostambo\"  data-calculation=\"0\">Acostambo<\/option><option value=\"Acraqu\u00eda\"  data-calculation=\"0\">Acraqu\u00eda<\/option><option value=\"Ahuaycha\"  data-calculation=\"0\">Ahuaycha<\/option><option value=\"Andaymarca\"  data-calculation=\"0\">Andaymarca<\/option><option value=\"Colcabamba\"  data-calculation=\"0\">Colcabamba<\/option><option value=\"Daniel-Hern\u00e1ndez\"  data-calculation=\"0\">Daniel Hern\u00e1ndez<\/option><option value=\"Huachocolpa\"  data-calculation=\"0\">Huachocolpa<\/option><option value=\"Huaribamba\"  data-calculation=\"0\">Huaribamba<\/option><option value=\"\u00d1ahuimpuquio\"  data-calculation=\"0\">\u00d1ahuimpuquio<\/option><option value=\"Pazos\"  data-calculation=\"0\">Pazos<\/option><option value=\"Quishuar\"  data-calculation=\"0\">Quishuar<\/option><option value=\"Salcabamba\"  data-calculation=\"0\">Salcabamba<\/option><option value=\"Salcahuasi\"  data-calculation=\"0\">Salcahuasi<\/option><option value=\"San-Marcos-de-Rocchac\"  data-calculation=\"0\">San Marcos de Rocchac<\/option><option value=\"Surcubamba\"  data-calculation=\"0\">Surcubamba<\/option><option value=\"Tintay-Puncu\"  data-calculation=\"0\">Tintay Puncu<\/option><option value=\"Quichuas\"  data-calculation=\"0\">Quichuas<\/option><option value=\"Roble\"  data-calculation=\"0\">Roble<\/option><option value=\"Pichos\"  data-calculation=\"0\">Pichos<\/option><option value=\"Santiago-de-Tucuma\"  data-calculation=\"0\">Santiago de Tucuma<\/option><option value=\"Lambras\"  data-calculation=\"0\">Lambras<\/option><option value=\"Cochabamba-(Tayacaja)\"  data-calculation=\"0\">Cochabamba (Tayacaja)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-68\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-68_6a2384318a8f0\" id=\"forminator-form-144__field--select-68_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Hu\u00e1nuco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-68_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-68\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-68_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Hu\u00e1nuco\"  data-calculation=\"0\">Hu\u00e1nuco<\/option><option value=\"Ambo\"  data-calculation=\"0\">Ambo<\/option><option value=\"Dos-De-Mayo\"  data-calculation=\"0\">Dos De Mayo<\/option><option value=\"Huacaybamba\"  data-calculation=\"0\">Huacaybamba<\/option><option value=\"Huamalies\"  data-calculation=\"0\">Huamalies<\/option><option value=\"Leoncio-Prado\"  data-calculation=\"0\">Leoncio Prado<\/option><option value=\"Mara\u00f1\u00f3n\"  data-calculation=\"0\">Mara\u00f1\u00f3n<\/option><option value=\"Pachitea\"  data-calculation=\"0\">Pachitea<\/option><option value=\"Puerto-Inca\"  data-calculation=\"0\">Puerto Inca<\/option><option value=\"Lauricocha\"  data-calculation=\"0\">Lauricocha<\/option><option value=\"Yarowilca\"  data-calculation=\"0\">Yarowilca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-118\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-118_6a2384318a8f0\" id=\"forminator-form-144__field--select-118_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Hu\u00e1nuco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-118_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-118\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-118_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Hu\u00e1nuco\"  data-calculation=\"0\">Hu\u00e1nuco<\/option><option value=\"Amarilis\"  data-calculation=\"0\">Amarilis<\/option><option value=\"Chinchao\"  data-calculation=\"0\">Chinchao<\/option><option value=\"Churubamba\"  data-calculation=\"0\">Churubamba<\/option><option value=\"Margos\"  data-calculation=\"0\">Margos<\/option><option value=\"Pillco-Marca\"  data-calculation=\"0\">Pillco Marca<\/option><option value=\"Quisqui-(Kichki)\"  data-calculation=\"0\">Quisqui (Kichki)<\/option><option value=\"San-Francisco-de-Cayr\u00e1n\"  data-calculation=\"0\">San Francisco de Cayr\u00e1n<\/option><option value=\"San-Pedro-de-Chaul\u00e1n\"  data-calculation=\"0\">San Pedro de Chaul\u00e1n<\/option><option value=\"Santa-Mar\u00eda-del-Valle\"  data-calculation=\"0\">Santa Mar\u00eda del Valle<\/option><option value=\"Yarumayo\"  data-calculation=\"0\">Yarumayo<\/option><option value=\"Yacus\"  data-calculation=\"0\">Yacus<\/option><option value=\"San-Pablo-de-Pillao\"  data-calculation=\"0\">San Pablo de Pillao<\/option><\/select><\/div><\/div><div id=\"select-119\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-119_6a2384318a8f0\" id=\"forminator-form-144__field--select-119_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ambo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-119_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-119\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-119_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ambo\"  data-calculation=\"0\">Ambo<\/option><option value=\"Cayna\"  data-calculation=\"0\">Cayna<\/option><option value=\"Colpas\"  data-calculation=\"0\">Colpas<\/option><option value=\"Conchamarca\"  data-calculation=\"0\">Conchamarca<\/option><option value=\"Hu\u00e1car\"  data-calculation=\"0\">Hu\u00e1car<\/option><option value=\"San-Francisco\"  data-calculation=\"0\">San Francisco<\/option><option value=\"San-Rafael\"  data-calculation=\"0\">San Rafael<\/option><option value=\"Tomay-Kichwa\"  data-calculation=\"0\">Tomay Kichwa<\/option><\/select><\/div><\/div><div id=\"select-120\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-120_6a2384318a8f0\" id=\"forminator-form-144__field--select-120_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Dos de Mayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-120_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-120\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-120_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"La-Uni\u00f3n\"  data-calculation=\"0\">La Uni\u00f3n<\/option><option value=\"Chuquis\"  data-calculation=\"0\">Chuquis<\/option><option value=\"Mar\u00edas\"  data-calculation=\"0\">Mar\u00edas<\/option><option value=\"Pachas\"  data-calculation=\"0\">Pachas<\/option><option value=\"Quivilla\"  data-calculation=\"0\">Quivilla<\/option><option value=\"Rip\u00e1n\"  data-calculation=\"0\">Rip\u00e1n<\/option><option value=\"Shunqui\"  data-calculation=\"0\">Shunqui<\/option><option value=\"Sillapata\"  data-calculation=\"0\">Sillapata<\/option><option value=\"Yanas\"  data-calculation=\"0\">Yanas<\/option><\/select><\/div><\/div><div id=\"select-121\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-121_6a2384318a8f0\" id=\"forminator-form-144__field--select-121_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huacaybamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-121_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-121\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-121_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cochabamba\"  data-calculation=\"0\">Cochabamba<\/option><option value=\"Huacaybamba\"  data-calculation=\"0\">Huacaybamba<\/option><option value=\"Pinra\"  data-calculation=\"0\">Pinra<\/option><option value=\"Canchabamba\"  data-calculation=\"0\">Canchabamba<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-122\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-122_6a2384318a8f0\" id=\"forminator-form-144__field--select-122_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huamal\u00edes* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-122_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-122\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-122_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Llata\"  data-calculation=\"0\">Llata<\/option><option value=\"Pu\u00f1os\"  data-calculation=\"0\">Pu\u00f1os<\/option><option value=\"Miraflores\"  data-calculation=\"0\">Miraflores<\/option><option value=\"Punchao\"  data-calculation=\"0\">Punchao<\/option><option value=\"Singa\"  data-calculation=\"0\">Singa<\/option><option value=\"Jacas-Grande\"  data-calculation=\"0\">Jacas Grande<\/option><option value=\"Chav\u00edn-de-Pariarca\"  data-calculation=\"0\">Chav\u00edn de Pariarca<\/option><option value=\"Tantamayo\"  data-calculation=\"0\">Tantamayo<\/option><option value=\"Jircan\"  data-calculation=\"0\">Jircan<\/option><option value=\"Arancay\"  data-calculation=\"0\">Arancay<\/option><option value=\"Monz\u00f3n\"  data-calculation=\"0\">Monz\u00f3n<\/option><\/select><\/div><\/div><div id=\"select-123\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-123_6a2384318a8f0\" id=\"forminator-form-144__field--select-123_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Leoncio Prado* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-123_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-123\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-123_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Rupa-Rupa\"  data-calculation=\"0\">Rupa-Rupa<\/option><option value=\"Daniel-Alom\u00eda-Robles\"  data-calculation=\"0\">Daniel Alom\u00eda Robles<\/option><option value=\"Hermilio-Valdiz\u00e1n\"  data-calculation=\"0\">Hermilio Valdiz\u00e1n<\/option><option value=\"Jos\u00e9-Crespo-y-Castillo\"  data-calculation=\"0\">Jos\u00e9 Crespo y Castillo<\/option><option value=\"Luyando\"  data-calculation=\"0\">Luyando<\/option><option value=\"Mariano-D\u00e1maso-Beraun\"  data-calculation=\"0\">Mariano D\u00e1maso Beraun<\/option><option value=\"Pucayacu\"  data-calculation=\"0\">Pucayacu<\/option><option value=\"Castillo-Grande\"  data-calculation=\"0\">Castillo Grande<\/option><option value=\"Pueblo-Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><option value=\"Santo-Domingo-de-Anda\"  data-calculation=\"0\">Santo Domingo de Anda<\/option><\/select><\/div><\/div><div id=\"select-124\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-124_6a2384318a8f0\" id=\"forminator-form-144__field--select-124_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Mara\u00f1\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-124_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-124\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-124_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Huacrachuco\"  data-calculation=\"0\">Huacrachuco<\/option><option value=\"Chol\u00f3n\"  data-calculation=\"0\">Chol\u00f3n<\/option><option value=\"La-Morada\"  data-calculation=\"0\">La Morada<\/option><option value=\"San-Buenaventura\"  data-calculation=\"0\">San Buenaventura<\/option><option value=\"Santa-Rosa-de-Alto-Yanajanca\"  data-calculation=\"0\">Santa Rosa de Alto Yanajanca<\/option><\/select><\/div><\/div><div id=\"select-125\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-125_6a2384318a8f0\" id=\"forminator-form-144__field--select-125_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pachitea* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-125_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-125\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-125_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Panao\"  data-calculation=\"0\">Panao<\/option><option value=\"Chaglla\"  data-calculation=\"0\">Chaglla<\/option><option value=\"Molino\"  data-calculation=\"0\">Molino<\/option><option value=\"Umari\"  data-calculation=\"0\">Umari<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-126\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-126_6a2384318a8f0\" id=\"forminator-form-144__field--select-126_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Puerto Inca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-126_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-126\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-126_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Puerto-Inca\"  data-calculation=\"0\">Puerto Inca<\/option><option value=\"Codo-del-Pozuzo\"  data-calculation=\"0\">Codo del Pozuzo<\/option><option value=\"Honoria\"  data-calculation=\"0\">Honoria<\/option><option value=\"Tournavista\"  data-calculation=\"0\">Tournavista<\/option><option value=\"Yuyapichis\"  data-calculation=\"0\">Yuyapichis<\/option><\/select><\/div><\/div><div id=\"select-127\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-127_6a2384318a8f0\" id=\"forminator-form-144__field--select-127_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lauricocha* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-127_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-127\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-127_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Jes\u00fas\"  data-calculation=\"0\">Jes\u00fas<\/option><option value=\"Ba\u00f1os\"  data-calculation=\"0\">Ba\u00f1os<\/option><option value=\"Jivia\"  data-calculation=\"0\">Jivia<\/option><option value=\"Queropalca\"  data-calculation=\"0\">Queropalca<\/option><option value=\"Rondos\"  data-calculation=\"0\">Rondos<\/option><option value=\"San-Francisco-de-As\u00eds\"  data-calculation=\"0\">San Francisco de As\u00eds<\/option><option value=\"San-Miguel-de-Cauri\"  data-calculation=\"0\">San Miguel de Cauri<\/option><\/select><\/div><\/div><div id=\"select-128\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-128_6a2384318a8f0\" id=\"forminator-form-144__field--select-128_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Yarowilca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-128_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-128\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-128_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chavinillo\"  data-calculation=\"0\">Chavinillo<\/option><option value=\"C\u00e1huac\"  data-calculation=\"0\">C\u00e1huac<\/option><option value=\"Chacabamba\"  data-calculation=\"0\">Chacabamba<\/option><option value=\"Aparicio-Pomares\"  data-calculation=\"0\">Aparicio Pomares<\/option><option value=\"Jacas-Chico\"  data-calculation=\"0\">Jacas Chico<\/option><option value=\"Obas\"  data-calculation=\"0\">Obas<\/option><option value=\"Pampamarca\"  data-calculation=\"0\">Pampamarca<\/option><option value=\"Choras\"  data-calculation=\"0\">Choras<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-69\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-69_6a2384318a8f0\" id=\"forminator-form-144__field--select-69_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Ica* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-69_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-69\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-69_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Ica\"  data-calculation=\"0\">Ica<\/option><option value=\"Chincha\"  data-calculation=\"0\">Chincha<\/option><option value=\"Nasca\"  data-calculation=\"0\">Nasca<\/option><option value=\"Palpa\"  data-calculation=\"0\">Palpa<\/option><option value=\"Pisco\"  data-calculation=\"0\">Pisco<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-129\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-129_6a2384318a8f0\" id=\"forminator-form-144__field--select-129_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ica* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-129_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-129\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-129_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ica\"  data-calculation=\"0\">Ica<\/option><option value=\"La-Tingui\u00f1a\"  data-calculation=\"0\">La Tingui\u00f1a<\/option><option value=\"Los-Aquijes\"  data-calculation=\"0\">Los Aquijes<\/option><option value=\"Ocucaje\"  data-calculation=\"0\">Ocucaje<\/option><option value=\"Pachac\u00fatec\"  data-calculation=\"0\">Pachac\u00fatec<\/option><option value=\"Parcona\"  data-calculation=\"0\">Parcona<\/option><option value=\"Pueblo-Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><option value=\"Salas\"  data-calculation=\"0\">Salas<\/option><option value=\"San-Jos\u00e9-de-los-Molinos\"  data-calculation=\"0\">San Jos\u00e9 de los Molinos<\/option><option value=\"San-Juan-Bautista\"  data-calculation=\"0\">San Juan Bautista<\/option><option value=\"Santiago\"  data-calculation=\"0\">Santiago<\/option><option value=\"Subtanjalla\"  data-calculation=\"0\">Subtanjalla<\/option><option value=\"Tate\"  data-calculation=\"0\">Tate<\/option><option value=\"Yauca-del-Rosario\"  data-calculation=\"0\">Yauca del Rosario<\/option><\/select><\/div><\/div><div id=\"select-130\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-130_6a2384318a8f0\" id=\"forminator-form-144__field--select-130_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chincha* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-130_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-130\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-130_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chincha-Alta\"  data-calculation=\"0\">Chincha Alta<\/option><option value=\"Alto-Lar\u00e1n\"  data-calculation=\"0\">Alto Lar\u00e1n<\/option><option value=\"Chav\u00edn\"  data-calculation=\"0\">Chav\u00edn<\/option><option value=\"Chincha-Baja\"  data-calculation=\"0\">Chincha Baja<\/option><option value=\"El-Carmen\"  data-calculation=\"0\">El Carmen<\/option><option value=\"Grocio-Prado\"  data-calculation=\"0\">Grocio Prado<\/option><option value=\"Pueblo-Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><option value=\"San-Juan-de-Yanac\"  data-calculation=\"0\">San Juan de Yanac<\/option><option value=\"San-Pedro-de-Huacarpana\"  data-calculation=\"0\">San Pedro de Huacarpana<\/option><option value=\"Sunampe\"  data-calculation=\"0\">Sunampe<\/option><option value=\"Tambo-de-Mora\"  data-calculation=\"0\">Tambo de Mora<\/option><\/select><\/div><\/div><div