<%@ Page Title="" Language="C#" MasterPageFile="~/AgentNew/AgentMain.Master" AutoEventWireup="true" CodeBehind="SendTransaction.aspx.cs" Inherits="Swift.web.AgentNew.Transaction.SendTransaction" %>

Sender Information

First Name

Middle Name

Last Name

Zip Code

Street

City

State

Mobile

Gender

Native Country

Monthly Income

Email

Customer Type

Company Name

Business Type

Id Type

ID Number

Place of Issue

Issued Date

Occupation

Receiver Information

Choose Receiver

First Name

Middle Name

Last Name

Address

Mobile No.

ID Type

ID No.

Gender

Email

Transaction Information

Collection Mode

Cash Bank Deposite

Receiving Country

Receving Mode

Agent/Bank

Payout Currency

Sending Amount

Collection Amount

Service Charge

Payout Amount

Customer Due Diligence Information -(CDDI)

Purpose of Remittance

Source of Fund

Relationship with Receiver

Message to Receiver

Customer Due Diligence Information

Purpose of Remittance

Source of Fund

Relationship with Receiver

Message to Receiver