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  1. <%@ Page Language="C#" MasterPageFile="~/AgentNew/AgentMain.Master" AutoEventWireup="true" CodeBehind="SendTntlReceipt.aspx.cs" Inherits="Swift.web.AgentNew.ReprintReceipt.SendTntlReceipt" %>
  2. <asp:Content ID="Content1" ContentPlaceHolderID="head" runat="server">
  3. <%--<link href="/css/receipt.css" rel="stylesheet" />--%>
  4. <style>
  5. @import url('https://fonts.googleapis.com/css2?family=Noto+Sans+JP:wght@300;400;500&display=swap');
  6. </style>
  7. <style type="text/css">
  8. .receipt {
  9. margin-top: -130px;
  10. }
  11. .buttonDiv {
  12. padding: 10px;
  13. }
  14. #buttonRow {
  15. margin: 10px;
  16. }
  17. .no-margin {
  18. margin-top: 10%;
  19. }
  20. @media only screen and (max-width: 991px) {
  21. .no-margin {
  22. margin-top: 17%;
  23. }
  24. }
  25. @media print {
  26. body {
  27. margin: 0mm -4mm 0mm 0mm;
  28. }
  29. .footer {
  30. display: none;
  31. }
  32. .no-margin {
  33. margin-top: 0px !important;
  34. }
  35. .receipt td {
  36. line-height: 10px;
  37. }
  38. .bottom-box {
  39. height: 100px;
  40. }
  41. .print-gray {
  42. opacity: .3;
  43. }
  44. .receipt {
  45. margin-top: 0% !important;
  46. }
  47. .buttonDiv {
  48. display: none;
  49. }
  50. .officeDiv {
  51. margin-top: 0% !important;
  52. }
  53. }
  54. .tbl-sender-rec-info td {
  55. padding-top: 4px;
  56. padding-bottom: 4px;
  57. }
  58. .tbl-sender-rec-info td:first-child {
  59. padding-left: 5px;
  60. padding-right: 0;
  61. }
  62. .print-gray {
  63. opacity: .3;
  64. -webkit-print-color-adjust: exact !important;
  65. }
  66. .receipt {
  67. font-family: 'Noto Sans JP', sans-serif;
  68. }
  69. .receipt p {
  70. font-family: 'Noto Sans JP', sans-serif;
  71. }
  72. </style>
  73. <script type="text/javascript">
  74. $(document).ready(function () {
  75. $("#<%=office.ClientID%>").on("click", function () {
  76. $("#<%=hide.ClientID%>").val('office');
  77. });
  78. $("#<%=customer.ClientID%>").on("click", function () {
  79. $("#<%=hide.ClientID%>").val('customer');
  80. });
  81. $("#<%=both.ClientID%>").on("click", function () {
  82. $("#<%=hide.ClientID%>").val('both');
  83. });
  84. });
  85. function Print() {
  86. window.print();
  87. }
  88. </script>
  89. </asp:Content>
  90. <asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
  91. <div class="buttonDiv" id="buttonDiv" runat="server">
  92. <asp:HiddenField runat="server" ID="hide" />
  93. <div class="row" id="buttonRow">
  94. <asp:Button ID="office" runat="server" Text="Print Office Copy" CssClass="btn btn-primary" />
  95. <asp:Button ID="customer" runat="server" Text="Print Customer Copy" CssClass="btn btn-primary" />
  96. <asp:Button ID="both" runat="server" Text="Print Both Copy" CssClass="btn btn-primary" />
  97. <div id="tranDiv" style="float: right; font-weight: bold; font-size: 16px; background-color: yellow">
  98. <asp:Label ID="lblfiled" Text="Transaction Status :" runat="server"></asp:Label>
  99. <asp:Label ID="tranStatus" runat="server"></asp:Label>
  100. </div>
  101. </div>
  102. </div>
  103. <div class="receipt">
  104. <div id="receiptRow">
  105. <div id="customerDiv" runat="server">
  106. <table border="0" width="100%" style="margin-top: 10%;" class="no-margin">
  107. <!--Header-->
  108. <tr>
  109. <td colspan="3">
  110. <table width="100%;" border="0">
  111. <tr>
  112. <td style="width: 5%;">
  113. <div class="logo">
  114. <img src="/images/jme.png" />
  115. </div>
  116. <p style="font-size: 8px;">Fund Transfer Services Registration No.00006 Kanto Local Finance Bureau</p>
  117. <p style="font-size: 8px;">
  118. 資金移動業関東財務局長第00006号
  119. </p>
  120. </td>