id=\"select-131\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-131_6a2384318a8f0\" id=\"forminator-form-144__field--select-131_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Nasca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-131_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-131\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-131_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Nasca\"  data-calculation=\"0\">Nasca<\/option><option value=\"Changuillo\"  data-calculation=\"0\">Changuillo<\/option><option value=\"El-Ingenio\"  data-calculation=\"0\">El Ingenio<\/option><option value=\"Marcona\"  data-calculation=\"0\">Marcona<\/option><option value=\"Vista-Alegre\"  data-calculation=\"0\">Vista Alegre<\/option><\/select><\/div><\/div><div id=\"select-132\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-132_6a2384318a8f0\" id=\"forminator-form-144__field--select-132_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Palpa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-132_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-132\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-132_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Palpa\"  data-calculation=\"0\">Palpa<\/option><option value=\"Llipata\"  data-calculation=\"0\">Llipata<\/option><option value=\"R\u00edo-Grande\"  data-calculation=\"0\">R\u00edo Grande<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><option value=\"Tibillo\"  data-calculation=\"0\">Tibillo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-134\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-134_6a2384318a8f0\" id=\"forminator-form-144__field--select-134_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pisco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-134_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-134\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-134_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Pisco\"  data-calculation=\"0\">Pisco<\/option><option value=\"Huancano\"  data-calculation=\"0\">Huancano<\/option><option value=\"Humay\"  data-calculation=\"0\">Humay<\/option><option value=\"Independencia\"  data-calculation=\"0\">Independencia<\/option><option value=\"Paracas\"  data-calculation=\"0\">Paracas<\/option><option value=\"San-Andr\u00e9s\"  data-calculation=\"0\">San Andr\u00e9s<\/option><option value=\"San-Clemente\"  data-calculation=\"0\">San Clemente<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><option value=\"T\u00fapac-Amaru-Inca\"  data-calculation=\"0\">T\u00fapac Amaru Inca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-70\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-70_6a2384318a8f0\" id=\"forminator-form-144__field--select-70_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Jun\u00edn* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-70_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-70\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-70_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Huancayo\"  data-calculation=\"0\">Huancayo<\/option><option value=\"Concepci\u00f3n\"  data-calculation=\"0\">Concepci\u00f3n<\/option><option value=\"Chanchamayo\"  data-calculation=\"0\">Chanchamayo<\/option><option value=\"Jauja\"  data-calculation=\"0\">Jauja<\/option><option value=\"Jun\u00edn\"  data-calculation=\"0\">Jun\u00edn<\/option><option value=\"Satipo\"  data-calculation=\"0\">Satipo<\/option><option value=\"Tarma\"  data-calculation=\"0\">Tarma<\/option><option value=\"Yauli\"  data-calculation=\"0\">Yauli<\/option><option value=\"Chupaca\"  data-calculation=\"0\">Chupaca<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-133\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-133_6a2384318a8f0\" id=\"forminator-form-144__field--select-133_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huancayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-133_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-133\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-133_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Carhuacallanga\"  data-calculation=\"0\">Carhuacallanga<\/option><option value=\"Chacapampa\"  data-calculation=\"0\">Chacapampa<\/option><option value=\"Chicche\"  data-calculation=\"0\">Chicche<\/option><option value=\"Chilca\"  data-calculation=\"0\">Chilca<\/option><option value=\"Chongos-Alto\"  data-calculation=\"0\">Chongos Alto<\/option><option value=\"Chupuro\"  data-calculation=\"0\">Chupuro<\/option><option value=\"Colca\"  data-calculation=\"0\">Colca<\/option><option value=\"Cullhuas\"  data-calculation=\"0\">Cullhuas<\/option><option value=\"El-Tambo\"  data-calculation=\"0\">El Tambo<\/option><option value=\"Huacrapuquio\"  data-calculation=\"0\">Huacrapuquio<\/option><option value=\"Hualhuas\"  data-calculation=\"0\">Hualhuas<\/option><option value=\"Huanc\u00e1n\"  data-calculation=\"0\">Huanc\u00e1n<\/option><option value=\"Huancayo\"  data-calculation=\"0\">Huancayo<\/option><option value=\"Huasicancha\"  data-calculation=\"0\">Huasicancha<\/option><option value=\"Huayucachi\"  data-calculation=\"0\">Huayucachi<\/option><option value=\"Ingenio\"  data-calculation=\"0\">Ingenio<\/option><option value=\"Pariahuanca\"  data-calculation=\"0\">Pariahuanca<\/option><option value=\"Pilcomayo\"  data-calculation=\"0\">Pilcomayo<\/option><option value=\"Pucar\u00e1\"  data-calculation=\"0\">Pucar\u00e1<\/option><option value=\"Quichuay\"  data-calculation=\"0\">Quichuay<\/option><option value=\"Quilcas\"  data-calculation=\"0\">Quilcas<\/option><option value=\"San-Agust\u00edn-de-Cajas\"  data-calculation=\"0\">San Agust\u00edn de Cajas<\/option><option value=\"San-Jer\u00f3nimo-de-Tun\u00e1n\"  data-calculation=\"0\">San Jer\u00f3nimo de Tun\u00e1n<\/option><option value=\"San-Pedro-de-Sa\u00f1o\"  data-calculation=\"0\">San Pedro de Sa\u00f1o<\/option><option value=\"Santo-Domingo-de-Acobamba\"  data-calculation=\"0\">Santo Domingo de Acobamba<\/option><option value=\"Sapallanga\"  data-calculation=\"0\">Sapallanga<\/option><option value=\"Sicaya\"  data-calculation=\"0\">Sicaya<\/option><option value=\"Viques\"  data-calculation=\"0\">Viques<\/option><\/select><\/div><\/div><div id=\"select-135\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-135_6a2384318a8f0\" id=\"forminator-form-144__field--select-135_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Concepci\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-135_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-135\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-135_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Concepci\u00f3n\"  data-calculation=\"0\">Concepci\u00f3n<\/option><option value=\"Aco\"  data-calculation=\"0\">Aco<\/option><option value=\"Andamarca\"  data-calculation=\"0\">Andamarca<\/option><option value=\"Chambara\"  data-calculation=\"0\">Chambara<\/option><option value=\"Cochas\"  data-calculation=\"0\">Cochas<\/option><option value=\"Comas\"  data-calculation=\"0\">Comas<\/option><option value=\"Hero\u00ednas-Toledo\"  data-calculation=\"0\">Hero\u00ednas Toledo<\/option><option value=\"Manzanares\"  data-calculation=\"0\">Manzanares<\/option><option value=\"Mariscal-Castilla\"  data-calculation=\"0\">Mariscal Castilla<\/option><option value=\"Matahuasi\"  data-calculation=\"0\">Matahuasi<\/option><option value=\"Mito\"  data-calculation=\"0\">Mito<\/option><option value=\"Nueve-de-Julio\"  data-calculation=\"0\">Nueve de Julio<\/option><option value=\"Orcotuna\"  data-calculation=\"0\">Orcotuna<\/option><option value=\"San-Jos\u00e9-de-Quero\"  data-calculation=\"0\">San Jos\u00e9 de Quero<\/option><option value=\"Santa-Rosa-de-Ocopa\"  data-calculation=\"0\">Santa Rosa de Ocopa<\/option><\/select><\/div><\/div><div id=\"select-136\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-136_6a2384318a8f0\" id=\"forminator-form-144__field--select-136_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chanchamayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-136_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-136\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-136_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chanchamayo\"  data-calculation=\"0\">Chanchamayo<\/option><option value=\"San-Luis-de-Shuaro\"  data-calculation=\"0\">San Luis de Shuaro<\/option><option value=\"Peren\u00e9\"  data-calculation=\"0\">Peren\u00e9<\/option><option value=\"Pichanaqui\"  data-calculation=\"0\">Pichanaqui<\/option><option value=\"San-Ram\u00f3n\"  data-calculation=\"0\">San Ram\u00f3n<\/option><option value=\"V\u00edtoc\"  data-calculation=\"0\">V\u00edtoc<\/option><\/select><\/div><\/div><div id=\"select-137\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-137_6a2384318a8f0\" id=\"forminator-form-144__field--select-137_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Jauja* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-137_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-137\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-137_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Jauja\"  data-calculation=\"0\">Jauja<\/option><option value=\"Acolla\"  data-calculation=\"0\">Acolla<\/option><option value=\"Apata\"  data-calculation=\"0\">Apata<\/option><option value=\"Ataura\"  data-calculation=\"0\">Ataura<\/option><option value=\"Canchayllo\"  data-calculation=\"0\">Canchayllo<\/option><option value=\"Curicaca\"  data-calculation=\"0\">Curicaca<\/option><option value=\"El-Mantaro\"  data-calculation=\"0\">El Mantaro<\/option><option value=\"Huamal\u00ed\"  data-calculation=\"0\">Huamal\u00ed<\/option><option value=\"Huaripampa\"  data-calculation=\"0\">Huaripampa<\/option><option value=\"Huertas\"  data-calculation=\"0\">Huertas<\/option><option value=\"Janjaillo\"  data-calculation=\"0\">Janjaillo<\/option><option value=\"Julc\u00e1n\"  data-calculation=\"0\">Julc\u00e1n<\/option><option value=\"Leonor-Ord\u00f3\u00f1ez\"  data-calculation=\"0\">Leonor Ord\u00f3\u00f1ez<\/option><option value=\"Llocllapampa\"  data-calculation=\"0\">Llocllapampa<\/option><option value=\"Marco\"  data-calculation=\"0\">Marco<\/option><option value=\"Masma\"  data-calculation=\"0\">Masma<\/option><option value=\"Masma-Chicche\"  data-calculation=\"0\">Masma Chicche<\/option><option value=\"Molinos\"  data-calculation=\"0\">Molinos<\/option><option value=\"Monobamba\"  data-calculation=\"0\">Monobamba<\/option><option value=\"Muqui\"  data-calculation=\"0\">Muqui<\/option><option value=\"Muquiyauyo\"  data-calculation=\"0\">Muquiyauyo<\/option><option value=\"Paca\"  data-calculation=\"0\">Paca<\/option><option value=\"Paccha\"  data-calculation=\"0\">Paccha<\/option><option value=\"Panc\u00e1n\"  data-calculation=\"0\">Panc\u00e1n<\/option><option value=\"Parco\"  data-calculation=\"0\">Parco<\/option><option value=\"Pomacancha\"  data-calculation=\"0\">Pomacancha<\/option><option value=\"Ricr\u00e1n\"  data-calculation=\"0\">Ricr\u00e1n<\/option><option value=\"San-Lorenzo\"  data-calculation=\"0\">San Lorenzo<\/option><option value=\"San-Pedro-de-Chun\u00e1n\"  data-calculation=\"0\">San Pedro de Chun\u00e1n<\/option><option value=\"Sausa\"  data-calculation=\"0\">Sausa<\/option><option value=\"Sincos\"  data-calculation=\"0\">Sincos<\/option><option value=\"Tunanmarca\"  data-calculation=\"0\">Tunanmarca<\/option><option value=\"Yauli\"  data-calculation=\"0\">Yauli<\/option><option value=\"Yauyos\"  data-calculation=\"0\">Yauyos<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-138\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-138_6a2384318a8f0\" id=\"forminator-form-144__field--select-138_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Jun\u00edn* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-138_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-138\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-138_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Jun\u00edn\"  data-calculation=\"0\">Jun\u00edn<\/option><option value=\"Carhuamayo\"  data-calculation=\"0\">Carhuamayo<\/option><option value=\"\u00d3ndores\"  data-calculation=\"0\">\u00d3ndores<\/option><option value=\"Ulcumayo\"  data-calculation=\"0\">Ulcumayo<\/option><\/select><\/div><\/div><div id=\"select-139\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-139_6a2384318a8f0\" id=\"forminator-form-144__field--select-139_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Satipo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-139_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-139\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-139_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Satipo\"  data-calculation=\"0\">Satipo<\/option><option value=\"Coviriali\"  data-calculation=\"0\">Coviriali<\/option><option value=\"Llaylla\"  data-calculation=\"0\">Llaylla<\/option><option value=\"Mazamari\"  data-calculation=\"0\">Mazamari<\/option><option value=\"Pampa-Hermosa\"  data-calculation=\"0\">Pampa Hermosa<\/option><option value=\"Pangoa\"  data-calculation=\"0\">Pangoa<\/option><option value=\"R\u00edo-Negro\"  data-calculation=\"0\">R\u00edo Negro<\/option><option value=\"R\u00edo-Tambo\"  data-calculation=\"0\">R\u00edo Tambo<\/option><option value=\"Vizcat\u00e1n-del-Ene\"  data-calculation=\"0\">Vizcat\u00e1n del Ene<\/option><\/select><\/div><\/div><div id=\"select-140\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-140_6a2384318a8f0\" id=\"forminator-form-144__field--select-140_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tarma* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-140_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-140\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-140_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tarma\"  data-calculation=\"0\">Tarma<\/option><option value=\"Acobamba\"  data-calculation=\"0\">Acobamba<\/option><option value=\"Huaricolca\"  data-calculation=\"0\">Huaricolca<\/option><option value=\"Huasahuasi\"  data-calculation=\"0\">Huasahuasi<\/option><option value=\"La-Uni\u00f3n\"  data-calculation=\"0\">La Uni\u00f3n<\/option><option value=\"Palca\"  data-calculation=\"0\">Palca<\/option><option value=\"Palcamayo\"  data-calculation=\"0\">Palcamayo<\/option><option value=\"San-Pedro-de-Cajas\"  data-calculation=\"0\">San Pedro de Cajas<\/option><option value=\"Tapo\"  data-calculation=\"0\">Tapo<\/option><\/select><\/div><\/div><div id=\"select-141\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-141_6a2384318a8f0\" id=\"forminator-form-144__field--select-141_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Yauli* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-141_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-141\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-141_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"La-Oroya\"  data-calculation=\"0\">La Oroya<\/option><option value=\"Chacapalpa\"  data-calculation=\"0\">Chacapalpa<\/option><option value=\"Huayhuay\"  data-calculation=\"0\">Huayhuay<\/option><option value=\"Marcapomacocha\"  data-calculation=\"0\">Marcapomacocha<\/option><option value=\"Morococha\"  data-calculation=\"0\">Morococha<\/option><option value=\"Paccha\"  data-calculation=\"0\">Paccha<\/option><option value=\"Santa-B\u00e1rbara-de-Carhuacay\u00e1n\"  data-calculation=\"0\">Santa B\u00e1rbara de Carhuacay\u00e1n<\/option><option value=\"Santa-Rosa-de-Sacco\"  data-calculation=\"0\">Santa Rosa de Sacco<\/option><option value=\"Suitucancha\"  data-calculation=\"0\">Suitucancha<\/option><option value=\"Yauli\"  data-calculation=\"0\">Yauli<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-142\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-142_6a2384318a8f0\" id=\"forminator-form-144__field--select-142_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chupaca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-142_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-142\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-142_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chupaca\"  data-calculation=\"0\">Chupaca<\/option><option value=\"\u00c1huac\"  data-calculation=\"0\">\u00c1huac<\/option><option value=\"Chongos-Bajo\"  data-calculation=\"0\">Chongos Bajo<\/option><option value=\"Hu\u00e1chac\"  data-calculation=\"0\">Hu\u00e1chac<\/option><option value=\"Huamancaca-Chico\"  data-calculation=\"0\">Huamancaca Chico<\/option><option value=\"San-Juan-de-Yscos\"  data-calculation=\"0\">San Juan de Yscos<\/option><option value=\"San-Juan-de-Jarpa\"  data-calculation=\"0\">San Juan de Jarpa<\/option><option value=\"Tres-de-Diciembre\"  data-calculation=\"0\">Tres de Diciembre<\/option><option value=\"Yanacancha\"  data-calculation=\"0\">Yanacancha<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-71\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-71_6a2384318a8f0\" id=\"forminator-form-144__field--select-71_6a2384318a8f0-label\" class=\"forminator-label\">Provincia La Libertad* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-71_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-71\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-71_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Trujillo\"  data-calculation=\"0\">Trujillo<\/option><option value=\"Ascope\"  data-calculation=\"0\">Ascope<\/option><option value=\"Bolivar\"  data-calculation=\"0\">Bolivar<\/option><option value=\"Chepen\"  data-calculation=\"0\">Chepen<\/option><option value=\"Julcan\"  data-calculation=\"0\">Julcan<\/option><option value=\"Otuzco\"  data-calculation=\"0\">Otuzco<\/option><option value=\"Pacasmayo\"  data-calculation=\"0\">Pacasmayo<\/option><option value=\"Pataz\"  data-calculation=\"0\">Pataz<\/option><option value=\"Sanchez-Carrion\"  data-calculation=\"0\">Sanchez Carrion<\/option><option value=\"Santiago-De-Chuco\"  data-calculation=\"0\">Santiago De Chuco<\/option><option value=\"Gran Chimu\"  