- ID de l'analyse :
- a17b5655-8400-4712-9195-95c562a8caabTerminée
- URL soumise :
- https://mfs.kfintech.com/fatcaupdate
- Fin du rapport :
Liens : 0 trouvé(s)
Liens sortants identifiés à partir de la page
Variables JavaScript : 23 trouvée(s)
Les variables JavaScript globales chargées dans l'objet fenêtre d'une page sont des variables déclarées en dehors des fonctions et accessibles depuis n'importe quel endroit du code au sein du champ d'application actuel
| Nom | Type |
|---|---|
| onbeforetoggle | object |
| documentPictureInPicture | object |
| onscrollend | object |
| html5 | object |
| Modernizr | object |
| $ | function |
| jQuery | function |
| jQuery19102791566073467868 | object |
| jconfirm | function |
| Jconfirm | function |
Messages de journal de console : 2 trouvé(s)
Messages consignés dans la console web
| Type | Catégorie | Enregistrement |
|---|---|---|
| log | other |
|
| verbose | dom |
|
HTML
Le corps HTML de la page en données brutes
<!DOCTYPE html><html lang="en" class=" js no-flexbox flexbox-legacy canvas canvastext no-webgl no-touch geolocation postmessage no-websqldatabase indexeddb hashchange history draganddrop websockets rgba hsla multiplebgs backgroundsize borderimage borderradius boxshadow textshadow opacity cssanimations csscolumns cssgradients cssreflections csstransforms csstransforms3d csstransitions fontface generatedcontent video audio localstorage sessionstorage webworkers no-applicationcache svg inlinesvg smil svgclippaths"><head>
<meta charset="utf-8">
<title>FATCA, Addl.KYC Declaration | KFINTECH</title>
<link href="/Fatcaupdate/favicon.ico" rel="shortcut icon" type="image/x-icon">
<meta name="viewport" content="width=device-width">
<link href="/Fatcaupdate/Content/site.css" rel="stylesheet">
<script src="/Fatcaupdate/Scripts/modernizr-2.5.3.js"></script>
<style type="text/css">
body {
font-family: Arial;
font-size: 10pt;
}
.modal {
position: fixed;
z-index: 999;
height: 100%;
width: 100%;
top: 0;
left: 0;
background-color: Black;
filter: alpha(opacity=60);
opacity: 0.6;
-moz-opacity: 0.8;
}
.center {
z-index: 1000;
margin: 300px auto;
padding: 10px;
width: 150px;
background-color: White;
border-radius: 10px;
filter: alpha(opacity=100);
opacity: 1;
-moz-opacity: 1;
}
.center img {
height: 128px;
width: 128px;
}
</style>
</head>
<body>
<header>
<div class="content-wrapper" style="margin-top: -10px;">
<div class="float-left">
<p class="site-title">
<img src="/Fatcaupdate/Images/KFINTECH.png">
</p>
</div>
<div class="float-right" style="width: 77%; margin-bottom: 10px;">
<img src="/Fatcaupdate/Images/KFINTECH-Banner.png" style="width: 100%">
</div>
</div>
</header>
<div id="body" style="margin-top: 10px; height: 100%;">
<span id="lblIPAddress"></span>
<div class="modal" style="display: none">
<div class="center">
<img src="/Fatcaupdate/Content/css/ajax-loader.gif">
</div>
</div>
<section class="content-wrapper main-content clear-fix" style="padding-top: 10px; padding-left: 0px;">
<title>FATCA, Addl.KYC Declaration | KFINTECH </title>
<script src="/Fatcaupdate/Content/js/jquery.min.js"></script>
<script src="/Fatcaupdate/Content/js/bootstrap.min.js"></script>
<link href="/Fatcaupdate/Content/css/bootstrap.min.css" rel="stylesheet">
<!-- Vendor -->
<link href="/Fatcaupdate/Content/css/jquery-ui.css" rel="stylesheet">
<link href="/Fatcaupdate/Content/css/jquery.mCustomScrollbar.css" rel="stylesheet">
<link href="/Fatcaupdate/Content/css/jquery-confirm.min.css" rel="stylesheet">
<link rel="stylesheet" href="/Fatcaupdate/Content/css/owl.carousel.min.css">
<!-- Layout Style -->
<link rel="stylesheet" href="/Fatcaupdate/Content/css/layout.min.css">
<script src="/Fatcaupdate/Content/js/jquery-migrate.min.js"></script>
<script src="/Fatcaupdate/Content/js/jquery-ui.min.js"></script>
<script src="/Fatcaupdate/Content/js/jquery-confirm.min.js"></script>
<script src="/Fatcaupdate/Content/js/jquery.mCustomScrollbar.concat.min.js"></script>
<input type="hidden" id="hdnidforOccupation">
<input type="hidden" id="validPANViewStatus">
<input type="hidden" id="hdnidforwealth">
<input type="hidden" id="hdnPAN">
<input type="hidden" id="hideshow1" value="hide">
<input type="hidden" id="hideshow2" value="hide">
<input type="hidden" id="hideshow3" value="hide">
<section class="investor-profile-wizard" id="FatcaSection" style="display: none;">
<div class="col-lg-12 col-md-12 col-sm-12">
<h4 class="caption-title text-upper"><b>View FATCA Status</b></h4>
<div class="wizard-body">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">PAN</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control " name="InputtxtPanforViewStatus" id="PanforViewStatus" required="" maxlength="10" onkeypress="allAlphNumericOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false" value="">
<span class="errMsg" id="InputtxtPanerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<button type="submit" class="btn pull-left btn-primary " id="SubmitViewStatus">View Status</button>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="hidden" id="hidFATCAStatus">
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<span class="errMsg" id="FATCARegistered" style="display: none">Your FATCA Declaration is Registered<a id="FATCARegisteredAn">Click Here to View/Edit FATCA</a></span>
<span class="errMsg" id="FATCANotRegistered" style="display: none">Your FATCA Declaration is not Registered<a id="FATCANotRegisteredAn">Click Here to Submit FATCA</a></span>
<span class="errMsg" id="FATCANotMatching" style="display: none;">No Matching information found, Please contact nearest KFINTECH Branch</span>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="investor-profile-wizard" id="FatcaSectionInd" style="display: none;">
<div class="col-lg-12 col-md-12 col-sm-12">
<h4 class="caption-title text-upper"><b>Individuals</b></h4>
<div class="wizard-body">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">PAN</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control " name="InputtxtPanforViewStatus" id="PanforViewStatusInd" required="" maxlength="10" onkeypress="allAlphNumericOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false">
<span class="errMsg" id="InputtxtPanerrInd"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<button type="submit" class="btn pull-left btn-primary " id="GenerateOtpforInd">Generate OTP</button>
<span class="errMsg" id="GenerateOtpforInderr" style="display: none"></span>
</div>
</div>
</div>
<div id="OTPHideShowIdInd">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">OTP</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control" name="txtOTPViewStatusInd" autocomplete="off" id="txtOTPViewStatusInd" required="" onkeypress="return (event.charCode >= 48 && event.charCode <=57)" maxlength="5" onpaste="return false" ondrop="return false" ondrag="return false">
<span class="errMsg" id="txtOTPViewStatusInderr"></span>
<span class="errMsg" id="OTPLblInd"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<button type="submit" class="btn pull-left btn-primary " id="ViewFatacaInd">Verify</button>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="investor-profile-wizard" id="FatcaSectionIndividuals">
<div class="col-lg-12 col-md-12 col-sm-12">
<h4 class="caption-title text-upper"><b>Individuals</b></h4>
<div class="wizard-body">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">PAN</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control " name="InputtxtPanNumber" id="txtPanNumber" required="" onkeypress="allAlphNumericOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="10" autocomplete="off" style="text-transform: uppercase">
<span class="errMsg" id="InputtxtPanNumbererr"></span>
</div>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<button type="submit" class="btn pull-left btn-primary " id="GenerateOTP">Generate OTP</button>
<span id="time" class="pull-left" style="color: green;"></span>
</div>
</div>
</div>
<div id="OTPHideShowId" style="display: none;">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">OTP</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="password" class="form-control" name="txtOTPViewStatus" id="txtOTPViewStatus" autocomplete="off" required="" onkeypress="return (event.charCode >= 48 && event.charCode <=57)" maxlength="5" onpaste="return false" ondrop="return false" ondrag="return false">
<span class="errMsg" id="txtOTPViewStatuserr"></span>
<span class="errMsg" id="OTPLbl"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<button type="submit" class="btn pull-left btn-primary" style="margin-right: 10px;" id="ViewFataca">View</button>
<button type="submit" class="btn pull-left btn-info" id="EditFataca">Add / Edit</button>
</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12" style="padding: 6px 12px; color: #4990e2; margin-bottom: -25px;">
<b>Note :-</b>
<ul>
<li><i><b>View</b> - Please Click this button to view your details submitted earlier.</i></li>
<li><i><b>Add / Edit</b> - Please Click this button to Add / Modify the FATCA Details.</i> </li>
</ul>
</div>
</div>
</div>
</div>
<section class="investor-profile-wizard" id="FatcaSectionfunds">
<h4 class="caption-title text-upper"></h4>
<b>Participating Mutual Funds</b><br>