  121. <td style="width: 90%;" colspan="2">
  122. <table style="width: 100%;">
  123. <tr>
  124. <td style="padding: 0 10px; width: 45%;">
  125. <h3 style="font-size: 12px;">Japan Money Express Co. Ltd. (JME)</h3>
  126. <p style="font-size: 9px;">
  127. Room AB, Omori Building 4F, 1-10-7 Hyakunin-cho,<br />
  128. Shinjuku-ku, Tokyo, 169-0073, Japan
  129. </p>
  130. <p style="font-size: 9px;">
  131. Tel: 03-5475-3913, Fax: 03-5475-3914<br />
  132. https://www.japanremit.com
  133. </p>
  134. </td>
  135. <td style="padding: 0 10px; width: 55%;">
  136. <h3 style="font-size: 12px;">ジャパンマネーエクスプレス株式会社</h3>
  137. <p style="font-size: 9px;">
  138. 〒169-0073 東京都新宿区百人町一丁目10番7号<br />
  139. 大森ビル4階AB号室
  140. </p>
  141. <p style="font-size: 9px;">
  142. Tel: 03-5475-3913, Fax: 03-5475-3914<br />
  143. https://www.japanremit.com
  144. </p>
  145. </td>
  146. </tr>
  147. <tr>
  148. <td colspan="2">
  149. <h3 style="font-size: 25px; margin-left: 10%;"><span style="text-decoration: underline; font-size: 23px;">Remittance Statement 送金明細書
  150. </span>&nbsp;&nbsp;&nbsp;&nbsp;<span style="text-decoration: underline; color: #ff0000; font-size: 17px; float: right; margin-top: 10px;">Office Copy</span></h3>
  151. <%--<p style="text-decoration: underline; color: #ff0000; font-size: 18px; text-align: end;">Office Copy</p>--%>
  152. </td>
  153. </tr>
  154. </table>
  155. </td>
  156. </tr>
  157. </table>
  158. </td>
  159. </tr>
  160. <!--body-->
  161. <tr valign="top">
  162. <td width="80%;">
  163. <table width="100%;">
  164. <!--sender information-->
  165. <tr>
  166. <td>
  167. <table width="100%;" style="border: 1px solid #ccc; padding: 0 5px; border-bottom: none;" class="tbl-sender-rec-info">
  168. <tr>
  169. <td colspan="4" class="details" style="padding: 0 5px;">
  170. <h4>送金依頼人 SENDER INFORMATION</h4>
  171. </td>
  172. </tr>
  173. <tr>
  174. <td width="25% " valign="top" style="padding: 0 5px;">
  175. <label>依頼人名 Sender Name</label>
  176. </td>
  177. <td width="30% " valign="top">
  178. <span class="sender-value ">
  179. <asp:Label ID="senderName" runat="server"></asp:Label></span>
  180. </td>
  181. <td width="25% " valign="top">
  182. <label>会員番号 Membership ID</label>
  183. </td>
  184. <td width="22% ">
  185. <span class="sender-value ">
  186. <asp:Label ID="sMemId" runat="server"></asp:Label></span>
  187. </td>
  188. </tr>
  189. <tr>
  190. <td style="padding: 0 5px;">
  191. <label>住所 Address</label>
  192. </td>
  193. <td colspan="3 ">
  194. <span class="sender-value ">
  195. <asp:Label ID="sAddress" runat="server"></asp:Label></span>
  196. </td>
  197. </tr>
  198. <tr>
  199. <td style="padding: 0 5px;">
  200. <label>国籍 Nationality</label>
  201. </td>
  202. <td>
  203. <span class="sender-value ">
  204. <asp:Label ID="sNativeCountry" runat="server"></asp:Label></span>
  205. </td>
  206. <td>
  207. <label>職業 Occupation</label>
  208. </td>
  209. <td>
  210. <span class="sender-value ">
  211. <asp:Label ID="lblOccupation" runat="server"></asp:Label></span>
  212. </td>
  213. </tr>
  214. <tr>
  215. <td>
  216. <label>電話番号 Telephone No.</label>
  217. </td>
  218. <td>
  219. <span class="sender-value ">
  220. <asp:Label ID="sContactNo" runat="server"></asp:Label></span>
  221. </td>
  222. </tr>
  223. <tr style="display: none;">
  224. <td style="padding: 0 5px;">
  225. <label>Date of birth</label>
  226. </td>
  227. <td>
  228. <span class="sender-value ">
  229. <asp:Label ID="sDob" runat="server"></asp:Label></span>
  230. </td>
  231. <td style="padding: 0 5px;">
  232. <label>Visa Status</label>
  233. </td>
  234. <td>
  235. <span class="sender-value ">
  236. <asp:Label ID="visaStatus" runat="server"></asp:Label></span>
  237. </td>
