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- <!DOCTYPE html>
- <html lang="en">
- <head>
- <!-- Required meta tags -->
- <meta charset="utf-8">
- <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
- <title>MAEDEC AGENT LIST PARTNERS</title>
- <!-- plugins:css -->
- <link rel="stylesheet" href="vendors/iconfonts/simple-line-icon/css/simple-line-icons.css">
- <link rel="stylesheet" href="vendors/iconfonts/flag-icon-css/css/flag-icon.min.css">
- <link rel="stylesheet" href="vendors/css/vendor.bundle.base.css">
- <link rel="stylesheet" href="vendors/css/vendor.bundle.addons.css">
- <!-- endinject -->
- <!-- plugin css for this page -->
- <!-- End plugin css for this page -->
- <!-- inject:css -->
- <link rel="stylesheet" href="css/style.css">
- <!-- endinject -->
- <link rel="shortcut icon" href="images/favicon.png" />
- </head>
- <body>
- <div class="container-scroller">
- <!-- partial:partials/_horizontal-navbar.html -->
- <nav class="navbar horizontal-layout col-lg-12 col-12 p-0">
- <div class="nav-top flex-grow-1">
- <div class="container d-flex flex-row h-100 align-items-center">
- <div class="text-center navbar-brand-wrapper d-flex align-items-center">
- <span class="nav-profile-name">Welcome Agent Muhammad Mifzal</span>
-
- <span class="nav-profile-name">Percent for this Month :</span>
- </div>
- <div class="navbar-menu-wrapper d-flex align-items-center justify-content-between flex-grow-1">
- <form class="search-field d-none d-md-flex" action="#">
- <div class="form-group mb-0">
- <div class="input-group">
- <div class="input-group-prepend">
- </div>
- </div>
- </div>
- </form>
- <ul class="navbar-nav navbar-nav-right mr-0 ml-auto">
- <li class="nav-item dropdown d-none d-lg-flex nav-language">
- </li>
- <li class="nav-item dropdown">
- <a class="nav-link count-indicator dropdown-toggle" id="messageDropdown" href="#"
- data-toggle="dropdown" aria-expanded="false">
- <i class="icon-envelope mx-0"></i>
- <span class="count"></span>
- </a>
- <div class="dropdown-menu dropdown-menu-right navbar-dropdown preview-list"
- aria-labelledby="messageDropdown">
- <div class="dropdown-item">
- <p class="mb-0 font-weight-normal float-left">You have 7 unread mails
- </p>
- <span class="badge badge-info badge-pill float-right">View all</span>
- </div>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <img src="images/faces/face4.jpg" alt="image" class="profile-pic">
- </div>
- <div class="preview-item-content flex-grow">
- <h6 class="preview-subject ellipsis font-weight-medium">David Grey
- <span class="float-right font-weight-light small-text">1 Minutes
- ago</span>
- </h6>
- <p class="font-weight-light small-text">
- The meeting is cancelled
- </p>
- </div>
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <img src="images/faces/face2.jpg" alt="image" class="profile-pic">
- </div>
- <div class="preview-item-content flex-grow">
- <h6 class="preview-subject ellipsis font-weight-medium">Tim Cook
- <span class="float-right font-weight-light small-text">15 Minutes
- ago</span>
- </h6>
- <p class="font-weight-light small-text">
- New product launch
- </p>
- </div>
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <img src="images/faces/face3.jpg" alt="image" class="profile-pic">
- </div>
- <div class="preview-item-content flex-grow">
- <h6 class="preview-subject ellipsis font-weight-medium"> Johnson
- <span class="float-right font-weight-light small-text">18 Minutes
- ago</span>
- </h6>
- <p class="font-weight-light small-text">
- Upcoming board meeting
- </p>
- </div>
- </a>
- </div>
- </li>
- <li class="nav-item dropdown">
- <a class="nav-link count-indicator dropdown-toggle" id="notificationDropdown" href="#"
- data-toggle="dropdown">
- <i class="icon-bell"></i>
- <span class="count"></span>
- </a>
- <div class="dropdown-menu dropdown-menu-right navbar-dropdown preview-list"
- aria-labelledby="notificationDropdown">
- <a class="dropdown-item py-3">
- <p class="mb-0 font-weight-medium float-left">You have 4 new notifications
- </p>
- <span class="badge badge-pill badge-info float-right">View all</span>
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <div class="preview-icon bg-success">
- <i class="icon-exclamation mx-0"></i>
- </div>
- </div>
- <div class="preview-item-content">
- <h6 class="preview-subject font-weight-normal text-dark mb-1">Application
- Error</h6>
- <p class="font-weight-light small-text mb-0">
- Just now
- </p>
- </div>
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <div class="preview-icon bg-warning">
- <i class="icon-bubble mx-0"></i>
- </div>
- </div>
- <div class="preview-item-content">
- <h6 class="preview-subject font-weight-normal text-dark mb-1">Settings</h6>
- <p class="font-weight-light small-text mb-0">