AXIS Mutual Fund, BAJAJ Mutual Fund, Bank of India Mutual Fund, Baroda BNP PARIBAS Mutual Fund, Canara Robeco Mutual Fund, Edelweiss Mutual Fund,Groww Mutual Fund, Invesco Mutual Fund, ITI Mutual Fund, JM Financial Mutual Fund, LIC Mutual Fund, Mirae Asset Mutual Fund, Motilal Oswal Mutual Fund, Nippon India Mutual Fund, NJ Mutual Fund, PGIM India Mutual Fund, Quant MF, Quantum Mutual Fund, Sahara Mutual Fund, Sundaram Mutual Fund, SAMCO Mutual Fund, Trust Mutual Fund, Taurus Mutual Fund, UTI Mutual Fund
</section>
</div>
</section>
<section class="investor-profile-wizard" id="FatcaSectionDetails" style="display: none;">
<div class="col-lg-12 col-md-12 col-sm-12">
<div>
<h4 class="caption-title text-upper"><b>Edit Individuals</b></h4>
<div id="InvDetailsId">
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Investor Name</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control " name="InputInvName" id="InvName" required="" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123)||(event.charCode == 32)" maxlength="150" onpaste="return false" ondrop="return false" ondrag="return false">
<label class="form-control" id="InvNameLbl" style="display: none"></label>
<span class="errMsg" id="InvNameErr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Address Type</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="addressType" class="form-control" id="txtaddressType" required="">
<option value="">Select Address Type</option>
<option value="Residential">Residential</option>
<option value="Business">Business</option>
<option value="Registered Office">Registered Office</option>
<option value="Residential or Business">Residential or Business </option>
</select>
<span class="errMsg" id="txtaddressTypeerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Place of Birth</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control" name="inputPlaceOBirth" id="txtPlaceOBirth" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123)||(event.charCode == 32)" required="" maxlength="150" onpaste="return false" ondrop="return false" ondrag="return false">
<span class="errMsg" id="txtPlaceOBirtherr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Date Of Birth</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="date" class="form-control" name="inputDateOBirth" id="txtDateOBirth" required="">
<span class="errMsg" id="txtDateOBirtherr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Gender</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="Gender" class="form-control" id="txtGender" required="">
<option value="">Select Gender</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Others">Others</option>
</select>
<span class="errMsg" id="txtGendererr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Country of Birth</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="selectBirthCountry" class="form-control" id="txtBirthCountry" required="">
<option value="">Select Country Of Birth</option>
<option value="INDIA">India</option><option value="AFGHANISTAN">Afghanistan</option><option value="ALBANIA">Albania</option><option value="ALGERIA">Algeria</option><option value="ANDORRA">Andorra</option><option value="ANGOLA">Angola</option><option value="ANTARCTICA">Antarctica</option><option value="ARGENTINA">Argentina</option><option value="ARMENIA">Armenia</option><option value="ARUBA">Aruba</option><option value="AUSTRALIA">Australia</option><option value="AUSTRIA">Austria</option><option value="AZERBAIJAN">Azerbaijan</option><option value="BAHRAIN">Bahrain</option><option value="BANGLADESH">Bangladesh</option><option value="BELARUS">Belarus</option><option value="BELGIUM">Belgium</option><option value="BELIZE">Belize</option><option value="BENIN">Benin</option><option value="BHUTAN">Bhutan</option><option value="BOLIVIA">Bolivia</option><option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina</option><option value="BOTSWANA">Botswana</option><option value="BRAZIL">Brazil</option><option value="BRUNEI">Brunei</option><option value="BULGARIA">Bulgaria</option><option value="BURKINA FASO">Burkina Faso</option><option value="BURMA (MYANMAR)">Burma (Myanmar)</option><option value="BURUNDI">Burundi</option><option value="CAMBODIA">Cambodia</option><option value="CAMEROON">Cameroon</option><option value="CANADA">CANADA</option><option value="CAPE VERDE">Cape Verde</option><option value="CENTRAL AFRICAN REPUBLIC">Central African Republic</option><option value="CHAD">Chad</option><option value="CHILE">Chile</option><option value="CHINA">China</option><option value="CHRISTMAS ISLAND">Christmas Island</option><option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands</option><option value="COLOMBIA">Colombia</option><option value="COMOROS">Comoros</option><option value="COOK ISLANDS">Cook Islands</option><option value="COSTA RICA">Costa Rica</option><option value="CROATIA">Croatia</option><option value="CUBA">Cuba</option><option value="CYPRUS">Cyprus</option><option value="CZECH REPUBLIC">Czech Republic</option><option value="DEMOCRATIC REPUBLIC OF THE CONGO">Democratic Republic of the Congo</option><option value="DENMARK">Denmark</option><option value="DJIBOUTI">Djibouti</option><option value="ECUADOR">Ecuador</option><option value="EGYPT">Egypt</option><option value="EL SALVADOR">El Salvador</option><option value="EQUATORIAL GUINEA">Equatorial Guinea</option><option value="ERITREA">Eritrea</option><option value="ESTONIA">Estonia</option><option value="ETHIOPIA">Ethiopia</option><option value="FALKLAND ISLANDS">Falkland Islands</option><option value="FAROE ISLANDS">Faroe Islands</option><option value="FIJI">Fiji</option><option value="FINLAND">Finland</option><option value="FRANCE">France</option><option value="FRENCH POLYNESIA">French Polynesia</option><option value="GABON">Gabon</option><option value="GAMBIA">Gambia</option><option value="GAZA STRIP">Gaza Strip</option><option value="GEORGIA">Georgia</option><option value="GERMANY">Germany</option><option value="GHANA">Ghana</option><option value="GIBRALTAR">Gibraltar</option><option value="GREECE">Greece</option><option value="GREENLAND">Greenland</option><option value="GUATEMALA">Guatemala</option><option value="GUINEA">Guinea</option><option value="GUINEA-BISSAU">Guinea-Bissau</option><option value="GUYANA">Guyana</option><option value="HAITI">Haiti</option><option value="HOLY SEE (VATICAN CITY)">Holy See (Vatican City)</option><option value="HONDURAS">Honduras</option><option value="HONG KONG">Hong Kong</option><option value="HUNGARY">Hungary</option><option value="ICELAND">Iceland</option><option value="INDONESIA">Indonesia</option><option value="IRAN">Iran</option><option value="IRAQ">Iraq</option><option value="IRELAND">Ireland</option><option value="ISLE OF MAN">Isle of Man</option><option value="ISRAEL">Israel</option><option value="ITALY">Italy</option><option value="IVORY COAST">Ivory Coast</option><option value="JAMAICA">Jamaica</option><option value="JAPAN">Japan</option><option value="JORDAN">Jordan</option><option value="KAZAKHSTAN">Kazakhstan</option><option value="KENYA">Kenya</option><option value="KIRIBATI">Kiribati</option><option value="KOSOVO">Kosovo</option><option value="KUWAIT">Kuwait</option><option value="KYRGYZSTAN">Kyrgyzstan</option><option value="LAOS">Laos</option><option value="LATVIA">Latvia</option><option value="LEBANON">Lebanon</option><option value="LESOTHO">Lesotho</option><option value="LIBERIA">Liberia</option><option value="LIBYA">Libya</option><option value="LIECHTENSTEIN">Liechtenstein</option><option value="LITHUANIA">Lithuania</option><option value="LUXEMBOURG">Luxembourg</option><option value="MACAU">Macau</option><option value="MACEDONIA">Macedonia</option><option value="MADAGASCAR">Madagascar</option><option value="MALAWI">Malawi</option><option value="MALAYSIA">Malaysia</option><option value="MALDIVES">Maldives</option><option value="MALI">Mali</option><option value="MALTA">Malta</option><option value="MARSHALL ISLANDS">Marshall Islands</option><option value="MAURITANIA">Mauritania</option><option value="MAURITIUS">Mauritius</option><option value="MAYOTTE">Mayotte</option><option value="MEXICO">Mexico</option><option value="MICRONESIA">Micronesia</option><option value="MOLDOVA">Moldova</option><option value="MONACO">Monaco</option><option value="MONGOLIA">Mongolia</option><option value="MONTENEGRO">Montenegro</option><option value="MOROCCO">Morocco</option><option value="MOZAMBIQUE">Mozambique</option><option value="NAMIBIA">Namibia</option><option value="NAURU">Nauru</option><option value="NEPAL">Nepal</option><option value="NETHERLANDS">Netherlands</option><option value="NETHERLANDS ANTILLES">Netherlands Antilles</option><option value="NEW CALEDONIA">New Caledonia</option><option value="NEW ZEALAND">New Zealand</option><option value="NICARAGUA">Nicaragua</option><option value="NIGER">Niger</option><option value="NIGERIA">Nigeria</option><option value="NIUE">Niue</option><option value="NORFOLK ISLAND">Norfolk Island</option><option value="NORTH KOREA">North Korea</option><option value="NORWAY">Norway</option><option value="OMAN">Oman</option><option value="PAKISTAN">Pakistan</option><option value="PALAU">Palau</option><option value="PANAMA">Panama</option><option value="PAPUA NEW GUINEA">Papua New Guinea</option><option value="PARAGUAY">Paraguay</option><option value="PERU">Peru</option><option value="PHILIPPINES">Philippines</option><option value="PITCAIRN ISLANDS">Pitcairn Islands</option><option value="POLAND">Poland</option><option value="PORTUGAL">Portugal</option><option value="PUERTO RICO">Puerto Rico</option><option value="QATAR">Qatar</option><option value="REPUBLIC OF THE