<?php
$page_title = "Local Bank Transfer (Southeast Asia) Withdrawal Application";
include_once 'template/base_head.php';
?>
            <!-- サイドバー -->
            <aside id="colLeft">
                <h1><a href="/en/menu"><img src="../img/logo.png" alt="iWallet"></a></h1>
<?php include_once 'template/base_sidebar.php';?>
            </aside>
            <!-- /サイドバー -->
            <!-- メインカラム -->
            <div id="colMain">
                <div class="mainIn">
<?php include_once 'template/base_nav.php';?>

<article>
                        <div class="article-heading">
                            <h2><?php echo $page_title; ?></h2>
                        </div>
                        <form id="acForm" action="" method="post">
                            <p class="pleft40 mb20 respM">Please confirm the information below.</p>
                                <div class="pleft40">
                                <table class="table col bdr default odd  fontM summaryT">
                                    <tr>
                                        <th style="width: 180px;">Amount</th>
                                        <td class="ralign">
                                            <?php $this -> echoCurrency() ?> <?php $this->dispAmount();?>
                                            (<?php $this->echoDebitCurrency()?> <?php $this->dispDebitAmount();?>)
                                        </td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Fee</th>
                                        <td class="ralign">
                                            <?php $this->echoDebitCurrency()?> <?php $this->disLocalFee();?>
                                        </td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Account Number</th>
                                        <td class="ralign">
                                            <?php $this->echoAccountNumber();?>
                                        </td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Account Name</th>
                                        <td class="ralign"><?php $this->echoAccountName();?></td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Bank Name</th>
                                        <td class="ralign"><?php $this->echoH2PReceiptBankName();?></td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Bank Code</th>
                                        <td class="ralign">
                                            <?php $this->echoReceiptBankCode();?>
                                        </td>
                                    </tr>
                                    <tr>
                                        <th style="width: 180px;">Bank Country</th>
                                        <td class="ralign">
                                            <?php $this->dispReceiptCountry();?>
                                        </td>
                                    </tr>
									<tr>
										<th>Message</th>
										<td class="ralign">
											<span class="w80p">Local Bank Transfer (Southeast Asia)</span>
										</td>
									</tr>
                                </table>
                                <p class="nextwbtn">
                                <a href="#" class="btn bg-default calign" id="btnH2PBack" >Back</a>&nbsp;&nbsp;
                                <input style="cursor:pointer;" type="button" id="btn2faSubmit" class="btn bg-grad px180"  value="Submit" onclick="create2fa('withdrawal_h2p','getbtnH2PComplete','en','<?php echo $page_title;?>','','');">
                            </p>
                            </div>
                            <input type="hidden" value="<?php $this -> echoCurrency(); ?>" id="currency" name="currency" />
                            <input type="hidden" class="px180" id = 'amount' name = 'amount' value="<?php $this -> echoAmount(); ?>"><br>
                            <input type="hidden" value="<?php $this -> echoDebitCurrency(); ?>" id="from_currency" name="from_currency" />
                            <input type="hidden" value="<?php $this -> echoAccountNumber(); ?>" id="account_number" name="account_number" />
                            <input type="hidden" value="<?php $this -> echoAccountName(); ?>" id="account_name" name="account_name" />
                            <input type="hidden" value="<?php $this -> echoReceiptBankName(); ?>" id="receipt_bank_name" name="receipt_bank_name" />
                            <input type="hidden" value="<?php $this -> echoReceiptBankCode(); ?>" id="receipt_bank_code" name="receipt_bank_code" />
                            <input type="hidden" value="<?php $this -> dispReceiptCountry(); ?>" id="receipt_bank_country" name="receipt_bank_country" />
                            <input type="hidden" value="" id="type" name="type" />
                        </form>
                    </article>
                    <div class="" id="secondAuth"></div>
                </div>
            </div>
            <!-- /メインカラム -->
        </div>
<?php include_once 'template/base_foot.php';?>
    </div>
    <script src="../js/withdraw.js"></script>
</body>
</html>
