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File: /www/exchange2/exchange/templates/retailinvestorreg.html
<AJDF:output>include file="header.html"</AJDF:output>
<script src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/jquery.maskedinput.min.js" type="text/javascript"></script>

<!--<script type="text/javascript" src="js/enroll.js"></script>
<script type="text/javascript" src="js/checkbrowser.js"></script>-->

<!--<script type="text/javascript" src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/checkbrowser.js"></script>
<script type="text/javascript" src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/enroll.js"></script>-->

<table cellspacing="0" cellpadding="0" border="0" width="100%">

  <tr>
  <td align="left" valign="top">
  
  <table cellspacing="0" cellpadding="0" border="0" width="100%">
    <tr>
      <td align="center" valign="top">&nbsp;</td>
    </tr>
    <tr>
      <td align="left" valign="middle" class="login_bg"><table cellspacing="0" cellpadding="0" border="0" width="100%">
          
            <tr>
              <td align="left" width="52%" valign="middle" class="login_bg_t">Exchange Trade Centre | Create New Investor</td>
              <td align="right" width="48%" valign="middle" class="txt_11"><AJDF:output>include file='originator_top_dashboard_links.html'</AJDF:output></td>
            </tr>
          
        </table>
       </td>
       </tr>
    <tr> 
    
    <td align="center" valign="top" class="about_c">
    
    <table cellspacing="5" cellpadding="5" border="0" width="100%">
      
      <tr>
      
      <td align="left" width="18%" valign="top"><AJDF:output>include file='left_sidebar.html'</AJDF:output></td>


      <td valign="top" align="left" id="tool"><form enctype="multipart/form-data" method="post" name="signup" action="?do=saveretailinvestorreg&id=<AJDF:output>$smarty.get.id</AJDF:output>"><table width="100%" cellspacing="0" cellpadding="0" border="0">
        <tbody><tr>
          <td valign="top" align="left"><table width="100%" cellspacing="0" cellpadding="0" border="0">
              <tbody><tr>
              </tr>
              <tr>
                <td valign="top" align="center"><span style="color:#008000"></span></td>
              </tr>
              <tr>
                <td valign="middle" align="center" class="inves_top_bg"><span>Investor Registration Confirmation Form </span></td>
              </tr>
              <tr>
                <td valign="top" align="center" class="about_c very_lite_gray"><table width="100%" cellspacing="0" cellpadding="0" border="0">
                    <tbody><tr>
                      <td valign="top" align="left"><table width="100%" cellspacing="0" cellpadding="5" border="0">
                          <tbody><tr>
                            <td valign="top" align="center"><table width="100%" cellspacing="2" cellpadding="2" border="0">
                                <tbody><tr>
                                  <td width="100%" valign="top" align="left" class="clsInvReg">




				<table width="100%" cellspacing="3" cellpadding="3" border="0" align="center">       
                                      



				<tbody><tr class="">
				<td valign="top" align="center"><table width="100%" cellspacing="0" cellpadding="0" border="0">
					<tbody>
					
					<tr><td colspan="5">
					<table width="100%" cellspacing="0" cellpadding="0" border="0">
					
					<tbody><tr><td width="10%" valign="top" align="left">
					<span class="txt_12_red"><b>IMPORTANT:-</b></span></td>
					<td width="90%" valign="top" align="left"><p align="justify" style="width:832px;">When choosing your login Username and Password, it is important that you remember them. It is equally important that you remember your choice of Secret Question and your Secret Answer. These will be used to identify you on the Exchange system.</p>
					</td></tr>
					<tr>
					  <td valign="top" align="center" style="padding:5px 0;" colspan="2"><b>Enter/Amend Your Exchange Login Details</b></td>
					  </tr>
					</tbody></table>
					
					</td></tr>

					<tr>
					<td width="50%" valign="top" align="center"><table width="100%" cellspacing="3" cellpadding="3" border="0">
					<tbody>


                                      <tr>
                                      <td width="5%" valign="top" align="right" class="txt_11_red"> * </td>
                                        <td width="29%" valign="top" align="left"> Username : </td>
                                        <td width="52%" valign="top" align="left"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.username</AJDF:output>" name="username"> <a class="under" title="<AJDF:output>$help.0.content</AJDF:output>">(?)</a><br>
                                         <span style="color:#FF0000"><AJDF:output>$errmsg.username</AJDF:output></span>
										            <p class="txt_11_cute">Spaces are not allowed</p>
                                        </td>
                                        <td width="1%" valign="top" align="right"></td>
                                      </tr>
                                      <tr>
                                       <td valign="top" align="right" class="txt_11_red"> * </td>

                                        <td valign="top" align="left"> Password :</td>
                                        <td valign="top" align="left">
                                       <input type="password" onkeyup="passwordStrength(this.value)" class="text_b_retail" value="<AJDF:output>$errval.password</AJDF:output>" name="password" id="password"> <a class="under" title="<AJDF:output>$help.1.content</AJDF:output>">(?)</a>                        <div class="strength0" id="passwordDescription"></div><br>

                                  		<span style="color:#FF0000"><AJDF:output>$errmsg.password</AJDF:output></span></td>
                                        <td valign="top" align="right"></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red"> * </td>
                                        <td valign="top" align="left">Confirm Password:</td>
                                        <td valign="top" align="left"><input type="password" class="text_b_retail" value="<AJDF:output>$errval.cpassword</AJDF:output>" name="cpassword"> <a class="under" title="<AJDF:output>$help.2.content</AJDF:output>">(?)</a><br>
                                        <span style="color:#FF0000"><AJDF:output>$errmsg.cpassword</AJDF:output></span><p class="txt_11_cute"></p></td>
                                        <td valign="top" align="right"></td>
                                      </tr>
									</tbody></table></td>
                                  <td valign="top" align="center" class=""></td>
                                  <td width="50%" valign="top" align="center"><table width="100%" cellspacing="3" cellpadding="3" border="0">
                                      <tbody>

