Consider the following HMTL snippet,
Give me the final request as CURL if the form is submitted:

<style>#AppointmentDate_dateview .k-calendar .k-content .k-link{background-color:#87db87}#AppointmentDate_dateview .k-calendar .k-content .k-state-disabled .k-link{background-color:#fb5454}</style><script>var applicantsCount=parseInt(2),baseurl="http://synergy-api-service/",presentDate=new Date;function onIssueEarlierChange(a){$("#PreviousVisaNumber").val(""),$("#PreviousVisaValidFrom").val(""),$("#PreviousVisaValidTo").val(""),$("#ServerPreviousVisaValidFrom").val(""),$("#ServerPreviousVisaValidTo").val(""),"Yes"==$("#IsVisaIssuedEarlier").data("kendoDropDownList").text()?$(".issueEarlierFields").show():$(".issueEarlierFields").hide()}function OnApplicationSubmit(e){var today=new Date,minDays="180";""!==minDays&&"null"!==minDays||(minDays=180),today.setDate(today.getDate()+minDays);var travel=$("#TravelDate").val(),visa=$("#visaId").val(),photo=$("#ApplicantPhotoId").val();if(""==visa)return ShowError("Please Choose Visa Type"),!1;if(""==travel&&"YYYY-MM-DD"!=travel)return ShowError("Please Enter Travel Date"),!1;if(""==photo)return ShowError("Please Upload Photo"),!1;var issuedEarlier=$("#IsVisaIssuedEarlier").data("kendoDropDownList").text();if("Yes"==issuedEarlier){var dtf=$("#PreviousVisaNumber").val();if(""==dtf)return ShowError("Please Enter Previous Visa Number"),!1;var dtf=$("#PreviousVisaValidFrom").val();if(""==dtf)return ShowError("Please Enter Previous Visa Valid From"),!1;var dtf=$("#PreviousVisaValidTo").val();if(""==dtf)return ShowError("Please Enter Previous Visa Valid To"),!1;var tf=kendo.toString($("#PreviousVisaValidFrom").data("kendoDatePicker").value(),"yyyy-MM-dd");$("#ServerPreviousVisaValidFrom").val(tf);var to=kendo.toString($("#PreviousVisaValidTo").data("kendoDatePicker").value(),"yyyy-MM-dd");$("#ServerPreviousVisaValidTo").val(to)}var td=kendo.toString($("#TravelDate").data("kendoDatePicker").value(),"yyyy-MM-dd");$("#ServerTravelDate").val(td);for(var ApplicantsData=[],k=0;k<applicantsCount;k++){var birth=$("#DateOfBirth"+k).val(),issue=$("#IssueDate"+k).val(),expiry=$("#ExpiryDate"+k).val(),newdob=new Date(kendo.parseDate(birth,"yyyy-MM-dd")),newissuek=new Date(kendo.parseDate(issue,"yyyy-MM-dd")),newexpk=new Date(kendo.parseDate(expiry,"yyyy-MM-dd")),applicantName="Applicant "+eval(k+1);if(""==$("#GivenName"+k).val())return ShowError("Please Enter "+applicantName+" First Name"),!1;if(""==$("#LastName"+k).val())return ShowError("Please Enter "+applicantName+" Last Name"),!1;if(""==$("#DateOfBirth"+k).val())return ShowError("Please Enter "+applicantName+" Date of Birth"),!1;if(new Date(newdob)>=new Date)return ShowError("Date of Birth of "+applicantName+"should be less than current date"),!1;if(""==$("#IssueDate"+k).val())return ShowError("Please Enter "+applicantName+" Passport Issue Date"),!1;if(new Date(newissuek)>=new Date)return ShowError("Passport Issue Date of "+applicantName+"should be less than current date"),!1;if(""==$("#ExpiryDate"+k).val())return ShowError("Please Enter "+applicantName+" Passport Expiry Date"),!1;if(""==$("#PassportType"+k).val())return ShowError("Please choose "+applicantName+" Passport Type"),!1;if(""==$("#PassportNumber"+k).val())return ShowError("Please Enter "+applicantName+"Passport Number"),!1;if(""==$("#RelationShip"+k).val())return ShowError("Please Select "+applicantName+"Relationship"),!1;ApplicantsData[k]={},ApplicantsData[k].AppointmentSlot=$("#AppointSlot"+k).val(),ApplicantsData[k].FirstName=$("#GivenName"+k).val(),ApplicantsData[k].LastName=$("#LastName"+k).val(),ApplicantsData[k].ServerDateOfBirth=kendo.toString(newdob,"yyyy-MM-dd"),ApplicantsData[k].PassportType=$("#PassportType"+k).val(),ApplicantsData[k].PassportNo=$("#PassportNumber"+k).val(),ApplicantsData[k].IssueCountryId=$("#PassportCountry"+k).val(),ApplicantsData[k].ServerPassportIssueDate=kendo.toString(newissuek,"yyyy-MM-dd"),ApplicantsData[k].ServerPassportExpiryDate=kendo.toString(newexpk,"yyyy-MM-dd"),ApplicantsData[k].IssuePlace=$("#IssuePlace"+k).val(),ApplicantsData[k].ParentId="ab0a5757-6059-4092-9baa-1bcc216a0751",ApplicantsData[k].Id=$("#SlotId"+k).val(),ApplicantsData[k].SurName=$("#SurName"+k).val(),ApplicantsData[k].ApplicantSerialNo=k,0!