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<h1>GenBank Submission Template</h1>
<form action="" method="post">
<fieldset class="legend">
<legend>Contact information</legend>
<div class="fieldset">
<div class="fline">
<div class="field required" id="field_first_name">
<label for="id_first_name"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> First (given) name</label>
<div><input type="text" name="first_name" maxlength="100" aria-required="true" id="id_first_name"></div>
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<div class="field required" id="field_last_name">
<label for="id_last_name"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Last (family) name</label>
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<div class="fline">
<div class="field required" id="field_email">
<label for="id_email"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Email (primary)</label>
<div><input type="email" name="email" maxlength="254" aria-required="true" id="id_email"></div>
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<div class="field required" id="field_institution">
<label for="id_institution"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Submitting organization</label>
<div><input type="text" name="institution" maxlength="100" aria-required="true" id="id_institution"></div>
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<div class="field required" id="field_department">
<label for="id_department"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Department</label>
<div><input type="text" name="department" maxlength="255" aria-required="true" id="id_department"></div>
</div>
</div>
<div class="fline">
<div class="field" id="field_phone">
<label for="id_phone">Phone</label>
<div class="helper"><a href="#helper_phone" class="fa fa-question-circle"><span class="sr-only">Help</span></a><div id="helper_phone"><div>Example: 001-202-000-0000 (International), 202-000-0000 (U.S.A)</div></div></div>
<div><input type="text" name="phone" maxlength="20" aria-describedby="helper_phone" id="id_phone"></div>
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<div class="field" id="field_fax">
<label for="id_fax">Fax</label>
<div class="helper"><a href="#helper_fax" class="fa fa-question-circle"><span class="sr-only">Help</span></a><div id="helper_fax"><div>Example: 001-202-000-0000 (International), 202-000-0000 (U.S.A)</div></div></div>
<div><input type="text" name="fax" maxlength="20" aria-describedby="helper_fax" id="id_fax"></div>
</div>
</div>
<div class="fline">
<div class="field required" id="field_street">
<label for="id_street"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Street</label>
<div><input type="text" name="street" maxlength="100" aria-required="true" id="id_street"></div>
</div>
<div class="field required" id="field_city">
<label for="id_city"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> City</label>
<div><input type="text" name="city" maxlength="50" aria-required="true" id="id_city"></div>
</div>
<div class="field" id="field_sub">
<label for="id_sub">State/Province</label>
<div><input type="text" name="sub" maxlength="50" id="id_sub"></div>
</div>
<div class="field required" id="field_postal_code">
<label for="id_postal_code"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Postal code</label>
<div><input type="text" name="postal_code" maxlength="20" aria-required="true" id="id_postal_code"></div>
</div>
<div class="field required" id="field_country">
<label for="id_country"><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Country</label>
<div><input type="text" name="country" aria-required="true" id="id_country"><datalist id="countries"><select><option value="Afghanistan" label="Afghanistan">Afghanistan</option><option value="Albania" label="Albania">Albania</option><option value="Algeria" label="Algeria">Algeria</option><option value="American Samoa" label="American Samoa">American Samoa</option><option value="Andorra" label="Andorra">Andorra</option><option value="Angola" label="Angola">Angola</option><option value="Anguilla" label="Anguilla">Anguilla</option><option value="Antarctica" label="Antarctica">Antarctica</option><option value="Antigua and Barbuda" label="Antigua and Barbuda">Antigua and Barbuda</option><option value="Arctic Ocean" label="Arctic Ocean">Arctic Ocean</option><option value="Argentina" label="Argentina">Argentina</option><option value="Armenia" label="Armenia">Armenia</option><option value="Aruba" label="Aruba">Aruba</option><option