data-calculation=\"0\">Gran Chimu<\/option><option value=\"Viru\"  data-calculation=\"0\">Viru<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-143\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-143_6a2384318a8f0\" id=\"forminator-form-144__field--select-143_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Trujillo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-143_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-143\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-143_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Trujillo\"  data-calculation=\"0\">Trujillo<\/option><option value=\"Alto-Trujillo\"  data-calculation=\"0\">Alto Trujillo<\/option><option value=\"El-Porvenir\"  data-calculation=\"0\">El Porvenir<\/option><option value=\"Florencia-de-Mora\"  data-calculation=\"0\">Florencia de Mora<\/option><option value=\"Huanchaco\"  data-calculation=\"0\">Huanchaco<\/option><option value=\"La-Esperanza\"  data-calculation=\"0\">La Esperanza<\/option><option value=\"Laredo\"  data-calculation=\"0\">Laredo<\/option><option value=\"Moche\"  data-calculation=\"0\">Moche<\/option><option value=\"Poroto\"  data-calculation=\"0\">Poroto<\/option><option value=\"Salaverry\"  data-calculation=\"0\">Salaverry<\/option><option value=\"Simbal\"  data-calculation=\"0\">Simbal<\/option><option value=\"V\u00edctor-Larco-Herrera\"  data-calculation=\"0\">V\u00edctor Larco Herrera<\/option><\/select><\/div><\/div><div id=\"select-145\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-145_6a2384318a8f0\" id=\"forminator-form-144__field--select-145_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ascope* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-145_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-145\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-145_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ascope\"  data-calculation=\"0\">Ascope<\/option><option value=\"Casa-Grande\"  data-calculation=\"0\">Casa Grande<\/option><option value=\"Chicama\"  data-calculation=\"0\">Chicama<\/option><option value=\"Chocope\"  data-calculation=\"0\">Chocope<\/option><option value=\"Magdalena-de-Cao\"  data-calculation=\"0\">Magdalena de Cao<\/option><option value=\"Paij\u00e1n\"  data-calculation=\"0\">Paij\u00e1n<\/option><option value=\"R\u00e1zuri\"  data-calculation=\"0\">R\u00e1zuri<\/option><option value=\"Santiago-de-Cao\"  data-calculation=\"0\">Santiago de Cao<\/option><\/select><\/div><\/div><div id=\"select-146\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-146_6a2384318a8f0\" id=\"forminator-form-144__field--select-146_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Bol\u00edvar* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-146_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-146\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-146_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Bol\u00edvar\"  data-calculation=\"0\">Bol\u00edvar<\/option><option value=\"Bambamarca\"  data-calculation=\"0\">Bambamarca<\/option><option value=\"Condormarca\"  data-calculation=\"0\">Condormarca<\/option><option value=\"Longotea\"  data-calculation=\"0\">Longotea<\/option><option value=\"Uchumarca\"  data-calculation=\"0\">Uchumarca<\/option><option value=\"Ucuncha\"  data-calculation=\"0\">Ucuncha<\/option><\/select><\/div><\/div><div id=\"select-148\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-148_6a2384318a8f0\" id=\"forminator-form-144__field--select-148_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chep\u00e9n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-148_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-148\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-148_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chep\u00e9n\"  data-calculation=\"0\">Chep\u00e9n<\/option><option value=\"Pacanga\"  data-calculation=\"0\">Pacanga<\/option><option value=\"Pueblo-Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-147\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-147_6a2384318a8f0\" id=\"forminator-form-144__field--select-147_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Julc\u00e1n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-147_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-147\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-147_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Julc\u00e1n\"  data-calculation=\"0\">Julc\u00e1n<\/option><option value=\"Calamarca\"  data-calculation=\"0\">Calamarca<\/option><option value=\"Carabamba\"  data-calculation=\"0\">Carabamba<\/option><option value=\"Huaso\"  data-calculation=\"0\">Huaso<\/option><\/select><\/div><\/div><div id=\"select-144\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-144_6a2384318a8f0\" id=\"forminator-form-144__field--select-144_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Otuzco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-144_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-144\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-144_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Otuzco\"  data-calculation=\"0\">Otuzco<\/option><option value=\"Agallpampa\"  data-calculation=\"0\">Agallpampa<\/option><option value=\"Charat\"  data-calculation=\"0\">Charat<\/option><option value=\"Huaranchal\"  data-calculation=\"0\">Huaranchal<\/option><option value=\"La-Cuesta\"  data-calculation=\"0\">La Cuesta<\/option><option value=\"Mache\"  data-calculation=\"0\">Mache<\/option><option value=\"Paranday\"  data-calculation=\"0\">Paranday<\/option><option value=\"Salpo\"  data-calculation=\"0\">Salpo<\/option><option value=\"Sinsicap\"  data-calculation=\"0\">Sinsicap<\/option><option value=\"Usquil\"  data-calculation=\"0\">Usquil<\/option><\/select><\/div><\/div><div id=\"select-149\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-149_6a2384318a8f0\" id=\"forminator-form-144__field--select-149_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pacasmayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-149_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-149\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-149_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"San-Pedro-de-Lloc\"  data-calculation=\"0\">San Pedro de Lloc<\/option><option value=\"Guadalupe\"  data-calculation=\"0\">Guadalupe<\/option><option value=\"Jequetepeque\"  data-calculation=\"0\">Jequetepeque<\/option><option value=\"Pacasmayo\"  data-calculation=\"0\">Pacasmayo<\/option><option value=\"San-Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><\/select><\/div><\/div><div id=\"select-150\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-150_6a2384318a8f0\" id=\"forminator-form-144__field--select-150_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pataz* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-150_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-150\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-150_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tayabamba\"  data-calculation=\"0\">Tayabamba<\/option><option value=\"Buldibuyo\"  data-calculation=\"0\">Buldibuyo<\/option><option value=\"Chilia\"  data-calculation=\"0\">Chilia<\/option><option value=\"Huancaspata\"  data-calculation=\"0\">Huancaspata<\/option><option value=\"Huaylillas\"  data-calculation=\"0\">Huaylillas<\/option><option value=\"Huayo\"  data-calculation=\"0\">Huayo<\/option><option value=\"Ong\u00f3n\"  data-calculation=\"0\">Ong\u00f3n<\/option><option value=\"Parcoy\"  data-calculation=\"0\">Parcoy<\/option><option value=\"Pataz\"  data-calculation=\"0\">Pataz<\/option><option value=\"P\u00edas\"  data-calculation=\"0\">P\u00edas<\/option><option value=\"Santiago-de-Challas\"  data-calculation=\"0\">Santiago de Challas<\/option><option value=\"Taurija\"  data-calculation=\"0\">Taurija<\/option><option value=\"Urpay\"  data-calculation=\"0\">Urpay<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-151\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-151_6a2384318a8f0\" id=\"forminator-form-144__field--select-151_6a2384318a8f0-label\" class=\"forminator-label\">Distrito S\u00e1nchez Carri\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-151_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-151\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-151_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Huamachuco\"  data-calculation=\"0\">Huamachuco<\/option><option value=\"Chugay\"  data-calculation=\"0\">Chugay<\/option><option value=\"Cochorco\"  data-calculation=\"0\">Cochorco<\/option><option value=\"Curgos\"  data-calculation=\"0\">Curgos<\/option><option value=\"Marcabal\"  data-calculation=\"0\">Marcabal<\/option><option value=\"Sanagor\u00e1n\"  data-calculation=\"0\">Sanagor\u00e1n<\/option><option value=\"Sar\u00edn\"  data-calculation=\"0\">Sar\u00edn<\/option><option value=\"Sartimbamba\"  data-calculation=\"0\">Sartimbamba<\/option><\/select><\/div><\/div><div id=\"select-152\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-152_6a2384318a8f0\" id=\"forminator-form-144__field--select-152_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Santiago de Chuco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-152_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-152\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-152_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Santiago-de-Chuco\"  data-calculation=\"0\">Santiago de Chuco<\/option><option value=\"Angasmarca\"  data-calculation=\"0\">Angasmarca<\/option><option value=\"Cachicad\u00e1n\"  data-calculation=\"0\">Cachicad\u00e1n<\/option><option value=\"Mollebamba\"  data-calculation=\"0\">Mollebamba<\/option><option value=\"Mollepata\"  data-calculation=\"0\">Mollepata<\/option><option value=\"Quiruvilca\"  data-calculation=\"0\">Quiruvilca<\/option><option value=\"Santa-Cruz-de-Chuca\"  data-calculation=\"0\">Santa Cruz de Chuca<\/option><option value=\"Sitabamba\"  data-calculation=\"0\">Sitabamba<\/option><\/select><\/div><\/div><div id=\"select-153\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-153_6a2384318a8f0\" id=\"forminator-form-144__field--select-153_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Gran Chim\u00fa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-153_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-153\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-153_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cascas\"  data-calculation=\"0\">Cascas<\/option><option value=\"Lucma\"  data-calculation=\"0\">Lucma<\/option><option value=\"Marmot\"  data-calculation=\"0\">Marmot<\/option><option value=\"Sayapullo\"  data-calculation=\"0\">Sayapullo<\/option><\/select><\/div><\/div><div id=\"select-154\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-154_6a2384318a8f0\" id=\"forminator-form-144__field--select-154_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Vir\u00fa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-154_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-154\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-154_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Vir\u00fa\"  data-calculation=\"0\">Vir\u00fa<\/option><option value=\"Chao\"  data-calculation=\"0\">Chao<\/option><option value=\"Guadalupito\"  data-calculation=\"0\">Guadalupito<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-72\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-72_6a2384318a8f0\" id=\"forminator-form-144__field--select-72_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Lambayeque* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-72_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-72\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-72_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Chiclayo\"  data-calculation=\"0\">Chiclayo<\/option><option value=\"Ferre\u00f1afe\"  data-calculation=\"0\">Ferre\u00f1afe<\/option><option value=\"Lambayeque\"  data-calculation=\"0\">Lambayeque<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-155\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-155_6a2384318a8f0\" id=\"forminator-form-144__field--select-155_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chiclayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-155_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-155\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-155_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chiclayo\"  data-calculation=\"0\">Chiclayo<\/option><option value=\"Chongoyape\"  data-calculation=\"0\">Chongoyape<\/option><option value=\"Eten\"  data-calculation=\"0\">Eten<\/option><option value=\"Eten-Puerto\"  data-calculation=\"0\">Eten Puerto<\/option><option value=\"Jos\u00e9-Leonardo-Ortiz\"  data-calculation=\"0\">Jos\u00e9 Leonardo Ortiz<\/option><option value=\"La-Victoria\"  data-calculation=\"0\">La Victoria<\/option><option value=\"Lagunas\"  data-calculation=\"0\">Lagunas<\/option><option value=\"Monsef\u00fa\"  data-calculation=\"0\">Monsef\u00fa<\/option><option value=\"Nueva-Arica\"  data-calculation=\"0\">Nueva Arica<\/option><option value=\"Oyot\u00fan\"  data-calculation=\"0\">Oyot\u00fan<\/option><option value=\"Picsi\"  data-calculation=\"0\">Picsi<\/option><option value=\"Pimentel\"  data-calculation=\"0\">Pimentel<\/option><option value=\"Reque\"  data-calculation=\"0\">Reque<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Sa\u00f1a\"  data-calculation=\"0\">Sa\u00f1a<\/option><option value=\"Cayalt\u00ed\"  data-calculation=\"0\">Cayalt\u00ed<\/option><option value=\"P\u00e1tapo\"  data-calculation=\"0\">P\u00e1tapo<\/option><option value=\"Pomalca\"  data-calculation=\"0\">Pomalca<\/option><option value=\"Pucal\u00e1\"  data-calculation=\"0\">Pucal\u00e1<\/option><option value=\"Tum\u00e1n\"  data-calculation=\"0\">Tum\u00e1n<\/option><\/select><\/div><\/div><div id=\"select-156\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-156_6a2384318a8f0\" id=\"forminator-form-144__field--select-156_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ferre\u00f1afe* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-156_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-156\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-156_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ferre\u00f1afe\"  data-calculation=\"0\">Ferre\u00f1afe<\/option><option value=\"Ca\u00f1aris\"  data-calculation=\"0\">Ca\u00f1aris<\/option><option value=\"Incahuasi\"  data-calculation=\"0\">Incahuasi<\/option><option value=\"Manuel-Antonio-Mesones-Muro\"  data-calculation=\"0\">Manuel Antonio Mesones Muro<\/option><option value=\"P\u00edtipo\"  data-calculation=\"0\">P\u00edtipo<\/option><option value=\"Pueblo-Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><\/select><\/div><\/div><div id=\"select-157\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-157_6a2384318a8f0\" id=\"forminator-form-144__field--select-157_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lambayeque* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-157_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-157\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-157_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Lambayeque\"  data-calculation=\"0\">Lambayeque<\/option><option value=\"Ch\u00f3chope\"  data-calculation=\"0\">Ch\u00f3chope<\/option><option value=\"\u00cdllimo\"  data-calculation=\"0\">\u00cdllimo<\/option><option value=\"Jayanca\"  data-calculation=\"0\">Jayanca<\/option><option value=\"Mochum\u00ed\"  data-calculation=\"0\">Mochum\u00ed<\/option><option value=\"M\u00f3rrope\"  data-calculation=\"0\">M\u00f3rrope<\/option><option value=\"Motupe\"  data-calculation=\"0\">Motupe<\/option><option value=\"Olmos\"  data-calculation=\"0\">Olmos<\/option><option value=\"Pacora\"  data-calculation=\"0\">Pacora<\/option><option value=\"Salas\"  data-calculation=\"0\">Salas<\/option><option value=\"San-Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><option value=\"T\u00facume\"  data-calculation=\"0\">T\u00facume<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-73\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-73_6a2384318a8f0\" id=\"forminator-form-144__field--select-73_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Lima* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-73_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-73\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-73_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Lima\"  data-calculation=\"0\">Lima<\/option><option value=\"Barranca\"  data-calculation=\"0\">Barranca<\/option><option value=\"Cajatambo\"  data-calculation=\"0\">Cajatambo<\/option><option value=\"Canta\"  data-calculation=\"0\">Canta<\/option><option value=\"Ca\u00f1ete\"  data-calculation=\"0\">Ca\u00f1ete<\/option><option value=\"Huaral\"  data-calculation=\"0\">Huaral<\/option><option value=\"Huarochiri\"  data-calculation=\"0\">Huarochiri<\/option><option value=\"Huaura\"  data-calculation=\"0\">Huaura<\/option><option value=\"Oyon\"  data-calculation=\"0\">Oyon<\/option><option value=\"Yauyos\"  data-calculation=\"0\">Yauyos<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-158\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-158_6a2384318a8f0\" id=\"forminator-form-144__field--select-158_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lima* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-158_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-158\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-158_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Anc\u00f3n\"  data-calculation=\"0\">Anc\u00f3n<\/option><option value=\"Ate\"  data-calculation=\"0\">Ate<\/option><option value=\"Barranco\"  