  238. </tr>
  239. </table>
  240. </td>
  241. </tr>
  242. <!--Receiver information-->
  243. <tr style="">
  244. <td>
  245. <table width="100%;" style="border: 1px solid #ccc; padding: 5px; border-bottom: none;" class="tbl-sender-rec-info">
  246. <tr>
  247. <td colspan="4" class="details" style="padding: 0 5px;">
  248. <h4>送金受取人 BENEFICIARY INFORMATION</h4>
  249. </td>
  250. </tr>
  251. <tr>
  252. <td style="padding: 0 5px; width: 25%">
  253. <label>受取国 Payout Country</label>
  254. </td>
  255. <td style="padding: 0 5px; width: 30%">
  256. <span class="sender-value">
  257. <asp:Label ID="pAgentCountry" runat="server"></asp:Label></span>
  258. </td>
  259. <td style="width: 25%">
  260. <label>目的 Purpose</label>
  261. </td>
  262. <td style="width: 22%">
  263. <span class="sender-value ">
  264. <asp:Label ID="purpose" runat="server"></asp:Label></span>
  265. </td>
  266. </tr>
  267. <tr>
  268. <td valign="top">
  269. <label>受取人名 Beneficiary Name</label>
  270. </td>
  271. <td valign="top">
  272. <span class="sender-value">
  273. <asp:Label ID="receiverName" runat="server"></asp:Label></span>
  274. </td>
  275. <td>
  276. <label>受取方法 Mode of Receipt</label>
  277. </td>
  278. <td><span class="sender-value">
  279. <span class="sender-value">
  280. <asp:Label ID="paymentMode" runat="server"></asp:Label></span>
  281. </td>
  282. </tr>
  283. <tr>
  284. <td style="padding: 0 5px;">
  285. <label>電話番号 Telephone No.</label>
  286. </td>
  287. <td>
  288. <span class="sender-value">
  289. <asp:Label ID="rContactNo" runat="server"></asp:Label></span>
  290. </td>
  291. <td>
  292. <label id="bankLabel" runat="server">銀行名 Bank Name</label>
  293. </td>
  294. <td>
  295. <span class="sender-value">
  296. <asp:Label ID="pBankName" runat="server"></asp:Label></span>
  297. </td>
  298. </tr>
  299. <tr>
  300. <td style="padding: 0 5px;">
  301. <label>受取人との関係 Relation with Beneficiary</label>
  302. </td>
  303. <td>
  304. <span class="sender-value">
  305. <asp:Label ID="relationShip" runat="server"></asp:Label></span>
  306. </td>
  307. <td id="bank7" runat="server">
  308. <label>支店名 Branch Name</label>
  309. </td>
  310. <td id="bank8" runat="server">
  311. <span class="sender-value">
  312. <asp:Label ID="pBranchName" runat="server"></asp:Label></span>
  313. </td>
  314. </tr>
  315. <tr id="bankAccNo" runat="server">
  316. <td>&nbsp;</td>
  317. <td>&nbsp;</td>
  318. <td>
  319. <label>口座番号 Account No.</label>
  320. </td>
  321. <td>
  322. <span class="sender-value">
  323. <asp:Label ID="accountNo" runat="server"></asp:Label></span>
  324. </td>
  325. <td style="display: none;">
  326. <label>Address</label>
  327. </td>
  328. <td style="display: none;">
  329. <span class="sender-value">
  330. <asp:Label ID="rAddress" runat="server"></asp:Label></span>
  331. </td>
  332. </tr>
  333. <tr style="display: none;">
  334. <td colspan="2" style="padding: 0 5px;">
  335. <label>&nbsp;</label>
  336. </td>
  337. <td>
  338. <label>Correspondent</label>
  339. </td>
  340. <td>
  341. <span class="sender-value">
  342. <asp:Label ID="pAgent" runat="server"></asp:Label></span>
  343. </td>
  344. </tr>
  345. <tr style="display: none;">
  346. <td colspan="4" style="padding: 5px;">
  347. <p>
  348. <em>Payout Amount: <span>
  349. <asp:Label ID="rAmtWords" runat="server"></asp:Label></span></em>
  350. </p>
  351. </td>
  352. </tr>
  353. </table>
  354. </td>
  355. </tr>
  356. </table>
  357. </td>
  358. <td width="20%" class="amount-info">
  359. <table width="100%;" border="1" cellspacing="0 " cellpadding="0 ">
  360. <tr>
  361. <td style="padding: 0 5px;">
  362. <h2>JME NO:<span><asp:Label ID="controlNo" runat="server"></asp:Label></span></h2>