                                      <tr><td width="10%" valign="top" align="right" class="txt_11_red cls36"> * </td>
                                        <td width="32%" valign="top" align="left"> Secret Question :</td>
                                        <td width="48%" valign="top" align="left"><AJDF:output>php</AJDF:output>
										$errors=$this->get_template_vars('errval');

										 echo  CreateOptionSecret('secret',$errors['secret'],'labels_settings') <AJDF:output>/php</AJDF:output><a href="javascript:void(0);" class="under" title="<AJDF:output>$help.3.content</AJDF:output>">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.secret</AJDF:output><p class="txt_11_cute">&nbsp;</p></td>
                                        <td width="1%" valign="top" align="right"></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red cls37"> * </td>
                                        <td valign="top" align="left"> Secret Answer :</td>
                                        <td valign="top" align="left"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.sanswer</AJDF:output>" name="sanswer"> <a class="under" title="<AJDF:output>$help.4.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.sanswer</AJDF:output></span><p class="txt_11_cute">&nbsp;</p></td>
                                        <td valign="top" align="right"></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red"> * </td>
                                        <td valign="top" align="left"> Email Address :<br>
                                         </td>
                                        <td valign="top" align="left"><input type="text" class="text_b_retail" value="<AJDF:output>if $errval.wemail eq ''</AJDF:output><AJDF:output>$retailer.address_email</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.wemail</AJDF:output><AJDF:output>/if</AJDF:output>" name="wemail"> <a class="under" title="<AJDF:output>$help.5.content</AJDF:output>">(?)</a>
					<br><span style="color:#FF0000"><AJDF:output>$errmsg.wemail</AJDF:output></span></td>
                                        <td valign="top" align="right"></td>
                                      </tr>


					</tbody></table></td>
					</tr>
				</tbody></table></td>
				</tr>

				<!--<tr>
				<td align="left" valign="top"><table cellspacing="0" cellpadding="0" border="0" width="118%">
					<tbody><tr>
					<td align="left" width="50%" valign="top" class="gray_3"></td>
					</tr>
				</tbody></table></td>
				</tr>-->

				<tr>

					<td width="100%" valign="top" align="left" colspan="2" class="bdr">&nbsp;</td>

<!-- 					<td valign="top" align="left" style="border-bottom:2px solid rgb(0,0,0);"></td> -->

					</tr>


                          <tr class="">
                            <td valign="top" align="center">

                               <AJDF:output>if $retailer.dp_type eq '1'</AJDF:output>


                                <table width="100%" border="0" cellspacing="2" cellpadding="2">
                                <tr>
                                <td width="100%" align="center" valign="top">


                                <table width="80%" border="0" cellpadding="3" cellspacing="3">

                                <tr>
                                      <td valign="top" align="left" colspan="3"> 

                                      <table width="100%" cellspacing="3" cellpadding="3" border="0">
                                      <tr>

                                      <td valign="top" align="right" class="txt_12_red" colspan="2" style="padding-left:150px;">&nbsp;&nbsp;<b>IMPORTANT:-</b></td>

                                <td valign="top" align="left" width="76%"><p align="justify"  style="width:285px;">It is very important that you check and confirm that all the details on this form are correct. All Credebt Exchange personnel will use these details to confirm your identity before taking any instructions from you by telephone, or any other means.</p></td>

                                </tr></table> </td>
                                </tr>

                               <tr><td colspan="3" align="center" valign="top" ><b>Confirm/Amend Your Personal Contact Details</b></td></tr>

                                <tr>
                                <td align="right" valign="top" class="txt_11_red" width="22%"> * </td>
                                  <td width="28%" align="left" valign="top"> First Name : 
                                </td>
                                  <td width="53%" align="left" valign="top"><input type="text" name="fname" value="<AJDF:output>if $errval.fname eq ''</AJDF:output><AJDF:output>$retailer.first_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.fname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.6.content</AJDF:output>" class="under">(?)</a><br/>
                                        <span style="color:#FF0000"><AJDF:output>$errmsg.fname</AJDF:output></span>
                                        <p class="txt_11_cute"> Spaces are allowed; punctuation is not allowed except for periods, hyphens and underscores.</p>
                                  </td>
                                  <td  align="right" valign="top"></td>
                                </tr>
                                <tr>
                                 <td align="right" valign="top" class="txt_11_red"> &nbsp; </td>

                                  <td align="left" valign="top"> Middle Name :</td>
                                  <td align="left" valign="top">
                                 <input type="text" name="mname" value="<AJDF:output>if $errval.mname eq ''</AJDF:output><AJDF:output>$retailer.middle_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.7.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.mname</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>

                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Last Name :</td>
                                  <td align="left" valign="top"><input type="text" name="lname" value="<AJDF:output>if $errval.lname eq ''</AJDF:output><AJDF:output>$retailer.last_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.lname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.8.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.lname</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Date Of Birth :</td>
                                  <td align="left" valign="top"><input type="text" name="dob" value="<AJDF:output>if $errval.dob eq ''</AJDF:output><AJDF:output>$retailer.birth_date</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dob</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.9.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.dob</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Home Address 1 :</td>
                                  <td align="left" valign="top"><input type="text" name="addr1" value="<AJDF:output>if $errval.addr1 eq ''</AJDF:output><AJDF:output>$retailer.address_line_one</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.addr1</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.10.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.addr1</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td align="left" valign="top"> Home Address 2 :</td>
                                  <td align="left" valign="top"><input type="text" name="addr2" value="<AJDF:output>if $errval.addr2 eq ''</AJDF:output><AJDF:output>$retailer.address_line_two</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.addr2</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.11.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Postcode:</td>
                                  <td align="left" valign="top" class="text_gray"><input type="text" name="pcode" value="<AJDF:output>if $errval.pcode eq ''</AJDF:output><AJDF:output>$retailer.address_zipcode</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.pcode</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_small"/> <a title="<AJDF:output>$help.12.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.pcode</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red">&nbsp;</td>
                                  <td align="left" valign="top"> Town/City :</td>
                                  <td align="left" valign="top" class="text_gray"><input type="text" name="city" value="<AJDF:output>if $errval.city eq ''</AJDF:output><AJDF:output>$retailer.address_city</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.city</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.13.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td align="left" valign="top"> County/Area :</td>
                                  <td align="left" valign="top" class="text_gray"><span id="dropState"><input type="text" name="stateid" value="<AJDF:output>if $errval.stateid eq ''</AJDF:output><AJDF:output>$retailer.address_state</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.stateid</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/></span> <a title="<AJDF:output>$help.14.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td width="28%" align="left" valign="top"> Country :</td>
                                  <td width="53%" align="left" valign="top"><AJDF:output>php</AJDF:output>
								$errors=$this->get_template_vars('errval');