data-calculation=\"0\">Barranco<\/option><option value=\"Bre\u00f1a\"  data-calculation=\"0\">Bre\u00f1a<\/option><option value=\"Carabayllo\"  data-calculation=\"0\">Carabayllo<\/option><option value=\"Chaclacayo\"  data-calculation=\"0\">Chaclacayo<\/option><option value=\"Chorrillos\"  data-calculation=\"0\">Chorrillos<\/option><option value=\"Cieneguilla\"  data-calculation=\"0\">Cieneguilla<\/option><option value=\"Comas\"  data-calculation=\"0\">Comas<\/option><option value=\"El-Agustino\"  data-calculation=\"0\">El Agustino<\/option><option value=\"Independencia\"  data-calculation=\"0\">Independencia<\/option><option value=\"Jes\u00fas-Mar\u00eda\"  data-calculation=\"0\">Jes\u00fas Mar\u00eda<\/option><option value=\"La-Molina\"  data-calculation=\"0\">La Molina<\/option><option value=\"La-Victoria\"  data-calculation=\"0\">La Victoria<\/option><option value=\"Lima\"  data-calculation=\"0\">Lima<\/option><option value=\"Lince\"  data-calculation=\"0\">Lince<\/option><option value=\"Los-Olivos\"  data-calculation=\"0\">Los Olivos<\/option><option value=\"Lurigancho-Chosica\"  data-calculation=\"0\">Lurigancho-Chosica<\/option><option value=\"Lur\u00edn\"  data-calculation=\"0\">Lur\u00edn<\/option><option value=\"Magdalena-del-Mar\"  data-calculation=\"0\">Magdalena del Mar<\/option><option value=\"Miraflores\"  data-calculation=\"0\">Miraflores<\/option><option value=\"Pachac\u00e1mac\"  data-calculation=\"0\">Pachac\u00e1mac<\/option><option value=\"Pucusana\"  data-calculation=\"0\">Pucusana<\/option><option value=\"Pueblo-Libre\"  data-calculation=\"0\">Pueblo Libre<\/option><option value=\"Puente-Piedra\"  data-calculation=\"0\">Puente Piedra<\/option><option value=\"Punta-Hermosa\"  data-calculation=\"0\">Punta Hermosa<\/option><option value=\"Punta-Negra\"  data-calculation=\"0\">Punta Negra<\/option><option value=\"R\u00edmac\"  data-calculation=\"0\">R\u00edmac<\/option><option value=\"San-Bartolo\"  data-calculation=\"0\">San Bartolo<\/option><option value=\"San-Borja\"  data-calculation=\"0\">San Borja<\/option><option value=\"San-Isidro\"  data-calculation=\"0\">San Isidro<\/option><option value=\"San-Juan-de-Lurigancho\"  data-calculation=\"0\">San Juan de Lurigancho<\/option><option value=\"San-Juan-de-Miraflores\"  data-calculation=\"0\">San Juan de Miraflores<\/option><option value=\"San-Luis\"  data-calculation=\"0\">San Luis<\/option><option value=\"San-Mart\u00edn-de-Porres\"  data-calculation=\"0\">San Mart\u00edn de Porres<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><option value=\"Santa-Anita\"  data-calculation=\"0\">Santa Anita<\/option><option value=\"Santa-Mar\u00eda-del-Mar\"  data-calculation=\"0\">Santa Mar\u00eda del Mar<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Santiago-de-Surco\"  data-calculation=\"0\">Santiago de Surco<\/option><option value=\"Surquillo\"  data-calculation=\"0\">Surquillo<\/option><option value=\"Villa-El-Salvador\"  data-calculation=\"0\">Villa El Salvador<\/option><option value=\"Villa-Mar\u00eda-del-Triunfo\"  data-calculation=\"0\">Villa Mar\u00eda del Triunfo<\/option><\/select><\/div><\/div><div id=\"select-159\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-159_6a2384318a8f0\" id=\"forminator-form-144__field--select-159_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Barranca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-159_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-159\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-159_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Barranca\"  data-calculation=\"0\">Barranca<\/option><option value=\"Paramonga\"  data-calculation=\"0\">Paramonga<\/option><option value=\"Pativilca\"  data-calculation=\"0\">Pativilca<\/option><option value=\"Supe\"  data-calculation=\"0\">Supe<\/option><option value=\"Supe-Puerto\"  data-calculation=\"0\">Supe Puerto<\/option><\/select><\/div><\/div><div id=\"select-160\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-160_6a2384318a8f0\" id=\"forminator-form-144__field--select-160_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Cajatambo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-160_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-160\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-160_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Man\u00e1s\"  data-calculation=\"0\">Man\u00e1s<\/option><option value=\"Gorgor\"  data-calculation=\"0\">Gorgor<\/option><option value=\"Huancap\u00f3n\"  data-calculation=\"0\">Huancap\u00f3n<\/option><option value=\"Cajatambo\"  data-calculation=\"0\">Cajatambo<\/option><option value=\"Copa\"  data-calculation=\"0\">Copa<\/option><\/select><\/div><\/div><div id=\"select-161\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-161_6a2384318a8f0\" id=\"forminator-form-144__field--select-161_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Canta* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-161_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-161\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-161_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Canta\"  data-calculation=\"0\">Canta<\/option><option value=\"Arahuay\"  data-calculation=\"0\">Arahuay<\/option><option value=\"Huamantanga\"  data-calculation=\"0\">Huamantanga<\/option><option value=\"Huaros\"  data-calculation=\"0\">Huaros<\/option><option value=\"Lachaqui\"  data-calculation=\"0\">Lachaqui<\/option><option value=\"San-Buenaventura\"  data-calculation=\"0\">San Buenaventura<\/option><option value=\"Santa-Rosa-de-Quives\"  data-calculation=\"0\">Santa Rosa de Quives<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-162\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-162_6a2384318a8f0\" id=\"forminator-form-144__field--select-162_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ca\u00f1ete* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-162_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-162\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-162_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Asia\"  data-calculation=\"0\">Asia<\/option><option value=\"Calango\"  data-calculation=\"0\">Calango<\/option><option value=\"Cerro-Azul\"  data-calculation=\"0\">Cerro Azul<\/option><option value=\"Chilca\"  data-calculation=\"0\">Chilca<\/option><option value=\"Coayllo\"  data-calculation=\"0\">Coayllo<\/option><option value=\"Imperial\"  data-calculation=\"0\">Imperial<\/option><option value=\"Lunahuan\u00e1\"  data-calculation=\"0\">Lunahuan\u00e1<\/option><option value=\"Mala\"  data-calculation=\"0\">Mala<\/option><option value=\"Nuevo-Imperial\"  data-calculation=\"0\">Nuevo Imperial<\/option><option value=\"Pacar\u00e1n\"  data-calculation=\"0\">Pacar\u00e1n<\/option><option value=\"Quilman\u00e1\"  data-calculation=\"0\">Quilman\u00e1<\/option><option value=\"San-Antonio\"  data-calculation=\"0\">San Antonio<\/option><option value=\"San-Luis\"  data-calculation=\"0\">San Luis<\/option><option value=\"San-Vicente-de-Ca\u00f1ete\"  data-calculation=\"0\">San Vicente de Ca\u00f1ete<\/option><option value=\"Santa-Cruz-de-Flores\"  data-calculation=\"0\">Santa Cruz de Flores<\/option><option value=\"Z\u00fa\u00f1iga\"  data-calculation=\"0\">Z\u00fa\u00f1iga<\/option><\/select><\/div><\/div><div id=\"select-163\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-163_6a2384318a8f0\" id=\"forminator-form-144__field--select-163_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huaral* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-163_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-163\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-163_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Atavillos-Alto\"  data-calculation=\"0\">Atavillos Alto<\/option><option value=\"Atavillos-Bajo\"  data-calculation=\"0\">Atavillos Bajo<\/option><option value=\"Aucallama\"  data-calculation=\"0\">Aucallama<\/option><option value=\"Chancay\"  data-calculation=\"0\">Chancay<\/option><option value=\"Huaral\"  data-calculation=\"0\">Huaral<\/option><option value=\"Ihuar\u00ed\"  data-calculation=\"0\">Ihuar\u00ed<\/option><option value=\"Sumbilca\"  data-calculation=\"0\">Sumbilca<\/option><option value=\"San-Miguel-de-Acos\"  data-calculation=\"0\">San Miguel de Acos<\/option><option value=\"Veintisiete-de-Noviembre\"  data-calculation=\"0\">Veintisiete de Noviembre<\/option><option value=\"Santa-Cruz-de-Andamarca\"  data-calculation=\"0\">Santa Cruz de Andamarca<\/option><option value=\"Lampi\u00e1n\"  data-calculation=\"0\">Lampi\u00e1n<\/option><option value=\"Pacaraos\"  data-calculation=\"0\">Pacaraos<\/option><\/select><\/div><\/div><div id=\"select-164\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-164_6a2384318a8f0\" id=\"forminator-form-144__field--select-164_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huarochir\u00ed* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-164_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-164\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-164_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Matucana\"  data-calculation=\"0\">Matucana<\/option><option value=\"Antioqu\u00eda\"  data-calculation=\"0\">Antioqu\u00eda<\/option><option value=\"Callahuanca\"  data-calculation=\"0\">Callahuanca<\/option><option value=\"Carampoma\"  data-calculation=\"0\">Carampoma<\/option><option value=\"Chicla\"  data-calculation=\"0\">Chicla<\/option><option value=\"Cuenca\"  data-calculation=\"0\">Cuenca<\/option><option value=\"Huachupampa\"  data-calculation=\"0\">Huachupampa<\/option><option value=\"Huanza\"  data-calculation=\"0\">Huanza<\/option><option value=\"Huarochir\u00ed\"  data-calculation=\"0\">Huarochir\u00ed<\/option><option value=\"Lahuaytambo\"  data-calculation=\"0\">Lahuaytambo<\/option><option value=\"Langa\"  data-calculation=\"0\">Langa<\/option><option value=\"San-Pedro-de-Laraos\"  data-calculation=\"0\">San Pedro de Laraos<\/option><option value=\"Mariatana\"  data-calculation=\"0\">Mariatana<\/option><option value=\"Ricardo-Palma\"  data-calculation=\"0\">Ricardo Palma<\/option><option value=\"San-Andr\u00e9s-de-Tupicocha\"  data-calculation=\"0\">San Andr\u00e9s de Tupicocha<\/option><option value=\"San-Antonio-de-Chaclla\"  data-calculation=\"0\">San Antonio de Chaclla<\/option><option value=\"San-Bartolom\u00e9\"  data-calculation=\"0\">San Bartolom\u00e9<\/option><option value=\"San-Dami\u00e1n\"  data-calculation=\"0\">San Dami\u00e1n<\/option><option value=\"San-Juan-de-Iris\"  data-calculation=\"0\">San Juan de Iris<\/option><option value=\"San-Juan-de-Tantaranche\"  data-calculation=\"0\">San Juan de Tantaranche<\/option><option value=\"San-Lorenzo-de-Quinti\"  data-calculation=\"0\">San Lorenzo de Quinti<\/option><option value=\"San-Mateo\"  data-calculation=\"0\">San Mateo<\/option><option value=\"San-Mateo-de-Otao\"  data-calculation=\"0\">San Mateo de Otao<\/option><option value=\"San-Pedro-de-Casta\"  data-calculation=\"0\">San Pedro de Casta<\/option><option value=\"San-Pedro-de-Huancayre\"  data-calculation=\"0\">San Pedro de Huancayre<\/option><option value=\"Sangallaya\"  data-calculation=\"0\">Sangallaya<\/option><option value=\"Santa-Cruz-de-Cocachacra\"  data-calculation=\"0\">Santa Cruz de Cocachacra<\/option><option value=\"Santa-Eulalia\"  data-calculation=\"0\">Santa Eulalia<\/option><option value=\"Santiago-de-Anchucaya\"  data-calculation=\"0\">Santiago de Anchucaya<\/option><option value=\"Santiago-de-Tuna\"  data-calculation=\"0\">Santiago de Tuna<\/option><option value=\"Santo-Domingo-de-los-Olleros\"  data-calculation=\"0\">Santo Domingo de los Olleros<\/option><option value=\"Surco\"  data-calculation=\"0\">Surco<\/option><\/select><\/div><\/div><div id=\"select-165\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-165_6a2384318a8f0\" id=\"forminator-form-144__field--select-165_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huaura* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-165_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-165\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-165_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"\u00c1mbar\"  data-calculation=\"0\">\u00c1mbar<\/option><option value=\"Caleta-de-Carqu\u00edn\"  data-calculation=\"0\">Caleta de Carqu\u00edn<\/option><option value=\"Checras\"  data-calculation=\"0\">Checras<\/option><option value=\"Huacho\"  data-calculation=\"0\">Huacho<\/option><option value=\"Hualmay\"  data-calculation=\"0\">Hualmay<\/option><option value=\"Huaura\"  data-calculation=\"0\">Huaura<\/option><option value=\"Leoncio-Prado\"  data-calculation=\"0\">Leoncio Prado<\/option><option value=\"Paccho\"  data-calculation=\"0\">Paccho<\/option><option value=\"Santa-Leonor\"  data-calculation=\"0\">Santa Leonor<\/option><option value=\"Santa-Mar\u00eda\"  data-calculation=\"0\">Santa Mar\u00eda<\/option><option value=\"Say\u00e1n\"  data-calculation=\"0\">Say\u00e1n<\/option><option value=\"V\u00e9gueta\"  data-calculation=\"0\">V\u00e9gueta<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-166\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-166_6a2384318a8f0\" id=\"forminator-form-144__field--select-166_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Oy\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-166_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-166\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-166_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Oy\u00f3n\"  data-calculation=\"0\">Oy\u00f3n<\/option><option value=\"Andajes\"  data-calculation=\"0\">Andajes<\/option><option value=\"Caujul\"  data-calculation=\"0\">Caujul<\/option><option value=\"Cochamarca\"  data-calculation=\"0\">Cochamarca<\/option><option value=\"Nav\u00e1n\"  data-calculation=\"0\">Nav\u00e1n<\/option><option value=\"Pachangara\"  data-calculation=\"0\">Pachangara<\/option><\/select><\/div><\/div><div id=\"select-167\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-167_6a2384318a8f0\" id=\"forminator-form-144__field--select-167_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Yauyos* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-167_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-167\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-167_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yauyos\"  data-calculation=\"0\">Yauyos<\/option><option value=\"Alis\"  data-calculation=\"0\">Alis<\/option><option value=\"Ayauca\"  data-calculation=\"0\">Ayauca<\/option><option value=\"Ayaviri\"  data-calculation=\"0\">Ayaviri<\/option><option value=\"Az\u00e1ngaro\"  data-calculation=\"0\">Az\u00e1ngaro<\/option><option value=\"Cacra\"  data-calculation=\"0\">Cacra<\/option><option value=\"Carania\"  data-calculation=\"0\">Carania<\/option><option value=\"Catahuasi\"  data-calculation=\"0\">Catahuasi<\/option><option value=\"Chocos\"  data-calculation=\"0\">Chocos<\/option><option value=\"Cochas\"  data-calculation=\"0\">Cochas<\/option><option value=\"Colonia\"  data-calculation=\"0\">Colonia<\/option><option value=\"Hongos\"  data-calculation=\"0\">Hongos<\/option><option value=\"Huampar\u00e1\"  data-calculation=\"0\">Huampar\u00e1<\/option><option value=\"Huancaya\"  data-calculation=\"0\">Huancaya<\/option><option value=\"Huang\u00e1scar\"  data-calculation=\"0\">Huang\u00e1scar<\/option><option value=\"Huant\u00e1n\"  data-calculation=\"0\">Huant\u00e1n<\/option><option value=\"Hua\u00f1ec\"  data-calculation=\"0\">Hua\u00f1ec<\/option><option value=\"Laraos\"  data-calculation=\"0\">Laraos<\/option><option value=\"Lincha\"  data-calculation=\"0\">Lincha<\/option><option value=\"Made\u00e1n\"  data-calculation=\"0\">Made\u00e1n<\/option><option value=\"Miraflores\"  data-calculation=\"0\">Miraflores<\/option><option value=\"Omas\"  data-calculation=\"0\">Omas<\/option><option value=\"Putinza\"  data-calculation=\"0\">Putinza<\/option><option value=\"Quinches\"  data-calculation=\"0\">Quinches<\/option><option value=\"Quinocay\"  data-calculation=\"0\">Quinocay<\/option><option value=\"San-Joaqu\u00edn\"  data-calculation=\"0\">San Joaqu\u00edn<\/option><option value=\"San-Pedro-de-Pilas\"  data-calculation=\"0\">San Pedro de Pilas<\/option><option value=\"Tanta\"  data-calculation=\"0\">Tanta<\/option><option value=\"Tauripampa\"  data-calculation=\"0\">Tauripampa<\/option><option value=\"Tomas\"  data-calculation=\"0\">Tomas<\/option><option value=\"Tupe\"  data-calculation=\"0\">Tupe<\/option><option value=\"V\u00ed\u00f1ac\"  data-calculation=\"0\">V\u00ed\u00f1ac<\/option><option value=\"Vitis\"  data-calculation=\"0\">Vitis<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-74\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-74_6a2384318a8f0\" id=\"forminator-form-144__field--select-74_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Loreto* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-74_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-74\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-74_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Maynas\"  data-calculation=\"0\">Maynas<\/option><option value=\"Alto-Amazonas\"  data-calculation=\"0\">Alto Amazonas<\/option><option value=\"Loreto\"  data-calculation=\"0\">Loreto<\/option><option value=\"Mariscal-Ramon-Castilla\"  data-calculation=\"0\">Mariscal Ramon Castilla<\/option><option value=\"Requena\"  data-calculation=\"0\">Requena<\/option><option value=\"Ucayali\"  data-calculation=\"0\">Ucayali<\/option><option value=\"Datem-Del-Mara\u00f1on\"  data-calculation=\"0\">Datem Del Mara\u00f1on<\/option><option value=\"Putumayo\"  