value="Ashmore and Cartier Islands" label="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option><option value="Atlantic Ocean" label="Atlantic Ocean">Atlantic Ocean</option><option value="Australia" label="Australia">Australia</option><option value="Austria" label="Austria">Austria</option><option value="Azerbaijan" label="Azerbaijan">Azerbaijan</option><option value="Bahamas" label="Bahamas">Bahamas</option><option value="Bahrain" label="Bahrain">Bahrain</option><option value="Baker Island" label="Baker Island">Baker Island</option><option value="Baltic Sea" label="Baltic Sea">Baltic Sea</option><option value="Bangladesh" label="Bangladesh">Bangladesh</option><option value="Barbados" label="Barbados">Barbados</option><option value="Bassas da India" label="Bassas da India">Bassas da India</option><option value="Belarus" label="Belarus">Belarus</option><option value="Belgium" label="Belgium">Belgium</option><option value="Belize" label="Belize">Belize</option><option value="Benin" label="Benin">Benin</option><option value="Bermuda" label="Bermuda">Bermuda</option><option value="Bhutan" label="Bhutan">Bhutan</option><option value="Bolivia" label="Bolivia">Bolivia</option><option value="Borneo" label="Borneo">Borneo</option><option value="Bosnia and Herzegovina" label="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana" label="Botswana">Botswana</option><option value="Bouvet Island" label="Bouvet Island">Bouvet Island</option><option value="Brazil" label="Brazil">Brazil</option><option value="British Virgin Islands" label="British Virgin Islands">British Virgin Islands</option><option value="Brunei" label="Brunei">Brunei</option><option value="Bulgaria" label="Bulgaria">Bulgaria</option><option value="Burkina Faso" label="Burkina Faso">Burkina Faso</option><option value="Burundi" label="Burundi">Burundi</option><option value="Cambodia" label="Cambodia">Cambodia</option><option value="Cameroon" label="Cameroon">Cameroon</option><option value="Canada" label="Canada">Canada</option><option value="Cape Verde" label="Cape Verde">Cape Verde</option><option value="Cayman Islands" label="Cayman Islands">Cayman Islands</option><option value="Central African Republic" label="Central African Republic">Central African Republic</option><option value="Chad" label="Chad">Chad</option><option value="Chile" label="Chile">Chile</option><option value="China" label="China">China</option><option value="Christmas Island" label="Christmas Island">Christmas Island</option><option value="Clipperton Island" label="Clipperton Island">Clipperton Island</option><option value="Cocos Islands" label="Cocos Islands">Cocos Islands</option><option value="Colombia" label="Colombia">Colombia</option><option value="Comoros" label="Comoros">Comoros</option><option value="Cook Islands" label="Cook Islands">Cook Islands</option><option value="Coral Sea Islands" label="Coral Sea Islands">Coral Sea Islands</option><option value="Costa Rica" label="Costa Rica">Costa Rica</option><option value="Cote d&#x27;Ivoire" label="Cote d&#x27;Ivoire">Cote d&#x27;Ivoire</option><option value="Croatia" label="Croatia">Croatia</option><option value="Cuba" label="Cuba">Cuba</option><option value="Curacao" label="Curacao">Curacao</option><option value="Cyprus" label="Cyprus">Cyprus</option><option value="Czech Republic" label="Czech Republic">Czech Republic</option><option value="Democratic Republic of the Congo" label="Democratic Republic of the Congo">Democratic Republic of the Congo</option><option value="Denmark" label="Denmark">Denmark</option><option value="Djibouti" label="Djibouti">Djibouti</option><option value="Dominica" label="Dominica">Dominica</option><option value="Dominican Republic" label="Dominican Republic">Dominican Republic</option><option value="Ecuador" label="Ecuador">Ecuador</option><option value="Egypt" label="Egypt">Egypt</option><option value="El Salvador" label="El Salvador">El Salvador</option><option value="Equatorial Guinea" label="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea" label="Eritrea">Eritrea</option><option value="Estonia" label="Estonia">Estonia</option><option value="Eswatini" label="Eswatini">Eswatini</option><option value="Ethiopia" label="Ethiopia">Ethiopia</option><option value="Europa Island" label="Europa Island">Europa Island</option><option value="Falkland Islands (Islas Malvinas)" label="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option><option value="Faroe Islands" label="Faroe Islands">Faroe Islands</option><option