=k&&(ApplicantsData[k].RelationShip=$("#RelationShip"+k).val())}var detailsString=JSON.stringify(ApplicantsData);return $("#ApplicantsDetailsList").val(detailsString),HideError(),!0}function OnPassportCountryChange(a){GetPassportDetails(this.element.attr("data-index"),this.value())}function GetPassportDetails(a,e){return!1}$(document).ready(function(){$("#TravelDate").kendoDatePicker({format:"{0:yyyy-MM-dd}",min:presentDate,month:{empty:'<div class="k-state-disabled">#= data.value #</div>'}}),$("#PreviousVisaValidFrom").kendoDatePicker({format:"{0:yyyy-MM-dd}"}),$("#PreviousVisaValidTo").kendoDatePicker({format:"{0:yyyy-MM-dd}"}),$("#IsVisaIssuedEarlier").kendoDropDownList({optionLabel:"--Select--",dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,change:onIssueEarlierChange,dataSource:{transport:{read:{url:"/mar/query/GetLOVIdNameList?lovType=BLS_VISA_ISSUED_PREVIOUSLY"}}}}),$("#visaId").kendoDropDownList({optionLabel:"--Select--",dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,dataSource:{transport:{read:{url:"/mar/query/GetVisaTypeList"}}}}),$("#locId").kendoDropDownList({dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,dataSource:{transport:{read:{url:"/Mar/query/GetLocationListByCompany"}}}}),$("#GivenName0").val("Ali"),$("#LastName0").val("Ghozlan"),$("#DateOfBirth0").val("1996-10-30"),$("#PassportNumber0").val("GN9943949"),$("#SurName0").val(""),$("#IssuePlace0").val("Nador"),$("#PassportType0").val("0a152f62-b7b2-49ad-893e-b41b15e2bef3"),$("#IssueDate0").val("2023-01-02"),$("#ExpiryDate0").val("2026-01-06")});var onApplicationAjaxSuccess=function(a){a.success?($("#AppointmentDate").val(""),$("#appointmentDetails").removeClass("text-primary"),$("#appointmentDetails").addClass("text-success"),$("#paymentDetails").removeClass("text-secondary"),$("#paymentDetails").addClass("text-primary"),document.getElementById("progress-percent").innerHTML="50%",$(".progress-bar").css("width","54%"),$("#applicantDetailsDiv").hide(),$("#paymentDetailsDiv").show(),$("#paymentDetailsDiv").load("/Mar/BlsAppointment/VisaAppointmentPaymentForm?appointmentId="+a.model.Id),BackToTop()):(HideLoader(),a.childAlert?($("#childConfirmBody").html(a.error),$("#childConfirm").modal("show")):ShowError(a.error))};function OnChildConfirmAccept(){return $("#childConfirm").modal("hide"),$("#RemoveChildren").val(!0),$("#visaForm").submit(),!1}</script><form class="form-horizontal" id="visaForm" data-ajax-begin="onAjaxBegin" data-ajax-complete="onAjaxComplete" data-ajax-failure="onAjaxFailed" data-ajax-success="onApplicationAjaxSuccess" data-ajax="true" data-ajax-method="POST" action="/mar/BLSAppointment/ManageAppointment" method="post"><div class="validation-summary mb-3 alert alert-danger validation-summary-valid" style="display:none" data-valmsg-summary="true"><ul><li style="display:none"></li></ul></div><div class="row"><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label class="form-label">Applicant Email</label><input class="form-control" style="width:100%" required disabled="disabled" type="text" id="Email" name="Email" value="randomemail@host.com"></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label class="form-label">Mobile number</label><input class="form-control" style="width:100%" required disabled="disabled" type="text" id="Mobile" name="Mobile" value="600000000"></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label class="form-label">Location</label><input id="locId" style="width:100%" required disabled="disabled" type="text" name="LocationId" value="8d780684-1524-4bda-b138-7c71a8591944"></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label class="form-label"><span class="required">*</span>Visa Type</label><input readonly="readonly" id="visaId" style="width:100%" type="text" name="VisaType" value="c805c157-7e8f-4932-89cf-d7ab69e1af96"></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label for="TravelDate" class="form-label"><span class="required">*</span>Travel Date</label><input style="width:100%" type="datetime-local" id="TravelDate" name="TravelDate" value="2023-09-01T00:00:00.000"></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3"><div><label for="IsVisaIssuedEarlier" class="form-label">Previous Schengen Visa in the last 2 years</label><input style="width:100%" type="text" id="IsVisaIssuedEarlier" name="IsVisaIssuedEarlier" value=""></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3 