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<!DOCTYPE html><html lang="en"> <head> <meta charset="UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1.0, shrink-to-fit=no" /> <link href="images/favicon.png" rel="icon" /> <title>Money Transfer and Online Payments</title> <meta name="description" content="Money" /> <!-- Web Fonts
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</nav> <!-- Login & Signup Link end --> </div> </div> </div> </header> <!-- Header End --> <!-- Content --> <div id="content" class=" py-4"> <div class="container"> <div class="row"> <!-- Middle Panel --> <div class="col-lg-12"> <div class="mb-4"> <h3 class="fw-400">Enter Receiver's Details </h3> </div> <div class="card"> <div class="card-body p-4"> <div class="row mb-4"> <div class="col-md-6"> <div class="mb-3"> <label class="form-label">Receiver's Country</label> <select class="form-select form-control"> <option value="BANGLADESH">BANGLADESH</option> <option value="INDIA">INDIA</option> <option value="SRI LANKA">SRI LANKA</option> <option selected="selected" value="NEPAL">NEPAL</option> <option value="PAKISTAN">PAKISTAN</option> </select> </div> </div> </div> <hr class="mx-n4 mb-4" /> <div class="row mb-4"> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">First Name</label> <input type="text" class="form-control required" placeholder="First name*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Middle Name</label> <input type="text" class="form-control" placeholder="Middle name" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Last Name</label> <input type="text" class="form-control required" placeholder="Last name*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Relation to Remitter</label> <select class="form-control form-select"> <option value="Brother/ Sister">Brother/ Sister</option> <option value="Business Partner">Business Partner</option> <option value="Cousin">Cousin</option> <option value="Friend">Friend</option> <option value="Husband/Wife">Husband/Wife</option> <option value="Niece/Nephew">Niece/Nephew</option> <option value="Parents">Parents</option> <option value="Self">Self</option> <option value="Son/Daughter">Son/Daughter</option> <option value="Uncle/ Auntie">Uncle/ Auntie</option> </select> </div> </div> </div> <!--end First Row--> <div class="row mb-4"> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Address </label> <input type="text" class="form-control required" placeholder="Address 1*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">City</label> <input type="text" class="form-control required" placeholder="City/Town*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Postcode</label> <input type="text" class="form-control" placeholder="Post Code" /> </div> </div> </div> <div class="row mb-4"> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Mobile Number</label> <input type="number" class="form-control required" placeholder="Mobile Number*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Email Address</label> <input type="email" class="form-control" placeholder="Email" /> </div> </div> </div>
<div class="row mb-4"> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">ID Type</label> <select class="form-select form-control"> <option value="Brother/ Sister">Passport</option> <option value="Business Partner">National ID Card</option> <option value="Business Partner">Gov. ID</option> </select> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">ID Number</label> <input type="text" class="form-control" placeholder="ID Number*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">ID Issued Date</label> <input type="text" class="form-control" placeholder="DD-MM-YYYY" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">ID Expiry Date</label> <input type="text" class="form-control" placeholder="DD-MM-YYYY" /> </div> </div> </div>
<hr class="mx-n4 mb-4" /> <div class="row mb-4"> <div class="col-md-12"> <h5 class="mb-4">Bank Details</h4> </div> <div class="col-md-12"> <div class="alert alert-info" role="alert"> <h6 class="alert-heading"><i class="fa fa-info me-2"></i> Note:</h6> <p>For sending cash pick-up transactions, you may leave below Bank Details section blank.</p> </div> </div>