value="Fiji" label="Fiji">Fiji</option><option value="Finland" label="Finland">Finland</option><option value="France" label="France">France</option><option value="French Guiana" label="French Guiana">French Guiana</option><option value="French Polynesia" label="French Polynesia">French Polynesia</option><option value="French Southern and Antarctic Lands" label="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option><option value="Gabon" label="Gabon">Gabon</option><option value="Gambia" label="Gambia">Gambia</option><option value="Gaza Strip" label="Gaza Strip">Gaza Strip</option><option value="Georgia" label="Georgia">Georgia</option><option value="Germany" label="Germany">Germany</option><option value="Ghana" label="Ghana">Ghana</option><option value="Gibraltar" label="Gibraltar">Gibraltar</option><option value="Glorioso Islands" label="Glorioso Islands">Glorioso Islands</option><option value="Greece" label="Greece">Greece</option><option value="Greenland" label="Greenland">Greenland</option><option value="Grenada" label="Grenada">Grenada</option><option value="Guadeloupe" label="Guadeloupe">Guadeloupe</option><option value="Guam" label="Guam">Guam</option><option value="Guatemala" label="Guatemala">Guatemala</option><option value="Guernsey" label="Guernsey">Guernsey</option><option value="Guinea" label="Guinea">Guinea</option><option value="Guinea-Bissau" label="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana" label="Guyana">Guyana</option><option value="Haiti" label="Haiti">Haiti</option><option value="Heard Island and McDonald Islands" label="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Honduras" label="Honduras">Honduras</option><option value="Hong Kong" label="Hong Kong">Hong Kong</option><option value="Howland Island" label="Howland Island">Howland Island</option><option value="Hungary" label="Hungary">Hungary</option><option value="Iceland" label="Iceland">Iceland</option><option value="India" label="India">India</option><option value="Indian Ocean" label="Indian Ocean">Indian Ocean</option><option value="Indonesia" label="Indonesia">Indonesia</option><option value="Iran" label="Iran">Iran</option><option value="Iraq" label="Iraq">Iraq</option><option value="Ireland" label="Ireland">Ireland</option><option value="Isle of Man" label="Isle of Man">Isle of Man</option><option value="Israel" label="Israel">Israel</option><option value="Italy" label="Italy">Italy</option><option value="Jamaica" label="Jamaica">Jamaica</option><option value="Jan Mayen" label="Jan Mayen">Jan Mayen</option><option value="Japan" label="Japan">Japan</option><option value="Jarvis Island" label="Jarvis Island">Jarvis Island</option><option value="Jersey" label="Jersey">Jersey</option><option value="Johnston Atoll" label="Johnston Atoll">Johnston Atoll</option><option value="Jordan" label="Jordan">Jordan</option><option value="Juan de Nova Island" label="Juan de Nova Island">Juan de Nova Island</option><option value="Kazakhstan" label="Kazakhstan">Kazakhstan</option><option value="Kenya" label="Kenya">Kenya</option><option value="Kerguelen Archipelago" label="Kerguelen Archipelago">Kerguelen Archipelago</option><option value="Kingman Reef" label="Kingman Reef">Kingman Reef</option><option value="Kiribati" label="Kiribati">Kiribati</option><option value="Kosovo" label="Kosovo">Kosovo</option><option value="Kuwait" label="Kuwait">Kuwait</option><option value="Kyrgyzstan" label="Kyrgyzstan">Kyrgyzstan</option><option value="Laos" label="Laos">Laos</option><option value="Latvia" label="Latvia">Latvia</option><option value="Lebanon" label="Lebanon">Lebanon</option><option value="Lesotho" label="Lesotho">Lesotho</option><option value="Liberia" label="Liberia">Liberia</option><option value="Libya" label="Libya">Libya</option><option value="Liechtenstein" label="Liechtenstein">Liechtenstein</option><option value="Line Islands" label="Line Islands">Line Islands</option><option value="Lithuania" label="Lithuania">Lithuania</option><option value="Luxembourg" label="Luxembourg">Luxembourg</option><option value="Macau" label="Macau">Macau</option><option value="Madagascar" label="Madagascar">Madagascar</option><option value="Malawi" label="Malawi">Malawi</option><option value="Malaysia" label="Malaysia">Malaysia</option><option value="Maldives" label="Maldives">Maldives</option><option value="Mali" label="Mali">Mali</option><option value="Malta" label="Malta">Malta</option><option value="Marshall Islands" label="Marshall Islands">Marshall Islands</option><option