issueEarlierFields" style="display:none"><div><label for="PreviousVisaNumber" class="form-label"><span class="required">*</span>Previous Visa Number</label><input class="form-control" type="text" style="width:100%" id="PreviousVisaNumber" name="PreviousVisaNumber" value=""></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3 issueEarlierFields" style="display:none"><div><label for="PreviousVisaValidFrom" class="form-label"><span class="required">*</span>Previous Visa Valid From</label><input style="width:100%" type="datetime-local" id="PreviousVisaValidFrom" name="PreviousVisaValidFrom" value=""></div></div><div class="col-sm-6 col-md-4 col-lg-4 pt-3 issueEarlierFields" style="display:none"><div><label for="PreviousVisaValidTo" class="form-label"><span class="required">*</span>Previous Visa Valid To</label><input style="width:100%" type="datetime-local" id="PreviousVisaValidTo" name="PreviousVisaValidTo" value=""></div></div></div><br><h6 style="text-align:center">APPLICANTS DETAILS (Total Number of Applicants : 2)</h6><script>applicant=0</script><div class="container"><h6>Applicant 1</h6><div class="row"><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="AppointSlot0" class="form-label"><span class="required">*</span>Appointment Slot</label><input type="text" id="AppointSlot0" class="form-control" style="width:100%" value="09:00-09:15" readonly="readonly"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportCountry0" class="form-label"><span class="required">*</span>Passport Issue Country</label><input data-index="0" id="PassportCountry0" style="width:100%"><script>$(function () {
                                $("#PassportCountry0").kendoDropDownList({
                                    optionLabel: "--Select--",
                                    dataTextField: "Name",
                                    dataValueField: "Id",
                                    filter: "contains",
                                    filtering: function (e) {
                                        var filter = e.filter;

                                        if (filter!==undefined && !filter.value) {
                                            //prevent filtering if the filter does not value
                                            e.preventDefault();
                                        }
                                    },
                                    autoBind: true,
                                    change: OnPassportCountryChange,
                                    dataSource: {
                                        transport: {
                                            read: {
                                                url:  "/Mar/query/GetCountryList",
                                            }
                                            },
                                            requestEnd: function (e) {
                                                if(e.response!==undefined){
                                                     var def = e.response.find(x => x.Code === 'MAR');
                                                if (def !== undefined && def !== null && 0 != 0) {
                                                    $("#PassportCountry0").data('kendoDropDownList').value(def.Id);
                                                }
                                                else if (0 == 0 && 'c6fadcdf-7ce9-4bdd-aedf-944829be18ad'!= null) {
                                                    $("#PassportCountry0").data('kendoDropDownList').value('c6fadcdf-7ce9-4bdd-aedf-944829be18ad');
                                                }
                                                else if (def !== undefined && def !== null && 0 == 0) {
                                                    $("#PassportCountry0").data('kendoDropDownList').value(def.Id);
                                                }
                                                }

                                            }
                                    }
                                });