								 echo  CreateOption('country','<AJDF:output>$retailer.address_country</AJDF:output>',$errors['country'],'country_mas') <AJDF:output>/php</AJDF:output>
								 <a title="<AJDF:output>$help.15.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.country</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td width="28%" align="left" valign="top"> Home Phone Number :</td>
                                  <td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.dc_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="dc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.da_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.da_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="da_code" class="text_b_3" maxlength="3"/></td>
                                              <td width="80%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.dph_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="dph_code" class="text_b_8"/> <a title="<AJDF:output>$help.16.content</AJDF:output>" class="under">(?)</a></td>
                                            </tr>
                                            <tr>
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                              <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.directdial</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>

                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td width="28%" align="left" valign="top"> Office Phone Number :</td>
                                  <td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $retailer.address_fax_country eq '' && $errval.sc_code eq ''</AJDF:output>00353<AJDF:output>elseif $errval.sc_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.sa_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sa_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sa_code" class="text_b_3" maxlength="3"/></td>
                                              <td width="80%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.sph_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sph_code" class="text_b_8" /> <a title="<AJDF:output>$help.17.content</AJDF:output>" class="under">(?)</a><br/></td>
                                            </tr>
                                            <tr>
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                              <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.workmsg</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red">&nbsp; </td>
                                  <td width="28%" align="left" valign="top"> Mobile Phone Number :</td>
                                  <td width="53%" align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.mc_code eq '' && $retailer.address_mobile_country eq ''</AJDF:output>00353<AJDF:output>elseif $errval.mc_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="mc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.ma_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.ma_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="ma_code" class="text_b_3" maxlength="3"/></td>
                                               <td width="88%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.mph_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="mph_code" class="text_b_8" /> <a title="<AJDF:output>$help.18.content</AJDF:output>" class="under">(?)</a></td>
                                            </tr>
                                            <tr>
                                            
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                               <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.mobile</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                
                                <input type="hidden" name="dp_type" value="<AJDF:output>$retailer.dp_type</AJDF:output>" />

                                </td>
                                </tr>
                                </table></td>
                                </tr>
                                </table>


                              <AJDF:output>else</AJDF:output>

                              <table width="100%" cellspacing="0" cellpadding="0" border="0">
                                <tbody>


				<tr>
                                  <td width="50%" valign="top" align="center"><table width="100%" cellspacing="3" cellpadding="3" border="0">
                                      <tbody>

					<tr>

                                      <td valign="top" align="left" colspan="3"> 

                                         <table width="100%" cellspacing="3" cellpadding="3" border="0">

                                      



                                      <tbody><tr>

                                      <td width="24%" valign="top" align="left" class="txt_12_red">&nbsp;&nbsp;<b>IMPORTANT:-</b></td>

					<td width="76%" valign="top" align="left"><p align="justify" style="width:285px;">It is very important that you check and confirm that all the details on this form are correct. All Credebt Exchange personnel will use these details to confirm your identity before taking any instructions from you by telephone, or any other means.</p></td>

					</tr></tbody></table> </td>

					 

                                      </tr>


					<tr><td valign="top" align="center" colspan="3"><b>Confirm/Amend Your Personal Contact Details</b></td></tr>


                                      <tr>
                                <td align="right" valign="top" class="txt_11_red" width="5%"> * </td>
                                  <td width="40%" align="left" valign="top"> First Name : 
                                </td>
                                  <td width="58%" align="left" valign="top"><input type="text" name="fname" value="<AJDF:output>if $errval.fname eq ''</AJDF:output><AJDF:output>$retailer.first_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.fname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.6.content</AJDF:output>" class="under">(?)</a><br/>
                                        <span style="color:#FF0000"><AJDF:output>$errmsg.fname</AJDF:output></span>
                                        <p class="txt_11_cute"> Spaces are allowed; punctuation is not allowed except for periods, hyphens and underscores.</p>
                                  </td>
                                  <td  align="right" valign="top"></td>
                                </tr>
                                <tr>
                                 <td align="right" valign="top" class="txt_11_red"> &nbsp; </td>

                                  <td align="left" valign="top"> Middle Name :</td>
                                  <td align="left" valign="top">
                                 <input type="text" name="mname" value="<AJDF:output>if $errval.mname eq ''</AJDF:output><AJDF:output>$retailer.middle_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.7.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.mname</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>

                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Last Name :</td>
                                  <td align="left" valign="top"><input type="text" name="lname" value="<AJDF:output>if $errval.lname eq ''</AJDF:output><AJDF:output>$retailer.last_name</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.lname</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.8.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.lname</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Date Of Birth :</td>
                                  <td align="left" valign="top"><input type="text" name="dob" value="<AJDF:output>if $errval.dob eq ''</AJDF:output><AJDF:output>$retailer.birth_date</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dob</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.9.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.dob</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Home Address 1 :</td>
                                  <td align="left" valign="top"><input type="text" name="addr1" value="<AJDF:output>if $errval.addr1 eq ''</AJDF:output><AJDF:output>$retailer.address_line_one</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.addr1</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.10.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.addr1</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td align="left" valign="top"> Home Address 2 :</td>
                                  <td align="left" valign="top"><input type="text" name="addr2" value="<AJDF:output>if $errval.addr2 eq ''</AJDF:output><AJDF:output>$retailer.address_line_two</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.addr2</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.11.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Postcode:</td>
                                  <td align="left" valign="top" class="text_gray"><input type="text" name="pcode" value="<AJDF:output>if $errval.pcode eq ''</AJDF:output><AJDF:output>$retailer.address_zipcode</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.pcode</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_small"/> <a title="<AJDF:output>$help.12.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.pcode</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red">&nbsp;</td>
                                  <td align="left" valign="top"> Town/City :</td>
                                  <td align="left" valign="top" class="text_gray"><input type="text" name="city" value="<AJDF:output>if $errval.city eq ''</AJDF:output><AJDF:output>$retailer.address_city</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.city</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/> <a title="<AJDF:output>$help.13.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td align="left" valign="top"> County/Area :</td>
                                  <td align="left" valign="top" class="text_gray"><span id="dropState"><input type="text" name="stateid" value="<AJDF:output>if $errval.stateid eq ''</AJDF:output><AJDF:output>$retailer.address_state</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.stateid</AJDF:output><AJDF:output>/if</AJDF:output>" class="text_b_retail"/></span> <a title="<AJDF:output>$help.14.content</AJDF:output>" class="under">(?)</a></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Country :</td>
                                  <td align="left" valign="top"><AJDF:output>php</AJDF:output>
								$errors=$this->get_template_vars('errval');

