<?php 
session_start();
include_once('./sidemenu.php');
?>

<!DOCTYPE html>
<html lang="en">

<head>
    <link type="text/css" href="css/dashboard.css" rel="stylesheet">
    <link href="css/styles.css" rel="stylesheet" type="text/css">
    <link rel="stylesheet" href="css/bootstrap.css">
    <link rel="stylesheet" href="css/bootstrap.min.css">
    <link rel="preconnect" href="https://fonts.googleapis.com">
    <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
    <link
        href="https://fonts.googleapis.com/css2?family=Jacquard+12+Charted&family=Nunito:ital,wght@0,200..1000;1,200..1000&display=swap"
        rel="stylesheet">
    <link href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" rel="stylesheet">

</head>
<style>
body {
    font-family: "Nunito", sans-serif;
}
</style>

<style>
hr.new3 {
    border-top: 1px dashed red;
}
</style>

<style>
span.lon {
    color: black;
    font-family: "Nunito", sans-serif;
}

span.lon:hover {
    color: #669999;
}
</style>

<body>
    <section class="sticky-top" style="margin:0;box-shadow: 0 1px 2px rgb(0 0 0 / 15%);background:#00004d;">
        <div class="container-fluid">
            <div class="row">
                <div class="col-md-12" style="margin:0;">
                    <?=mynavbar()?>
                </div>
            </div>
        </div>
    </section>

    <section>
        <div class="container-fluid">
            <div class="row">
                <div class="col-md-1" style="padding:0;background:#EBEAEA;">
                    <?=sidemenu()?>
                </div>
                <div class="col-md-11">
                    <form action="tracking-details.php">
                        <div class="controls">
                            <p style="padding-top:20px;text-align:center;font-size:20px;">Tracking Information</p>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Way Bill Number *</label>
                                        <input id="form_name" type="text" name="Bill" class="form-control"
                                            placeholder="Please Enter Way Bill Number *"
                                            data-error="Way Bill Number is required.">
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Name of Diplomat *</label>
                                        <input id="form_name" type="text" name="Name" class="form-control"
                                            placeholder="Please Enter Diplomat Name*"
                                            data-error="Diplomat Name is required.">
                                    </div>

                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Currency Paid By Sender*</label>
                                        <select id="currency" name="Sender_Current" class="form-control"
                                            data-error="Please specify Currency.">
                                            --Select Currency--