  363. </td>
  364. </tr>
  365. <tr>
  366. <td style="padding: 0 5px;">
  367. <p>
  368. <asp:Label ID="createdBy" runat="server"></asp:Label>
  369. </p>
  370. <p>
  371. <span>
  372. <asp:Label ID="approvedDate" runat="server"></asp:Label></span>
  373. </p>
  374. </td>
  375. </tr>
  376. <tr>
  377. <td style="padding: 0 5px;">
  378. <p>Collect Amount</p>
  379. <h3><span>
  380. <asp:Label ID="cAmt" runat="server"></asp:Label></span></h3>
  381. </td>
  382. </tr>
  383. <tr>
  384. <td style="padding: 0 5px;">
  385. <p>Service Charge</p>
  386. <p>
  387. <span>
  388. <asp:Label ID="serviceCharge" runat="server"></asp:Label></span>
  389. </p>
  390. </td>
  391. </tr>
  392. <tr>
  393. <td style="padding: 0 5px;">
  394. <p>Transfer Amount</p>
  395. <p>
  396. <span>
  397. <asp:Label ID="tAmt" runat="server"></asp:Label></span>
  398. </p>
  399. </td>
  400. </tr>
  401. <tr>
  402. <td style="padding: 0 5px;">
  403. <p>Exchange Rate</p>
  404. <p>
  405. <span>
  406. <asp:Label ID="exRate" runat="server"></asp:Label></span>
  407. </p>
  408. </td>
  409. </tr>
  410. <tr>
  411. <td style="padding: 0 5px;">
  412. <p>Payout Amount</p>
  413. <h3><span>
  414. <asp:Label ID="pAmt" runat="server"></asp:Label></span></h3>
  415. </td>
  416. </tr>
  417. <tr>
  418. <td style="padding: 0 5px;">
  419. <p>
  420. Serial:<span>
  421. <asp:Label ID="serial1" runat="server"></asp:Label></span>
  422. </p>
  423. </td>
  424. </tr>
  425. <tr>
  426. <td style="padding: 0 5px;">
  427. <p>Deposit Type</p>
  428. <p>
  429. <span>
  430. <asp:Label ID="depositType" runat="server"></asp:Label></span>
  431. </p>
  432. </td>
  433. </tr>
  434. </table>
  435. </td>
  436. </tr>
  437. <!--information section-->
  438. <tr valign="top">
  439. <td colspan="2">
  440. <table width="100%;" style="border: 1px solid #ccc; padding: 5px;">
  441. <tr>
  442. <td colspan="4" style="font-weight: 600;">署名及び宣誓 Signature and Declaration
  443. </td>
  444. </tr>
  445. <tr valign="top" style="height: 90px;">
  446. <td colspan="2" style="padding: 5px;">
  447. <p style="font-size: 8px;">
  448. (1) I understood and agreed to the Terms and Conditions of JME published on the website.<br />
  449. (2) I read and understood the Privacy Policy of JME published on the website.<br />
  450. (3) I confirmed the information provided above is true and correct.<br />
  451. (4) I declare that<br />
  452. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- This request has nothing to do with Democratic People`s Republic of Korea (DPRK) and Islamic<br />
  453. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Republic of Iran;<br />
  454. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- I have no relation to Anti-Social Forces;<br />
  455. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- I do not engage in any illegal activities.<br />
  456. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- This beneficiary is not Politically Exposed Person (PEPs)<br />
  457. <%-- 私は、本依頼書に記載されているジャパンマネーエクスプレス株式会社の「海外送金利用規約」の内容に同意します。<br />
  458. 私の依頼する送金は、北朝鮮及びイランとは関係無い取引であり、反社会勢力と一切の関りはありません。<br />
  459. 私は「外内国の重要な公的な地位にある者」ではありません。<br />
  460. また申込書に表示された内容について間違いが無い事を確認した上で、JME送金サービスの利用を依頼します。<br />
  461. I understand and agree to the ”Terms and Conditions for Overseas Remittance” of Japan Money Express Co., Ltd. (JME).<br />
  462. I confirm that this remittance has nothing to do with North Korea or Iran. I have no relation to any Anti-Social Forces or engagement in any illegal activities.<br />
  463. I am not Politically Exposed Persons(PEPs).<br />
  464. I confirm the information shown in this application to avail the remittance service is true and correct.--%>
  465. </p>
