I am sorry. Before I could have got back to you, it has been stamped. Please make one more entry, and please make sure that you don't write anything in the Local Name box.
Can you do one more thing? If it's really a site issue (if you are 100% sure that you didn't make any mistake), then we need to show it to Mod. When you will be making the fresh entry, please take screenshot at each step, so that it becomes clear and transparent.