data-calculation=\"0\">Putumayo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-168\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-168_6a2384318a8f0\" id=\"forminator-form-144__field--select-168_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Maynas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-168_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-168\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-168_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Iquitos\"  data-calculation=\"0\">Iquitos<\/option><option value=\"Alto-Nanay\"  data-calculation=\"0\">Alto Nanay<\/option><option value=\"Fernando-Lores\"  data-calculation=\"0\">Fernando Lores<\/option><option value=\"Indiana\"  data-calculation=\"0\">Indiana<\/option><option value=\"Las-Amazonas\"  data-calculation=\"0\">Las Amazonas<\/option><option value=\"Maz\u00e1n\"  data-calculation=\"0\">Maz\u00e1n<\/option><option value=\"Napo\"  data-calculation=\"0\">Napo<\/option><option value=\"Punchana\"  data-calculation=\"0\">Punchana<\/option><option value=\"Torres-Causana\"  data-calculation=\"0\">Torres Causana<\/option><option value=\"Bel\u00e9n\"  data-calculation=\"0\">Bel\u00e9n<\/option><option value=\"San-Juan-Bautista\"  data-calculation=\"0\">San Juan Bautista<\/option><\/select><\/div><\/div><div id=\"select-169\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-169_6a2384318a8f0\" id=\"forminator-form-144__field--select-169_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Alto Amazonas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-169_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-169\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-169_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yurimaguas\"  data-calculation=\"0\">Yurimaguas<\/option><option value=\"Balsapuerto\"  data-calculation=\"0\">Balsapuerto<\/option><option value=\"Jeberos\"  data-calculation=\"0\">Jeberos<\/option><option value=\"Lagunas\"  data-calculation=\"0\">Lagunas<\/option><option value=\"Santa-Cruz\"  data-calculation=\"0\">Santa Cruz<\/option><option value=\"Teniente-C\u00e9sar-L\u00f3pez-Rojas\"  data-calculation=\"0\">Teniente C\u00e9sar L\u00f3pez Rojas<\/option><\/select><\/div><\/div><div id=\"select-170\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-170_6a2384318a8f0\" id=\"forminator-form-144__field--select-170_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Loreto* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-170_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-170\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-170_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Nauta\"  data-calculation=\"0\">Nauta<\/option><option value=\"Urarinas\"  data-calculation=\"0\">Urarinas<\/option><option value=\"Tigre\"  data-calculation=\"0\">Tigre<\/option><option value=\"Trompeteros\"  data-calculation=\"0\">Trompeteros<\/option><option value=\"Parinari\"  data-calculation=\"0\">Parinari<\/option><\/select><\/div><\/div><div id=\"select-171\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-171_6a2384318a8f0\" id=\"forminator-form-144__field--select-171_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Mariscal Ram\u00f3n Castilla* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-171_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-171\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-171_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ram\u00f3n-Castilla\"  data-calculation=\"0\">Ram\u00f3n Castilla<\/option><option value=\"Pebas\"  data-calculation=\"0\">Pebas<\/option><option value=\"San-Pablo\"  data-calculation=\"0\">San Pablo<\/option><option value=\"Yavar\u00ed\"  data-calculation=\"0\">Yavar\u00ed<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-172\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-172_6a2384318a8f0\" id=\"forminator-form-144__field--select-172_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Requena* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-172_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-172\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-172_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Requena\"  data-calculation=\"0\">Requena<\/option><option value=\"Alto-Tapiche\"  data-calculation=\"0\">Alto Tapiche<\/option><option value=\"Capelo\"  data-calculation=\"0\">Capelo<\/option><option value=\"Emilio-San-Mart\u00edn\"  data-calculation=\"0\">Emilio San Mart\u00edn<\/option><option value=\"Maqu\u00eda\"  data-calculation=\"0\">Maqu\u00eda<\/option><option value=\"Puinahua\"  data-calculation=\"0\">Puinahua<\/option><option value=\"Saquena\"  data-calculation=\"0\">Saquena<\/option><option value=\"Sopl\u00edn\"  data-calculation=\"0\">Sopl\u00edn<\/option><option value=\"Tapiche\"  data-calculation=\"0\">Tapiche<\/option><option value=\"Jenaro-Herrera\"  data-calculation=\"0\">Jenaro Herrera<\/option><option value=\"Yaquerana\"  data-calculation=\"0\">Yaquerana<\/option><\/select><\/div><\/div><div id=\"select-173\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-173_6a2384318a8f0\" id=\"forminator-form-144__field--select-173_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ucayali* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-173_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-173\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-173_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Contamana\"  data-calculation=\"0\">Contamana<\/option><option value=\"Inahuaya\"  data-calculation=\"0\">Inahuaya<\/option><option value=\"Padre-M\u00e1rquez\"  data-calculation=\"0\">Padre M\u00e1rquez<\/option><option value=\"Pampa-Hermosa\"  data-calculation=\"0\">Pampa Hermosa<\/option><option value=\"Sarayacu\"  data-calculation=\"0\">Sarayacu<\/option><option value=\"Vargas-Guerra\"  data-calculation=\"0\">Vargas Guerra<\/option><\/select><\/div><\/div><div id=\"select-174\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-174_6a2384318a8f0\" id=\"forminator-form-144__field--select-174_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Datem del Mara\u00f1\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-174_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-174\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-174_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Barranca\"  data-calculation=\"0\">Barranca<\/option><option value=\"Cahuapanas\"  data-calculation=\"0\">Cahuapanas<\/option><option value=\"Manseriche\"  data-calculation=\"0\">Manseriche<\/option><option value=\"Morona\"  data-calculation=\"0\">Morona<\/option><option value=\"Pastaza\"  data-calculation=\"0\">Pastaza<\/option><option value=\"Andoas\"  data-calculation=\"0\">Andoas<\/option><\/select><\/div><\/div><div id=\"select-175\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-175_6a2384318a8f0\" id=\"forminator-form-144__field--select-175_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Putumayo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-175_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-175\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-175_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Putumayo\"  data-calculation=\"0\">Putumayo<\/option><option value=\"Rosa-Panduro\"  data-calculation=\"0\">Rosa Panduro<\/option><option value=\"Yaguas\"  data-calculation=\"0\">Yaguas<\/option><option value=\"Teniente-Manuel-Clavero\"  data-calculation=\"0\">Teniente Manuel Clavero<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-75\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-75_6a2384318a8f0\" id=\"forminator-form-144__field--select-75_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Madre De Dios* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-75_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-75\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-75_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Tambopata\"  data-calculation=\"0\">Tambopata<\/option><option value=\"Manu\"  data-calculation=\"0\">Manu<\/option><option value=\"Tahuamanu\"  data-calculation=\"0\">Tahuamanu<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-176\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-176_6a2384318a8f0\" id=\"forminator-form-144__field--select-176_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tambopata* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-176_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-176\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-176_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tambopata\"  data-calculation=\"0\">Tambopata<\/option><option value=\"Inambari\"  data-calculation=\"0\">Inambari<\/option><option value=\"Las-Piedras\"  data-calculation=\"0\">Las Piedras<\/option><option value=\"Laberinto\"  data-calculation=\"0\">Laberinto<\/option><\/select><\/div><\/div><div id=\"select-177\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-177_6a2384318a8f0\" id=\"forminator-form-144__field--select-177_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Manu* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-177_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-177\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-177_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Manu\"  data-calculation=\"0\">Manu<\/option><option value=\"Fitzcarrald\"  data-calculation=\"0\">Fitzcarrald<\/option><option value=\"Madre-de-Dios\"  data-calculation=\"0\">Madre de Dios<\/option><option value=\"Huepetuhe\"  data-calculation=\"0\">Huepetuhe<\/option><\/select><\/div><\/div><div id=\"select-178\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-178_6a2384318a8f0\" id=\"forminator-form-144__field--select-178_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tahuamanu* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-178_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-178\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-178_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"I\u00f1apari\"  data-calculation=\"0\">I\u00f1apari<\/option><option value=\"Iberia\"  data-calculation=\"0\">Iberia<\/option><option value=\"Tahuamanu\"  data-calculation=\"0\">Tahuamanu<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-76\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-76_6a2384318a8f0\" id=\"forminator-form-144__field--select-76_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Moquegua* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-76_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-76\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-76_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Mariscal-Nieto\"  data-calculation=\"0\">Mariscal Nieto<\/option><option value=\"General-Sanchez-Cerro\"  data-calculation=\"0\">General Sanchez Cerro<\/option><option value=\"Ilo\"  data-calculation=\"0\">Ilo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-179\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-179_6a2384318a8f0\" id=\"forminator-form-144__field--select-179_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Mariscal Nieto* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-179_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-179\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-179_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Moquegua\"  data-calculation=\"0\">Moquegua<\/option><option value=\"Carumas\"  data-calculation=\"0\">Carumas<\/option><option value=\"Cuchumbaya\"  data-calculation=\"0\">Cuchumbaya<\/option><option value=\"Samegua\"  data-calculation=\"0\">Samegua<\/option><option value=\"San-Crist\u00f3bal-de-Calacoa\"  data-calculation=\"0\">San Crist\u00f3bal de Calacoa<\/option><option value=\"Torata\"  data-calculation=\"0\">Torata<\/option><option value=\"San-Antonio\"  data-calculation=\"0\">San Antonio<\/option><\/select><\/div><\/div><div id=\"select-180\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-180_6a2384318a8f0\" id=\"forminator-form-144__field--select-180_6a2384318a8f0-label\" class=\"forminator-label\">Distrito General S\u00e1nchez Cerro* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-180_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-180\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-180_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Omate\"  data-calculation=\"0\">Omate<\/option><option value=\"Chojata\"  data-calculation=\"0\">Chojata<\/option><option value=\"Coalaque\"  data-calculation=\"0\">Coalaque<\/option><option value=\"Ichu\u00f1a\"  data-calculation=\"0\">Ichu\u00f1a<\/option><option value=\"La-Capilla\"  data-calculation=\"0\">La Capilla<\/option><option value=\"Lloque\"  data-calculation=\"0\">Lloque<\/option><option value=\"Matalaque\"  data-calculation=\"0\">Matalaque<\/option><option value=\"Puquina\"  data-calculation=\"0\">Puquina<\/option><option value=\"Quinistaquillas\"  data-calculation=\"0\">Quinistaquillas<\/option><option value=\"Ubinas\"  data-calculation=\"0\">Ubinas<\/option><option value=\"Yunga\"  data-calculation=\"0\">Yunga<\/option><\/select><\/div><\/div><div id=\"select-181\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-181_6a2384318a8f0\" id=\"forminator-form-144__field--select-181_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ilo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-181_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-181\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-181_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ilo\"  data-calculation=\"0\">Ilo<\/option><option value=\"El-Algarrobal\"  data-calculation=\"0\">El Algarrobal<\/option><option value=\"Pacocha\"  data-calculation=\"0\">Pacocha<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-77\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-77_6a2384318a8f0\" id=\"forminator-form-144__field--select-77_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Pasco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-77_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-77\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-77_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Pasco\"  data-calculation=\"0\">Pasco<\/option><option value=\"Daniel-Alcides-Carri\u00f3n\"  data-calculation=\"0\">Daniel Alcides Carri\u00f3n<\/option><option value=\"Oxapampa\"  data-calculation=\"0\">Oxapampa<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-182\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-182_6a2384318a8f0\" id=\"forminator-form-144__field--select-182_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pasco* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-182_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-182\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-182_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chaupimarca\"  data-calculation=\"0\">Chaupimarca<\/option><option value=\"Huach\u00f3n\"  data-calculation=\"0\">Huach\u00f3n<\/option><option value=\"Huariaca\"  data-calculation=\"0\">Huariaca<\/option><option value=\"Huayllay\"  data-calculation=\"0\">Huayllay<\/option><option value=\"Ninacaca\"  data-calculation=\"0\">Ninacaca<\/option><option value=\"Pallanchacra\"  data-calculation=\"0\">Pallanchacra<\/option><option value=\"Paucartambo\"  data-calculation=\"0\">Paucartambo<\/option><option value=\"San-Francisco-de-As\u00eds-de-Yarusyac\u00e1n\"  data-calculation=\"0\">San Francisco de As\u00eds de Yarusyac\u00e1n<\/option><option value=\"Sim\u00f3n-Bol\u00edvar\"  data-calculation=\"0\">Sim\u00f3n Bol\u00edvar<\/option><option value=\"Ticlacay\u00e1n\"  data-calculation=\"0\">Ticlacay\u00e1n<\/option><option value=\"Tinyahuarco\"  data-calculation=\"0\">Tinyahuarco<\/option><option value=\"Vicco\"  data-calculation=\"0\">Vicco<\/option><option value=\"Yanacancha\"  data-calculation=\"0\">Yanacancha<\/option><\/select><\/div><\/div><div id=\"select-183\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-183_6a2384318a8f0\" id=\"forminator-form-144__field--select-183_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Daniel Alcides Carri\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-183_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-183\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-183_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yanahuanca\"  data-calculation=\"0\">Yanahuanca<\/option><option value=\"Chacay\u00e1n\"  data-calculation=\"0\">Chacay\u00e1n<\/option><option value=\"Goyllarisquizga\"  data-calculation=\"0\">Goyllarisquizga<\/option><option value=\"P\u00e1ucar\"  data-calculation=\"0\">P\u00e1ucar<\/option><option value=\"San-Pedro-de-Pillao\"  data-calculation=\"0\">San Pedro de Pillao<\/option><option value=\"Santa-Ana-de-Tusi\"  data-calculation=\"0\">Santa Ana de Tusi<\/option><option value=\"T\u00e1puc\"  data-calculation=\"0\">T\u00e1puc<\/option><option value=\"Vilcabamba\"  data-calculation=\"0\">Vilcabamba<\/option><\/select><\/div><\/div><div id=\"select-184\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-184_6a2384318a8f0\" id=\"forminator-form-144__field--select-184_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Oxapampa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-184_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-184\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-184_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Oxapampa\"  data-calculation=\"0\">Oxapampa<\/option><option value=\"Chontabamba\"  data-calculation=\"0\">Chontabamba<\/option><option value=\"Constituci\u00f3n\"  data-calculation=\"0\">Constituci\u00f3n<\/option><option value=\"Huancabamba\"  data-calculation=\"0\">Huancabamba<\/option><option value=\"Palcaz\u00fa\"  data-calculation=\"0\">Palcaz\u00fa<\/option><option value=\"Pozuzo\"  data-calculation=\"0\">Pozuzo<\/option><option value=\"Puerto-Berm\u00fadez\"  data-calculation=\"0\">Puerto Berm\u00fadez<\/option><option value=\"Villa-Rica\"  data-calculation=\"0\">Villa