<div class="col-md-3"> <div class="mb-3"> <label class="form-label">Select Bank</label> <select class="form-select form-control"> <option selected="selected" value="">Select Bank</option> <option value="1163">AGRICULTURAL DEVELOPMENT BANK LTD</option> <option value="1120">APEX DEVELOPMENT BANK LTD</option> <option value="1121">ARANIKO DEVELOPMENT BANK LTD</option> <option value="1122">BOKLUMBINI BANK LTD</option> <option value="1123">CENTURY BANK</option> <option value="1124">CITIZENS BANK INTERNATIONAL LTD.</option> <option value="1125">CIVIL BANK LTD</option> <option value="1126">DEVA BIKAS BANK LIMITED</option> <option value="1127">EVEREST BANK LTD</option> <option value="1171">EXCEL DEVELOPMENT BANK LTD</option> <option value="1172">GANDAKI BIKAS BANK LTD</option> <option value="1128">GARIMA BIKASH BANK LIMITED</option> <option value="1217">GENERAL FINANCE LTD</option> <option value="1173">GLOBAL IME BANK LTD</option> <option value="1129">GREEN DEVELOPMENT BANK LTD</option> <option value="1220">GURKHAS FINANCE</option> <option value="1210">HIMALAYAN BANK LTD</option> <option value="1221">ICFC FINANCE</option> <option value="1130">JANATA BANK NEPAL LTD</option> <option value="1131">JHIMRUK BIKAS BANK LTD</option> <option value="1177">JYOTI BIKASH BANK LTD</option> <option value="1132">KAILASH BIKAS BANK LTD</option> <option value="1133">KALINCHOWK DEVELOPMENT BANK LTD</option> <option value="1179">KAMANA SEWA BIKASH BANK LTD</option> <option value="1134">KANKREBIHAR DEVELOPMENT BANK LTD</option> <option value="1135">KASTHAMANDAP DEVELOPMENT BANK LIMITED</option> <option value="1136">KUMARI BANK LTD</option> <option value="1137">LAXMI BANK LTD</option> <option value="1185">LUMBINI BIKASH BANK LTD</option> <option value="1138">MACHHAPUCHRE BANK LTD</option> <option value="1186">MAHALAXMI BIKASH BANK LIMITED</option> <option value="1140">MATRIBHUMI DEVELOPMENT BANK LTD</option> <option value="1141">MEGA BANK NEPAL LTD</option> <option value="1188">MISSION DEVELOPMENT BANK LTD</option> <option value="1189">MUKTINATH BIKASH BANK LTD</option> <option value="1190">NABIL BANK LTD</option> <option value="1191">NCC BANK LTD</option> <option value="1192">NEPAL BANGLADESH BANK LTD.</option> <option value="1193">NEPAL BANK LIMITED</option> <option value="1160">NEPAL INVESTMENT BANK</option> <option value="1212">NEPAL SBI BANK LTD</option> <option value="1142">NIC ASIA BANK LTD</option> <option value="1213">NIRDHAN UTTHAN BANK LTD</option> <option value="1197">NMB BANK LTD</option> <option value="1198">OM DEVELOPMENT BANK LTD</option> <option value="1143">PACIFIC DEVELOPMENT BANK LTD</option> <option value="1580">Pokhara Finance</option> <option value="1144">PRABHU BANK LTD</option> <option value="1145">PRIME BANK LTD</option> <option value="1214">RASTRIYA BANIJYA BANK LTD</option> <option value="1146">RELIABLE DEVELOPMENT BANK LTD</option> <option value="1203">SAHARA BIKASH BANK LTD</option> <option value="1147">SAHAYOGI BIKASH BANK LTD</option> <option value="1215">SAJHA BIKASH BANK LTD</option> <option value="1148">SALAPA BIKAS BANK LTD</option> <option value="1149">SANIMA BANK</option> <option value="1150">SAPTAKOSHI DEVELOPMENT BANK LTD</option> <option value="1219">SEWA BIKASH BANK LTD</option> <option value="1205">SHANGRILA DEVELOPMENT BANK LTD</option> <option value="1151">SHINE RESUNGA DEVELOPMENT BANK LTD</option> <option value="1152">SIDDHARTHA BANK LTD</option> <option value="1216">STANDARD CHARTERED BANK NEPAL LTD</option> <option value="1154">SUBHECHHA BIKASH BANK LTD</option> <option value="1155">SUNRISE BANK LTD</option> <option value="1156">TINAU BIKASH BANK LIMITED</option> <option value="1207">TOURISM DEVELOPMENT BANK LTD</option> <option value="1222">TRIVENI BIKASH BANK LTD</option> <option value="1218">VYCCU SAVING AND CREDIT CO-OPERATIVE LTD</option> <option value="1158">YETI DEVELOPMENT BANK LTD</option> </select> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Bank Branch</label> <input type="number" class="form-control required" placeholder="Bank Branch*" /> </div> </div> <div class="col-md-3"> <div class="mb-3"> <label class="form-label">Account Number</label> <input type="number" class="form-control" placeholder="Account Number" /> </div> </div> <div class="col-md-12"> <div class="mb-3"> <input type="submit" value="Add Receiver" class="btn btn-primary"> </div> </div> </div> </div> </div> </div> </div> </div> </div> <!-- Content end --> <!-- Footer --> <footer id="footer" class="footer-web py-3 "> <div class="container"> <div class="footer-copyright text-center border-0"> <div class="row"> <div class="col-lg-6 mx-auto"> <div class="text-center text-white"> <p class="m-0">© Subhida UK Ltd, 202</p> </div> </div> </div> </div> </div> </footer> <!-- Footer end --> </div> <!-- Document Wrapper end --> <!-- Back to Top
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