								 echo  CreateOption('country','<AJDF:output>$retailer.address_country</AJDF:output>',$errors['country'],'country_mas') <AJDF:output>/php</AJDF:output> <a title="<AJDF:output>$help.15.content</AJDF:output>" class="under">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.country</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red"> * </td>
                                  <td align="left" valign="top"> Home Phone Number :</td>
                                  <td align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.dc_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="dc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.da_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.da_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="da_code" class="text_b_3" maxlength="3"/></td>
                                              <td width="80%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.dph_code eq ''</AJDF:output><AJDF:output>$retailer.address_phone</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.dph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="dph_code" class="text_b_8"/> <a title="<AJDF:output>$help.16.content</AJDF:output>" class="under">(?)</a></td>
                                            </tr>
                                            <tr>
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                              <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.directdial</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>

                                <tr><td align="right" valign="top" class="txt_11_red"> &nbsp; </td>
                                  <td align="left" valign="top"> Office Phone Number :</td>
                                  <td align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $retailer.address_fax_country eq '' && $errval.sc_code eq ''</AJDF:output>00353<AJDF:output>elseif $errval.sc_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.sa_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sa_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sa_code" class="text_b_3" maxlength="3"/></td>
                                              <td width="80%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.sph_code eq ''</AJDF:output><AJDF:output>$retailer.address_fax</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.sph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="sph_code" class="text_b_8" /> <a title="<AJDF:output>$help.17.content</AJDF:output>" class="under">(?)</a><br/></td>
                                            </tr>
                                            <tr>
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                              <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.workmsg</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                <tr><td align="right" valign="top" class="txt_11_red">&nbsp; </td>
                                  <td align="left" valign="top"> Mobile Phone Number :</td>
                                  <td align="left" valign="top"><table width="80%" border="0" cellspacing="3" cellpadding="0">
                                            <tr>
                                              <td width="12%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.mc_code eq '' && $retailer.address_mobile_country eq ''</AJDF:output>00353<AJDF:output>elseif $errval.mc_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile_country</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mc_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="mc_code" class="text_b_42"/></td>
                                              <td width="8%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.ma_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile_code</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.ma_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="ma_code" class="text_b_3" maxlength="3"/></td>
                                               <td width="88%" align="left" valign="top"><input type="text" value="<AJDF:output>if $errval.mph_code eq ''</AJDF:output><AJDF:output>$retailer.address_mobile</AJDF:output><AJDF:output>else</AJDF:output><AJDF:output>$errval.mph_code</AJDF:output><AJDF:output>/if</AJDF:output>" name="mph_code" class="text_b_8" /> <a title="<AJDF:output>$help.18.content</AJDF:output>" class="under">(?)</a></td>
                                            </tr>
                                            <tr>
                                            
                                              <td align="left" valign="top" class="txt_11_cute">Country</td>
                                              <td align="left" valign="top" class="txt_11_cute">Area</td>
                                               <td align="left" valign="top" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </table><span style="color:#FF0000"><AJDF:output>$errmsg.mobile</AJDF:output></span></td>
                                  <td align="right" valign="top"></td>
                                </tr>
                                      
                                    </tbody></table></td>

                                  <td valign="top" align="center" class="bdr_rgt">&nbsp;</td>	

<!--                                   <td align="center" valign="top" class="gray_2" style="border-right:2px solid #000;"></td>	 -->

				<td width="50%" valign="top" align="center"><table width="100%" cellspacing="3" cellpadding="3" border="0">
                                      <tbody>

 					<tr>

                                      <td valign="top" align="left" style="padding-left:25px;" colspan="3">



					<table width="100%" cellspacing="3" cellpadding="3" border="0">

                                      



                                      <tbody><tr>

                                      <td width="25%" valign="top" align="left" class="txt_12_red">&nbsp;&nbsp;<b>IMPORTANT:-</b></td>

					<td width="75%" valign="top" align="left"><p align="justify" style="width:285px;">The bank details you enter here will be used to return all proceeds from Exchange trading. These details are also used to protect against Anti-Money Laundering [AML] legislation. It is therefore important that the details are correct. </p></td>

					</tr></tbody></table>

 

                                          </td>

					 

                                      </tr>



                                      

					<tr>
                        <td valign="top" align="center" style="padding:10px 0 10px 0; " colspan="3">
                            <b>Enter Your Bank Details</b>
                        </td>
                    </tr>
                    <tr>
                        <td width="10%" valign="top" align="right" class="txt_11_red"> * </td>
                        <td width="35%" valign="top" align="left"> Currency :</td>
                        <td width="55%" valign="top" align="left">
                            <AJDF:output>include file="../admin/templates/common/currencies.html"</AJDF:output>    
                        </td>
                    </tr>
                    <tr>
                        <td width="10%" valign="top" align="right" class="txt_11_red"> * </td>
                        <td width="35%" valign="top" align="left"> Bank Name :</td>
                        <td width="55%" valign="top" align="left"><span id="dropBank"><select class="cmb_bx_long_g" name="bank_name" id="bank_name" onchange="bank_news(this.value);">
                            <option value="">Please Choose</option>
                            </select></span> <a href="javascript:void(0);" class="under" title="<AJDF:output>$help.19.content</AJDF:output>">(?)</a><br/><span style="color:#FF0000"><AJDF:output>$errmsg.bank_name</AJDF:output>
                        </td>
                    </tr>