value="Martinique" label="Martinique">Martinique</option><option value="Mauritania" label="Mauritania">Mauritania</option><option value="Mauritius" label="Mauritius">Mauritius</option><option value="Mayotte" label="Mayotte">Mayotte</option><option value="Mediterranean Sea" label="Mediterranean Sea">Mediterranean Sea</option><option value="Mexico" label="Mexico">Mexico</option><option value="Micronesia, Federated States of" label="Micronesia, Federated States of">Micronesia, Federated States of</option><option value="Midway Islands" label="Midway Islands">Midway Islands</option><option value="Moldova" label="Moldova">Moldova</option><option value="Monaco" label="Monaco">Monaco</option><option value="Mongolia" label="Mongolia">Mongolia</option><option value="Montenegro" label="Montenegro">Montenegro</option><option value="Montserrat" label="Montserrat">Montserrat</option><option value="Morocco" label="Morocco">Morocco</option><option value="Mozambique" label="Mozambique">Mozambique</option><option value="Myanmar" label="Myanmar">Myanmar</option><option value="Namibia" label="Namibia">Namibia</option><option value="Nauru" label="Nauru">Nauru</option><option value="Navassa Island" label="Navassa Island">Navassa Island</option><option value="Nepal" label="Nepal">Nepal</option><option value="Netherlands" label="Netherlands">Netherlands</option><option value="New Caledonia" label="New Caledonia">New Caledonia</option><option value="New Zealand" label="New Zealand">New Zealand</option><option value="Nicaragua" label="Nicaragua">Nicaragua</option><option value="Niger" label="Niger">Niger</option><option value="Nigeria" label="Nigeria">Nigeria</option><option value="Niue" label="Niue">Niue</option><option value="Norfolk Island" label="Norfolk Island">Norfolk Island</option><option value="North Korea" label="North Korea">North Korea</option><option value="North Macedonia" label="North Macedonia">North Macedonia</option><option value="North Sea" label="North Sea">North Sea</option><option value="Northern Mariana Islands" label="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway" label="Norway">Norway</option><option value="Oman" label="Oman">Oman</option><option value="Pacific Ocean" label="Pacific Ocean">Pacific Ocean</option><option value="Pakistan" label="Pakistan">Pakistan</option><option value="Palau" label="Palau">Palau</option><option value="Palmyra Atoll" label="Palmyra Atoll">Palmyra Atoll</option><option value="Panama" label="Panama">Panama</option><option value="Papua New Guinea" label="Papua New Guinea">Papua New Guinea</option><option value="Paracel Islands" label="Paracel Islands">Paracel Islands</option><option value="Paraguay" label="Paraguay">Paraguay</option><option value="Peru" label="Peru">Peru</option><option value="Philippines" label="Philippines">Philippines</option><option value="Pitcairn Islands" label="Pitcairn Islands">Pitcairn Islands</option><option value="Poland" label="Poland">Poland</option><option value="Portugal" label="Portugal">Portugal</option><option value="Puerto Rico" label="Puerto Rico">Puerto Rico</option><option value="Qatar" label="Qatar">Qatar</option><option value="Republic of the Congo" label="Republic of the Congo">Republic of the Congo</option><option value="Reunion" label="Reunion">Reunion</option><option value="Romania" label="Romania">Romania</option><option value="Ross Sea" label="Ross Sea">Ross Sea</option><option value="Russia" label="Russia">Russia</option><option value="Rwanda" label="Rwanda">Rwanda</option><option value="Saint Barthelemy" label="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena" label="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis" label="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia" label="Saint Lucia">Saint Lucia</option><option value="Saint Martin" label="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon" label="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines" label="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa" label="Samoa">Samoa</option><option value="San Marino" label="San Marino">San Marino</option><option value="Sao Tome and Principe" label="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia" label="Saudi Arabia">Saudi Arabia</option><option value="Senegal" label="Senegal">Senegal</option><option value="Serbia" label="Serbia">Serbia</option><option value="Seychelles" label="Seychelles">Seychelles</option><option value="Sierra Leone" label="Sierra Leone">Sierra Leone</option><option