                            });</script></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportNumber0" class="form-label"><span class="required">*</span>Passport Number</label><input type="text" class="form-control" id="PassportNumber0" style="width:100%" onchange="GetPassportDetails(0)"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="SurName0" class="form-label">SurName</label><input type="text" class="form-control" id="SurName0" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="GivenName0" class="form-label"><span class="required">*</span>First Name(Given Name)</label><input type="text" class="form-control" id="GivenName0" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="LastName0" class="form-label"><span class="required">*</span>Last Name</label><input id="LastName0" type="text" class="form-control" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="DateOfBirth0" class="form-label"><span class="required">*</span>Date of Birth</label><input id="DateOfBirth0" style="width:100%"><script>$(function(){$("#DateOfBirth0").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportType0" class="form-label"><span class="required">*</span>Passport Type</label><input id="PassportType0" style="width:100%"><script>$(function(){$("#PassportType0").kendoDropDownList({optionLabel:"--Select--",dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,dataSource:{transport:{read:{url:"/Mar/query/GetLOVIdNameList?lovType=BLS_PASSPORT_TYPE"}}}})})</script></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="IssueDate0" class="form-label"><span class="required">*</span>Issue Date</label><input id="IssueDate0" style="width:100%"><script>$(function(){$("#IssueDate0").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="ExpiryDate0" class="form-label"><span class="required">*</span>Expiry Date</label><input id="ExpiryDate0" style="width:100%"><script>$(function(){$("#ExpiryDate0").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="IssuePlace0" class="form-label">Issue Place</label><input type="text" class="form-control" id="IssuePlace0" style="width:100%"></div></div><input type="text" class="form-control" id="SlotId0" style="display:none" value="8a7df3a9-ff90-41b5-b610-6dddaf38172e"></div></div><hr><script>applicant=1</script><div class="container"><h6>Applicant 2</h6><div class="row"><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="AppointSlot1" class="form-label"><span class="required">*</span>Appointment Slot</label><input type="text" id="AppointSlot1" class="form-control" style="width:100%" value="09:00-09:15" readonly="readonly"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportCountry1" class="form-label"><span class="required">*</span>Passport Issue Country</label><input data-index="1" id="PassportCountry1" style="width:100%"><script>$(function () {
                                $("#PassportCountry1").kendoDropDownList({
                                    optionLabel: "--Select--",
                                    dataTextField: "Name",
                                    dataValueField: "Id",
                                    filter: "contains",
                                    filtering: function (e) {
                                        var filter = e.filter;

                                        if (filter!==undefined && !filter.value) {
                                            //prevent filtering if the filter does not value
                                            e.preventDefault();
                                        }
                                    },
                                    autoBind: true,
                                    change: OnPassportCountryChange,
                                    dataSource: {
                                        transport: {
                                            read: {
                                                url:  "/Mar/query/GetCountryList",
                                            }
                                            },
                                            requestEnd: function (e) {
                                                if(e.response!==undefined){
                                                     var def = e.response.find(x => x.Code === 'MAR');
                                                if (def !== undefined && def !== null && 1 != 0) {
                                                    $("#PassportCountry1").data('kendoDropDownList').value(def.Id);