<!-- id="other" style="display:none;" -->
									<tr><td width="10%" valign="top" align="right" style="display:none;" class="txt_11_red clsotherBank1"> * </td>
									<td width="35%" valign="top" align="left" style="display:none;" class="clsotherBank1">Enter Bank Name :</td>
									<td width="55%" valign="top" align="left" style="display:none;" class="clsotherBank1"><span id="otherBank"></span> <a class="under" title="<AJDF:output>$help.20.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"></span></td>
									</tr>


                                      <tr><td valign="top" align="right" class="txt_11_red"> * </td>
                                        <td width="" valign="top" align="left"> Bank Address 1st Line :</td>
                                        <td width="" valign="top" align="left"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_orgcaddr1</AJDF:output>" name="bank_orgcaddr1"> <a class="under" title="<AJDF:output>$help.21.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_orgcaddr1</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">&nbsp;</td>
                                        <td width="" valign="top" align="left"> Bank Address 2nd Line :<br>
                                         </td>
                                        <td width="" valign="top" align="left"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_orgcaddr2</AJDF:output>" name="bank_orgcaddr2"> <a class="under" title="<AJDF:output>$help.22.content</AJDF:output>">(?)</a>
										<br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_orgcaddr2</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Postcode :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_orgc_pc</AJDF:output>" name="bank_orgc_pc"> <a class="under" title="<AJDF:output>$help.23.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_orgc_pc</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">&nbsp;</td>
                                        <td width="" valign="top" align="left"> Town/City :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_orgc_city</AJDF:output>" name="bank_orgc_city"> <a class="under" title="<AJDF:output>$help.24.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_orgc_city</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">&nbsp;</td>
                                        <td width="" valign="top" align="left"> County/Area :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_orgc_state</AJDF:output>" name="bank_orgc_state"> <a class="under" title="<AJDF:output>$help.25.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_orgc_state</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Country :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><AJDF:output>php</AJDF:output>
								$errors=$this->get_template_vars('errval');

								 echo  CreateOption('bank_orgc_country','104',$errors['bank_orgc_country'],'country_mas') <AJDF:output>/php</AJDF:output>
								  <a class="under" title="<AJDF:output>$help.26.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.country</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Bank Account Name :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.account_name</AJDF:output>" name="account_name"> <a class="under" title="<AJDF:output>$help.27.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.account_name</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Bank Account Number :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.account_no</AJDF:output>" name="account_no"> <a class="under" title="<AJDF:output>$help.28.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.account_no</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Bank Sort Code :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.sort_code</AJDF:output>" id="sort_code" name="sort_code"> <a class="under" title="<AJDF:output>$help.29.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.sort_code</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">&nbsp;</td>
                                        <td width="" valign="top" align="left"> IBAN Number :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.iban_code</AJDF:output>" name="iban_code"> <a class="under" title="<AJDF:output>$help.30.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.iban_code</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">&nbsp;</td>
                                        <td width="" valign="top" align="left"> SWIFT/BACS Code&nbsp;:</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.swift_code</AJDF:output>" name="swift_code"> <a class="under" title="<AJDF:output>$help.31.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.swift_code</AJDF:output></span></td>
                                      </tr>

                                      <tr>
                                        <td valign="top" align="center" colspan="4">Provide details of your Bank Manager, or Contact at the bank :</td>
                                      </tr>

                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> First Name :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_c_fname</AJDF:output>" name="bank_c_fname"> <a class="under" title="<AJDF:output>$help.32.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_c_fname</AJDF:output></span></td>
                                      </tr>
                                      <tr><td valign="top" align="right" class="txt_11_red">*</td>
                                        <td width="" valign="top" align="left"> Last Name :</td>
                                        <td width="" valign="top" align="left" class="text_gray"><input type="text" class="text_b_retail" value="<AJDF:output>$errval.bank_c_lname</AJDF:output>" name="bank_c_lname"> <a class="under" title="<AJDF:output>$help.33.content</AJDF:output>">(?)</a><br><span style="color:#FF0000"><AJDF:output>$errmsg.bank_c_lname</AJDF:output></span></td>
                                      </tr>

					 					<tr>
										<td valign="top" align="right" rowspan="2" class="txt_11_red"> * </td>
                                        <td width="" valign="top" align="left">Phone Number  :</td>
                                        <td width="" valign="top" align="left" rowspan="2"><table width="80%" cellspacing="3" cellpadding="0" border="0">
                                            <tbody><tr>
                                              <td width="12%" valign="top" align="left"><input type="text" class="text_b_42" name="bank_c_ph_country" value="<AJDF:output>if $errval.bank_c_ph_country eq ''</AJDF:output>00353<AJDF:output>else</AJDF:output><AJDF:output>$errval.bank_c_ph_country</AJDF:output><AJDF:output>/if</AJDF:output>"></td>
                                              <td width="8%" valign="top" align="left"><input type="text" maxlength="3" class="text_b_3" name="bank_c_ph_area" value="<AJDF:output>$errval.bank_c_ph_area</AJDF:output>"></td>
                                              <td width="80%" valign="top" align="left"><input type="text" maxlength="8" class="text_b_8" name="bank_c_ph_pn" value="<AJDF:output>$errval.bank_c_ph_pn</AJDF:output>"> <a class="under" title="<AJDF:output>$help.34.content</AJDF:output>">(?)</a></td>
                                            </tr>
                                            <tr>
                                              <td valign="top" align="left" class="txt_11_cute">Country</td>
                                              <td valign="top" align="left" class="txt_11_cute">Area</td>
                                              <td valign="top" align="left" class="txt_11_cute">Phone Number</td>
                                            </tr>
                                          </tbody></table><span style="color:#FF0000"><AJDF:output>$errmsg.bankdial</AJDF:output></span></td>
                                      </tr>