value="Singapore" label="Singapore">Singapore</option><option value="Sint Maarten" label="Sint Maarten">Sint Maarten</option><option value="Slovakia" label="Slovakia">Slovakia</option><option value="Slovenia" label="Slovenia">Slovenia</option><option value="Solomon Islands" label="Solomon Islands">Solomon Islands</option><option value="Somalia" label="Somalia">Somalia</option><option value="South Africa" label="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands" label="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="South Korea" label="South Korea">South Korea</option><option value="South Sudan" label="South Sudan">South Sudan</option><option value="Southern Ocean" label="Southern Ocean">Southern Ocean</option><option value="Spain" label="Spain">Spain</option><option value="Spratly Islands" label="Spratly Islands">Spratly Islands</option><option value="Sri Lanka" label="Sri Lanka">Sri Lanka</option><option value="State of Palestine" label="State of Palestine">State of Palestine</option><option value="Sudan" label="Sudan">Sudan</option><option value="Suriname" label="Suriname">Suriname</option><option value="Svalbard" label="Svalbard">Svalbard</option><option value="Sweden" label="Sweden">Sweden</option><option value="Switzerland" label="Switzerland">Switzerland</option><option value="Syria" label="Syria">Syria</option><option value="Taiwan" label="Taiwan">Taiwan</option><option value="Tajikistan" label="Tajikistan">Tajikistan</option><option value="Tanzania" label="Tanzania">Tanzania</option><option value="Tasman Sea" label="Tasman Sea">Tasman Sea</option><option value="Thailand" label="Thailand">Thailand</option><option value="Timor-Leste" label="Timor-Leste">Timor-Leste</option><option value="Togo" label="Togo">Togo</option><option value="Tokelau" label="Tokelau">Tokelau</option><option value="Tonga" label="Tonga">Tonga</option><option value="Trinidad and Tobago" label="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tromelin Island" label="Tromelin Island">Tromelin Island</option><option value="Tunisia" label="Tunisia">Tunisia</option><option value="Turkey" label="Turkey">Turkey</option><option value="Turkmenistan" label="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands" label="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu" label="Tuvalu">Tuvalu</option><option value="Uganda" label="Uganda">Uganda</option><option value="Ukraine" label="Ukraine">Ukraine</option><option value="United Arab Emirates" label="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom" label="United Kingdom (Great Britain)">United Kingdom (Great Britain)</option><option value="Uruguay" label="Uruguay">Uruguay</option><option value="USA" label="United States of America (USA)">United States of America (USA)</option><option value="Uzbekistan" label="Uzbekistan">Uzbekistan</option><option value="Vanuatu" label="Vanuatu">Vanuatu</option><option value="Venezuela" label="Venezuela">Venezuela</option><option value="Viet Nam" label="Viet Nam">Viet Nam</option><option value="Virgin Islands" label="Virgin Islands">Virgin Islands</option><option value="Wake Island" label="Wake Island">Wake Island</option><option value="Wallis and Futuna" label="Wallis and Futuna">Wallis and Futuna</option><option value="West Bank" label="West Bank">West Bank</option><option value="Western Sahara" label="Western Sahara">Western Sahara</option><option value="Yemen" label="Yemen">Yemen</option><option value="Zambia" label="Zambia">Zambia</option><option value="Zimbabwe" label="Zimbabwe">Zimbabwe</option></select></datalist></div>
</div>
</div>
</div>
</fieldset>
<fieldset class="legend">
<legend>Sequence authors</legend>
<div class="fieldset">
<p>Please provide at least one sequence author</p>
<div id="id_sequence_author_div" class="fline">
<input type="hidden" name="sequence_author-TOTAL_FORMS" value="1" id="id_sequence_author-TOTAL_FORMS"><input type="hidden" name="sequence_author-INITIAL_FORMS" value="0" id="id_sequence_author-INITIAL_FORMS"><input type="hidden" name="sequence_author-MIN_NUM_FORMS" value="0" id="id_sequence_author-MIN_NUM_FORMS"><input type="hidden" name="sequence_author-MAX_NUM_FORMS" value="1000" id="id_sequence_author-MAX_NUM_FORMS">
<table id="id_sequence_author" class="form">
<thead>
<tr>
<th><abbr class="req" title="Required field">*</abbr>
First (given) name
</th>
<th>
MI
