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<!-- Plugins css -->
<link href="assets/libs/dropzone/min/dropzone.min.css" rel="stylesheet" type="text/css" />
<div class="page-content">
<div class="container-fluid">
<!-- start page title -->
<div class="row">
<div class="col-12">
<div class="page-title-box d-sm-flex align-items-center justify-content-between">
<h4 class="mb-sm-0 font-size-18">KYC Application</h4>
<div class="page-title-right">
<ol class="breadcrumb m-0">
<li class="breadcrumb-item"><a href="javascript: void(0);">Crypto</a></li>
<li class="breadcrumb-item active">KYC Application</li>
</ol>
</div>
</div>
</div>
</div>
<!-- end page title -->
<div class="row justify-content-center mt-lg-5">
<div class="col-xl-5 col-sm-8">
<div class="card">
<div class="card-body">
<div class="text-center">
<div class="row justify-content-center">
<div class="col-lg-10">
<h4 class="mt-4 fw-semibold">KYC Verification</h4>
<p class="text-muted mt-3">Itaque earum rerum hic tenetur a sapiente delectus ut aut reiciendis perferendis asperiores repellat.</p>
<div class="mt-4">
<!-- Button trigger modal -->
<button type="button" class="btn btn-primary" data-bs-toggle="modal" data-bs-target="#verificationModal">
Click here for Verification
</button>
</div>
</div>
</div>
<div class="row justify-content-center mt-5 mb-2">
<div class="col-sm-6 col-8">
<div>
<img src="assets/images/verification-img.png" alt="" class="img-fluid">
</div>
</div>
</div>
</div>
<!-- Modal -->
<div class="modal fade" id="verificationModal" tabindex="-1" role="dialog" aria-hidden="true">
<div class="modal-dialog modal-dialog-centered modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title">Verify your Account</h5>
<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
</div>
<div class="modal-body">
<div id="kyc-verify-wizard">
<!-- Personal Info -->
<h3>Personal Info</h3>
<section>
<form>
<div class="row">
<div class="col-lg-6">
<div class="mb-3">
<label for="kycfirstname-input" class="form-label">First name</label>
<input type="text" class="form-control" id="kycfirstname-input" placeholder="Enter First name">
</div>
</div>
<div class="col-lg-6">
<div class="mb-3">
<label for="kyclastname-input" class="form-label">Last name</label>
<input type="text" class="form-control" id="kyclastname-input" placeholder="Enter Last name">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-3">
<label for="kycphoneno-input" class="form-label">Phone</label>
<input type="text" class="form-control" id="kycphoneno-input" placeholder="Enter Phone number">
</div>
</div>
<div class="col-lg-6">
<div class="mb-3">
<label for="kycbirthdate-input" class="form-label">Date of birth</label>
<input type="text" class="form-control" id="kycbirthdate-input" placeholder="Enter Date of birth">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="mb-3">
<label for="kycselectcity-input" class="form-label">City</label>
<select class="form-select" id="kycselectcity-input">
<option value="SF" selected>San Francisco</option>
<option value="LA">Los Angeles</option>
<option value="SD">San Diego</option>
</select>
</div>
</div>
</div>
</form>
</section>
<!-- Confirm email -->
<h3>Confirm email</h3>
<section>
<form>
<div class="row">
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-pancard-input">PAN Card</label>
<input type="text" class="form-control" id="basicpill-pancard-input" placeholder="PAN Card No.">
</div>
</div>
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-vatno-input">VAT/TIN No.</label>
<input type="text" class="form-control" id="basicpill-vatno-input" placeholder="VAT/TIN No">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-cstno-input">CST No.</label>
<input type="text" class="form-control" id="basicpill-cstno-input" placeholder="CST No.">
</div>
</div>
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-servicetax-input">Service Tax No.</label>
<input type="text" class="form-control" id="basicpill-servicetax-input" placeholder="Service Tax No.">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-companyuin-input">Company UIN</label>
<input type="text" class="form-control" id="basicpill-companyuin-input" placeholder="Company UIN">
</div>
</div>
<div class="col-lg-6">
<div class="mb-3">
<label for="basicpill-declaration-input">Declaration</label>
<input type="text" class="form-control" id="basicpill-Declaration-input" placeholder="Declaration">
</div>
</div>
</div>
</form>
</section>
<!-- Document Verification -->
<h3>Document Verification</h3>
<section>
<div>
<h5 class="font-size-14 mb-3">Upload document file for a verification</h5>
<div class="kyc-doc-verification mb-3">
<form action="#" class="dropzone">
<div class="fallback">
<input name="file" type="file" multiple="multiple">
</div>
<div class="dz-message needsclick">
<div class="mb-3">
<i class="display-4 text-muted bx bxs-cloud-upload"></i>
</div>
<h4>Drop files here or click to upload.</h4>
</div>
</form>
</div>
</div>
</section>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- end row -->
</div> <!-- container-fluid -->
</div>
<!-- End Page-content -->
<!-- jquery step -->
<script src="assets/libs/jquery-steps/build/jquery.steps.min.js"></script>
<!-- dropzone js -->
<script src="assets/libs/dropzone/min/dropzone.min.js"></script>
<!-- init js -->
<script src="assets/js/pages/crypto-kyc-app.init.js"></script>
<script>
Dropzone.autoDiscover = false;
$(document).ready(function () {
$(".dropzone").dropzone();
});
</script>