					</tbody></table></td>

					</tr></tbody>
				</table>

        <AJDF:output>/if</AJDF:output>
        </td>
				</tr>

					<tr><td><input type="hidden" value="" name="address_id"><input type="hidden" value="" name="temp_reg_id"></td></tr>


                                      <tr style="display:none;">
					<td valign="top" align="right" class="txt_11_red"> </td>
                                        <td width="" valign="top" align="left" colspan="3">
						<!-- <div id="digi">
						
						<input type="hidden" value="" name="csr" id="csr">
						<script type="text/javascript" language="javascript">
							drawAllKeyOptions();
						</script><table cellspacing="3" cellpadding="3" border="0" style="width:580px;margin:auto;border:0px;border-style:none;" class="table"><tbody><tr><td class="tahoma_bold" style="text-align:left;" colspan="3"><b>Advanced Private Key Options</b></td></tr><tr><td class="ftdleft">Key Size:</td><td class="ftdright"><select _moz-type="-mozilla-keygen" class="form" value="" challenge="keygenChallenge" name="publicKey"><option>High Grade</option><option>Medium Grade</option></select><input type="hidden" value="-1" id="csp" name="csp"><input type="hidden" value="Mozilla Keygen" id="cspname" name="cspname"></td><td class="ftdhelp"></td></tr></tbody></table>
					
						
						</div> -->
					</td>
					</tr>
          </tbody></table>

				</td>
                                </tr>
                              </tbody></table></td>
                          </tr>
                        </tbody></table></td>
                    </tr>
		
      


    <tr><td align="center" class="reg_sub"><div style="float:left; padding-left:440px;"><input type="submit" id="submitFrm" class="login_bttn" value="Submit" name="submit" tabindex="42"></div><div style="float:left;padding-left:20px;"><img width="26" height="26" src="<AJDF:output>'/images/loading.gif'|siteUrl</AJDF:output>" id="selLoading" style="display:none;"></div></td></tr>

    

<!--                    <tr>
                      <td align="center" valign="middle" class="reg_sub"><table width="10%" border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <td align="center"><div class="reg_submitLeft" style="padding-left:130px;"><input type="submit"  tabindex="42" name="submit" value="Submit" class="login_bttn" id="submitFrm"></div><div class="reg_submitRight"><img src="../../images/loading.gif" id="selLoading" width="26" height="26"  style="display:none;"/></div></td>
                          </tr>
                        </table>

                        </td>
                    </tr>-->


                    <tr>
                      <td><div id="warningD">
                          <script type="text/javascript" language="javascript">
						&lt;!--
							alertIEWarning();
						//--&gt;
						</script>&nbsp;
                        </div></td>
                    </tr>                  
                    <tr class="">
                      <td valign="top" align="left">&nbsp;</td>
                    </tr>
                  </tbody></table></td>
              </tr>
            </tbody></table></td>
        </tr>
        <tr>
          <td valign="top" align="left">&nbsp;</td>
        </tr>
      </tbody></table></form>
      <link href="<AJDF:output>$smarty.session.base_url</AJDF:output>/css/jquery.tooltip.css" rel="stylesheet">
<script type="text/javascript" src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/jquery-1.6.2.min.js"></script>
<script type="text/javascript" src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/jquery.tooltip.js"></script>
<script type="text/javascript" src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/jquery.maskedinput.min.js"></script>

      <script type="text/javascript">
function passwordStrength(pwd) 
{
	var strength = document.getElementById('passwordDescription');
	var strongRegex = new RegExp("^(?=.{8,})(?=.*[A-Z])(?=.*[a-z])(?=.*[0-9])(?=.*\\W).*$", "g");
	var mediumRegex = new RegExp("^(?=.{7,})(((?=.*[A-Z])(?=.*[a-z]))|((?=.*[A-Z])(?=.*[0-9]))|((?=.*[a-z])(?=.*[0-9]))).*$", "g");
	var enoughRegex = new RegExp("(?=.{6,}).*", "g");
	if(pwd.length==0)
	{
		strength.innerHTML = 'Type Password';
		strength.className = 'txt_12_blue';
	}
	else if (false == enoughRegex.test(pwd)) 
	{
		strength.innerHTML = 'More Characters';
		strength.className = 'txt_12_blue';
	}
	else if (strongRegex.test(pwd))
	{
		strength.innerHTML = 'Strong!';
		strength.className = 'txt_12_red';
	}
	else if (mediumRegex.test(pwd))
	{
		strength.innerHTML = 'Medium!';
		strength.className = 'txt_12_org';
	}
	else
	{ 
		strength.innerHTML = 'Weak!';
		strength.className = 'txt_12_blue';
	}
}
checkLoadErrors();
</script>
<style>
#digi table{
	width:100% !important;
}
#digi table .ftdleft{
	width:38%;
}
#box{	margin: auto;	left: 0;	right: 0;	top: 0;	bottom: 0; vertical-align:middle; background:#FFF !important; border:2px solid #808080 !important;}
#box table, #box ul { margin:10px 0 0 0; font-family: Verdana; } 
 #box li  { line-height:25px; font-family: Verdana;  } 
 #box a { text-decoration:underline; font-family: Verdana;  } 

.bdr{
/*     display: inline; */
/*    display:block;
    list-style-type: none;*/
/*    position:relative;top:-1px;*/
    border-top: 1px solid #EADFA8;
    padding: 5px 0px;	
}

.bdr_rgt{
    border-right: 1px solid #EADFA8;
    padding: 5px 0px;	
}
.cls36{
	height: 36px; /* all browsers, of course */  
	height : 30px\9; /* IE8 and below */  
 	*height : 31px; /* IE7 and below */  

}
.cls37{
	height: 37px; /* all browsers, of course */  
 	height : 31px\9; /* IE8 and below */  
 	*height : 35px; /* IE7 and below */  
 