  466. </td>
  467. <td colspan="2">
  468. <p style="font-size: 8px;">
  469. (1) ウェブサイト上で公開されている当社の「海外送金規約」を理解し合意しています。
  470. <br />
  471. (2) ウェブサイト上で公開されている当社の「個人情報保護方針」を確認し理解しました。<br />
  472. (3) 上記の記載内容に相違がないことを確認しました。<br />
  473. (4) 更に、以下の点につき表明します。<br />
  474. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- 本件依頼は朝鮮民主主義人民共和国及びイラン・イスラム共和国とは<br />
  475. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;一切関わりがないこと。<br />
  476. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- 私は反社会的勢力とは何ら関わりがないこと。<br />
  477. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- 私は一切違法行為を行っていないこと。<br />
  478. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- 本受取人は外国の政府等において重要な地位を占める者 (PEPs)ではありません<br />
  479. <%-- 私は、本依頼書に記載されているジャパンマネーエクスプレス株式会社の「海外送金利用規約」の内容に同意します。<br />
  480. 私の依頼する送金は、北朝鮮及びイランとは関係無い取引であり、反社会勢力と一切の関りはありません。<br />
  481. 私は「外内国の重要な公的な地位にある者」ではありません。<br />
  482. また申込書に表示された内容について間違いが無い事を確認した上で、JME送金サービスの利用を依頼します。<br />
  483. I understand and agree to the ”Terms and Conditions for Overseas Remittance” of Japan Money Express Co., Ltd. (JME).<br />
  484. I confirm that this remittance has nothing to do with North Korea or Iran. I have no relation to any Anti-Social Forces or engagement in any illegal activities.<br />
  485. I am not Politically Exposed Persons(PEPs).<br />
  486. I confirm the information shown in this application to avail the remittance service is true and correct.--%>
  487. </p>
  488. </td>
  489. </tr>
  490. <tr>
  491. <td colspan="4">&nbsp;</td>
  492. </tr>
  493. <tr>
  494. <td style="padding: 5px;">
  495. <label>署名及び印鑑 Signature or Stamp</label>
  496. </td>
  497. <td style="padding-top: 10px !important;">..................................................
  498. </td>
  499. <td style="display: none;">
  500. <label>Operator:(<asp:Label ID="operator1" runat="server"></asp:Label>)</label>
  501. </td>
  502. <td style="padding-top: 10px !important; display: none;">..................................................
  503. </td>
  504. </tr>
  505. <tr>
  506. <td colspan="4">&nbsp;</td>
  507. </tr>
  508. </table>
  509. </td>
  510. </tr>
  511. </table>
  512. <table width="100%;" style="margin: 25px 0;" id="divInvoiceSecond" runat="server">
  513. <tr>
  514. <td>
  515. <center>-----------------------------------------------------------------Cut From Here-----------------------------------------------------------------</center>
  516. </td>
  517. </tr>
  518. </table>
  519. </div>
  520. <div id="officeDiv" class="officeDiv" runat="server">
  521. <table border="0" width="100%" id="divInvoiceSecond1" runat="server">
  522. <!--Header-->
  523. <tr>
  524. <td colspan="3">
  525. <table width="100%;" border="0">
  526. <tr>
  527. <td style="width: 5%;">
  528. <div class="logo">
  529. <img src="/images/jme.png" />
  530. </div>
  531. <p style="font-size: 8px;">Fund Transfer Services Registration No.00006 Kanto Local Finance Bureau</p>
  532. <p style="font-size: 8px;">
  533. 資金移動業関東財務局長第00006号
  534. </p>
  535. </td>
  536. <td style="width: 90%;" colspan="2">
  537. <table style="width: 100%;">
  538. <tr>
  539. <td style="padding: 0 10px; width: 45%;">
  540. <h3 style="font-size: 12px;">Japan Money Express Co. Ltd. (JME)</h3>
  541. <p style="font-size: 9px;">
  542. Room AB, Omori Building 4F, 1-10-7 Hyakunin-cho,<br />
  543. Shinjuku-ku, Tokyo, 169-0073, Japan
  544. </p>
  545. <p style="font-size: 9px;">
  546. Tel: 03-5475-3913, Fax: 03-5475-3914<br />
  547. https://www.japanremit.com
  548. </p>
  549. </td>
  550. <td style="padding: 0 10px; width: 55%;">
  551. <h3 style="font-size: 12px;">ジャパンマネーエクスプレス株式会社</h3>
  552. <p style="font-size: 9px;">
  553. 〒169-0073 東京都新宿区百人町一丁目10番7号<br />
  554. 大森ビル4階AB号室