CONGO">Republic of the Congo</option><option value="ROMANIA">Romania</option><option value="RUSSIA">Russia</option><option value="RWANDA">Rwanda</option><option value="SAINT BARTHELEMY">Saint Barthelemy</option><option value="SAINT HELENA">Saint Helena</option><option value="SAINT PIERRE AND MIQUELON">Saint Pierre and Miquelon</option><option value="SAMOA">Samoa</option><option value="SAN MARINO">San Marino</option><option value="SAO TOME AND PRINCIPE">Sao Tome and Principe</option><option value="SAUDI ARABIA">Saudi Arabia</option><option value="SENEGAL">Senegal</option><option value="SERBIA">Serbia</option><option value="SEYCHELLES">Seychelles</option><option value="SIERRA LEONE">Sierra Leone</option><option value="SINGAPORE">Singapore</option><option value="SLOVAKIA">Slovakia</option><option value="SLOVENIA">Slovenia</option><option value="SOLOMON ISLANDS">Solomon Islands</option><option value="SOMALIA">Somalia</option><option value="SOUTH AFRICA">South Africa</option><option value="SOUTH KOREA">South Korea</option><option value="SPAIN">Spain</option><option value="SRI LANKA">Sri Lanka</option><option value="SUDAN">Sudan</option><option value="SURINAME">Suriname</option><option value="SWAZILAND">Swaziland</option><option value="SWEDEN">Sweden</option><option value="SWITZERLAND">Switzerland</option><option value="SYRIA">Syria</option><option value="TAIWAN">Taiwan</option><option value="TAJIKISTAN">Tajikistan</option><option value="TANZANIA">Tanzania</option><option value="THAILAND">Thailand</option><option value="TIMOR-LESTE">Timor-Leste</option><option value="TOGO">Togo</option><option value="TOKELAU">Tokelau</option><option value="TONGA">Tonga</option><option value="TUNISIA">Tunisia</option><option value="TURKEY">Turkey</option><option value="TURKMENISTAN">Turkmenistan</option><option value="TUVALU">Tuvalu</option><option value="UGANDA">Uganda</option><option value="UKRAINE">Ukraine</option><option value="UNITED ARAB EMIRATES">United Arab Emirates</option><option value="UNITED KINGDOM">United Kingdom</option><option value="URUGUAY">Uruguay</option><option value="USA">USA</option><option value="UZBEKISTAN">Uzbekistan</option><option value="VANUATU">Vanuatu</option><option value="VENEZUELA">Venezuela</option><option value="VIETNAM">Vietnam</option><option value="WALLIS AND FUTUNA">Wallis and Futuna</option><option value="WEST BANK">West Bank</option><option value="YEMEN">Yemen</option><option value="ZAMBIA">Zambia</option><option value="ZIMBABWE">Zimbabwe</option></select>
<span class="errMsg" id="txtBirthCountryerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Gross Annual Income details in INR</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="selectIncome" class="form-control" id="txtGrossIncome" required="">
<option value="">Select Gross Annual Income</option>
<option value="Below 1 Lac">Below 1 Lac</option>
<option value="1 to 5 Lacs">1 to 5 Lacs</option>
<option value="5 to 10 Lacs">5 to 10 Lacs</option>
<option value="10 to 25 Lacs">10 to 25 Lacs</option>
<option value="25 Lacs - 1 Crore">25 Lacs - 1 Crore</option>
<option value="above 1 Crore">above 1 Crore</option>
</select>
<span class="errMsg" id="txtGrossIncomeerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Net Worth in [Lakhs INR]</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="text" class="form-control " name="netWorth" id="txtNetWorth" required="" onkeypress="return (event.charCode >= 48 && event.charCode <=57)" maxlength="150" onpaste="return false" ondrop="return false" ondrag="return false">
<span class="errMsg" id="txtNetWortherr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Nationality</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="Nationality" id="txtNationality" class="form-control" required="">
<option value="">Select Nationality</option>
<option value="INDIA">India</option><option value="AFGHANISTAN">Afghanistan</option><option value="ALBANIA">Albania</option><option value="ALGERIA">Algeria</option><option value="ANDORRA">Andorra</option><option value="ANGOLA">Angola</option><option value="ANTARCTICA">Antarctica</option><option value="ARGENTINA">Argentina</option><option value="ARMENIA">Armenia</option><option value="ARUBA">Aruba</option><option value="AUSTRALIA">Australia</option><option value="AUSTRIA">Austria</option><option value="AZERBAIJAN">Azerbaijan</option><option value="BAHRAIN">Bahrain</option><option value="BANGLADESH">Bangladesh</option><option value="BELARUS">Belarus</option><option value="BELGIUM">Belgium</option><option value="BELIZE">Belize</option><option value="BENIN">Benin</option><option value="BHUTAN">Bhutan</option><option value="BOLIVIA">Bolivia</option><option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina</option><option value="BOTSWANA">Botswana</option><option value="BRAZIL">Brazil</option><option value="BRUNEI">Brunei</option><option value="BULGARIA">Bulgaria</option><option value="BURKINA FASO">Burkina Faso</option><option value="BURMA (MYANMAR)">Burma (Myanmar)</option><option value="BURUNDI">Burundi</option><option value="CAMBODIA">Cambodia</option><option value="CAMEROON">Cameroon</option><option value="CANADA">CANADA</option><option value="CAPE VERDE">Cape Verde</option><option value="CENTRAL AFRICAN REPUBLIC">Central African Republic</option><option value="CHAD">Chad</option><option value="CHILE">Chile</option><option value="CHINA">China</option><option value="CHRISTMAS ISLAND">Christmas Island</option><option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands</option><option value="COLOMBIA">Colombia</option><option value="COMOROS">Comoros</option><option value="COOK ISLANDS">Cook Islands</option><option value="COSTA RICA">Costa Rica</option><option value="CROATIA">Croatia</option><option value="CUBA">Cuba</option><option value="CYPRUS">Cyprus</option><option value="CZECH REPUBLIC">Czech Republic</option><option value="DEMOCRATIC REPUBLIC OF THE CONGO">Democratic Republic of the Congo</option><option value="DENMARK">Denmark</option><option value="DJIBOUTI">Djibouti</option><option value="ECUADOR">Ecuador</option><option value="EGYPT">Egypt</option><option value="EL SALVADOR">El Salvador</option><option value="EQUATORIAL GUINEA">Equatorial Guinea</option><option value="ERITREA">Eritrea</option><option value="ESTONIA">Estonia</option><option value="ETHIOPIA">Ethiopia</option><option value="FALKLAND ISLANDS">Falkland Islands</option><option value="FAROE ISLANDS">Faroe Islands</option><option value="FIJI">Fiji</option><option value="FINLAND">Finland</option><option value="FRANCE">France</option><option value="FRENCH POLYNESIA">French Polynesia</option><option value="GABON">Gabon</option><option value="GAMBIA">Gambia</option><option value="GAZA STRIP">Gaza Strip</option><option value="GEORGIA">Georgia</option><option value="GERMANY">Germany</option><option value="GHANA">Ghana</option><option value="GIBRALTAR">Gibraltar</option><option value="GREECE">Greece</option><option value="GREENLAND">Greenland</option><option value="GUATEMALA">Guatemala</option><option value="GUINEA">Guinea</option><option value="GUINEA-BISSAU">Guinea-Bissau</option><option value="GUYANA">Guyana</option><option value="HAITI">Haiti</option><option value="HOLY SEE (VATICAN CITY)">Holy See (Vatican City)</option><option value="HONDURAS">Honduras</option><option value="HONG KONG">Hong Kong</option><option value="HUNGARY">Hungary</option><option value="ICELAND">Iceland</option><option value="INDONESIA">Indonesia</option><option value="IRAN">Iran</option><option value="IRAQ">Iraq</option><option value="IRELAND">Ireland</option><option value="ISLE OF MAN">Isle of Man</option><option value="ISRAEL">Israel</option><option value="ITALY">Italy</option><option value="IVORY COAST">Ivory Coast</option><option value="JAMAICA">Jamaica</option><option value="JAPAN">Japan</option><option value="JORDAN">Jordan</option><option value="KAZAKHSTAN">Kazakhstan</option><option value="KENYA">Kenya</option><option value="KIRIBATI">Kiribati</option><option value="KOSOVO">Kosovo</option><option value="KUWAIT">Kuwait</option><option value="KYRGYZSTAN">Kyrgyzstan</option><option value="LAOS">Laos</option><option value="LATVIA">Latvia</option><option value="LEBANON">Lebanon</option><option value="LESOTHO">Lesotho</option><option value="LIBERIA">Liberia</option><option value="LIBYA">Libya</option><option value="LIECHTENSTEIN">Liechtenstein</option><option value="LITHUANIA">Lithuania</option><option value="LUXEMBOURG">Luxembourg</option><option value="MACAU">Macau</option><option value="MACEDONIA">Macedonia</option><option value="MADAGASCAR">Madagascar</option><option value="MALAWI">Malawi</option><option value="MALAYSIA">Malaysia</option><option value="MALDIVES">Maldives</option><option value="MALI">Mali</option><option value="MALTA">Malta</option><option value="MARSHALL ISLANDS">Marshall Islands</option><option value="MAURITANIA">Mauritania</option><option value="MAURITIUS">Mauritius</option><option value="MAYOTTE">Mayotte</option><option value="MEXICO">Mexico</option><option value="MICRONESIA">Micronesia</option><option value="MOLDOVA">Moldova</option><option value="MONACO">Monaco</option><option value="MONGOLIA">Mongolia</option><option value="MONTENEGRO">Montenegro</option><option value="MOROCCO">Morocco</option><option value="MOZAMBIQUE">Mozambique</option><option value="NAMIBIA">Namibia</option><option value="NAURU">Nauru</option><option