<div class="helper"><a href="#helper_sequence_author-0-middle_initial" class="fa fa-question-circle"><span class="sr-only">Help</span></a><div id="helper_sequence_author-0-middle_initial"><div>Middle initial(s). When including more than one initial, please follow each initial with a period (for example: F.L.). Only letters are allowed as middle initials.</div></div></div>
</th>
<th><abbr class="req" title="Required field">*</abbr>
Last (family) name
</th>
<th class="col-delete">
Delete
</th>
</tr>
</thead>
<tbody>
<tr class="row1">
<td >
<label class="sr-only" for="id_sequence_author-0-first_name">First (given) name</label>
<input type="text" name="sequence_author-0-first_name" maxlength="100" id="id_sequence_author-0-first_name">
</td>
<td >
<label class="sr-only" for="id_sequence_author-0-middle_initial">MI</label>
<input type="text" name="sequence_author-0-middle_initial" maxlength="100" id="id_sequence_author-0-middle_initial">
</td>
<td >
<label class="sr-only" for="id_sequence_author-0-last_name">Last (family) name</label>
<input type="text" name="sequence_author-0-last_name" maxlength="100" id="id_sequence_author-0-last_name">
</td>
<td >
<input type="checkbox" name="sequence_author-0-DELETE" id="id_sequence_author-0-DELETE">
<label for="id_sequence_author-0-DELETE"><span class="sr-only">Delete</span></label>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</fieldset>
<fieldset class="legend">
<legend>Reference</legend>
<div class="fieldset">
<p>
Please provide the title and relevant publication details
(volume, issue, etc.) of a paper that discusses this submission.
</p>
<div class="fline">
<div class="field" id="field_reference_title">
<label for="id_reference_title">Reference title</label>
<div><input type="text" name="reference_title" maxlength="1000" id="id_reference_title"></div>
</div>
<div class="field required" id="field_publication_status">
<fieldset role="radiogroup" aria-required="true" aria-owns="id_publication_status_0 id_publication_status_1 id_publication_status_2">
<legend id="label_publication_status"><span><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Publication status</span>
</legend>
<ul id="id_publication_status">
<li><label for="id_publication_status_0"><input type="radio" id="id_publication_status_0" required="True" checked="True" name="publication_status" value="unpublished" checked="checked" aria-required="true" /><span>Unpublished</span></label></li>
<li><label for="id_publication_status_1"><input type="radio" id="id_publication_status_1" required="True" name="publication_status" value="in-press" aria-required="true" /><span>In-press</span></label></li>
<li><label for="id_publication_status_2"><input type="radio" id="id_publication_status_2" required="True" name="publication_status" value="published" aria-required="true" /><span>Published</span></label></li>
</ul>
</fieldset>
</div>
</div>
<div class="fline">
<div class="field" id="field_journal_title">
<label for="id_journal_title">Journal title</label>
<div><input type="text" name="journal_title" data-jig="ncbiautocomplete" autocomplete="off" data-jigconfig="dictionary:&quot;jrz&quot;" maxlength="1000" id="id_journal_title"></div>
</div>
<div class="field" id="field_year">
<label for="id_year">Year</label>
<div><input type="number" name="year" id="id_year"></div>
</div>
<div class="field" id="field_volume">
<label for="id_volume">Volume</label>
<div><input type="text" name="volume" maxlength="100" id="id_volume"></div>
</div>
<div class="field" id="field_issue">
<label for="id_issue">Issue</label>
<div><input type="text" name="issue" maxlength="100" id="id_issue"></div>
</div>
<div class="field" id="field_pages_from">
<label for="id_pages_from">Pages from</label>
<div><input type="text" name="pages_from" maxlength="10" id="id_pages_from"></div>
</div>
<div class="field" id="field_pages_to">
<label for="id_pages_to">Pages to</label>
<div><input type="text" name="pages_to" maxlength="10" id="id_pages_to"></div>
</div>
<div class="field" id="field_pubmed_id">
<label for="id_pubmed_id">PubMed ID</label>
<div class="helper"><a href="#helper_pubmed_id" class="fa fa-question-circle"><span class="sr-only">Help</span></a><div id="helper_pubmed_id"><div>The PubMedID will be used to populate the publication information.</div></div></div>
<div><input type="number" name="pubmed_id" min="-9223372036854775808" max="9223372036854775807" aria-describedby="helper_pubmed_id" id="id_pubmed_id"></div>
</div>
</div>
</div>
</fieldset>
<fieldset class="legend">
<legend>Reference authors</legend>
<div class="fieldset">
<p>
Please provide the author(s) of the relevant publication,
or indicate that they are the same as the sequence author(s).