                                            <option value="AFN">AFN - Afghan Afghani</option>
                                            <option value="ALL">ALL - Albanian Lek</option>
                                            <option value="DZD">DZD - Algerian Dinar</option>
                                            <option value="AOA">AOA - Angolan Kwanza</option>
                                            <option value="ARS">ARS - Argentine Peso</option>
                                            <option value="AMD">AMD - Armenian Dram</option>
                                            <option value="AWG">AWG - Aruban Florin</option>
                                            <option value="AUD">AUD - Australian Dollar</option>
                                            <option value="AZN">AZN - Azerbaijani Manat</option>
                                            <option value="BSD">BSD - Bahamian Dollar</option>
                                            <option value="BHD">BHD - Bahraini Dinar</option>
                                            <option value="BDT">BDT - Bangladeshi Taka</option>
                                            <option value="BBD">BBD - Barbadian Dollar</option>
                                            <option value="BYN">BYN - Belarusian Ruble</option>
                                            <option value="BZD">BZD - Belize Dollar</option>
                                            <option value="BMD">BMD - Bermudan Dollar</option>
                                            <option value="BTN">BTN - Bhutanese Ngultrum</option>
                                            <option value="BTC">BTC - Bitcoin</option>
                                            <option value="BOB">BOB - Bolivian Boliviano</option>
                                            <option value="BAM">BAM - Bosnia-Herzegovina Convertible Mark</option>
                                            <option value="BWP">BWP - Botswanan Pula</option>
                                            <option value="BRL">BRL - Brazilian Real</option>
                                            <option value="GBP">GBP - British Pound Sterling</option>
                                            <option value="BND">BND - Brunei Dollar</option>
                                            <option value="BGN">BGN - Bulgarian Lev</option>
                                            <option value="BIF">BIF - Burundian Franc</option>
                                            <option value="KHR">KHR - Cambodian Riel</option>
                                            <option value="CAD">CAD - Canadian Dollar</option>
                                            <option value="CVE">CVE - Cape Verdean Escudo</option>
                                            <option value="KYD">KYD - Cayman Islands Dollar</option>
                                            <option value="XOF">XOF - CFA Franc BCEAO</option>
                                            <option value="XAF">XAF - CFA Franc BEAC</option>
                                            <option value="XPF">XPF - CFP Franc</option>
                                            <option value="CLP">CLP - Chilean Peso</option>
                                            <option value="CNY">CNY - Chinese Yuan</option>
                                            <option value="COP">COP - Colombian Peso</option>
                                            <option value="KMF">KMF - Comorian Franc</option>
                                            <option value="CDF">CDF - Congolese Franc</option>
                                            <option value="CRC">CRC - Costa Rican Colón</option>
                                            <option value="HRK">HRK - Croatian Kuna</option>
                                            <option value="CUC">CUC - Cuban Convertible Peso</option>
                                            <option value="CZK">CZK - Czech Koruna</option>
                                            <option value="DKK">DKK - Danish Krone</option>
                                            <option value="DJF">DJF - Djiboutian Franc</option>
                                            <option value="DOP">DOP - Dominican Peso</option>
                                            <option value="XCD">XCD - East Caribbean Dollar</option>
                                            <option value="EGP">EGP - Egyptian Pound</option>
                                            <option value="ERN">ERN - Eritrean Nakfa</option>
                                            <option value="ETB">ETB - Ethiopian Birr</option>
                                            <option value="EUR">EUR - Euro</option>
                                            <option value="FKP">FKP - Falkland Islands Pound</option>
                                            <option value="FJD">FJD - Fijian Dollar</option>
                                            <option value="GMD">GMD - Gambian Dalasi</option>
                                            <option value="GEL">GEL - Georgian Lari</option>
                                            <option value="GHS">GHS - Ghanaian Cedi</option>
                                            <option value="GIP">GIP - Gibraltar Pound</option>
                                            <option value="GTQ">GTQ - Guatemalan Quetzal</option>
                                            <option value="GNF">GNF - Guinean Franc</option>
                                            <option value="GYD">GYD - Guyanaese Dollar</option>
                                            <option value="HTG">HTG - Haitian Gourde</option>
                                            <option value="HNL">HNL - Honduran Lempira</option>
                                            <option value="HKD">HKD - Hong Kong Dollar</option>
                                            <option value="HUF">HUF - Hungarian Forint</option>
                                            <option value="ISK">ISK - Icelandic Króna</option>
                                            <option value="INR">INR - Indian Rupee</option>
                                            <option value="IDR">IDR - Indonesian Rupiah</option>
                                            <option value="IRR">IRR - Iranian Rial</option>
                                            <option value="IQD">IQD - Iraqi Dinar</option>
                                            <option value="ILS">ILS - Israeli New Sheqel</option>
                                            <option value="JMD">JMD - Jamaican Dollar</option>
                                            <option value="JPY">JPY - Japanese Yen</option>
                                            <option value="JOD">JOD - Jordanian Dinar</option>
                                            <option value="KZT">KZT - Kazakhstani Tenge</option>
                                            <option value="KES">KES - Kenyan Shilling</option>
                                            <option value="KWD">KWD - Kuwaiti Dinar</option>
                                            <option value="KGS">KGS - Kyrgystani Som</option>
                                            <option value="LAK">LAK - Laotian Kip</option>
                                            <option value="LBP">LBP - Lebanese Pound</option>
                                            <option value="LSL">LSL - Lesotho Loti</option>
                                            <option value="LRD">LRD - Liberian Dollar</option>
                                            <option value="LYD">LYD - Libyan Dinar</option>
                                            <option value="MOP">MOP - Macanese Pataca</option>
                                            <option value="MKD">MKD - Macedonian Denar</option>
                                            <option value="MGA">MGA - Malagasy Ariary</option>
                                            <option value="MWK">MWK - Malawian Kwacha</option>
                                            <option value="MYR">MYR - Malaysian Ringgit</option>
                                            <option value="MVR">MVR - Maldivian Rufiyaa</option>
                                            <option value="MRU">MRU - Mauritanian Ouguiya</option>
                                            <option value="MUR">MUR - Mauritian Rupee</option>
                                            <option value="MXN">MXN - Mexican Peso</option>
                                            <option value="MDL">MDL - Moldovan Leu</option>
                                            <option value="MNT">MNT - Mongolian Tugrik</option>
                                            <option value="MAD">MAD - Moroccan Dirham</option>
                                            <option value="MZN">MZN - Mozambican Metical</option>
                                            <option value="MMK">MMK - Myanmar Kyat</option>
                                            <option value="NAD">NAD - Namibian Dollar</option>
                                            <option value="NPR">NPR - Nepalese Rupee</option>
                                            <option value="ANG">ANG - Netherlands Antillean Guilder</option>
                                            <option value="TWD">TWD - New Taiwan Dollar</option>
                                            <option value="NZD">NZD - New Zealand Dollar</option>
                                            <option value="NIO">NIO - Nicaraguan Córdoba</option>
                                            <option value="NGN">NGN - Nigerian Naira</option>
                                            <option value="KPW">KPW - North Korean Won</option>
                                            <option value="NOK">NOK - Norwegian Krone</option>
                                            <option value="OMR">OMR - Omani Rial</option>
                                            <option value="PKR">PKR - Pakistani Rupee</option>
                                            <option value="PAB">PAB - Panamanian Balboa</option>
                                            <option value="PGK">PGK - Papua New Guinean Kina</option>
                                            <option value="PYG">PYG - Paraguayan Guarani</option>
                                            <option value="PEN">PEN - Peruvian Sol</option>
                                            <option value="PHP">PHP - Philippine Peso</option>
                                            <option value="PLN">PLN - Polish Zloty</option>
                                            <option value="QAR">QAR - Qatari Rial</option>
                                            <option value="RON">RON - Romanian Leu</option>
                                            <option value="RUB">RUB - Russian Ruble</option>
                                            <option value="RWF">RWF - Rwandan Franc</option>
                                            <option value="SAR">SAR - Saudi Riyal</option>
                                            <option value="SDG">SDG - Sudanese Pound</option>
                                            <option value="SRD">SRD - Surinamese Dollar</option>
                                            <option value="SZL">SZL - Swazi Lilangeni</option>
                                            <option value="SEK">SEK - Swedish Krona</option>
                                            <option value="CHF">CHF - Swiss Franc</option>
                                            <option value="STN">STN - São Tomé and Príncipe Dobra</option>
                                            <option value="TSH">TSH - Tanzanian Shillings</option>
                                            <option value="USD">USD - United States Dollars</option>
                                            <option value="VES">VES - Venezuelan Bolívar</option>
                                            <option value="ZMW">ZMW - Zambian Kwacha</option>
                                        </select>