value="NEPAL">Nepal</option><option value="NETHERLANDS">Netherlands</option><option value="NETHERLANDS ANTILLES">Netherlands Antilles</option><option value="NEW CALEDONIA">New Caledonia</option><option value="NEW ZEALAND">New Zealand</option><option value="NICARAGUA">Nicaragua</option><option value="NIGER">Niger</option><option value="NIGERIA">Nigeria</option><option value="NIUE">Niue</option><option value="NORFOLK ISLAND">Norfolk Island</option><option value="NORTH KOREA">North Korea</option><option value="NORWAY">Norway</option><option value="OMAN">Oman</option><option value="PAKISTAN">Pakistan</option><option value="PALAU">Palau</option><option value="PANAMA">Panama</option><option value="PAPUA NEW GUINEA">Papua New Guinea</option><option value="PARAGUAY">Paraguay</option><option value="PERU">Peru</option><option value="PHILIPPINES">Philippines</option><option value="PITCAIRN ISLANDS">Pitcairn Islands</option><option value="POLAND">Poland</option><option value="PORTUGAL">Portugal</option><option value="PUERTO RICO">Puerto Rico</option><option value="QATAR">Qatar</option><option value="REPUBLIC OF THE CONGO">Republic of the Congo</option><option value="ROMANIA">Romania</option><option value="RUSSIA">Russia</option><option value="RWANDA">Rwanda</option><option value="SAINT BARTHELEMY">Saint Barthelemy</option><option value="SAINT HELENA">Saint Helena</option><option value="SAINT PIERRE AND MIQUELON">Saint Pierre and Miquelon</option><option value="SAMOA">Samoa</option><option value="SAN MARINO">San Marino</option><option value="SAO TOME AND PRINCIPE">Sao Tome and Principe</option><option value="SAUDI ARABIA">Saudi Arabia</option><option value="SENEGAL">Senegal</option><option value="SERBIA">Serbia</option><option value="SEYCHELLES">Seychelles</option><option value="SIERRA LEONE">Sierra Leone</option><option value="SINGAPORE">Singapore</option><option value="SLOVAKIA">Slovakia</option><option value="SLOVENIA">Slovenia</option><option value="SOLOMON ISLANDS">Solomon Islands</option><option value="SOMALIA">Somalia</option><option value="SOUTH AFRICA">South Africa</option><option value="SOUTH KOREA">South Korea</option><option value="SPAIN">Spain</option><option value="SRI LANKA">Sri Lanka</option><option value="SUDAN">Sudan</option><option value="SURINAME">Suriname</option><option value="SWAZILAND">Swaziland</option><option value="SWEDEN">Sweden</option><option value="SWITZERLAND">Switzerland</option><option value="SYRIA">Syria</option><option value="TAIWAN">Taiwan</option><option value="TAJIKISTAN">Tajikistan</option><option value="TANZANIA">Tanzania</option><option value="THAILAND">Thailand</option><option value="TIMOR-LESTE">Timor-Leste</option><option value="TOGO">Togo</option><option value="TOKELAU">Tokelau</option><option value="TONGA">Tonga</option><option value="TUNISIA">Tunisia</option><option value="TURKEY">Turkey</option><option value="TURKMENISTAN">Turkmenistan</option><option value="TUVALU">Tuvalu</option><option value="UGANDA">Uganda</option><option value="UKRAINE">Ukraine</option><option value="UNITED ARAB EMIRATES">United Arab Emirates</option><option value="UNITED KINGDOM">United Kingdom</option><option value="URUGUAY">Uruguay</option><option value="USA">USA</option><option value="UZBEKISTAN">Uzbekistan</option><option value="VANUATU">Vanuatu</option><option value="VENEZUELA">Venezuela</option><option value="VIETNAM">Vietnam</option><option value="WALLIS AND FUTUNA">Wallis and Futuna</option><option value="WEST BANK">West Bank</option><option value="YEMEN">Yemen</option><option value="ZAMBIA">Zambia</option><option value="ZIMBABWE">Zimbabwe</option></select>
<span class="errMsg" id="txtNationalityerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Net Worth Date</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<input type="date" class="form-control" name="netWorthDate" id="txtNetWorthDate" required="" max="2024-11-06" min="2023-11-06">
<span class="errMsg" id="txtNetWorthDateerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="">Occupation</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="selectOccupation" id="txtOccupation" class="form-control" required="">
<option value="">Select Occupation</option>
<option value="1">Private Service</option>
<option value="14">Public Sector/Government Service</option>
<option value="2">Business</option>
<option value="3">Student</option>
<option value="4">House Wife</option>
<option value="5">Professional</option>
<option value="6">Agriculturist</option>
<option value="7">Retired</option>
<option value="13">Forex Dealer</option>
<option value="Others">Others</option>
</select>
<input type="text" class="form-control" name="Occupation" id="OtherOccuption" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123 ||(event.charCode == 32))" style="display: none">
<span class="note" id="txtOccupationeNote" style="color: #4990e2;"></span>
<br>
<span class="errMsg" id="txtOccupationerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Are you Politically Exposed Person [PEP]?</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="PolExpPerson" class="form-control" id="txtPolExpPerson" required="">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
<option value="Related To PEP">RPEP (Related to PEP)</option>
</select>
<span class="errMsg" id="txtPolExpPersonerr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Source Of Income</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="selectSourceOfwealth" class="form-control" id="txtWealthSource" required="">
<option value="" selected="selected">Select Source of Wealth</option>
<option value="Salary">Salary</option>
<option value="Business Income">Business Income</option>
<option value="Gift">Gift</option>
<option value="Ancestral Property">Ancestral Property</option>
<option value="Rental Income">Rental Income</option>
<option value="Prize Money">Prize Money</option>
<option value="Royalty">Royalty</option>
<option value="Others">Others</option>
</select>
<input type="text" class="form-control" name="Occupation" id="OtherSourceOfWealth" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123 ||(event.charCode == 32))" style="display: none" placeholder="Please State Source Of Income">
<span class="note" id="txtsourseOfwealtheNote" style="color: #4990e2;"></span>
<br>
<span class="errMsg" id="txtsourseOfwealtherr"></span>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Other KYC Related Information</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<textarea class="form-control" name="Occupation" id="otherKYCInfo" maxlength="250"></textarea>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label ">Are you a Tax Resident In any country other than India</label><span class="manFeilds">*</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<select name="taxResidant" class="form-control" id="txttaxResidant" required="">
<option value="N">No</option>
<option value="Y">Yes</option>
</select>
<span class="errMsg" id="txttaxResidanterr"></span>
</div>
</div>
</div>
<div id="divtaxResidant">
<div class="form-group" id="divtaxResidantHeading">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">Tax Payer Identification No</label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">Country of Tax Residency</label>
</div>
<div class="col-lg-2 col-md-2 col-sm-2" style="padding-right: 5px;">
<label class="control-label ">Identification Type</label>
</div>
<div class="col-lg-2 col-md-2 col-sm-2" style="padding-right: 0px;">
<label class="control-label ">If TIN Not available</label>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<label class="control-label "></label>
</div>
</div>
</div>
<div class="form-group" id="addTINDiv">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<input type="text" class="form-control" name="TxtIdenNo1" id="TxtIdenNo1" onkeypress="allowAlphaNumspaceHypenbk(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Tax Payer Identification No">
<span class="errMsg" id="TxtIdenNo1err"></span>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<select name="txtCountyOfTax1" class="form-control countryoftax" id="txtCountyOfTax1" required="">
<option value="">Enter Country Of Residency</option>