Rica<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-78\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-78_6a2384318a8f0\" id=\"forminator-form-144__field--select-78_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Piura* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-78_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-78\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-78_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Piura\"  data-calculation=\"0\">Piura<\/option><option value=\"Ayabaca\"  data-calculation=\"0\">Ayabaca<\/option><option value=\"Huancabamba\"  data-calculation=\"0\">Huancabamba<\/option><option value=\"Morropon\"  data-calculation=\"0\">Morropon<\/option><option value=\"Paita\"  data-calculation=\"0\">Paita<\/option><option value=\"Sullana\"  data-calculation=\"0\">Sullana<\/option><option value=\"Talara\"  data-calculation=\"0\">Talara<\/option><option value=\"Sechura\"  data-calculation=\"0\">Sechura<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-185\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-185_6a2384318a8f0\" id=\"forminator-form-144__field--select-185_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Piura* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-185_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-185\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-185_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Piura\"  data-calculation=\"0\">Piura<\/option><option value=\"Castilla\"  data-calculation=\"0\">Castilla<\/option><option value=\"Catacaos\"  data-calculation=\"0\">Catacaos<\/option><option value=\"Cura-Mori\"  data-calculation=\"0\">Cura Mori<\/option><option value=\"El-Tall\u00e1n\"  data-calculation=\"0\">El Tall\u00e1n<\/option><option value=\"La-Arena\"  data-calculation=\"0\">La Arena<\/option><option value=\"La-Uni\u00f3n\"  data-calculation=\"0\">La Uni\u00f3n<\/option><option value=\"Las-Lomas\"  data-calculation=\"0\">Las Lomas<\/option><option value=\"Tambogrande\"  data-calculation=\"0\">Tambogrande<\/option><option value=\"Veintis\u00e9is-de-Octubre\"  data-calculation=\"0\">Veintis\u00e9is de Octubre<\/option><\/select><\/div><\/div><div id=\"select-186\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-186_6a2384318a8f0\" id=\"forminator-form-144__field--select-186_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Ayabaca* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-186_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-186\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-186_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ayabaca\"  data-calculation=\"0\">Ayabaca<\/option><option value=\"Fr\u00edas\"  data-calculation=\"0\">Fr\u00edas<\/option><option value=\"Jilil\u00ed\"  data-calculation=\"0\">Jilil\u00ed<\/option><option value=\"Lagunas\"  data-calculation=\"0\">Lagunas<\/option><option value=\"Montero\"  data-calculation=\"0\">Montero<\/option><option value=\"Pacaipampa\"  data-calculation=\"0\">Pacaipampa<\/option><option value=\"Paimas\"  data-calculation=\"0\">Paimas<\/option><option value=\"Sapillica\"  data-calculation=\"0\">Sapillica<\/option><option value=\"S\u00edcchez\"  data-calculation=\"0\">S\u00edcchez<\/option><option value=\"Suyo\"  data-calculation=\"0\">Suyo<\/option><\/select><\/div><\/div><div id=\"select-187\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-187_6a2384318a8f0\" id=\"forminator-form-144__field--select-187_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huancabamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-187_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-187\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-187_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Huancabamba\"  data-calculation=\"0\">Huancabamba<\/option><option value=\"Canchaque\"  data-calculation=\"0\">Canchaque<\/option><option value=\"El-Carmen-de-la-Frontera\"  data-calculation=\"0\">El Carmen de la Frontera<\/option><option value=\"Huarmaca\"  data-calculation=\"0\">Huarmaca<\/option><option value=\"Lalaquiz\"  data-calculation=\"0\">Lalaquiz<\/option><option value=\"San-Miguel-de-El-Faique\"  data-calculation=\"0\">San Miguel de El Faique<\/option><option value=\"S\u00f3ndor\"  data-calculation=\"0\">S\u00f3ndor<\/option><option value=\"Sondorillo\"  data-calculation=\"0\">Sondorillo<\/option><\/select><\/div><\/div><div id=\"select-188\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-188_6a2384318a8f0\" id=\"forminator-form-144__field--select-188_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Morrop\u00f3n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-188_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-188\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-188_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Chulucanas\"  data-calculation=\"0\">Chulucanas<\/option><option value=\"Buenos-Aires\"  data-calculation=\"0\">Buenos Aires<\/option><option value=\"Chalaco\"  data-calculation=\"0\">Chalaco<\/option><option value=\"La-Matanza\"  data-calculation=\"0\">La Matanza<\/option><option value=\"Morrop\u00f3n\"  data-calculation=\"0\">Morrop\u00f3n<\/option><option value=\"Salitral\"  data-calculation=\"0\">Salitral<\/option><option value=\"San-Juan-de-Bigote\"  data-calculation=\"0\">San Juan de Bigote<\/option><option value=\"Santa-Catalina-de-Mossa\"  data-calculation=\"0\">Santa Catalina de Mossa<\/option><option value=\"Santo-Domingo\"  data-calculation=\"0\">Santo Domingo<\/option><option value=\"Yamango\"  data-calculation=\"0\">Yamango<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-189\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-189_6a2384318a8f0\" id=\"forminator-form-144__field--select-189_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Paita* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-189_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-189\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-189_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Paita\"  data-calculation=\"0\">Paita<\/option><option value=\"Amotape\"  data-calculation=\"0\">Amotape<\/option><option value=\"Col\u00e1n\"  data-calculation=\"0\">Col\u00e1n<\/option><option value=\"El-Arenal\"  data-calculation=\"0\">El Arenal<\/option><option value=\"La-Huaca\"  data-calculation=\"0\">La Huaca<\/option><option value=\"Tamarindo\"  data-calculation=\"0\">Tamarindo<\/option><option value=\"Vichayal\"  data-calculation=\"0\">Vichayal<\/option><\/select><\/div><\/div><div id=\"select-190\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-190_6a2384318a8f0\" id=\"forminator-form-144__field--select-190_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Sullana* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-190_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-190\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-190_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Sullana\"  data-calculation=\"0\">Sullana<\/option><option value=\"Bellavista\"  data-calculation=\"0\">Bellavista<\/option><option value=\"Marcavelica\"  data-calculation=\"0\">Marcavelica<\/option><option value=\"Salitral\"  data-calculation=\"0\">Salitral<\/option><option value=\"Querecotillo\"  data-calculation=\"0\">Querecotillo<\/option><option value=\"Lancones\"  data-calculation=\"0\">Lancones<\/option><option value=\"Ignacio-Escudero\"  data-calculation=\"0\">Ignacio Escudero<\/option><option value=\"Miguel-Checa\"  data-calculation=\"0\">Miguel Checa<\/option><\/select><\/div><\/div><div id=\"select-191\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-191_6a2384318a8f0\" id=\"forminator-form-144__field--select-191_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Talara* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-191_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-191\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-191_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Pari\u00f1as\"  data-calculation=\"0\">Pari\u00f1as<\/option><option value=\"El-Alto\"  data-calculation=\"0\">El Alto<\/option><option value=\"La-Brea\"  data-calculation=\"0\">La Brea<\/option><option value=\"Lobitos\"  data-calculation=\"0\">Lobitos<\/option><option value=\"Los-\u00d3rganos\"  data-calculation=\"0\">Los \u00d3rganos<\/option><option value=\"M\u00e1ncora\"  data-calculation=\"0\">M\u00e1ncora<\/option><\/select><\/div><\/div><div id=\"select-192\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-192_6a2384318a8f0\" id=\"forminator-form-144__field--select-192_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Sechura* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-192_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-192\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-192_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Sechura\"  data-calculation=\"0\">Sechura<\/option><option value=\"Bellavista-de-la-Uni\u00f3n\"  data-calculation=\"0\">Bellavista de la Uni\u00f3n<\/option><option value=\"Bernal\"  data-calculation=\"0\">Bernal<\/option><option value=\"Cristo-Nos-Valga\"  data-calculation=\"0\">Cristo Nos Valga<\/option><option value=\"Rinconada-Ll\u00edcuar\"  data-calculation=\"0\">Rinconada-Ll\u00edcuar<\/option><option value=\"Vice\"  data-calculation=\"0\">Vice<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-79\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-79_6a2384318a8f0\" id=\"forminator-form-144__field--select-79_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Puno* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-79_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-79\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-79_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Puno\"  data-calculation=\"0\">Puno<\/option><option value=\"Azangaro\"  data-calculation=\"0\">Azangaro<\/option><option value=\"Carabaya\"  data-calculation=\"0\">Carabaya<\/option><option value=\"Chucuito\"  data-calculation=\"0\">Chucuito<\/option><option value=\"El-Collao\"  data-calculation=\"0\">El Collao<\/option><option value=\"Huancane\"  data-calculation=\"0\">Huancane<\/option><option value=\"Lampa\"  data-calculation=\"0\">Lampa<\/option><option value=\"Melgar\"  data-calculation=\"0\">Melgar<\/option><option value=\"Moho\"  data-calculation=\"0\">Moho<\/option><option value=\"San-Antonio-De-Putina\"  data-calculation=\"0\">San Antonio De Putina<\/option><option value=\"San-Roman\"  data-calculation=\"0\">San Roman<\/option><option value=\"Sandia\"  data-calculation=\"0\">Sandia<\/option><option value=\"Yunguyo\"  data-calculation=\"0\">Yunguyo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-193\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-193_6a2384318a8f0\" id=\"forminator-form-144__field--select-193_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Puno* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-193_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-193\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-193_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"\u00c1cora\"  data-calculation=\"0\">\u00c1cora<\/option><option value=\"Amantan\u00ed\"  data-calculation=\"0\">Amantan\u00ed<\/option><option value=\"Atuncolla\"  data-calculation=\"0\">Atuncolla<\/option><option value=\"Capachica\"  data-calculation=\"0\">Capachica<\/option><option value=\"Chucuito\"  data-calculation=\"0\">Chucuito<\/option><option value=\"Coata\"  data-calculation=\"0\">Coata<\/option><option value=\"Huata\"  data-calculation=\"0\">Huata<\/option><option value=\"Ma\u00f1azo\"  data-calculation=\"0\">Ma\u00f1azo<\/option><option value=\"Paucarcolla\"  data-calculation=\"0\">Paucarcolla<\/option><option value=\"Pichacani\"  data-calculation=\"0\">Pichacani<\/option><option value=\"Plater\u00eda\"  data-calculation=\"0\">Plater\u00eda<\/option><option value=\"Puno\"  data-calculation=\"0\">Puno<\/option><option value=\"San-Antonio\"  data-calculation=\"0\">San Antonio<\/option><option value=\"Tiquillaca\"  data-calculation=\"0\">Tiquillaca<\/option><option value=\"Vilque\"  data-calculation=\"0\">Vilque<\/option><\/select><\/div><\/div><div id=\"select-194\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-194_6a2384318a8f0\" id=\"forminator-form-144__field--select-194_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Az\u00e1ngaro* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-194_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-194\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-194_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Az\u00e1ngaro\"  data-calculation=\"0\">Az\u00e1ngaro<\/option><option value=\"Achaya\"  data-calculation=\"0\">Achaya<\/option><option value=\"Arapa\"  data-calculation=\"0\">Arapa<\/option><option value=\"Asillo\"  data-calculation=\"0\">Asillo<\/option><option value=\"Caminaca\"  data-calculation=\"0\">Caminaca<\/option><option value=\"Chupa\"  data-calculation=\"0\">Chupa<\/option><option value=\"Jos\u00e9-Domingo-Choquehuanca\"  data-calculation=\"0\">Jos\u00e9 Domingo Choquehuanca<\/option><option value=\"Mu\u00f1ani\"  data-calculation=\"0\">Mu\u00f1ani<\/option><option value=\"Potoni\"  data-calculation=\"0\">Potoni<\/option><option value=\"Sam\u00e1n\"  data-calculation=\"0\">Sam\u00e1n<\/option><option value=\"San-Ant\u00f3n\"  data-calculation=\"0\">San Ant\u00f3n<\/option><option value=\"San-Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><option value=\"San-Juan-de-Salinas\"  data-calculation=\"0\">San Juan de Salinas<\/option><option value=\"Santiago-de-Pupuja\"  data-calculation=\"0\">Santiago de Pupuja<\/option><option value=\"Tirapata\"  data-calculation=\"0\">Tirapata<\/option><\/select><\/div><\/div><div id=\"select-195\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-195_6a2384318a8f0\" id=\"forminator-form-144__field--select-195_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Carabaya* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-195_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-195\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-195_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ajoyani\"  data-calculation=\"0\">Ajoyani<\/option><option value=\"Ayapata\"  data-calculation=\"0\">Ayapata<\/option><option value=\"Coasa\"  data-calculation=\"0\">Coasa<\/option><option value=\"Corani\"  data-calculation=\"0\">Corani<\/option><option value=\"Crucero\"  data-calculation=\"0\">Crucero<\/option><option value=\"Ituata\"  data-calculation=\"0\">Ituata<\/option><option value=\"Macusani\"  data-calculation=\"0\">Macusani<\/option><option value=\"Ollachea\"  data-calculation=\"0\">Ollachea<\/option><option value=\"Gab\u00e1n\"  data-calculation=\"0\">San Gab\u00e1n<\/option><option value=\"Usicayos\"  data-calculation=\"0\">Usicayos<\/option><\/select><\/div><\/div><div id=\"select-196\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-196_6a2384318a8f0\" id=\"forminator-form-144__field--select-196_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Chucuito* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-196_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-196\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-196_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Juli\"  data-calculation=\"0\">Juli<\/option><option value=\"Desaguadero\"  data-calculation=\"0\">Desaguadero<\/option><option value=\"Huacullani\"  data-calculation=\"0\">Huacullani<\/option><option value=\"Kelluyo\"  data-calculation=\"0\">Kelluyo<\/option><option value=\"Pisacoma\"  data-calculation=\"0\">Pisacoma<\/option><option value=\"Pomata\"  data-calculation=\"0\">Pomata<\/option><option value=\"Zepita\"  data-calculation=\"0\">Zepita<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-197\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-197_6a2384318a8f0\" id=\"forminator-form-144__field--select-197_6a2384318a8f0-label\" class=\"forminator-label\">Distrito El Collao* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-197_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-197\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-197_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Capaso\"  data-calculation=\"0\">Capaso<\/option><option value=\"Conduriri\"  data-calculation=\"0\">Conduriri<\/option><option value=\"lave\"  data-calculation=\"0\">Ilave<\/option><option value=\"Pilcuyo\"  data-calculation=\"0\">Pilcuyo<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><\/select><\/div><\/div><div id=\"select-198\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-198_6a2384318a8f0\" id=\"forminator-form-144__field--select-198_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huancan\u00e9* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-198_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-198\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-198_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Huancan\u00e9\"  data-calculation=\"0\">Huancan\u00e9<\/option><option value=\"Pusi\"  data-calculation=\"0\">Pusi<\/option><option value=\"Vilque-Chico\"  data-calculation=\"0\">Vilque Chico<\/option><option value=\"Taraco\"  data-calculation=\"0\">Taraco<\/option><option value=\"Huatasani\"  data-calculation=\"0\">Huatasani<\/option><option value=\"Inchupalla\"  data-calculation=\"0\">Inchupalla<\/option><option value=\"Rosaspata\"  data-calculation=\"0\">Rosaspata<\/option><option value=\"Cojata\"  data-calculation=\"0\">Cojata<\/option><\/select><\/div><\/div><div id=\"select-199\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-199_6a2384318a8f0\" id=\"forminator-form-144__field--select-199_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lampa* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-199_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-199\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-199_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cabanilla\"  