}
</style>


<script type="text/javascript">
/*
if($("#bank_orgc_country").val()!=""){
	$.post(
		"bank.php",  
			{id: $("#bank_orgc_country").val(),label: "bank_name",
			num: $("#bank_name").val()},
		function(responseText1){  
			$("#dropBank").html(responseText1);

		},
	
	"html"  
	);
}

$("#bank_orgc_country").change(function(){
	$.post(  
				"bank.php",
				{id: $("#bank_orgc_country").val(),label: "bank_name",
				num: $("#bank_name").val()},  
				function(responseText1){  
					$("#dropBank").html(responseText1);
					document.getElementById('otherBank').innerHTML = '';
				},
			
			"html"  
	);
	
});  
*/
/*function bank_news(str) {

	//var bank_val = '&lt;AJDF:output&gt;$values.bank_name&lt;/AJDF:output&gt;';
	if($("bank_new").val()){

		var val = $("bank_new").val();
	}else{
		var val ='';	
	}

	if(str == "0"){

		document.getElementById('other').style.display = "block";

		var htm = '&lt;input type="text" id="bank_new" name="bank_new" value="'+val+'" class="text_b_retail"&gt;';

		document.getElementById('otherBank').innerHTML = htm;

	}else{
		document.getElementById('otherBank').innerHTML = '';
	}
}	 */




/*var e = document.getElementById("bank_name");
var bankval = e.options[e.selectedIndex].value;

if (bankval == "0"){
	
	if($("bank_new").val()){

		var val = $("bank_new").val();
	}else{
		var val ='';	
	}

	document.getElementById('other').style.display = "block";

	var htm = '&lt;input type="text" id="bank_new" name="bank_new" value="'+val+'" class="text_b_retail"&gt;';

	document.getElementById('otherBank').innerHTML = htm;

}
*/


/*$(document).ready(function(){
	$.post(
				"bank.php",
				{id: $("#bank_orgc_country").val(),label: "bank_name",
				num: $("#bank_name").val()},  
				function(responseText1){  
					$("#dropBank").html(responseText1);

					var e = document.getElementById("bank_name");
					var bankval = e.options[e.selectedIndex].value;
					
					if (bankval == "0"){

						var val="";

						document.getElementById('other').style.display = "block";
					
						var htm = '&lt;input type="text" id="bank_new" name="bank_new" value="'+val+'" class="text_b_retail"&gt;';
					
						document.getElementById('otherBank').innerHTML = htm;
					
					}

				},
			
			"html"  
	);
	
});*/

</script>

<script type="text/javascript">
jQuery(function($){
	   $("#sort_code").mask("99-99-99");
	});
</script>
 <style>
 .text_b_retail {
    border: 1px solid #999999;
    font-size: 11px;
    height: 16px;
    overflow: hidden;
    text-align: left;
    width: 195px;
}
</style>
      
      
      </td>



      
      </tr>
      
      
      
    </table>
    </td>
    
    </tr>
     
     
    
  </table>
  </td>
  
  </tr>
  
  <tr>
    <td align="left" valign="top">&nbsp;</td>
  </tr>
  
  
</table>

<style>
.row9 td {
    background: none repeat scroll 0 0 #F5F5F5;
    font-size: 11px;
    line-height: 18px;
    padding: 5px 10px;
}
.row9 td td {
    background: none repeat scroll 0 0 #F5F5F5;
    font-size: 11px;
    line-height: 18px;
    padding: 5px 0px;
}
</style>


<AJDF:output>php</AJDF:output>
	function CreateOption($cboname,$curid,$country,$tablename) {

  if($country==""){
      $curid  = $curid;
    }else{
      $curid  = $country;
    }

	if($curid=='')
	$curid='104';
 
		echo '<select tabindex="11" name='.$cboname.' class=cmb_bx1 id='.$cboname.'>';
		echo '<option value="104">Ireland</option>';
			$optSql="select * from $tablename";
			$optResult=mysql_query($optSql);
			while($optRow=mysql_fetch_array($optResult)) {
				if($optRow[0]==$curid)
				echo '<option value='.$optRow[0].' selected>'.$optRow[1].'</option>';
				else
				echo '<option value='.$optRow[0].'>'.$optRow[1].'</option>';
			}
			echo '</select>';
	}

	function CreateOptionSecret($cboname,$curid,$tablename) {

		echo '<select name='.$cboname.' class=cmb_bx1 id='.$cboname.'>';
		echo '<option value="">Select</option>';
			 $optSql="select * from $tablename WHERE label_type ='4'";
			$optResult=mysql_query($optSql);
			while($optRow=mysql_fetch_array($optResult)) {
				if($optRow[0]==$curid)
				echo '<option value='.$optRow[0].' selected>'.$optRow[2].'</option>';
				else
				echo '<option value='.$optRow[0].'>'.$optRow[2].'</option>';
			}
			echo '</select>';
	}
<AJDF:output>/php</AJDF:output>

<script type="text/javascript">
//Change State by Country
// $("#country").change(function(){  
// 	$.post(  
// 	'<AJDF:output>$smarty.session.base_url</AJDF:output>/originator/state.php',  
// 	{groupid: $("#country").val(),label: "stateid"},  
// 	function(responseText){  
// 		$("#dropState").html(responseText);  
// 	},  
// 	"html"  
// 	);  
// });  

function getdpval(val){

	var str = document.getElementById("confirm_type").checked ? '0' : '1';

	if(val=='0'){

		document.getElementById('dp_type').value = '0';
		loadFields(str);
	}else{
		document.getElementById('dp_type').value = '1';
		loadFields(str);
	}

}


<AJDF:output>if $errval.confirm_type ne ''</AJDF:output>
loadFields(<AJDF:output>$errval.confirm_type</AJDF:output>);
<AJDF:output>/if</AJDF:output>


<AJDF:output>if $errval.dp_type ne ''</AJDF:output>
getdpval(<AJDF:output>$errval.dp_type</AJDF:output>);
<AJDF:output>/if</AJDF:output>



function loadFields(str)
{

	document.getElementById('confirm_type').value = str;

	
	var dp_type= $("#dp_type").val();

	if(str=='1'){
		$("#rpa_row").show();
		$("#rpa_row1").show();
		$("#rpa_row2").hide();
	}else{
		$("#rpa_row").hide();
		$("#rpa_row1").hide();
		$("#rpa_row2").show();
	}