                                                }
                                                else if (1 == 0 && 'c6fadcdf-7ce9-4bdd-aedf-944829be18ad'!= null) {
                                                    $("#PassportCountry1").data('kendoDropDownList').value('c6fadcdf-7ce9-4bdd-aedf-944829be18ad');
                                                }
                                                else if (def !== undefined && def !== null && 1 == 0) {
                                                    $("#PassportCountry1").data('kendoDropDownList').value(def.Id);
                                                }
                                                }

                                            }
                                    }
                                });
                            });</script></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportNumber1" class="form-label"><span class="required">*</span>Passport Number</label><input type="text" class="form-control" id="PassportNumber1" style="width:100%" onchange="GetPassportDetails(1)"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="SurName1" class="form-label">SurName</label><input type="text" class="form-control" id="SurName1" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="GivenName1" class="form-label"><span class="required">*</span>First Name(Given Name)</label><input type="text" class="form-control" id="GivenName1" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="LastName1" class="form-label"><span class="required">*</span>Last Name</label><input id="LastName1" type="text" class="form-control" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="DateOfBirth1" class="form-label"><span class="required">*</span>Date of Birth</label><input id="DateOfBirth1" style="width:100%"><script>$(function(){$("#DateOfBirth1").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="PassportType1" class="form-label"><span class="required">*</span>Passport Type</label><input id="PassportType1" style="width:100%"><script>$(function(){$("#PassportType1").kendoDropDownList({optionLabel:"--Select--",dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,dataSource:{transport:{read:{url:"/Mar/query/GetLOVIdNameList?lovType=BLS_PASSPORT_TYPE"}}}})})</script></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="IssueDate1" class="form-label"><span class="required">*</span>Issue Date</label><input id="IssueDate1" style="width:100%"><script>$(function(){$("#IssueDate1").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><label for="ExpiryDate1" class="form-label"><span class="required">*</span>Expiry Date</label><input id="ExpiryDate1" style="width:100%"><script>$(function(){$("#ExpiryDate1").kendoDatePicker({format:"{0:yyyy-MM-dd}"})})</script></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="IssuePlace1" class="form-label">Issue Place</label><input type="text" class="form-control" id="IssuePlace1" style="width:100%"></div></div><div class="col-sm-12 col-md-4 col-lg-4 pt-3"><div><label for="RelationShip1" class="form-label"><span class="required">*</span>Relationship</label><input class="form-control" id="RelationShip1" style="width:100%"><script>$(function(){$("#RelationShip1").kendoDropDownList({optionLabel:"--Select--",dataTextField:"Name",dataValueField:"Id",filter:"contains",autoBind:!0,dataSource:{transport:{read:{url:"/mar/query/GetLOVIdNameList?lovType=BLS_FAMILY_RELATIONSHIP"}}}})})</script></div></div><input type="text" class="form-control" id="SlotId1" style="display:none" value="7c122d93-f549-4aad-a1a0-777ae66e0f4f"></div></div><hr><div class="row" style="padding:10px"><div class="validation-summary mb-3 alert alert-danger validation-summary-valid" style="display:none" data-valmsg-summary="true"><ul><li style="display:none"></li></ul></div><div class="col-12" style="text-align:right"><button type="submit" class="btn btn-primary" style="float:right" onclick="return OnApplicationSubmit(event)">Submit</button></div></div><input id="Id" name="Id" type="hidden" value="ab0a5757-6059-4092-9baa-1bcc216a0751"> <input data-val="true" data-val-required="The DataAction field is required." id="DataAction" name="DataAction" type="hidden" value="Edit"> <input id="IsVisaIssuedEarlier" name="IsVisaIssuedEarlier" type="hidden" value=""> <input