<option value="AFGHANISTAN">Afghanistan</option><option value="ALBANIA">Albania</option><option value="ALGERIA">Algeria</option><option value="ANDORRA">Andorra</option><option value="ANGOLA">Angola</option><option value="ANTARCTICA">Antarctica</option><option value="ARGENTINA">Argentina</option><option value="ARMENIA">Armenia</option><option value="ARUBA">Aruba</option><option value="AUSTRALIA">Australia</option><option value="AUSTRIA">Austria</option><option value="AZERBAIJAN">Azerbaijan</option><option value="BAHRAIN">Bahrain</option><option value="BANGLADESH">Bangladesh</option><option value="BELARUS">Belarus</option><option value="BELGIUM">Belgium</option><option value="BELIZE">Belize</option><option value="BENIN">Benin</option><option value="BHUTAN">Bhutan</option><option value="BOLIVIA">Bolivia</option><option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina</option><option value="BOTSWANA">Botswana</option><option value="BRAZIL">Brazil</option><option value="BRUNEI">Brunei</option><option value="BULGARIA">Bulgaria</option><option value="BURKINA FASO">Burkina Faso</option><option value="BURMA (MYANMAR)">Burma (Myanmar)</option><option value="BURUNDI">Burundi</option><option value="CAMBODIA">Cambodia</option><option value="CAMEROON">Cameroon</option><option value="CANADA">CANADA</option><option value="CAPE VERDE">Cape Verde</option><option value="CENTRAL AFRICAN REPUBLIC">Central African Republic</option><option value="CHAD">Chad</option><option value="CHILE">Chile</option><option value="CHINA">China</option><option value="CHRISTMAS ISLAND">Christmas Island</option><option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands</option><option value="COLOMBIA">Colombia</option><option value="COMOROS">Comoros</option><option value="COOK ISLANDS">Cook Islands</option><option value="COSTA RICA">Costa Rica</option><option value="CROATIA">Croatia</option><option value="CUBA">Cuba</option><option value="CYPRUS">Cyprus</option><option value="CZECH REPUBLIC">Czech Republic</option><option value="DEMOCRATIC REPUBLIC OF THE CONGO">Democratic Republic of the Congo</option><option value="DENMARK">Denmark</option><option value="DJIBOUTI">Djibouti</option><option value="ECUADOR">Ecuador</option><option value="EGYPT">Egypt</option><option value="EL SALVADOR">El Salvador</option><option value="EQUATORIAL GUINEA">Equatorial Guinea</option><option value="ERITREA">Eritrea</option><option value="ESTONIA">Estonia</option><option value="ETHIOPIA">Ethiopia</option><option value="FALKLAND ISLANDS">Falkland Islands</option><option value="FAROE ISLANDS">Faroe Islands</option><option value="FIJI">Fiji</option><option value="FINLAND">Finland</option><option value="FRANCE">France</option><option value="FRENCH POLYNESIA">French Polynesia</option><option value="GABON">Gabon</option><option value="GAMBIA">Gambia</option><option value="GAZA STRIP">Gaza Strip</option><option value="GEORGIA">Georgia</option><option value="GERMANY">Germany</option><option value="GHANA">Ghana</option><option value="GIBRALTAR">Gibraltar</option><option value="GREECE">Greece</option><option value="GREENLAND">Greenland</option><option value="GUATEMALA">Guatemala</option><option value="GUINEA">Guinea</option><option value="GUINEA-BISSAU">Guinea-Bissau</option><option value="GUYANA">Guyana</option><option value="HAITI">Haiti</option><option value="HOLY SEE (VATICAN CITY)">Holy See (Vatican City)</option><option value="HONDURAS">Honduras</option><option value="HONG KONG">Hong Kong</option><option value="HUNGARY">Hungary</option><option value="ICELAND">Iceland</option><option value="INDONESIA">Indonesia</option><option value="IRAN">Iran</option><option value="IRAQ">Iraq</option><option value="IRELAND">Ireland</option><option value="ISLE OF MAN">Isle of Man</option><option value="ISRAEL">Israel</option><option value="ITALY">Italy</option><option value="IVORY COAST">Ivory Coast</option><option value="JAMAICA">Jamaica</option><option value="JAPAN">Japan</option><option value="JORDAN">Jordan</option><option value="KAZAKHSTAN">Kazakhstan</option><option value="KENYA">Kenya</option><option value="KIRIBATI">Kiribati</option><option value="KOSOVO">Kosovo</option><option value="KUWAIT">Kuwait</option><option value="KYRGYZSTAN">Kyrgyzstan</option><option value="LAOS">Laos</option><option value="LATVIA">Latvia</option><option value="LEBANON">Lebanon</option><option value="LESOTHO">Lesotho</option><option value="LIBERIA">Liberia</option><option value="LIBYA">Libya</option><option value="LIECHTENSTEIN">Liechtenstein</option><option value="LITHUANIA">Lithuania</option><option value="LUXEMBOURG">Luxembourg</option><option value="MACAU">Macau</option><option value="MACEDONIA">Macedonia</option><option value="MADAGASCAR">Madagascar</option><option value="MALAWI">Malawi</option><option value="MALAYSIA">Malaysia</option><option value="MALDIVES">Maldives</option><option value="MALI">Mali</option><option value="MALTA">Malta</option><option value="MARSHALL ISLANDS">Marshall Islands</option><option value="MAURITANIA">Mauritania</option><option value="MAURITIUS">Mauritius</option><option value="MAYOTTE">Mayotte</option><option value="MEXICO">Mexico</option><option value="MICRONESIA">Micronesia</option><option value="MOLDOVA">Moldova</option><option value="MONACO">Monaco</option><option value="MONGOLIA">Mongolia</option><option value="MONTENEGRO">Montenegro</option><option value="MOROCCO">Morocco</option><option value="MOZAMBIQUE">Mozambique</option><option value="NAMIBIA">Namibia</option><option value="NAURU">Nauru</option><option value="NEPAL">Nepal</option><option value="NETHERLANDS">Netherlands</option><option value="NETHERLANDS ANTILLES">Netherlands Antilles</option><option value="NEW CALEDONIA">New Caledonia</option><option value="NEW ZEALAND">New Zealand</option><option value="NICARAGUA">Nicaragua</option><option value="NIGER">Niger</option><option value="NIGERIA">Nigeria</option><option value="NIUE">Niue</option><option value="NORFOLK ISLAND">Norfolk Island</option><option value="NORTH KOREA">North Korea</option><option value="NORWAY">Norway</option><option value="OMAN">Oman</option><option value="PAKISTAN">Pakistan</option><option value="PALAU">Palau</option><option value="PANAMA">Panama</option><option value="PAPUA NEW GUINEA">Papua New Guinea</option><option value="PARAGUAY">Paraguay</option><option value="PERU">Peru</option><option value="PHILIPPINES">Philippines</option><option value="PITCAIRN ISLANDS">Pitcairn Islands</option><option value="POLAND">Poland</option><option value="PORTUGAL">Portugal</option><option value="PUERTO RICO">Puerto Rico</option><option value="QATAR">Qatar</option><option value="REPUBLIC OF THE CONGO">Republic of the Congo</option><option value="ROMANIA">Romania</option><option value="RUSSIA">Russia</option><option value="RWANDA">Rwanda</option><option value="SAINT BARTHELEMY">Saint Barthelemy</option><option value="SAINT HELENA">Saint Helena</option><option value="SAINT PIERRE AND MIQUELON">Saint Pierre and Miquelon</option><option value="SAMOA">Samoa</option><option value="SAN MARINO">San Marino</option><option value="SAO TOME AND PRINCIPE">Sao Tome and Principe</option><option value="SAUDI ARABIA">Saudi Arabia</option><option value="SENEGAL">Senegal</option><option value="SERBIA">Serbia</option><option value="SEYCHELLES">Seychelles</option><option value="SIERRA LEONE">Sierra Leone</option><option value="SINGAPORE">Singapore</option><option value="SLOVAKIA">Slovakia</option><option value="SLOVENIA">Slovenia</option><option value="SOLOMON ISLANDS">Solomon Islands</option><option value="SOMALIA">Somalia</option><option value="SOUTH AFRICA">South Africa</option><option value="SOUTH KOREA">South Korea</option><option value="SPAIN">Spain</option><option value="SRI LANKA">Sri Lanka</option><option value="SUDAN">Sudan</option><option value="SURINAME">Suriname</option><option value="SWAZILAND">Swaziland</option><option value="SWEDEN">Sweden</option><option value="SWITZERLAND">Switzerland</option><option value="SYRIA">Syria</option><option value="TAIWAN">Taiwan</option><option value="TAJIKISTAN">Tajikistan</option><option value="TANZANIA">Tanzania</option><option value="THAILAND">Thailand</option><option value="TIMOR-LESTE">Timor-Leste</option><option value="TOGO">Togo</option><option value="TOKELAU">Tokelau</option><option value="TONGA">Tonga</option><option value="TUNISIA">Tunisia</option><option value="TURKEY">Turkey</option><option value="TURKMENISTAN">Turkmenistan</option><option value="TUVALU">Tuvalu</option><option value="UGANDA">Uganda</option><option value="UKRAINE">Ukraine</option><option value="UNITED ARAB EMIRATES">United Arab Emirates</option><option value="UNITED KINGDOM">United Kingdom</option><option value="URUGUAY">Uruguay</option><option value="USA">USA</option><option value="UZBEKISTAN">Uzbekistan</option><option value="VANUATU">Vanuatu</option><option value="VENEZUELA">Venezuela</option><option value="VIETNAM">Vietnam</option><option value="WALLIS AND FUTUNA">Wallis and Futuna</option><option value="WEST BANK">West Bank</option><option value="YEMEN">Yemen</option><option value="ZAMBIA">Zambia</option><option value="ZIMBABWE">Zimbabwe</option></select>
<span class="errMsg" id="txtCountyOfTax1err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<input type="text" class="form-control" name="txtIdenType1" id="txtIdenType1" onkeypress="allAlphabetOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Identification Type">
<span class="errMsg" id="txtIdenType1err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<select name="TINReason1" class="form-control " id="TINReason1" required="">
<option value="">Select If TIN is not available</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="C">C</option>
</select>
<input type="text" class="form-control" name="txtIdenType1C" id="TINReason1C" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123)||(event.charCode == 32)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="10" placeholder="State Reason" style="display: none">
<span class="errMsg" id="TINReason1err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<input type="hidden" id="hidTaxCount" value="1">
<button type="submit" class="btn pull-left btn-success " style="margin-right: 3px;" id="AddTinInfo1" data-toggle="tooltip" data-placement="top" title="Add More Tax Payer Identification">+</button>
<button type="submit" class="btn pull-left btn-danger " id="RemoveTinInfo1" data-toggle="tooltip" data-placement="top" title="Remove Tax Payer Identification">X</button>
</div>
</div>
</div>