</p>
<div class="fline"><div class="field required" id="field_same_reference_and_sequence_authors">
<fieldset role="radiogroup" aria-required="true" aria-owns="id_same_reference_and_sequence_authors_0 id_same_reference_and_sequence_authors_1">
<legend id="label_same_reference_and_sequence_authors"><span><abbr class="req" title="Required field" aria-hidden="true">*</abbr> Same reference and sequence authors</span>
</legend>
<ul id="id_same_reference_and_sequence_authors">
<li><label for="id_same_reference_and_sequence_authors_0"><input type="radio" id="id_same_reference_and_sequence_authors_0" required="True" checked="True" name="same_reference_and_sequence_authors" value="yes" checked="checked" aria-required="true" /><span>Same As Sequence Authors</span></label></li>
<li><label for="id_same_reference_and_sequence_authors_1"><input type="radio" id="id_same_reference_and_sequence_authors_1" required="True" name="same_reference_and_sequence_authors" value="no" aria-required="true" /><span>Specify New Authors</span></label></li>
</ul>
</fieldset>
</div>
</div>
<div id='id_reference_author_div' class="fline">
<input type="hidden" name="reference_author-TOTAL_FORMS" value="1" id="id_reference_author-TOTAL_FORMS"><input type="hidden" name="reference_author-INITIAL_FORMS" value="0" id="id_reference_author-INITIAL_FORMS"><input type="hidden" name="reference_author-MIN_NUM_FORMS" value="0" id="id_reference_author-MIN_NUM_FORMS"><input type="hidden" name="reference_author-MAX_NUM_FORMS" value="1000" id="id_reference_author-MAX_NUM_FORMS">
<table id="id_reference_author" class="form">
<thead>
<tr>
<th><abbr class="req" title="Required field">*</abbr>
First (given) name
</th>
<th>
MI
<div class="helper"><a href="#helper_reference_author-0-middle_initial" class="fa fa-question-circle"><span class="sr-only">Help</span></a><div id="helper_reference_author-0-middle_initial"><div>Middle initial(s). When including more than one initial, please follow each initial with a period (for example: F.L.). Only letters are allowed as middle initials.</div></div></div>
</th>
<th><abbr class="req" title="Required field">*</abbr>
Last (family) name
</th>
<th class="col-delete">
Delete
</th>
</tr>
</thead>
<tbody>
<tr class="row1">
<td >
<label class="sr-only" for="id_reference_author-0-first_name">First (given) name</label>
<input type="text" name="reference_author-0-first_name" maxlength="100" id="id_reference_author-0-first_name">
</td>
<td >
<label class="sr-only" for="id_reference_author-0-middle_initial">MI</label>
<input type="text" name="reference_author-0-middle_initial" maxlength="100" id="id_reference_author-0-middle_initial">
</td>
<td >
<label class="sr-only" for="id_reference_author-0-last_name">Last (family) name</label>
<input type="text" name="reference_author-0-last_name" maxlength="100" id="id_reference_author-0-last_name">
</td>
<td >
<input type="checkbox" name="reference_author-0-DELETE" id="id_reference_author-0-DELETE">
<label for="id_reference_author-0-DELETE"><span class="sr-only">Delete</span></label>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</fieldset>
<fieldset class="legend">
<legend>BioProject/BioSample information (optional)</legend>
<div class="fieldset">
<p>
Enter BioProject/BioSample Accession you received when you
registered the project and/or sample. Do not enter more than
one Accession for each field.
</p>
<div class="fline">
<div class="field" id="field_bioproject_id">
<label for="id_bioproject_id">BioProject</label>
<div><input type="text" name="bioproject_id" maxlength="50" id="id_bioproject_id"></div>
</div>
</div>
<div class="fline">
<div class="field" id="field_biosample_id">
<label for="id_biosample_id">BioSample</label>
<div><input type="text" name="biosample_id" maxlength="50" id="id_biosample_id"></div>
</div>
</div>
</div>
</fieldset>
<div class="buttons">
<span>
<input type="submit" value="Create template" class="usa-button-big" />
</span>
<input class="usa-button-big usa-button-secondary" name="reset" value="Clear" type="reset">
</div>
</form>
</div>
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