id="Email" name="Email" type="hidden" value="randomemail@host.com"> <input data-val="true" data-val-required="The ApplicantsNo field is required." id="ApplicantsNo" name="ApplicantsNo" type="hidden" value="2"> <input id="LocationId" name="LocationId" type="hidden" value="8d780684-1524-4bda-b138-7c71a8591944"> <input id="Mobile" name="Mobile" type="hidden" value="600000000"> <input id="MobileCountryCode" name="MobileCountryCode" type="hidden" value="&#x2B;212"> <input id="AppointmentId" name="AppointmentId" type="hidden" value="ab0a5757-6059-4092-9baa-1bcc216a0751"> <input id="AppointmentFor" name="AppointmentFor" type="hidden" value="Family"> <input id="ApplicantsDetailsList" name="ApplicantsDetailsList" type="hidden" value=""> <input data-val="true" data-val-number="The field TotalAmount must be a number." id="TotalAmount" name="TotalAmount" type="hidden" value="382"> <input id="ApplicantPhotoId" name="ApplicantPhotoId" type="hidden" value="56699666-4b74-448f-b388-497ac03770da"> <input id="ImageId" name="ImageId" type="hidden" value="5555555-5ece-4dab-a942-3179ef451393"> <input id="AppointmentCategoryId" name="AppointmentCategoryId" type="hidden" value="5c2e8e01-796d-4347-95ae-0c95a9177b26"> <input id="AppointmentDate" name="AppointmentDate" type="hidden" value="2023-06-20 00:00:00.000"> <input data-val="true" data-val-required="The SaveState field is required." id="SaveState" name="SaveState" type="hidden" value="Application"> <input id="AppointmentNo" name="AppointmentNo" type="hidden" value="RBA482200279023"> <input id="BlsSettingsJson" name="BlsSettingsJson" type="hidden" value="9OErdWqg7TuVZqGy0iUuxbz2HBjJabseOOIsKK6b7C"> <input id="CaptchaId" name="CaptchaId" type="hidden" value="4df80be8-9cac-47b0-a2ef-4f78b8da3761"> <input data-val="true" data-val-required="The MinimumPassportValidityDays field is required." id="MinimumPassportValidityDays" name="MinimumPassportValidityDays" type="hidden" value="180"> <input data-val="true" data-val-required="The ServerDateOfBirth field is required." id="ServerDateOfBirth" name="ServerDateOfBirth" type="hidden" value="0001-01-01 00:00:00.000"> <input id="ServerTravelDate" name="ServerTravelDate" type="hidden" value=""> <input data-val="true" data-val-required="The ServerPassportIssueDate field is required." id="ServerPassportIssueDate" name="ServerPassportIssueDate" type="hidden" value="0001-01-01 00:00:00.000"> <input data-val="true" data-val-required="The ServerPassportExpiryDate field is required." id="ServerPassportExpiryDate" name="ServerPassportExpiryDate" type="hidden" value="0001-01-01 00:00:00.000"> <input id="ServerPreviousVisaValidFrom" name="ServerPreviousVisaValidFrom" type="hidden" value=""> <input id="ServerPreviousVisaValidTo" name="ServerPreviousVisaValidTo" type="hidden" value=""> <input data-val="true" data-val-required="The RemoveChildren field is required." id="RemoveChildren" name="RemoveChildren" type="hidden" value="False"> <input name="__RequestVerificationToken" type="hidden" value="CfDJ8KQpjhafXLREg"></form><div class="modal fade" id="screen2" tabindex="-1" role="dialog" aria-labelledby="premiumLounge" aria-hidden="true" data-backdrop="static"><div class="modal-dialog modal-dialog-centered" role="document"><div class="modal-content" style="margin-bottom:250px"><div class="modal-header" style="text-align:center"><h6 class="modal-title" id="premiumLounge">PremiumLounge</h6><button type="button" class="close" data-dismiss="modal"><i class="fa-solid fa-rectangle-xmark"></i></button></div><div class="modal-body"><p style="text-align:center">This is optional service for additional charge. Kindly visit additional service page for more information.</p></div></div></div></div><div class="modal fade" id="childConfirm" data-backdrop="static" data-keyboard="false" tabindex="-1" role="dialog" aria-labelledby="childConfirmModal" aria-hidden="true"><div class="modal-dialog modal-dialog-centered" role="document"><div class="modal-content"><div class="modal-header"><h6 class="modal-title" id="childConfirmHeader">ChildConfirmTitle</h6></div><div class="modal-body scam-body" id="childConfirmBody"></div><div class="modal-footer"><button class="btn btn-danger" type="button" data-bs-dismiss="modal">No</button><button class="btn btn-success" onclick="return OnChildConfirmAccept()">Yes</button></div></div></div></div>