  555. </p>
  556. <p style="font-size: 9px;">
  557. Tel: 03-5475-3913, Fax: 03-5475-3914<br />
  558. https://www.japanremit.com
  559. </p>
  560. </td>
  561. </tr>
  562. <tr>
  563. <td colspan="2">
  564. <h3 style="font-size: 24px; margin-left: 10%;"><span style="text-decoration: underline; font-size: 23px;">Remittance Statement 送金明細書</span>&nbsp;&nbsp;&nbsp;&nbsp;<span style="text-decoration: underline; color: #ff0000; font-size: 17px; float: right; margin-top: 10px;">Customer Copy</span></h3>
  565. <%--<p style="text-decoration: underline; color: #ff0000; font-size: 18px; text-align: end;">Office Copy</p>--%>
  566. </td>
  567. </tr>
  568. </table>
  569. </td>
  570. </tr>
  571. </table>
  572. </td>
  573. </tr>
  574. <!--body-->
  575. <tr valign="top">
  576. <td width="80%;">
  577. <table width="100%;">
  578. <!--sender information-->
  579. <tr>
  580. <td>
  581. <table width="100%;" style="border: 1px solid #ccc; padding: 5px; border-bottom: none;" class="tbl-sender-rec-info">
  582. <tr>
  583. <td colspan="4 " class="details" style="padding: 0 5px;">
  584. <h4>送金依頼人 SENDER INFORMATION</h4>
  585. </td>
  586. </tr>
  587. <tr>
  588. <td width="25% " valign="top" style="padding: 0 5px;">
  589. <label>依頼人名 Sender Name</label>
  590. </td>
  591. <td width="30% " valign="top">
  592. <span class="sender-value ">
  593. <asp:Label ID="senderName1" runat="server"></asp:Label></span>
  594. </td>
  595. <td width="23% " valign="top">
  596. <label>会員番号 Membership ID</label>
  597. </td>
  598. <td width="22% ">
  599. <span class="sender-value ">
  600. <asp:Label ID="sMemId1" runat="server"></asp:Label></span>
  601. </td>
  602. </tr>
  603. <tr>
  604. <td style="padding: 0 5px;">
  605. <label>住所 Address</label>
  606. </td>
  607. <td colspan="3">
  608. <span class="sender-value ">
  609. <asp:Label ID="sAddress1" runat="server"></asp:Label></span>
  610. </td>
  611. </tr>
  612. <tr>
  613. <td style="padding: 0 5px;">
  614. <label>国籍 Nationality</label>
  615. </td>
  616. <td>
  617. <span class="sender-value ">
  618. <asp:Label ID="sNativeCountry1" runat="server"></asp:Label></span>
  619. </td>
  620. <td>
  621. <label>職業 Occupation</label>
  622. </td>
  623. <td>
  624. <span class="sender-value ">
  625. <asp:Label ID="lblOccupation1" runat="server"></asp:Label></span>
  626. </td>
  627. </tr>
  628. <tr>
  629. <td>
  630. <label>電話番号 Telephone No.</label>
  631. </td>
  632. <td>
  633. <span class="sender-value ">
  634. <asp:Label ID="sContactNo1" runat="server"></asp:Label></span>
  635. </td>
  636. </tr>
  637. <tr style="display: none;">
  638. <td style="padding: 0 5px;">
  639. <label>Date of birth</label>
  640. </td>
  641. <td>
  642. <span class="sender-value ">
  643. <asp:Label ID="sDob1" runat="server"></asp:Label></span>
  644. </td>
  645. <td style="padding: 0 5px;">
  646. <label>Visa Status</label>
  647. </td>
  648. <td>
  649. <span class="sender-value ">
  650. <asp:Label ID="visaStatus1" runat="server"></asp:Label></span>
  651. </td>
  652. </tr>
  653. </table>
  654. </td>
  655. </tr>
  656. <!--Receiver information-->
  657. <tr style="">
  658. <td>
  659. <table width="100%;" style="border: 1px solid #ccc; padding: 5px; border-bottom: none;" class="tbl-sender-rec-info">
  660. <tr>
  661. <td colspan="4" class="details" style="padding: 0 5px;">
  662. <h4>送金受取人 BENEFICIARY INFORMATION</h4>
  663. </td>
  664. </tr>
  665. <tr>
  666. <td style="padding: 0 5px; width: 25%">
  667. <label>受取国 Payout Country</label>
  668. </td>
  669. <td style="padding: 0 5px; width: 30%">
  670. <span class="sender-value">
  671. <asp:Label ID="pAgentCountry1" runat="server"></asp:Label></span>
  672. </td>
  673. <td style="width: 23%">