	
}

<?php if ($country !='')  {
echo '$(function() {
	$.post(  
		"<AJDF:output>$smarty.session.base_url</AJDF:output>/originator/state.php",  
		{groupid: '.$country.',label: "stateid",
		num: "'.$stateid.'"},  
		function(responseText){  
			$("#dropState").html(responseText);  
		},  
		"html"  
	);
});';

}
?>

</script>

<script type="text/javascript">

$(function() {

	$("#country").change(function(){  
		$.post(  
		"?do=getcurrencybycountry",  
		{id: $("#country").val()},  
		function(responseText){  
			$("#dropCurrency").html(responseText);  
		},  
		"html"  
		);  
	}); 
	
	<AJDF:output>if $errval.country !=''</AJDF:output>
		//Durin validation: Change Nace by Nace Group Id 
		$.post(  
			"?do=getcurrencybycountry",  
			{id: <AJDF:output>$errval.country</AJDF:output>},  
			function(responseText){  
				$("#dropCurrency").html(responseText);  
			},  
			"html"  
		);
	<AJDF:output>/if</AJDF:output>

});





<AJDF:output>if ($errval.bank_orgc_country !='')</AJDF:output>
  //Durin validation: Change Nace by Nace Group Id 
  $.post(  
    "?do=getbankbycountry",  
    {id: "<AJDF:output>$errval.bank_orgc_country</AJDF:output>",label: "bank_name",
    num: "<AJDF:output>$errval.bank_name</AJDF:output>"},  
    function(responseText1){  
      $("#dropBank").html(responseText1);

    },
  
  "html"  
  );

<AJDF:output>else</AJDF:output>

$.post(  
    "?do=getbankbycountry",  
    {id: $("#bank_orgc_country").val(),label: "bank_name",
    num: "<AJDF:output>$errval.bank_name</AJDF:output>"},  
    function(responseText1){  
      $("#dropBank").html(responseText1);

    },
  
  "html"  
  );

<AJDF:output>/if</AJDF:output>

$("#bank_orgc_country").change(function(){
  $.post(  
        "?do=getbankbycountry",  
        {id: $("#bank_orgc_country").val(),label: "bank_name",
        num: "<AJDF:output>$errval.bank_name</AJDF:output>"},  
        function(responseText1){  
          $("#dropBank").html(responseText1);
          document.getElementById('otherBank').innerHTML = '';
        },
      
      "html"  
  );
  
});  



function bank_news(str) {

  //var bank_val = '<AJDF:output>$values.bank_name</AJDF:output>';
  var val = '<AJDF:output>$errval.bank_new</AJDF:output>';

  if(str == "0"){
    var htm = '<input type="text" id="bank_new" name="bank_new" value="'+val+'" class="text_b_retail">';

    document.getElementById('otherBank').innerHTML = htm;
    $('.clsotherBank1').show();
  }else{
    document.getElementById('otherBank').innerHTML = '';
    $('.clsotherBank1').hide();
  }
}  
<AJDF:output>if ($errval.bank_name == "0")</AJDF:output>

  var htm = '<input type="text" id="bank_new" name="bank_new" value="<AJDF:output>$errval.bank_new</AJDF:output>" class="text_b_retail">';

  document.getElementById('otherBank').innerHTML = htm;
  $('.clsotherBank1').hide();
<AJDF:output>/if</AJDF:output>




function passwordStrength(pwd) 
{	
	document.getElementById('passwordDescription').style.display = "block";
	var strength = document.getElementById('passwordDescription');
	var strongRegex = new RegExp("^(?=.{8,})(?=.*[A-Z])(?=.*[a-z])(?=.*[0-9])(?=.*\\W).*$", "g");
	var mediumRegex = new RegExp("^(?=.{7,})(((?=.*[A-Z])(?=.*[a-z]))|((?=.*[A-Z])(?=.*[0-9]))|((?=.*[a-z])(?=.*[0-9]))).*$", "g");
	var enoughRegex = new RegExp("(?=.{6,}).*", "g");
	if(pwd.length==0)
	{
		strength.innerHTML = 'Type Password';
		strength.className = 'txt_12_blue';
	}
	else if (false == enoughRegex.test(pwd)) 
	{
		strength.innerHTML = 'More Characters';
		strength.className = 'txt_12_blue';
	}
	else if (strongRegex.test(pwd))
	{
		strength.innerHTML = 'Strong!';
		strength.className = 'txt_12_red';
	}
	else if (mediumRegex.test(pwd))
	{
		strength.innerHTML = 'Medium!';
		strength.className = 'txt_12_org';
	}
	else
	{ 
		strength.innerHTML = 'Weak!';
		strength.className = 'txt_12_blue';
	}
}
checkLoadErrors();
</script>
<style>
#digi table{
	width:100% !important;
}
#digi table .ftdleft{
	width:38%;
}
#box{	margin: auto;	left: 0;	right: 0;	top: 0;	bottom: 0; vertical-align:middle; background:#FFF !important; border:2px solid #808080 !important;}
#box table, #box ul { margin:10px 0 0 0; font-family: Verdana; } 
 #box li  { line-height:25px; font-family: Verdana;  } 
 #box a { text-decoration:underline; font-family: Verdana;  } 

.regsubRight{
    float: right;
    padding-right: 400px;
}
.clsRghtBdr{
	border-left:4px solid #FFF;
}
.clsHeadRght{
	float:right;
	width:282px; /* all browsers, of course */  
 	width : 288px\9; /* IE8 and below */  
 	*width : 290px; /* IE7 and below */  
}

.under{ 
font-weight:normal !important;
}
</style>
<script src="<AJDF:output>$smarty.session.base_url</AJDF:output>/js/jquery.tooltip.js" type="text/javascript"></script>
<AJDF:output>include file="footer.html"</AJDF:output>