- Private message
- </p>
- </div>
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item preview-item">
- <div class="preview-thumbnail">
- <div class="preview-icon bg-info">
- <i class="icon-user-following mx-0"></i>
- </div>
- </div>
- <div class="preview-item-content">
- <h6 class="preview-subject font-weight-normal text-dark mb-1">New user
- registration</h6>
- <p class="font-weight-light small-text mb-0">
- 2 days ago
- </p>
- </div>
- </a>
- </div>
- </li>
- <li class="nav-item nav-profile dropdown">
- <a class="nav-link dropdown-toggle" href="#" data-toggle="dropdown"
- id="profileDropdown">
- <img src="images/faces/face4.jpg" alt="profile" />
- <span class="nav-profile-name">Muhammad Mifzal</span>
- </a>
- <div class="dropdown-menu dropdown-menu-right navbar-dropdown"
- aria-labelledby="profileDropdown">
- <a class="dropdown-item">
- <i class="icon-settings text-primary mr-2"></i>
- Settings
- </a>
- <div class="dropdown-divider"></div>
- <a class="dropdown-item">
- <i class="icon-logout text-primary mr-2"></i>
- Logout
- </a>
- </div>
- </li>
- </ul>
- <button class="navbar-toggler align-self-center" type="button" data-toggle="minimize">
- <span class="icon-menu"></span>
- </button>
- </div>
- </div>
- </div>
- <div class="nav-bottom">
- <div class="container">
- <ul class="nav page-navigation">
- <li class="nav-item">
- <a href="dashboard.html" class="nav-link"><i class="link-icon icon-screen-desktop"></i><span
- class="menu-title">Dashboard</span></a>
- </li>
- <li class="nav-item">
- <a href="#" class="nav-link"><i class="link-icon icon-people"></i><span
- class="menu-title">Partners</span><i class="menu-arrow"></i></a>
- <div class="submenu">
- <ul class="submenu-item">
- <li class="nav-item"><a class="nav-link" href="partners.html">List of Partners</a>
- </li>
- <li class="nav-item"><a class="nav-link" href="pendingpartners.html">Pending
- Partners</a></li>
- </ul>
- </div>
- </li>
- <li class="nav-item">
- <a href="#" class="nav-link"><i class="link-icon icon-doc"></i><span
- class="menu-title">Applicant</span><i class="menu-arrow"></i></a>
- <div class="submenu">
- <ul class="submenu-item">
- <li class="nav-item"><a class="nav-link" href="individual.html">Individual
- Applicant</a></li>
- <li class="nav-item"><a class="nav-link" href="company.html">Company Applicant</a>
- </li>
- </ul>
- </div>
- </li>
- <li class="nav-item">
- <a href="pages/documentation/documentation.html" class="nav-link"><i
- class="link-icon icon-docs"></i><span class="menu-title">Execution Fom</span></a>
- </li>
- </ul>
- </div>
- </div>
- </nav>
- <!-- partial -->
- <div class="container-fluid page-body-wrapper">
- <div class="main-panel">
- <div class="content-wrapper">
- <!--vertical wizard-->
- <div class="row">
- <div class="col-12">
- <div class="card">
- <div class="card-body">
- <h4 class="card-title">PARTICULARS OF APPLICANT</h4>
- <form id="example-vertical-wizard" action="#">
- <div>
- <section>
- <h6>FOR INDIVIDUAL APPLICANT</h6>
- <div class="form-group">
- <label for="userName">NAME *</label>
- <input id="userName" name="userName" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="password">NRIC / PASSPORT NUMBER *</label>
- <input id="password" name="password" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label class="col-sm-3 col-form-label">GENDER</label>
- <div class="col-sm-4">
- <div class="form-check">
- <label class="form-check-label">
- <input type="radio" class="form-check-input"
- name="membershipRadios" id="membershipRadios1"
- value="" checked="">
- Male
- <i class="input-helper"></i></label>
- </div>
- </div>
- <div class="col-sm-5">
- <div class="form-check">
- <label class="form-check-label">
- <input type="radio" class="form-check-input"
- name="membershipRadios" id="membershipRadios2"
- value="option2">
- Female
- <i class="input-helper"></i></label>
- </div>
- </div>
- </div>
- <div class="form-group">
- <label for="confirm">NATIONALITY *</label>
- <input id="confirm" name="confirm" type="password"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">RACE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">EMAIL *</label>
- <input id="name" name="name" type="email"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">TELEPHONE NUMBER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">CORRESPONDANCE ADDRESS *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- </section>
- <section>
- <h6>DETAILS OF NEXT OF KIN</h6>
- <div class="form-group">
- <label for="name">NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="surname">NRIC / PASSPORT NUMBER *</label>
- <input id="surname" name="surname" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="email">EMAIL *</label>
- <input id="email" name="email" type="text"
