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<div class="grid md:grid-cols-2 py-2 border-t border-t-black"> | ||
<section> | ||
<h2 class="my-4 font-bold">TRANSACTION DETAILS</h2> | ||
<!-- TODO: Range transaction details and display in the data list --> | ||
<dl> | ||
<div class="grid grid-cols-2"> | ||
<dt class="font-semibold">Amount</dt> | ||
<dd>1.045</dd> | ||
</div> | ||
</dl> | ||
</section> | ||
<section> | ||
<h2 class="my-4 font-bold">ORIGINATOR DETAILS</h2> | ||
<!-- TODO: Range originator details and display in the data list --> | ||
<dl> | ||
<div class="grid grid-cols-2"> | ||
<dt class="font-semibold">First Name</dt> | ||
<dd>James</dd> | ||
</div> | ||
</dl> | ||
</section> | ||
</div> | ||
|
||
<section> | ||
<form> | ||
<div class="mt-4"></div> | ||
<section class="py-2 border-t border-t-black"> | ||
<h2 class="my-4 font-bold">BENEFICIARY DETAILS</h2> | ||
<div class="my-5"> | ||
<label for="benf_crypto_address" class="label-style">Crypto Address</label> | ||
<input type="text" id="benf_crypto_address" name="benf_crypto_address" | ||
placeholder="Enter beneficiary's crypto address" class="input-style" /> | ||
</div> | ||
<div class="grid gap-6 my-4 md:grid-cols-2"> | ||
<div> | ||
<label for="benf_first_name" class="label-style">Legal First or Given Name</label> | ||
<input type="text" id="benf_first_name" name="benf_first_name" | ||
placeholder="Enter beneficiary's first or given name" class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_last_name" class="label-style">Legal Last or Family Name</label> | ||
<input type="text" id="benf_last_name" name="benf_last_name" | ||
placeholder="Enter beneficiary's last or family name" class="input-style" /> | ||
</div> | ||
</div> | ||
<div class="grid gap-6 my-4 md:grid-cols-2"> | ||
<div> | ||
<label for="bf_id_dob" class="label-style">Date of Birth</label> | ||
<input type="date" id="bf_id_dob" name="bf_id_dob" placeholder="Enter beneficiary's date of birth" | ||
class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="bf_id_birth_place" class="label-style">Place of Birth</label> | ||
<input type="text" id="bf_id_birth_place" name="bf_id_birth_place" | ||
placeholder="Enter the beneficiary's place of birth" class="input-style" /> | ||
</div> | ||
</div> | ||
<div class="my-4"> | ||
<label for="benf_customer_id" class="label-style">Internal Customer Identifier</label> | ||
<input type="text" id="benf_customer_id" name="benf_customer_id" | ||
placeholder="Enter customer's internal identification number" class="input-style" /> | ||
</div> | ||
<div class="grid gap-6 my-4 md:grid-cols-2"> | ||
<div> | ||
<label for="benf_addr_line_1" class="label-style">Street Address - Line 1</label> | ||
<input type="text" id="benf_addr_line_1" name="benf_addr_line_1" | ||
placeholder="Enter beneficiary's street address" class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_addr_line_2" class="label-style">Street Address - Line 2 (optional) eg. apartment or | ||
suite number</label> | ||
<input type="text" id="benf_addr_line_2" name="benf_addr_line_2" | ||
placeholder="Enter beneficiary's unit or building number" class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_city" class="label-style">City/Municipality</label> | ||
<input type="text" id="benf_city" name="benf_city" placeholder="Enter beneficiary's city or municipality" | ||
class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_state" class="label-style">Region/Province/State</label> | ||
<input type="text" id="benf_state" name="benf_state" | ||
placeholder="Enter beneficiary's region, province, or state" class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_post_code" class="label-style">Postal Code</label> | ||
<input type="text" id="benf_post_code" name="benf_post_code" placeholder="Enter beneficiary's postal code" | ||
class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="benf_countries" class="label-style">Country</label> | ||
<select id="benf_countries" name="benf_country"></select> | ||
</div> | ||
</div> | ||
<div class="grid gap-6 my-6 md:grid-cols-2"> | ||
<div> | ||
<label for="bf_id_number" class="label-style">National Identification Number</label> | ||
<input type="text" id="bf_id_number" name="bf_id_number" | ||
placeholder="Enter beneficiary's national identification number" class="input-style" /> | ||
</div> | ||
<div> | ||
<label for="bf_id_type_code" class="label-style">National Identification Type</label> | ||
<select id="bf_id_type_code" name="bf_id_type_code"></select> | ||
</div> | ||
</div> | ||
<div class="my-6"> | ||
<label for="bf_id_country" class="label-style">Country of Issue</label> | ||
<select id="bf_id_country" name="bf_id_country"></select> | ||
</div> | ||
</section> | ||
|
||
<!-- TODO: Add htmx attributes to buttons --> | ||
<div class="py-4 flex justify-center items-center gap-x-2"> | ||
<button | ||
type="button" | ||
onclick="transaction_rejection_modal.showModal()" | ||
class="p-1 btn w-36 bg-warning font-semibold text-lg text-white text-center md:p-2 hover:bg-warning/80"> | ||
Reject | ||
</button> | ||
<button | ||
type="submit" | ||
class="submit-btn w-36 btn p-1 bg-success font-semibold text-lg text-white md:p-2 hover:bg-success/80"> | ||
<span class="submit-btn-text">Accept</span> | ||
<span id="loader" class="htmx-indicator loading loading-spinner loading-md"></span> | ||
</button> | ||
</div> | ||
</form> | ||
</section> |
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