<div class="form-group" id="addTINDiv1" style="display: none">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<input type="text" class="form-control " name="TxtIdenNo2" id="TxtIdenNo2" onkeypress="allowAlphaNumspaceHypenbk(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Tax Payer Identification No">
<span class="errMsg" id="TxtIdenNo2err"></span>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<select name="txtCountyOfTax1" class="form-control countryoftax " id="txtCountyOfTax2" required="">
<option value="">Enter Country Of Residency</option>
<option value="AFGHANISTAN">Afghanistan</option><option value="ALBANIA">Albania</option><option value="ALGERIA">Algeria</option><option value="ANDORRA">Andorra</option><option value="ANGOLA">Angola</option><option value="ANTARCTICA">Antarctica</option><option value="ARGENTINA">Argentina</option><option value="ARMENIA">Armenia</option><option value="ARUBA">Aruba</option><option value="AUSTRALIA">Australia</option><option value="AUSTRIA">Austria</option><option value="AZERBAIJAN">Azerbaijan</option><option value="BAHRAIN">Bahrain</option><option value="BANGLADESH">Bangladesh</option><option value="BELARUS">Belarus</option><option value="BELGIUM">Belgium</option><option value="BELIZE">Belize</option><option value="BENIN">Benin</option><option value="BHUTAN">Bhutan</option><option value="BOLIVIA">Bolivia</option><option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina</option><option value="BOTSWANA">Botswana</option><option value="BRAZIL">Brazil</option><option value="BRUNEI">Brunei</option><option value="BULGARIA">Bulgaria</option><option value="BURKINA FASO">Burkina Faso</option><option value="BURMA (MYANMAR)">Burma (Myanmar)</option><option value="BURUNDI">Burundi</option><option value="CAMBODIA">Cambodia</option><option value="CAMEROON">Cameroon</option><option value="CANADA">CANADA</option><option value="CAPE VERDE">Cape Verde</option><option value="CENTRAL AFRICAN REPUBLIC">Central African Republic</option><option value="CHAD">Chad</option><option value="CHILE">Chile</option><option value="CHINA">China</option><option value="CHRISTMAS ISLAND">Christmas Island</option><option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands</option><option value="COLOMBIA">Colombia</option><option value="COMOROS">Comoros</option><option value="COOK ISLANDS">Cook Islands</option><option value="COSTA RICA">Costa Rica</option><option value="CROATIA">Croatia</option><option value="CUBA">Cuba</option><option value="CYPRUS">Cyprus</option><option value="CZECH REPUBLIC">Czech Republic</option><option value="DEMOCRATIC REPUBLIC OF THE CONGO">Democratic Republic of the Congo</option><option value="DENMARK">Denmark</option><option value="DJIBOUTI">Djibouti</option><option value="ECUADOR">Ecuador</option><option value="EGYPT">Egypt</option><option value="EL SALVADOR">El Salvador</option><option value="EQUATORIAL GUINEA">Equatorial Guinea</option><option value="ERITREA">Eritrea</option><option value="ESTONIA">Estonia</option><option value="ETHIOPIA">Ethiopia</option><option value="FALKLAND ISLANDS">Falkland Islands</option><option value="FAROE ISLANDS">Faroe Islands</option><option value="FIJI">Fiji</option><option value="FINLAND">Finland</option><option value="FRANCE">France</option><option value="FRENCH POLYNESIA">French Polynesia</option><option value="GABON">Gabon</option><option value="GAMBIA">Gambia</option><option value="GAZA STRIP">Gaza Strip</option><option value="GEORGIA">Georgia</option><option value="GERMANY">Germany</option><option value="GHANA">Ghana</option><option value="GIBRALTAR">Gibraltar</option><option value="GREECE">Greece</option><option value="GREENLAND">Greenland</option><option value="GUATEMALA">Guatemala</option><option value="GUINEA">Guinea</option><option value="GUINEA-BISSAU">Guinea-Bissau</option><option value="GUYANA">Guyana</option><option value="HAITI">Haiti</option><option value="HOLY SEE (VATICAN CITY)">Holy See (Vatican City)</option><option value="HONDURAS">Honduras</option><option value="HONG KONG">Hong Kong</option><option value="HUNGARY">Hungary</option><option value="ICELAND">Iceland</option><option value="INDONESIA">Indonesia</option><option value="IRAN">Iran</option><option value="IRAQ">Iraq</option><option value="IRELAND">Ireland</option><option value="ISLE OF MAN">Isle of Man</option><option value="ISRAEL">Israel</option><option value="ITALY">Italy</option><option value="IVORY COAST">Ivory Coast</option><option value="JAMAICA">Jamaica</option><option value="JAPAN">Japan</option><option value="JORDAN">Jordan</option><option value="KAZAKHSTAN">Kazakhstan</option><option value="KENYA">Kenya</option><option value="KIRIBATI">Kiribati</option><option value="KOSOVO">Kosovo</option><option value="KUWAIT">Kuwait</option><option value="KYRGYZSTAN">Kyrgyzstan</option><option value="LAOS">Laos</option><option value="LATVIA">Latvia</option><option value="LEBANON">Lebanon</option><option value="LESOTHO">Lesotho</option><option value="LIBERIA">Liberia</option><option value="LIBYA">Libya</option><option value="LIECHTENSTEIN">Liechtenstein</option><option value="LITHUANIA">Lithuania</option><option value="LUXEMBOURG">Luxembourg</option><option value="MACAU">Macau</option><option value="MACEDONIA">Macedonia</option><option value="MADAGASCAR">Madagascar</option><option value="MALAWI">Malawi</option><option value="MALAYSIA">Malaysia</option><option value="MALDIVES">Maldives</option><option value="MALI">Mali</option><option value="MALTA">Malta</option><option value="MARSHALL ISLANDS">Marshall Islands</option><option value="MAURITANIA">Mauritania</option><option value="MAURITIUS">Mauritius</option><option value="MAYOTTE">Mayotte</option><option value="MEXICO">Mexico</option><option value="MICRONESIA">Micronesia</option><option value="MOLDOVA">Moldova</option><option value="MONACO">Monaco</option><option value="MONGOLIA">Mongolia</option><option value="MONTENEGRO">Montenegro</option><option value="MOROCCO">Morocco</option><option value="MOZAMBIQUE">Mozambique</option><option value="NAMIBIA">Namibia</option><option value="NAURU">Nauru</option><option value="NEPAL">Nepal</option><option value="NETHERLANDS">Netherlands</option><option value="NETHERLANDS ANTILLES">Netherlands Antilles</option><option value="NEW CALEDONIA">New Caledonia</option><option value="NEW ZEALAND">New Zealand</option><option value="NICARAGUA">Nicaragua</option><option value="NIGER">Niger</option><option value="NIGERIA">Nigeria</option><option value="NIUE">Niue</option><option value="NORFOLK ISLAND">Norfolk Island</option><option value="NORTH KOREA">North Korea</option><option value="NORWAY">Norway</option><option value="OMAN">Oman</option><option value="PAKISTAN">Pakistan</option><option value="PALAU">Palau</option><option value="PANAMA">Panama</option><option value="PAPUA NEW GUINEA">Papua New Guinea</option><option value="PARAGUAY">Paraguay</option><option value="PERU">Peru</option><option value="PHILIPPINES">Philippines</option><option value="PITCAIRN ISLANDS">Pitcairn Islands</option><option value="POLAND">Poland</option><option value="PORTUGAL">Portugal</option><option value="PUERTO RICO">Puerto Rico</option><option value="QATAR">Qatar</option><option value="REPUBLIC OF THE CONGO">Republic of the Congo</option><option value="ROMANIA">Romania</option><option value="RUSSIA">Russia</option><option value="RWANDA">Rwanda</option><option value="SAINT BARTHELEMY">Saint Barthelemy</option><option value="SAINT HELENA">Saint Helena</option><option value="SAINT PIERRE AND MIQUELON">Saint Pierre and Miquelon</option><option value="SAMOA">Samoa</option><option value="SAN MARINO">San Marino</option><option value="SAO TOME AND PRINCIPE">Sao Tome and Principe</option><option value="SAUDI ARABIA">Saudi Arabia</option><option value="SENEGAL">Senegal</option><option value="SERBIA">Serbia</option><option value="SEYCHELLES">Seychelles</option><option value="SIERRA LEONE">Sierra Leone</option><option value="SINGAPORE">Singapore</option><option value="SLOVAKIA">Slovakia</option><option value="SLOVENIA">Slovenia</option><option value="SOLOMON ISLANDS">Solomon Islands</option><option value="SOMALIA">Somalia</option><option value="SOUTH AFRICA">South Africa</option><option value="SOUTH KOREA">South Korea</option><option value="SPAIN">Spain</option><option value="SRI LANKA">Sri Lanka</option><option value="SUDAN">Sudan</option><option value="SURINAME">Suriname</option><option value="SWAZILAND">Swaziland</option><option value="SWEDEN">Sweden</option><option value="SWITZERLAND">Switzerland</option><option value="SYRIA">Syria</option><option value="TAIWAN">Taiwan</option><option value="TAJIKISTAN">Tajikistan</option><option value="TANZANIA">Tanzania</option><option value="THAILAND">Thailand</option><option value="TIMOR-LESTE">Timor-Leste</option><option value="TOGO">Togo</option><option value="TOKELAU">Tokelau</option><option value="TONGA">Tonga</option><option value="TUNISIA">Tunisia</option><option value="TURKEY">Turkey</option><option value="TURKMENISTAN">Turkmenistan</option><option value="TUVALU">Tuvalu</option><option value="UGANDA">Uganda</option><option value="UKRAINE">Ukraine</option><option value="UNITED ARAB EMIRATES">United Arab Emirates</option><option value="UNITED KINGDOM">United Kingdom</option><option value="URUGUAY">Uruguay</option><option value="USA">USA</option><option value="UZBEKISTAN">Uzbekistan</option><option value="VANUATU">Vanuatu</option><option value="VENEZUELA">Venezuela</option><option value="VIETNAM">Vietnam</option><option value="WALLIS AND FUTUNA">Wallis and Futuna</option><option value="WEST BANK">West Bank</option><option value="YEMEN">Yemen</option><option value="ZAMBIA">Zambia</option><option value="ZIMBABWE">Zimbabwe</option></select>