- class="required email form-control">
- </div>
- <div class="form-group">
- <label for="address">CORRESPONDENCE ADDRESS *</label>
- <input id="address" name="address" type="text" class="form-control">
- </div>
- </section>
- <section>
- <h6>FOR CORPORATE APPLICANT</h6>
- <div class="form-group">
- <label for="name">FULL NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">COMPANY / REGISTRATION NUMBER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DATE OF INCORPORATION *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="surname">PLACE OF INCORPORATION *</label>
- <input id="surname" name="surname" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="email">EMAIL *</label>
- <input id="email" name="email" type="text"
- class="required email form-control">
- </div>
- <div class="form-group">
- <label for="name">TELEPHONE NUMBER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">FACSIMILE NUMBER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="address">CORRESPONDENCE ADDRESS *</label>
- <input id="address" name="address" type="text" class="form-control">
- </div>
- </section>
- <section>
- <h6>BANK DETAILS OF THE APPLICANT</h6>
- <div class="form-group">
- <label for="name">BANK’S NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="surname">ACCOUNT TYPE *</label>
- <input id="surname" name="surname" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">SORT / SWIFT CODE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">NAME OF THE ACCOUNT HOLDER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">ACCOUNT NO. *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="address">BANK ADDRESS *</label>
- <input id="address" name="address" type="text" class="form-control">
- </div>
- </section>
- </div>
- </form>
- </div>
- </div>
- </div>
- </div>
- <hr>
- <div class="row">
- <div class="col-12">
- <div class="card">
- <div class="card-body">
- <h4 class="card-title">EXECUTION BY THE APPLICANT</h4>
- <form id="example-vertical-wizard" action="#">
- <div>
- <section>
- <h6>INDIVIDUAL APPLICANT</h6>
- <div class="form-group">
- <label for="name">NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">NRIC / PASSPORT NO. *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DATE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- </section>
- <section>
- <h6>CORPORATE APPLICANT</h6>
- <div class="form-group">
- <label for="name">NAME OF ENTITY *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">COMPANY NUMBER *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <hr>
- <div class="form-group">
- <label for="name">NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">NRIC / PASSPORT NO. *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DESIGNATION *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DATE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <hr>
- <div class="form-group">
- <label for="name">NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">NRIC / PASSPORT NO. *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DESIGNATION *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DATE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <hr>
- <div class="form-group">
- <label for="name">NAME *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">NRIC / PASSPORT NO. *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DESIGNATION *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- <div class="form-group">
- <label for="name">DATE *</label>
- <input id="name" name="name" type="text"
- class="required form-control">
- </div>
- </section>
- </div>
- </form>
- </div>
- </div>
- </div>
- </div>
- </div>
- <!-- content-wrapper ends -->
- <!-- partial:partials/_footer.html -->
- <footer class="footer">
- <div class="w-100 clearfix">
- <span class="text-muted d-block text-center text-sm-left d-sm-inline-block">Copyright © 2018 <a
- href="index.html" target="_blank">Urbanui</a>. All rights reserved.</span>
- <span class="float-none float-sm-right d-block mt-1 mt-sm-0 text-center">Hand-crafted & made
- with <i class="icon-heart text-danger"></i></span>
- </div>
- </footer>
- <!-- partial -->
- </div>
- <!-- main-panel ends -->
- </div>
- <!-- page-body-wrapper ends -->
- </div>
- <!-- container-scroller -->
- <!-- plugins:js -->
- <script src="vendors/js/vendor.bundle.base.js"></script>
- <script src="vendors/js/vendor.bundle.addons.js"></script>
- <!-- endinject -->
- <!-- Plugin js for this page-->
- <!-- End plugin js for this page-->
- <!-- inject:js -->
- <script src="js/template.js"></script>
- <!-- endinject -->
- <!-- Custom js for this page-->
- <script src="js/wizard.js"></script>
- <!-- End custom js for this page-->
- </body>
- </html>
- <!-- Localized -->
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