  674. <label>目的 Purpose</label>
  675. </td>
  676. <td style="width: 22%">
  677. <span class="sender-value ">
  678. <asp:Label ID="purpose1" runat="server"></asp:Label></span>
  679. </td>
  680. </tr>
  681. <tr>
  682. <td valign="top" style="padding: 0 5px;">
  683. <label>受取人名 Beneficiary Name</label>
  684. </td>
  685. <td valign="top">
  686. <span class="sender-value">
  687. <asp:Label ID="receiverName1" runat="server"></asp:Label></span>
  688. </td>
  689. <td>
  690. <label>受取方法 Mode of Receipt</label>
  691. </td>
  692. <td><span class="sender-value">
  693. <span class="sender-value">
  694. <asp:Label ID="paymentMode1" runat="server"></asp:Label></span>
  695. </td>
  696. </tr>
  697. <tr>
  698. <td style="padding: 0 5px;">
  699. <label>電話番号 Telephone No.</label>
  700. </td>
  701. <td>
  702. <span class="sender-value">
  703. <asp:Label ID="rContactNo1" runat="server"></asp:Label></span>
  704. </td>
  705. <td>
  706. <label id="bankLabel1" runat="server">銀行名 Bank Name</label>
  707. </td>
  708. <td id="bank2" runat="server">
  709. <span class="sender-value">
  710. <asp:Label ID="pBankName1" runat="server"></asp:Label></span>
  711. </td>
  712. </tr>
  713. <tr>
  714. <td style="padding: 0 5px;">
  715. <label>受取人との関係 Relation with Beneficiary</label>
  716. </td>
  717. <td>
  718. <span class="sender-value">
  719. <asp:Label ID="relationship1" runat="server"></asp:Label></span>
  720. </td>
  721. <td id="bank3" runat="server">
  722. <label>支店名 Branch Name</label>
  723. </td>
  724. <td id="bank4" runat="server">
  725. <span class="sender-value">
  726. <asp:Label ID="pBranchName1" runat="server"></asp:Label></span>
  727. </td>
  728. </tr>
  729. <tr id="bankAccNo1" runat="server">
  730. <td>&nbsp;</td>
  731. <td>&nbsp;</td>
  732. <td>
  733. <label>口座番号 Account No.</label>
  734. </td>
  735. <td>
  736. <span class="sender-value">
  737. <asp:Label ID="accountNo1" runat="server"></asp:Label></span>
  738. </td>
  739. <%--<td style="padding: 0 5px; display: none;">
  740. <label>Address</label>
  741. </td>
  742. <td style="display: none;">
  743. <span class="sender-value">
  744. <asp:Label ID="rAddress1" runat="server"></asp:Label></span>
  745. </td>--%>
  746. </tr>
  747. <tr style="display: none;">
  748. <td colspan="2" style="padding: 0 5px;">
  749. <label>&nbsp;</label>
  750. </td>
  751. <td>
  752. <label>Correspondent</label>
  753. </td>
  754. <td>
  755. <span class="sender-value">
  756. <asp:Label ID="pAgent1" runat="server"></asp:Label></span>
  757. </td>
  758. </tr>
  759. <tr style="display: none;">
  760. <td colspan="4" style="padding: 5px;">
  761. <p>
  762. <em>Payout Amount: <span>
  763. <asp:Label ID="rAmtWords1" runat="server"></asp:Label></span></em>
  764. </p>
  765. </td>
  766. </tr>
  767. </table>
  768. </td>
  769. </tr>
  770. </table>
  771. </td>
  772. <td width="20%" class="amount-info">
  773. <table width="100%;" border="1" cellspacing="0 " cellpadding="0 ">
  774. <tr>
  775. <td style="padding: 0 5px;">
  776. <h2>JME NO:<span><asp:Label ID="controlNo1" runat="server"></asp:Label></span></h2>
  777. </td>
  778. </tr>
  779. <tr>
  780. <td style="padding: 0 5px;">
  781. <p>
  782. <asp:Label ID="createdBy1" runat="server"></asp:Label>
  783. </p>
  784. <p>
  785. <span>
  786. <asp:Label ID="approvedDate1" runat="server"></asp:Label></span>
  787. </p>
  788. </td>
  789. </tr>
  790. <tr>
  791. <td style="padding: 0 5px;">
  792. <p>Collect Amount</p>
  793. <h3><span>
  794. <asp:Label ID="cAmt1" runat="server"></asp:Label></span></h3>
  795. </td>
  796. </tr>
  797. <tr>
  798. <td style="padding: 0 5px;">
  799. <p>Service Charge</p>
  800. <p>
  801. <span>