<span class="errMsg" id="txtCountyOfTax2err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<input type="text" class="form-control" name="txtIdenType2" id="txtIdenType2" onkeypress="allAlphabetOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Identification Type">
<span class="errMsg" id="txtIdenType2err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<select name="selectTIN" class="form-control" id="TINReason2" required="">
<option value="">Select If TIN is not available?</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="C">C</option>
</select>
<input type="text" class="form-control" name="TINReason2C" id="TINReason2C" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123)||(event.charCode == 32)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="10" placeholder="State Reason" style="display: none">
<span class="errMsg" id="TINReason2err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<button type="submit" class="btn pull-left btn-success pr-1" style="margin-right: 3px;" id="AddTinInfo2" data-toggle="tooltip" data-placement="top" title="Add More Tax Payer Identification">+</button>
<button type="submit" class="btn pull-left btn-danger " id="RemoveTinInfo2" data-toggle="tooltip" data-placement="top" title="Remove Tax Payer Identification">X</button>
</div>
</div>
</div>
<div class="form-group" id="addTINDiv2" style="display: none">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<input type="text" class="form-control " name="TxtIdenNo3" id="TxtIdenNo3" onkeypress="allowAlphaNumspaceHypenbk(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Tax Payer Identification No">
<span class="errMsg" id="TxtIdenNo3err"></span>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<select name="txtCountyOfTax1" class="form-control countryoftax " id="txtCountyOfTax3" required="">
<option value="">Enter Country Of Residency</option>
<option value="AFGHANISTAN">Afghanistan</option><option value="ALBANIA">Albania</option><option value="ALGERIA">Algeria</option><option value="ANDORRA">Andorra</option><option value="ANGOLA">Angola</option><option value="ANTARCTICA">Antarctica</option><option value="ARGENTINA">Argentina</option><option value="ARMENIA">Armenia</option><option value="ARUBA">Aruba</option><option value="AUSTRALIA">Australia</option><option value="AUSTRIA">Austria</option><option value="AZERBAIJAN">Azerbaijan</option><option value="BAHRAIN">Bahrain</option><option value="BANGLADESH">Bangladesh</option><option value="BELARUS">Belarus</option><option value="BELGIUM">Belgium</option><option value="BELIZE">Belize</option><option value="BENIN">Benin</option><option value="BHUTAN">Bhutan</option><option value="BOLIVIA">Bolivia</option><option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina</option><option value="BOTSWANA">Botswana</option><option value="BRAZIL">Brazil</option><option value="BRUNEI">Brunei</option><option value="BULGARIA">Bulgaria</option><option value="BURKINA FASO">Burkina Faso</option><option value="BURMA (MYANMAR)">Burma (Myanmar)</option><option value="BURUNDI">Burundi</option><option value="CAMBODIA">Cambodia</option><option value="CAMEROON">Cameroon</option><option value="CANADA">CANADA</option><option value="CAPE VERDE">Cape Verde</option><option value="CENTRAL AFRICAN REPUBLIC">Central African Republic</option><option value="CHAD">Chad</option><option value="CHILE">Chile</option><option value="CHINA">China</option><option value="CHRISTMAS ISLAND">Christmas Island</option><option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands</option><option value="COLOMBIA">Colombia</option><option value="COMOROS">Comoros</option><option value="COOK ISLANDS">Cook Islands</option><option value="COSTA RICA">Costa Rica</option><option value="CROATIA">Croatia</option><option value="CUBA">Cuba</option><option value="CYPRUS">Cyprus</option><option value="CZECH REPUBLIC">Czech Republic</option><option value="DEMOCRATIC REPUBLIC OF THE CONGO">Democratic Republic of the Congo</option><option value="DENMARK">Denmark</option><option value="DJIBOUTI">Djibouti</option><option value="ECUADOR">Ecuador</option><option value="EGYPT">Egypt</option><option value="EL SALVADOR">El Salvador</option><option value="EQUATORIAL GUINEA">Equatorial Guinea</option><option value="ERITREA">Eritrea</option><option value="ESTONIA">Estonia</option><option value="ETHIOPIA">Ethiopia</option><option value="FALKLAND ISLANDS">Falkland Islands</option><option value="FAROE ISLANDS">Faroe Islands</option><option value="FIJI">Fiji</option><option value="FINLAND">Finland</option><option value="FRANCE">France</option><option value="FRENCH POLYNESIA">French Polynesia</option><option value="GABON">Gabon</option><option value="GAMBIA">Gambia</option><option value="GAZA STRIP">Gaza Strip</option><option value="GEORGIA">Georgia</option><option value="GERMANY">Germany</option><option value="GHANA">Ghana</option><option value="GIBRALTAR">Gibraltar</option><option value="GREECE">Greece</option><option value="GREENLAND">Greenland</option><option value="GUATEMALA">Guatemala</option><option value="GUINEA">Guinea</option><option value="GUINEA-BISSAU">Guinea-Bissau</option><option value="GUYANA">Guyana</option><option value="HAITI">Haiti</option><option value="HOLY SEE (VATICAN CITY)">Holy See (Vatican City)</option><option value="HONDURAS">Honduras</option><option value="HONG KONG">Hong Kong</option><option value="HUNGARY">Hungary</option><option value="ICELAND">Iceland</option><option value="INDONESIA">Indonesia</option><option value="IRAN">Iran</option><option value="IRAQ">Iraq</option><option value="IRELAND">Ireland</option><option value="ISLE OF MAN">Isle of Man</option><option value="ISRAEL">Israel</option><option value="ITALY">Italy</option><option value="IVORY COAST">Ivory Coast</option><option value="JAMAICA">Jamaica</option><option value="JAPAN">Japan</option><option value="JORDAN">Jordan</option><option value="KAZAKHSTAN">Kazakhstan</option><option value="KENYA">Kenya</option><option value="KIRIBATI">Kiribati</option><option value="KOSOVO">Kosovo</option><option value="KUWAIT">Kuwait</option><option value="KYRGYZSTAN">Kyrgyzstan</option><option value="LAOS">Laos</option><option value="LATVIA">Latvia</option><option value="LEBANON">Lebanon</option><option value="LESOTHO">Lesotho</option><option value="LIBERIA">Liberia</option><option value="LIBYA">Libya</option><option value="LIECHTENSTEIN">Liechtenstein</option><option value="LITHUANIA">Lithuania</option><option value="LUXEMBOURG">Luxembourg</option><option value="MACAU">Macau</option><option value="MACEDONIA">Macedonia</option><option value="MADAGASCAR">Madagascar</option><option value="MALAWI">Malawi</option><option value="MALAYSIA">Malaysia</option><option value="MALDIVES">Maldives</option><option value="MALI">Mali</option><option value="MALTA">Malta</option><option value="MARSHALL ISLANDS">Marshall Islands</option><option value="MAURITANIA">Mauritania</option><option value="MAURITIUS">Mauritius</option><option value="MAYOTTE">Mayotte</option><option value="MEXICO">Mexico</option><option value="MICRONESIA">Micronesia</option><option value="MOLDOVA">Moldova</option><option value="MONACO">Monaco</option><option value="MONGOLIA">Mongolia</option><option value="MONTENEGRO">Montenegro</option><option value="MOROCCO">Morocco</option><option value="MOZAMBIQUE">Mozambique</option><option value="NAMIBIA">Namibia</option><option value="NAURU">Nauru</option><option value="NEPAL">Nepal</option><option value="NETHERLANDS">Netherlands</option><option value="NETHERLANDS ANTILLES">Netherlands Antilles</option><option value="NEW CALEDONIA">New Caledonia</option><option value="NEW ZEALAND">New Zealand</option><option value="NICARAGUA">Nicaragua</option><option value="NIGER">Niger</option><option value="NIGERIA">Nigeria</option><option value="NIUE">Niue</option><option value="NORFOLK ISLAND">Norfolk Island</option><option value="NORTH KOREA">North Korea</option><option value="NORWAY">Norway</option><option value="OMAN">Oman</option><option value="PAKISTAN">Pakistan</option><option value="PALAU">Palau</option><option value="PANAMA">Panama</option><option value="PAPUA NEW GUINEA">Papua New Guinea</option><option value="PARAGUAY">Paraguay</option><option value="PERU">Peru</option><option value="PHILIPPINES">Philippines</option><option value="PITCAIRN ISLANDS">Pitcairn Islands</option><option value="POLAND">Poland</option><option value="PORTUGAL">Portugal</option><option value="PUERTO RICO">Puerto Rico</option><option value="QATAR">Qatar</option><option value="REPUBLIC OF THE CONGO">Republic of the Congo</option><option value="ROMANIA">Romania</option><option value="RUSSIA">Russia</option><option value="RWANDA">Rwanda</option><option value="SAINT BARTHELEMY">Saint Barthelemy</option><option value="SAINT HELENA">Saint Helena</option><option value="SAINT PIERRE AND MIQUELON">Saint Pierre and Miquelon</option><option value="SAMOA">Samoa</option><option value="SAN MARINO">San Marino</option><option value="SAO TOME AND PRINCIPE">Sao Tome and Principe</option><option value="SAUDI ARABIA">Saudi Arabia</option><option value="SENEGAL">Senegal</option><option value="SERBIA">Serbia</option><option