data-calculation=\"0\">Cabanilla<\/option><option value=\"Calapuja\"  data-calculation=\"0\">Calapuja<\/option><option value=\"Lampa\"  data-calculation=\"0\">Lampa<\/option><option value=\"Nicasio\"  data-calculation=\"0\">Nicasio<\/option><option value=\"Ocuviri\"  data-calculation=\"0\">Ocuviri<\/option><option value=\"Palca\"  data-calculation=\"0\">Palca<\/option><option value=\"Parat\u00eda\"  data-calculation=\"0\">Parat\u00eda<\/option><option value=\"Pucar\u00e1\"  data-calculation=\"0\">Pucar\u00e1<\/option><option value=\"Santa-Luc\u00eda\"  data-calculation=\"0\">Santa Luc\u00eda<\/option><option value=\"Vilavila\"  data-calculation=\"0\">Vilavila<\/option><\/select><\/div><\/div><div id=\"select-200\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-200_6a2384318a8f0\" id=\"forminator-form-144__field--select-200_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Melgar* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-200_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-200\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-200_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Antauta\"  data-calculation=\"0\">Antauta<\/option><option value=\"Ayaviri\"  data-calculation=\"0\">Ayaviri<\/option><option value=\"Cupi\"  data-calculation=\"0\">Cupi<\/option><option value=\"Llalli\"  data-calculation=\"0\">Llalli<\/option><option value=\"Macari\"  data-calculation=\"0\">Macari<\/option><option value=\"Nu\u00f1oa\"  data-calculation=\"0\">Nu\u00f1oa<\/option><option value=\"Orurillo\"  data-calculation=\"0\">Orurillo<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Umachiri\"  data-calculation=\"0\">Umachiri<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-201\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-201_6a2384318a8f0\" id=\"forminator-form-144__field--select-201_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Moho* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-201_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-201\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-201_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Conima\"  data-calculation=\"0\">Conima<\/option><option value=\"Huayrapata\"  data-calculation=\"0\">Huayrapata<\/option><option value=\"Moho\"  data-calculation=\"0\">Moho<\/option><option value=\"Tilali\"  data-calculation=\"0\">Tilali<\/option><\/select><\/div><\/div><div id=\"select-202\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-202_6a2384318a8f0\" id=\"forminator-form-144__field--select-202_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Antonio de Putina* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-202_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-202\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-202_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Ananea\"  data-calculation=\"0\">Ananea<\/option><option value=\"Pedro-Vilca-Apaza\"  data-calculation=\"0\">Pedro Vilca Apaza<\/option><option value=\"Putina\"  data-calculation=\"0\">Putina<\/option><option value=\"Quilcapuncu\"  data-calculation=\"0\">Quilcapuncu<\/option><option value=\"Sina\"  data-calculation=\"0\">Sina<\/option><\/select><\/div><\/div><div id=\"select-203\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-203_6a2384318a8f0\" id=\"forminator-form-144__field--select-203_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Rom\u00e1n* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-203_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-203\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-203_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Cabana\"  data-calculation=\"0\">Cabana<\/option><option value=\"Cabanillas\"  data-calculation=\"0\">Cabanillas<\/option><option value=\"Caracoto\"  data-calculation=\"0\">Caracoto<\/option><option value=\"Juliaca\"  data-calculation=\"0\">Juliaca<\/option><option value=\"San-Miguel\"  data-calculation=\"0\">San Miguel<\/option><\/select><\/div><\/div><div id=\"select-204\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-204_6a2384318a8f0\" id=\"forminator-form-144__field--select-204_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Sandia* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-204_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-204\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-204_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Alto-Inambari\"  data-calculation=\"0\">Alto Inambari<\/option><option value=\"Cuyocuyo\"  data-calculation=\"0\">Cuyocuyo<\/option><option value=\"Limbani\"  data-calculation=\"0\">Limbani<\/option><option value=\"Patambuco\"  data-calculation=\"0\">Patambuco<\/option><option value=\"Quiaca\"  data-calculation=\"0\">Quiaca<\/option><option value=\"Phara\"  data-calculation=\"0\">Phara<\/option><option value=\"San-Pedro-de-Putina-Punco\"  data-calculation=\"0\">San Pedro de Putina Punco<\/option><option value=\"Sandia\"  data-calculation=\"0\">Sandia<\/option><option value=\"Yanahuaya\"  data-calculation=\"0\">Yanahuaya<\/option><option value=\"San-Juan-del-Oro\"  data-calculation=\"0\">San Juan del Oro<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-205\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-205_6a2384318a8f0\" id=\"forminator-form-144__field--select-205_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Yunguyo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-205_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-205\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-205_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Yunguyo\"  data-calculation=\"0\">Yunguyo<\/option><option value=\"Anapia\"  data-calculation=\"0\">Anapia<\/option><option value=\"Copani\"  data-calculation=\"0\">Copani<\/option><option value=\"Cuturapi\"  data-calculation=\"0\">Cuturapi<\/option><option value=\"Ollaraya\"  data-calculation=\"0\">Ollaraya<\/option><option value=\"Tinicachi\"  data-calculation=\"0\">Tinicachi<\/option><option value=\"Unicachi\"  data-calculation=\"0\">Unicachi<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-80\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-80_6a2384318a8f0\" id=\"forminator-form-144__field--select-80_6a2384318a8f0-label\" class=\"forminator-label\">Provincia San Mart\u00edn* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-80_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-80\" data-default-value=\"Provincia*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-80_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Provincia*\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Moyobamba\"  data-calculation=\"0\">Moyobamba<\/option><option value=\"Bellavista\"  data-calculation=\"0\">Bellavista<\/option><option value=\"El-Dorado\"  data-calculation=\"0\">El Dorado<\/option><option value=\"Huallaga\"  data-calculation=\"0\">Huallaga<\/option><option value=\"Lamas\"  data-calculation=\"0\">Lamas<\/option><option value=\"Mariscal-Caceres\"  data-calculation=\"0\">Mariscal Caceres<\/option><option value=\"Picota\"  data-calculation=\"0\">Picota<\/option><option value=\"Rioja\"  data-calculation=\"0\">Rioja<\/option><option value=\"San-Martin\"  data-calculation=\"0\">San Martin<\/option><option value=\"Tocache\"  data-calculation=\"0\">Tocache<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-206\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-206_6a2384318a8f0\" id=\"forminator-form-144__field--select-206_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Moyobamba* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-206_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-206\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-206_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Moyobamba\"  data-calculation=\"0\">Moyobamba<\/option><option value=\"Calzada\"  data-calculation=\"0\">Calzada<\/option><option value=\"Habana\"  data-calculation=\"0\">Habana<\/option><option value=\"Jepelacio\"  data-calculation=\"0\">Jepelacio<\/option><option value=\"Soritor\"  data-calculation=\"0\">Soritor<\/option><option value=\"Yantal\u00f3\"  data-calculation=\"0\">Yantal\u00f3<\/option><\/select><\/div><\/div><div id=\"select-207\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-207_6a2384318a8f0\" id=\"forminator-form-144__field--select-207_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Bellavista* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-207_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-207\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-207_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Bellavista\"  data-calculation=\"0\">Bellavista<\/option><option value=\"Alto-Biavo\"  data-calculation=\"0\">Alto Biavo<\/option><option value=\"Bajo-Biavo\"  data-calculation=\"0\">Bajo Biavo<\/option><option value=\"Huallaga\"  data-calculation=\"0\">Huallaga<\/option><option value=\"San-Pablo\"  data-calculation=\"0\">San Pablo<\/option><option value=\"San-Rafael\"  data-calculation=\"0\">San Rafael<\/option><\/select><\/div><\/div><div id=\"select-208\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-208_6a2384318a8f0\" id=\"forminator-form-144__field--select-208_6a2384318a8f0-label\" class=\"forminator-label\">Distrito El Dorado* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-208_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-208\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-208_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"San-Jos\u00e9-de-Sisa\"  data-calculation=\"0\">San Jos\u00e9 de Sisa<\/option><option value=\"Agua-Blanca\"  data-calculation=\"0\">Agua Blanca<\/option><option value=\"San-Mart\u00edn\"  data-calculation=\"0\">San Mart\u00edn<\/option><option value=\"Santa-Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><option value=\"Shatoja\"  data-calculation=\"0\">Shatoja<\/option><\/select><\/div><\/div><div id=\"select-209\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-209_6a2384318a8f0\" id=\"forminator-form-144__field--select-209_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Huallaga* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-209_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-209\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-209_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Alto-Saposoa\"  data-calculation=\"0\">Alto Saposoa<\/option><option value=\"Saposoa\"  data-calculation=\"0\">Saposoa<\/option><option value=\"Piscoyacu\"  data-calculation=\"0\">Piscoyacu<\/option><option value=\"Eslab\u00f3n\"  data-calculation=\"0\">Eslab\u00f3n<\/option><option value=\"Sacanche\"  data-calculation=\"0\">Sacanche<\/option><option value=\"Tingo-de-Saposoa\"  data-calculation=\"0\">Tingo de Saposoa<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-210\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-210_6a2384318a8f0\" id=\"forminator-form-144__field--select-210_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Lamas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-210_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-210\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-210_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Lamas\"  data-calculation=\"0\">Lamas<\/option><option value=\"Alonso-de-Alvarado\"  data-calculation=\"0\">Alonso de Alvarado<\/option><option value=\"Barranquita\"  data-calculation=\"0\">Barranquita<\/option><option value=\"Caynarachi\"  data-calculation=\"0\">Caynarachi<\/option><option value=\"Cu\u00f1umbuqui\"  data-calculation=\"0\">Cu\u00f1umbuqui<\/option><option value=\"Pinto-Recodo\"  data-calculation=\"0\">Pinto Recodo<\/option><option value=\"Rumisapa\"  data-calculation=\"0\">Rumisapa<\/option><option value=\"San-Roque-de-Cumbaza\"  data-calculation=\"0\">San Roque de Cumbaza<\/option><option value=\"Shanao\"  data-calculation=\"0\">Shanao<\/option><option value=\"Tabalosos\"  data-calculation=\"0\">Tabalosos<\/option><option value=\"Zapatero\"  data-calculation=\"0\">Zapatero<\/option><\/select><\/div><\/div><div id=\"select-211\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-211_6a2384318a8f0\" id=\"forminator-form-144__field--select-211_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Mariscal C\u00e1ceres* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-211_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-211\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-211_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Juanju\u00ed\"  data-calculation=\"0\">Juanju\u00ed<\/option><option value=\"Campanilla\"  data-calculation=\"0\">Campanilla<\/option><option value=\"Huicungo\"  data-calculation=\"0\">Huicungo<\/option><option value=\"Pachiza\"  data-calculation=\"0\">Pachiza<\/option><option value=\"Pajarillo\"  data-calculation=\"0\">Pajarillo<\/option><\/select><\/div><\/div><div id=\"select-212\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-212_6a2384318a8f0\" id=\"forminator-form-144__field--select-212_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Picota* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-212_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-212\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-212_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Picota\"  data-calculation=\"0\">Picota<\/option><option value=\"Buenos-Aires\"  data-calculation=\"0\">Buenos Aires<\/option><option value=\"Caspizapa\"  data-calculation=\"0\">Caspizapa<\/option><option value=\"Pilluana\"  data-calculation=\"0\">Pilluana<\/option><option value=\"Pucacaca\"  data-calculation=\"0\">Pucacaca<\/option><option value=\"San-Crist\u00f3bal\"  data-calculation=\"0\">San Crist\u00f3bal<\/option><option value=\"San-Hilari\u00f3n\"  data-calculation=\"0\">San Hilari\u00f3n<\/option><option value=\"Shamboyacu\"  data-calculation=\"0\">Shamboyacu<\/option><option value=\"Tingo-de-Ponasa\"  data-calculation=\"0\">Tingo de Ponasa<\/option><option value=\"Tres-Unidos\"  data-calculation=\"0\">Tres Unidos<\/option><\/select><\/div><\/div><div id=\"select-213\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-213_6a2384318a8f0\" id=\"forminator-form-144__field--select-213_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Rioja* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-213_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-213\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-213_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Rioja\"  data-calculation=\"0\">Rioja<\/option><option value=\"Awaj\u00fan\"  data-calculation=\"0\">Awaj\u00fan<\/option><option value=\"Elias-Soplin-Vargas\"  data-calculation=\"0\">Elias Soplin Vargas<\/option><option value=\"Nueva-Cajamarca\"  data-calculation=\"0\">Nueva Cajamarca<\/option><option value=\"Pardo-Miguel\"  data-calculation=\"0\">Pardo Miguel<\/option><option value=\"P\u00f3sic\"  data-calculation=\"0\">P\u00f3sic<\/option><option value=\"San-Fernando\"  data-calculation=\"0\">San Fernando<\/option><option value=\"Yorongos\"  data-calculation=\"0\">Yorongos<\/option><option value=\"Yuracyacu\"  data-calculation=\"0\">Yuracyacu<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-214\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-214_6a2384318a8f0\" id=\"forminator-form-144__field--select-214_6a2384318a8f0-label\" class=\"forminator-label\">Distrito San Mart\u00edn* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-214_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-214\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-214_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tarapoto\"  data-calculation=\"0\">Tarapoto<\/option><option value=\"Alberto-Leveau\"  data-calculation=\"0\">Alberto Leveau<\/option><option value=\"Cacatachi\"  data-calculation=\"0\">Cacatachi<\/option><option value=\"Chazuta\"  data-calculation=\"0\">Chazuta<\/option><option value=\"hipurana\"  data-calculation=\"0\">Chipurana<\/option><option value=\"El-Porvenir\"  data-calculation=\"0\">El Porvenir<\/option><option value=\"Huimbayoc\"  data-calculation=\"0\">Huimbayoc<\/option><option value=\"Juan-Guerra\"  data-calculation=\"0\">Juan Guerra<\/option><option value=\"La-Banda-de-Shilcayo\"  data-calculation=\"0\">La Banda de Shilcayo<\/option><option value=\"Morales\"  data-calculation=\"0\">Morales<\/option><option value=\"Papaplaya\"  data-calculation=\"0\">Papaplaya<\/option><option value=\"San-Antonio\"  data-calculation=\"0\">San Antonio<\/option><option value=\"Sauce\"  data-calculation=\"0\">Sauce<\/option><option value=\"Shapaja\"  data-calculation=\"0\">Shapaja<\/option><\/select><\/div><\/div><div id=\"select-215\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-215_6a2384318a8f0\" id=\"forminator-form-144__field--select-215_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tocache* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-215_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-215\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-215_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tocache\"  data-calculation=\"0\">Tocache<\/option><option value=\"Nuevo-Progreso\"  data-calculation=\"0\">Nuevo Progreso<\/option><option value=\"P\u00f3lvora\"  data-calculation=\"0\">P\u00f3lvora<\/option><option value=\"Santa-Luc\u00eda\"  data-calculation=\"0\">Santa Luc\u00eda<\/option><option value=\"Shunt\u00e9\"  data-calculation=\"0\">Shunt\u00e9<\/option><option value=\"Uchiza\"  