  802. <asp:Label ID="serviceCharge1" runat="server"></asp:Label></span>
  803. </p>
  804. </td>
  805. </tr>
  806. <tr>
  807. <td style="padding: 0 5px;">
  808. <p>Transfer Amount</p>
  809. <p>
  810. <span>
  811. <asp:Label ID="tAmt1" runat="server"></asp:Label></span>
  812. </p>
  813. </td>
  814. </tr>
  815. <tr>
  816. <td style="padding: 0 5px;">
  817. <p>Exchange Rate</p>
  818. <p>
  819. <span>
  820. <asp:Label ID="exRate1" runat="server"></asp:Label></span>
  821. </p>
  822. </td>
  823. </tr>
  824. <tr>
  825. <td style="padding: 0 5px;">
  826. <p>Payout Amount</p>
  827. <h3><span>
  828. <asp:Label ID="pAmt1" runat="server"></asp:Label></span></h3>
  829. </td>
  830. </tr>
  831. <tr>
  832. <td style="padding: 0 5px;">
  833. <p>Serial:<span><asp:Label ID="serial2" runat="server"></asp:Label></span></p>
  834. </td>
  835. </tr>
  836. <tr>
  837. <td style="padding: 0 5px;">
  838. <p>Deposit Type</p>
  839. <p>
  840. <span>
  841. <asp:Label ID="depositType1" runat="server"></asp:Label></span>
  842. </p>
  843. </td>
  844. </tr>
  845. </table>
  846. </td>
  847. </tr>
  848. <!--information section-->
  849. <tr valign="top">
  850. <td colspan="2">
  851. <table width="100%;" style="border: 1px solid #ccc; padding: 5px; min-height: 125px;">
  852. <tr valign="top" style="height: 90px; display: none;">
  853. <td colspan="4" style="padding: 5px;">
  854. <p>
  855. (1) I understand and agree to the Terms and Conditions of JME on its website.<br />
  856. (2) I declare the information above is true and correct.<br />
  857. (3) I confirm that<br />
  858. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- This request has nothing to do with Democratic People's Republic of Korea (DPRK) and Iran;<br />
  859. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- I have no relation to Ani-Social Forces;and<br />
  860. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- I do not engage in any illegal activities;
  861. <br />
  862. <%-- 私は、本依頼書に記載されているジャパンマネーエクスプレス株式会社の「海外送金利用規約」の内容に同意します。<br />
  863. 私の依頼する送金は、北朝鮮及びイランとは関係無い取引であり、反社会勢力と一切の関りはありません。<br />
  864. 私は「外内国の重要な公的な地位にある者」ではありません。<br />
  865. また申込書に表示された内容について間違いが無い事を確認した上で、JME送金サービスの利用を依頼します。<br />
  866. I understand and agree to the ”Terms and Conditions for Overseas Remittance” of Japan Money Express Co., Ltd. (JME).<br />
  867. I confirm that this remittance has nothing to do with North Korea or Iran. I have no relation to any Anti-Social Forces or engagement in any illegal activities.<br />
  868. I am not Politically Exposed Persons(PEPs).<br />
  869. I confirm the information shown in this application to avail the remittance service is true and correct.--%>
  870. </p>
  871. </td>
  872. </tr>
  873. <tr class="bottom-box" style="min-height: 100px;">
  874. <td colspan="2" style="padding: 5px; width: 50%; text-align: center;" class="print-gray">
  875. <span style="font-size: 25px;">Company Stamp</span>
  876. </td>
  877. <td style="vertical-align: bottom;">
  878. <label>Operator:(<asp:Label ID="operator2" runat="server"></asp:Label>)</label>
  879. </td>
  880. <td style="padding-top: 10px !important; vertical-align: bottom;">..................................................
  881. </td>
  882. </tr>
  883. </table>
  884. </td>
  885. </tr>
  886. </table>
  887. <div id="officeCenterDiv" runat="server">
  888. <table width="100%;" style="margin: 25px 0;" id="Table1" runat="server">
  889. <tr>
  890. <td>
  891. <center>-----------------------------------------------------------------Cut From Here-----------------------------------------------------------------</center>
  892. </td>
  893. </tr>
  894. </table>
  895. </div>
  896. </div>
  897. </div>
  898. </div>
  899. </asp:Content>