value="SEYCHELLES">Seychelles</option><option value="SIERRA LEONE">Sierra Leone</option><option value="SINGAPORE">Singapore</option><option value="SLOVAKIA">Slovakia</option><option value="SLOVENIA">Slovenia</option><option value="SOLOMON ISLANDS">Solomon Islands</option><option value="SOMALIA">Somalia</option><option value="SOUTH AFRICA">South Africa</option><option value="SOUTH KOREA">South Korea</option><option value="SPAIN">Spain</option><option value="SRI LANKA">Sri Lanka</option><option value="SUDAN">Sudan</option><option value="SURINAME">Suriname</option><option value="SWAZILAND">Swaziland</option><option value="SWEDEN">Sweden</option><option value="SWITZERLAND">Switzerland</option><option value="SYRIA">Syria</option><option value="TAIWAN">Taiwan</option><option value="TAJIKISTAN">Tajikistan</option><option value="TANZANIA">Tanzania</option><option value="THAILAND">Thailand</option><option value="TIMOR-LESTE">Timor-Leste</option><option value="TOGO">Togo</option><option value="TOKELAU">Tokelau</option><option value="TONGA">Tonga</option><option value="TUNISIA">Tunisia</option><option value="TURKEY">Turkey</option><option value="TURKMENISTAN">Turkmenistan</option><option value="TUVALU">Tuvalu</option><option value="UGANDA">Uganda</option><option value="UKRAINE">Ukraine</option><option value="UNITED ARAB EMIRATES">United Arab Emirates</option><option value="UNITED KINGDOM">United Kingdom</option><option value="URUGUAY">Uruguay</option><option value="USA">USA</option><option value="UZBEKISTAN">Uzbekistan</option><option value="VANUATU">Vanuatu</option><option value="VENEZUELA">Venezuela</option><option value="VIETNAM">Vietnam</option><option value="WALLIS AND FUTUNA">Wallis and Futuna</option><option value="WEST BANK">West Bank</option><option value="YEMEN">Yemen</option><option value="ZAMBIA">Zambia</option><option value="ZIMBABWE">Zimbabwe</option></select>
<span class="errMsg" id="txtCountyOfTax3err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<input type="text" class="form-control" name="txtIdenType3" id="txtIdenType3" onkeypress="allAlphabetOnly(event)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="150" placeholder="Enter Identification Type">
<span class="errMsg" id="txtIdenType3err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<select name="selectTIN" class="form-control" id="TINReason3" required="">
<option value="">Select If TIN is not available?</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="C">C</option>
</select>
<input type="text" class="form-control" name="TINReason3C" id="TINReason3C" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123)||(event.charCode == 32)" onpaste="return false" ondrop="return false" ondrag="return false" maxlength="10" placeholder="State Reason" style="display: none">
<span class="errMsg" id="TINReason3err"></span>
</div>
<div class="col-lg-2 col-md-2 col-sm-2">
<button type="submit" class="btn pull-left btn-success " style="margin-right: 3px;" id="AddTinInfo3" data-toggle="tooltip" data-placement="top" title="Add More Tax Payer Identification">+</button>
<button type="submit" class="btn pull-left btn-danger " id="RemoveTinInfo3" data-toggle="tooltip" data-placement="top" title="Remove Tax Payer Identification">X</button>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
</div>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12">
In Case Tax Identification Number is not available,kindly provide its functional equivalent
<br>
Reason A-The Country Where the account holder is liable to pay tax does not issue Tax Identification Number to its Residents<br>
Reason B-No TIN Required (Select this reason only if the authorities of the respective country of tax residence not require the TIN be collected )<br>
Reason C-Others,Please state the reason
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12">
<input type="checkbox" class="checkmark" id="chktrms">
I have understood the information requirements of this Form (read along with the FATCA & CRS Instructions ) and hereby confirm that information Form is true,correct,and complete. I also confirm that I have read and understood the FATCA & CRS Terms and Conditions below and hereby accept.
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 pager text-center">
<button type="submit" class="btn btn-primary " id="SubmitFatcaDetails">Confirm & Submit</button>
<button type="submit" class="btn btn-secondary " id="btnCancel">Close</button>
</div>
</div>
</div>
</div>
</section>
<section class="investor-profile-wizard" id="ViewFatcaSectionDetails" style="display: none;">
<div class="col-lg-12 col-md-12 col-sm-12">
<h4 class="caption-title text-upper"><b>Individuals Details</b>
<button type="submit" class="btn pull-right btn-info" id="EditFatacaFromView" style="margin-top: -12px;">Add / Edit</button></h4>
<div class="wizard-body">
<div id="InvDetailsIdview">
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Investor Name</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label " id="InvNameView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Address Type</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtaddressTypeView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Place of Birth</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtPlaceOBirthView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Date Of Birth</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtDateOBirthView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Gender</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtGenderView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Country of Birth</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtBirthCountryView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Gross Annual Income details in INR</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtGrossIncomeView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Net Worth in [Lakhs INR]</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtNetWorthView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Nationality</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtNationalityView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Net Worth Date</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtNetWorthDateView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="">Occupation</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtOccupationView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Are you Politically Exposed Person [PEP]?</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtPolExpPersonView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Source Of Income</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txtWealthSourceView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Other KYC Releated Information</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="otherKYCInfoView"></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-5 col-md-5 col-sm-5">
<label class="control-label ">Are you a Tax Resident In any country other than India</label>
</div>
<div class="col-lg-1 col-md-1 col-sm-1">
<label class="control-label">:</label>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<label class="control-label" id="txttaxResidantView"></label>
</div>
</div>
</div>
<div id="viewFatcaDetailsDiv">
<div class="form-group">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">Tax Payer Identification No</label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">Country of Tax Residency</label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">Identification Type</label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label ">If TIN Not available</label>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TxtIdenNo1View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtCountyOfTax1View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtIdenType1View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TINReason1View"></label>
</div>
</div>
</div>
<div class="form-group" id="addTINDiv1View">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TxtIdenNo2View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtCountyOfTax2View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtIdenType2View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TINReason2View"></label>
</div>
</div>
</div>
<div class="form-group" id="addTINDiv2View">
<div class="row">
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TxtIdenNo3View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtCountyOfTax3View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="txtIdenType3View"></label>
</div>
<div class="col-lg-3 col-md-3 col-sm-3">
<label class="control-label" id="TINReason3View"></label>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 pager text-center">
<button type="submit" class="btn btn-primary " id="BackFromView">Back</button>
</div>
</div>
</div>
</div>
</section>
<section class="investor-profile-wizard" id="FatcaSuccessMessage" style="display: none;">
<div class="col-lg-12 col-md-12 col-sm-12" style="color: green;">
<h4 class="caption-title text-center " style="color: green;"><b>Thank you, We have updated Your FATCA Declaration.</b></h4>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 pager text-center">
<button type="submit" class="btn btn-primary " id="btnSuccess">OK</button>
</div>
</section>
<script src="/Fatcaupdate/Scripts/Fatca.js"></script>
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