data-calculation=\"0\">Uchiza<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-81\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-81_6a2384318a8f0\" id=\"forminator-form-144__field--select-81_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Tacna* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-81_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-81\" data-default-value=\"Provincia*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-81_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Provincia*\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Tacna\"  data-calculation=\"0\">Tacna<\/option><option value=\"Candarave\"  data-calculation=\"0\">Candarave<\/option><option value=\"Jorge-Basadre\"  data-calculation=\"0\">Jorge Basadre<\/option><option value=\"Tarata\"  data-calculation=\"0\">Tarata<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-216\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-216_6a2384318a8f0\" id=\"forminator-form-144__field--select-216_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tacna* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-216_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-216\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-216_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tacna\"  data-calculation=\"0\">Tacna<\/option><option value=\"Alto-de-la-Alianza\"  data-calculation=\"0\">Alto de la Alianza<\/option><option value=\"Calana\"  data-calculation=\"0\">Calana<\/option><option value=\"Ciudad-Nueva\"  data-calculation=\"0\">Ciudad Nueva<\/option><option value=\"Incl\u00e1n\"  data-calculation=\"0\">Incl\u00e1n<\/option><option value=\"Pach\u00eda\"  data-calculation=\"0\">Pach\u00eda<\/option><option value=\"Palca\"  data-calculation=\"0\">Palca<\/option><option value=\"Pocollay\"  data-calculation=\"0\">Pocollay<\/option><option value=\"Sama\"  data-calculation=\"0\">Sama<\/option><option value=\"Gregorio-Albarrac\u00edn\"  data-calculation=\"0\">Gregorio Albarrac\u00edn<\/option><option value=\"La-Yarada-Los-Palos\"  data-calculation=\"0\">La Yarada-Los Palos<\/option><\/select><\/div><\/div><div id=\"select-217\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-217_6a2384318a8f0\" id=\"forminator-form-144__field--select-217_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Candarave* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-217_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-217\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-217_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Candarave\"  data-calculation=\"0\">Candarave<\/option><option value=\"Cairani\"  data-calculation=\"0\">Cairani<\/option><option value=\"Camilaca\"  data-calculation=\"0\">Camilaca<\/option><option value=\"Curibaya\"  data-calculation=\"0\">Curibaya<\/option><option value=\"Huanuara\"  data-calculation=\"0\">Huanuara<\/option><option value=\"Quilahuani\"  data-calculation=\"0\">Quilahuani<\/option><\/select><\/div><\/div><div id=\"select-218\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-218_6a2384318a8f0\" id=\"forminator-form-144__field--select-218_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Jorge Basadre* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-218_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-218\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-218_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Locumba\"  data-calculation=\"0\">Locumba<\/option><option value=\"Ilabaya\"  data-calculation=\"0\">Ilabaya<\/option><option value=\"Ite\"  data-calculation=\"0\">Ite<\/option><\/select><\/div><\/div><div id=\"select-219\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-219_6a2384318a8f0\" id=\"forminator-form-144__field--select-219_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tarata* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-219_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-219\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-219_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tarata\"  data-calculation=\"0\">Tarata<\/option><option value=\"H\u00e9roes-Albarrac\u00edn\"  data-calculation=\"0\">H\u00e9roes Albarrac\u00edn<\/option><option value=\"Estique\"  data-calculation=\"0\">Estique<\/option><option value=\"Estique-Pampa\"  data-calculation=\"0\">Estique Pampa<\/option><option value=\"Sitajara\"  data-calculation=\"0\">Sitajara<\/option><option value=\"Susapaya\"  data-calculation=\"0\">Susapaya<\/option><option value=\"Tarucachi\"  data-calculation=\"0\">Tarucachi<\/option><option value=\"Ticaco\"  data-calculation=\"0\">Ticaco<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-82\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-82_6a2384318a8f0\" id=\"forminator-form-144__field--select-82_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Tumbes* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-82_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-82\" data-default-value=\"Provincia*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-82_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Provincia*\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Tumbes\"  data-calculation=\"0\">Tumbes<\/option><option value=\"Contralmirante-Villar\"  data-calculation=\"0\">Contralmirante Villar<\/option><option value=\"Zarumilla\"  data-calculation=\"0\">Zarumilla<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-220\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-220_6a2384318a8f0\" id=\"forminator-form-144__field--select-220_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Tumbes* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-220_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-220\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-220_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Tumbes\"  data-calculation=\"0\">Tumbes<\/option><option value=\"Corrales\"  data-calculation=\"0\">Corrales<\/option><option value=\"La-Cruz\"  data-calculation=\"0\">La Cruz<\/option><option value=\"Pampas-de-Hospital\"  data-calculation=\"0\">Pampas de Hospital<\/option><option value=\"San-Jacinto\"  data-calculation=\"0\">San Jacinto<\/option><option value=\"San-Juan-de-la-Virgen\"  data-calculation=\"0\">San Juan de la Virgen<\/option><\/select><\/div><\/div><div id=\"select-221\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-221_6a2384318a8f0\" id=\"forminator-form-144__field--select-221_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Zarumilla* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-221_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-221\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-221_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Zarumilla\"  data-calculation=\"0\">Zarumilla<\/option><option value=\"Aguas-Verdes\"  data-calculation=\"0\">Aguas Verdes<\/option><option value=\"Papayal\"  data-calculation=\"0\">Papayal<\/option><option value=\"Matapalo\"  data-calculation=\"0\">Matapalo<\/option><\/select><\/div><\/div><div id=\"select-222\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-222_6a2384318a8f0\" id=\"forminator-form-144__field--select-222_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Contralmirante Villar* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-222_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-222\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-222_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Zorritos\"  data-calculation=\"0\">Zorritos<\/option><option value=\"Casitas\"  data-calculation=\"0\">Casitas<\/option><option value=\"Canoas-de-Punta-Sal\"  data-calculation=\"0\">Canoas de Punta Sal<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-83\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-83_6a2384318a8f0\" id=\"forminator-form-144__field--select-83_6a2384318a8f0-label\" class=\"forminator-label\">Provincia Ucayali* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-83_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-83\" data-default-value=\"Provincia*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-83_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Provincia*\" selected=\"selected\" data-calculation=\"0\">Provincia*<\/option><option value=\"Coronel-Portillo\"  data-calculation=\"0\">Coronel Portillo<\/option><option value=\"Atalaya\"  data-calculation=\"0\">Atalaya<\/option><option value=\"Padre-Abad\"  data-calculation=\"0\">Padre Abad<\/option><option value=\"Pur\u00fas\"  data-calculation=\"0\">Pur\u00fas<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-223\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-223_6a2384318a8f0\" id=\"forminator-form-144__field--select-223_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Coronel Portillo* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-223_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-223\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-223_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Caller\u00eda\"  data-calculation=\"0\">Caller\u00eda<\/option><option value=\"Masisea\"  data-calculation=\"0\">Masisea<\/option><option value=\"Ipar\u00eda\"  data-calculation=\"0\">Ipar\u00eda<\/option><option value=\"Tahuan\u00eda\"  data-calculation=\"0\">Tahuan\u00eda<\/option><option value=\"Raimondi\"  data-calculation=\"0\">Raimondi<\/option><option value=\"Yur\u00faa\"  data-calculation=\"0\">Yur\u00faa<\/option><option value=\"Pur\u00fas\"  data-calculation=\"0\">Pur\u00fas<\/option><\/select><\/div><\/div><div id=\"select-224\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-224_6a2384318a8f0\" id=\"forminator-form-144__field--select-224_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Atalaya* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-224_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-224\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-224_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Raimondi\"  data-calculation=\"0\">Raimondi<\/option><option value=\"Sepahua\"  data-calculation=\"0\">Sepahua<\/option><option value=\"Tahuan\u00eda\"  data-calculation=\"0\">Tahuan\u00eda<\/option><option value=\"Yuru\u00e1\"  data-calculation=\"0\">Yuru\u00e1<\/option><\/select><\/div><\/div><div id=\"select-225\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-225_6a2384318a8f0\" id=\"forminator-form-144__field--select-225_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Padre Abad* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-225_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-225\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-225_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Padre-Abad\"  data-calculation=\"0\">Padre Abad<\/option><option value=\"Huipoca\"  data-calculation=\"0\">Huipoca<\/option><option value=\"Boquer\u00f3n\"  data-calculation=\"0\">Boquer\u00f3n<\/option><option value=\"Ir\u00e1zola\"  data-calculation=\"0\">Ir\u00e1zola<\/option><option value=\"Curiman\u00e1\"  data-calculation=\"0\">Curiman\u00e1<\/option><option value=\"Alexander-von-Humboldt\"  data-calculation=\"0\">Alexander von Humboldt<\/option><option value=\"Neshuya\"  data-calculation=\"0\">Neshuya<\/option><\/select><\/div><\/div><div id=\"select-226\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-226_6a2384318a8f0\" id=\"forminator-form-144__field--select-226_6a2384318a8f0-label\" class=\"forminator-label\">Distrito Pur\u00fas* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-226_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-226\" data-default-value=\"Distrito*\" data-hidden-behavior=\"zero\" data-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Por favor, selecciona una opci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-226_6a2384318a8f0-label\"><option value=\"\"  >Por favor, selecciona una opci\u00f3n<\/option><option value=\"Distrito*\" selected=\"selected\" data-calculation=\"0\">Distrito*<\/option><option value=\"Pur\u00fas\"  data-calculation=\"0\">Pur\u00fas<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a2384318a8f0\" id=\"forminator-field-name-1_6a2384318a8f0-label\" class=\"forminator-label\">Nombre \/ Empresa <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a2384318a8f0\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a2384318a8f0\" id=\"forminator-field-number-1_6a2384318a8f0-label\" class=\"forminator-label\">RUC \/ DNI <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_6a2384318a8f0\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a2384318a8f0\" id=\"forminator-field-phone-1_6a2384318a8f0-label\" class=\"forminator-label\">Celular <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a2384318a8f0\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"pe\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-144__field--select-3_6a2384318a8f0\" id=\"forminator-form-144__field--select-3_6a2384318a8f0-label\" class=\"forminator-label\">Tipo de operaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-144__field--select-3_6a2384318a8f0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar tipo\" data-search=\"false\" data-search-placeholder=\"Seleccionar tipo\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-144__field--select-3_6a2384318a8f0-label\"><option value=\"\"  >Seleccionar tipo<\/option><option value=\"one\"  data-calculation=\"0\">Alquiler<\/option><option value=\"two\"  data-calculation=\"0\">Venta<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a2384318a8f0\" id=\"forminator-field-email-1_6a2384318a8f0-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a2384318a8f0\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Mensaje\" id=\"forminator-field-textarea-2_6a2384318a8f0\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:100px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label for=\"forminator-field-consent-1_6a2384318a8f0\" id=\"forminator-field-consent-1_6a2384318a8f0__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a2384318a8f0\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a2384318a8f0-label\" aria-describedby=\"forminator-field-consent-1_6a2384318a8f0__description\" data-required=\"false\" aria-required=\"false\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a2384318a8f0__description\" class=\"forminator-checkbox__label forminator-consent__label\">Declaro haber leido y acepto los t\u00e9rminos establecidos en la\u00a0Politica de Protecci\u00f3n de Uso y Datos Personales.<\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0c5af88d11\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/oficinas\/wp-json\/wp\/v2\/pages\/2\" \/><input type=\"hidden\" name=\"form_id\" value=\"144\"><input type=\"hidden\" name=\"page_id\" value=\"2\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.rahiperu.com.pe\/oficinas\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n\t<div id=\"text-2622535809\" class=\"text justificado\">\n\t\t\n<p><strong>RAHI PERU<\/strong> ofrece la mejor relaci\u00f3n Precio\/Calidad, asegurando que obtengas el m\u00e1ximo beneficio por tu inversi\u00f3n, ven y experimenta con nosotros lo f\u00e1cil que es contratar a un precio justo.<\/p>\n\t\t\n<style>\n#text-2622535809 {\n  line-height: 1.2;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"video video-fit mb\" style=\"padding-top:660px;\"><div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2-1\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/rahi.mp4?_=1\" \/><a href=\"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/rahi.mp4\">https:\/\/www.rahiperu.com.pe\/oficinas\/wp-content\/uploads\/2025\/01\/rahi.mp4<\/a><\/video><\/div>\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-591443516 > .col-inner {\n  padding: 20px 20px 20px 20px;\n  border-radius: 10px;\n}\n@media (min-width:550px) {\n  #col-591443516 > .col-inner {\n    padding: 30px 30px 30px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_534688338 {\n  padding-top: 20px;\n  padding-bottom: 20px;\n}\n@media (min-width:550px) {\n  #section_534688338 {\n    padding-top: 60px;\n    padding-bottom: 60px;\n  }\n}\n@media (min-width:850px) {\n  #section_534688338 {\n    padding-top: 80px;\n    padding-bottom: 80px;\n  }\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section dark\" id=\"section_1802540492\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row align-middle\"  id=\"row-913072767\">\n\n\t<div id=\"col-2061072324\" class=\"col pb-0 medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div class=\"container section-title-container\" ><h3 class=\"section-title section-title-normal\"><b><\/b><span class=\"section-title-main\" >\u00bfDeseas que alquilar una oficina?<\/span><b><\/b><\/h3><\/div>\n<p>Ponte en contacto con nosotros de forma directa y conversa con uno de nuestros asesores.<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1530131624\" class=\"col pb-0 medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<a href=\"https:\/\/api.whatsapp.com\/send?phone=%2B51997208805&#038;context=ARCER4TT2Uox8OivMqpvHc0t5ved3cQC3JRijtULQwngmO9PQmo_UOdXDbj7eBsKDB9Clgq2gsMnBj5nrJFUyd4BFeCHPeX7fnI2cP5ObblYruhp29MsLsCl5b6ihXSPHSrKykihL4JJbOkCOEvdXgk&#038;source=FB_Page&#038;app=facebook&#038;entry_point=page_cta&#038;fbclid=IwY2xjawH016hleHRuA2FlbQIxMAABHdY2POq4zsxIxWKY3SdB4mlS7hQCbA4yDXu8UnZXhlu2Hc82GfZcjLXaUw_aem_cNDmrS9SC2iz-c3QOXaI7A\" target=\"_blank\" class=\"button secondary is-large wsapp\" rel=\"noopener\"  >\n\t<i class=\"icon-menu\" aria-hidden=\"true\" ><\/i>\t<span>Chatea con nosotros<\/span>\n\t<\/a>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1802540492 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: #bd0f36;\n}\n@media (min-width:550px) {\n  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}\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":67,"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":145,"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/pages\/2\/revisions\/145"}],"wp:attachment":[{"href":"https:\/\/www.rahiperu.com.pe\/oficinas\/wp-json\/wp\/v2\/media?parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}