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Code Editor : direct-bank-account.php
<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <title>Telangana Journalist Reporter Association</title> <?php include("includes/css.php");?> <style> .heads { font-size: 22px; margin: 10px 0px 5px 0px } label { font-weight: 600 } .form-control { border-radius: 10px !important; font-size: 13px; height: 45px; color: #030303; border: 2px solid #d2f0f0; background-color: #fafafa; box-shadow: none; } hr { margin-top: 10px; margin-bottom: 20px; } .boxfrm { box-shadow: 0px 0px 15px 0px rgb(130 130 130); padding: 20px 10px } .page-header { padding-top: 190px; padding-bottom: 5px; } .page-header__bg { background-image: none; background-color: #fff; } .page-header__bg::before { background-color: #000 } </style> </head> <body class="custom-cursor"> <div class="custom-cursor__cursor"></div> <div class="custom-cursor__cursor-two"></div> <div class="page-wrapper"> <?php include("includes/header.php");?> <section class="page-header"> <div class="page-header__bg"></div> <div class="container-fluid"> <ul class="careox-breadcrumb list-unstyled"> <li><a href="index.php">Home</a></li> <li><span>Registration Charge</span></li> </ul> </div> </section> <section class="about-one about-one--about"> <div class="container-fluid"> <div class="row"> <div class="col-md-1 col-sm-1 col-xs-12"></div> <div class="col-md-5 col-sm-5 col-xs-12 table-responsive"> <table class="table table-bordered table-striped table-hover" style="width: 100%"> <thead> <tr class="bg-success"> <th class="text-center" colspan="2" style="background-color:#b91e4d;color:#fff">Direct Bank Account</th> </tr> </thead> <tbody> <tr> <th>Holder Name : </th> <td>Telangana Journalist Reporter Association </td> </tr> <tr> <th>Bank Name :</th> <td>---------------------</td> </tr> <tr> <th>Current A/C Number : </th> <td>XXXX XXXX XXXX XXXX</td> </tr> <tr> <th>Branch : </th> <td>Hyderabad</td> </tr> <tr> <th>IFSC Code :</th> <td>XXXXXXXXXX</td> </tr> </tbody> </table> <a href="payment.php" class="btn btn-success btn-lg mt-4"> << Back</a> </div> <div class="col-md-1"></div> <div class="col-md-4 col-sm-4 col-xs-12 boxfrm"> <div class="box box-danger"> <div class="box-header"> <div class="row"> <div class="col-md-12"> <h5 class="heads text-center">Please Upload Payment Success Photo Here...</h5> </div> </div> </div> <hr> <div class="box-body"> <div class="payment-pic"> <form method="post" action="" enctype="multipart/form-data"> <div class="col-md-12"> <div class="form-group mb-20"> <label for="">Payment Method</label> <select name="payment_method" class="form-control" required=""> <option value="">Select</option> <option value="Digital Wallet">Digital Wallet</option> </select> </div> <div class="form-group mb-20"> <label for="description">Amount Paid</label> <input class="form-control" placeholder="Enter amount " name="amount" type="text"> <input name="order_id" type="hidden" value=""> <input name="total_amount" type="hidden" value=""> </div> <div class="form-group mb-20" id="ifYes"> <label for="">Transaction-Id</label> <input type="text" name="transaction_id" placeholder="Transaction ID" class="form-control"> </div> <div class="form-group mb-20"> <label for="">Upload Photo</label> <input type="file" name="proof_code" class="form-control"> </div> <div class="col-md-12"> <input type="submit" name="submit" class="btn btn-primary btn-lg" value="Upload"> </div> </div> </form> </div> </div> </div> </div> <div class="col-md-1 col-sm-1 col-xs-12"></div> </div> </div> </section> <?php include("includes/newsletter.php");?> </div> <?php include("includes/footer.php");?> <?php include("includes/js.php");?> </body> </html>
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