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Directory :  /var/www/html/sura/templates/payout_details/

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Current File : /var/www/html/sura/templates/payout_details/_form.html.twig
{{ form_start(form) }}

<div class="row">
    <div class="col-lg-12">
        <div class="card payment_edit">
            <div class="form_row">
                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Mode of Payment</label>
                        <div class="styled-select">
                            {{ form_widget(form.mode, {'attr': {'class':'form-control, mode_of_payment'}}) }}

                        </div>
                    </div>
                </div>
                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Phone Number</label>
                        {{ form_widget(form.PhoneNumber, {'attr': {'class':'form-control', 'required':'true'}}) }}
                    </div>
                </div>

            </div>
            <div class="form_row">

                <div class="form_col mode_bank">
                    <div class="form_group">
                        <label class="form_label">Bank Name</label>
                        {{ form_widget(form.bankName, {'attr': {'class':'form-control '}}) }}
                    </div>
                </div>

                <div class="form_col mode_bank">
                    <div class="form_group">
                        <label class="form_label">Account Name</label>
                        {{ form_widget(form.accountName, {'attr': {'class':'form-control '}}) }}
                    </div>
                </div>

            </div>
            <div class="form_row mode_bank">
                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Account number</label>
                        {{ form_widget(form.accountNumber, {'attr': {'class':'form-control '}}) }}
                    </div>
                </div>

                <div class="form_col mode_bank">
                    <div class="form_group">
                        <label class="form_label">Branch Name</label>
                        {{ form_widget(form.branchName, {'attr': {'class':'form-control '}}) }}
                    </div>
                </div>
            </div>

            <div class="form_row ">
                <div class="form_col mode_email">
                    <div class="form_group">
                        <label class="form_label">Email Address</label>
                        {{ form_widget(form.emailAddress, {'attr': {'class':'form-control'}}) }}
                    </div>
                </div>


                <div class="form_col mode_mobile">
                    <div class="form_group">
                        <label class="form_label">Mobile Money Number</label>
                        {{ form_widget(form.mobileNumber, {'attr': {'class':'form-control '}}) }}
                    </div>
                </div>

            </div>

            <div class="form_row">
                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Zip Code</label>
                        {{ form_widget(form.ZipCode, {'attr': {'class':'form-control'}}) }}
                    </div>
                </div>

                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Postal Address</label>
                        {{ form_widget(form.PostalAdress, {'attr': {'class':'form-control'}}) }}
                    </div>
                </div>

            </div>
            <div class="form_row">

                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">Country</label>
                        <div class="styled-select">
                            {{ form_widget(form.Country, {'attr': {'class':'form-control'}}) }}
                        </div>
                    </div>
                </div>

                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">City</label>
                        {{ form_widget(form.City, {'attr': {'class':'form-control'}}) }}
                    </div>
                </div>
            </div>

            <div class="form_row">
                <div class="form_col">
                    <div class="form_group">
                        <label class="form_label">&nbsp;</label>
                        <button class="submit_btn">{{ button_label|default('Save') }}</button>
                    </div>
                </div>
            </div>

        </div>
    </div>

</div>


{{ form_end(form) }}

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