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Capture the email address and mobile phone to send notifications of p…
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…ayment to
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jacques committed Nov 9, 2017
1 parent d55222e commit 3db7ffe
Showing 1 changed file with 28 additions and 12 deletions.
40 changes: 28 additions & 12 deletions beneficiary__add.tpl
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<div>
<h2 class="page-header">Add beneficiary</h2>

<hr />
</div>

<div>
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{/literal}


<form method="post" class="form-horizontal" role="form">
<form method="post" class="form-horizontal" role="form">{*data-remote="true">
*}
<input name="utf8" type="hidden" value="&#x2713;" />
{include file="_partials/csrf.tpl"}

<div class="form-group">
<label for="inputName" class="col-sm-2 control-label">Beneficiary Name</label>
<div class="col-sm-10">
<input type="text" name="name" class="form-control" id="inputName" placeholder="Beneficiary Name">
<input type="text" name="name" class="form-control" id="inputName" placeholder="Beneficiary Name"{if isset($name)} value="{$name|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputBank" class="col-sm-2 control-label">Bank</label>
<label for="inputBank3" class="col-sm-2 control-label">Bank</label>

<div class="col-sm-10">
<select name="bank" class="form-control" id="inputBank">
<option value="">Select Bank</option>
{foreach $banks item=row}
<option value="{$row.id}">{$row.bank_name} ({$row.default_branch_code|string_format:"%06d"})</option>
<option value="{$row.id}"{if isset($bank) && $bank == $row.id} selected{/if}>{$row.bank_name} ({$row.default_branch_code|string_format:"%06d"})</option>
{/foreach}
</select>
</div>
</div>
<div class="form-group">
<label for="inputAccountNumber" class="col-sm-2 control-label">Account Number</label>
<label for="inputAccount Number3" class="col-sm-2 control-label">Account Number</label>
<div class="col-sm-10">
<input type="text" name="account_number" class="form-control" id="inputAccountNumber" placeholder="Account Number">
<input type="text" name="account_number" class="form-control" id="inputAccountNumber" placeholder="Account Number"{if isset($account_number)} value="{$account_number|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputBranchCode" class="col-sm-2 control-label">Branch Code</label>
<div class="col-sm-10">
<input type="text" name="branch_code" class="form-control" id="inputBranchCode" placeholder="Branch Code">
<input type="text" name="branch_code" class="form-control" id="inputBranchCode" placeholder="Branch Code"{if isset($branch_code)} value="{$branch_code|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputAccountType" class="col-sm-2 control-label">Account Type</label>
<div class="col-sm-10">
<select name="account_type" class="form-control" id="inputAccountType">
<option value="1">Current / Cheque Account</option>
<option value="2">Savings account</option>
<option value="3">Transmission account</option>
<option value="1"{if isset($account_type) && 1 == $account_type} selected{/if}>Current / Cheque Account</option>
<option value="2"{if isset($account_type) && 2 == $account_type} selected{/if}>Savings account</option>
<option value="3"{if isset($account_type) && 3 == $account_type} selected{/if}>Transmission account</option>
</select>
</div>
</div>
<div class="form-group">
<label for="inputYourReference" class="col-sm-2 control-label">Your Reference</label>
<div class="col-sm-10">
<input type="text" name="reference1" class="form-control" id="inputYourReferencee" placeholder="Your Reference">
<input type="text" name="reference1" class="form-control" id="inputYourReference" placeholder="Your Reference"{if isset($reference1)} value="{$reference1|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputTheirReference" class="col-sm-2 control-label">Their Reference</label>
<div class="col-sm-10">
<input type="text" name="reference2" class="form-control" id="inputTheirReference" placeholder="Their Reference">
<input type="text" name="reference2" class="form-control" id="inputTheirReference" placeholder="Their Reference"{if isset($reference2)} value="{$reference2|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputNotificationEmail" class="col-sm-2 control-label">Notification Email Address</label>
<div class="col-sm-10">
<input type="text" name="notification_email_address" class="form-control" id="inputNotificationEmail" placeholder="Notification Email Address"{if isset($notification_email_address)} value="{$notification_email_address|escape}"{/if}>
</div>
</div>
<div class="form-group">
<label for="inputNotificationMobileNumber" class="col-sm-2 control-label">Notification SMS Phone Number</label>
<div class="col-sm-10">
<input type="text" name="notification_mobile_number" class="form-control" id="inputNotificationMobileNumber" placeholder="Notification SMS Phone Number"{if isset($notification_mobile_number)} value="{$notification_mobile_number|escape}"{/if}>
</div>
</div>
<div class="form-group">
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