                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Amount Paid By Sender*</label>
                                        <input id="form_name" type="text" name="Sender_Amount" class="form-control"
                                            placeholder="Amount *" data-error="Amount is required.">

                                    </div>
                                </div>
                            </div>


                            <hr class="new3">
                            <button type="button" class="btn btn-primary">Sender Information</button><br><br>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Sender Name *</label>
                                        <input id="form_name" type="text" name="Sender" class="form-control"
                                            placeholder="Please Enter Sender Name*"
                                            data-error="Sender Name is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Sender Email *</label>
                                        <input id="form_name" type="text" name="Sender_Email" class="form-control"
                                            placeholder="Please enter Sender Email *"
                                            data-error="Sender Email is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Sender Number *</label>
                                        <input id="form_name" type="text" name="Sender_Number" class="form-control"
                                            placeholder="Please enter Sender Number *"
                                            data-error="Sender Number is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Country Of Sender*</label>
                                        <select id="form_need" name="Country" class="form-control"
                                            data-error="Please specify Country.">
                                            <option value="United States">United States</option>
                                            <option value="Afghanistan">Afghanistan</option>
                                            <option value="Albania">Albania</option>
                                            <option value="Algeria">Algeria</option>
                                            <option value="American Samoa">American Samoa</option>
                                            <option value="Andorra">Andorra</option>
                                            <option value="Angola">Angola</option>
                                            <option value="Anguilla">Anguilla</option>
                                            <option value="Antartica">Antarctica</option>
                                            <option value="Antigua and Barbuda">Antigua and Barbuda</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="Bahamas">Bahamas</option>
                                            <option value="Bahrain">Bahrain</option>
                                            <option value="Bangladesh">Bangladesh</option>
                                            <option value="Barbados">Barbados</option>
                                            <option value="Belarus">Belarus</option>
                                            <option value="Belgium">Belgium</option>
                                            <option value="Belize">Belize</option>
                                            <option value="Benin">Benin</option>
                                            <option value="Bermuda">Bermuda</option>
                                            <option value="Bhutan">Bhutan</option>
                                            <option value="Bolivia">Bolivia</option>
                                            <option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>
                                            <option value="Botswana">Botswana</option>
                                            <option value="Bouvet Island">Bouvet Island</option>
                                            <option value="Brazil">Brazil</option>
                                            <option value="British Indian Ocean Territory">British Indian Ocean
                                                Territory</option>
                                            <option value="Brunei Darussalam">Brunei Darussalam</option>
                                            <option value="Bulgaria">Bulgaria</option>
                                            <option value="Burkina Faso">Burkina Faso</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="Cayman Islands">Cayman Islands</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 Islands">Cocos (Keeling) Islands</option>
                                            <option value="Colombia">Colombia</option>
                                            <option value="Comoros">Comoros</option>
                                            <option value="Congo">Congo</option>
                                            <option value="Congo">Congo, the Democratic Republic of the</option>
                                            <option value="Cook Islands">Cook Islands</option>
                                            <option value="Costa Rica">Costa Rica</option>
                                            <option value="Cota D'Ivoire">Cote d'Ivoire</option>
                                            <option value="Croatia">Croatia (Hrvatska)</option>
                                            <option value="Cuba">Cuba</option>
                                            <option value="Cyprus">Cyprus</option>
                                            <option value="Czech Republic">Czech Republic</option>
                                            <option value="Denmark">Denmark</option>
                                            <option value="Djibouti">Djibouti</option>
                                            <option value="Dominica">Dominica</option>
                                            <option value="Dominican Republic">Dominican Republic</option>
                                            <option value="East Timor">East Timor</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 (Malvinas)</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="France Metropolitan">France, Metropolitan</option>
                                            <option value="French Guiana">French Guiana</option>
                                            <option value="French Polynesia">French Polynesia</option>
                                            <option value="French Southern Territories">French Southern Territories
                                            </option>
                                            <option value="Gabon">Gabon</option>
                                            <option value="Gambia">Gambia</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="Grenada">Grenada</option>
                                            <option value="Guadeloupe">Guadeloupe</option>
                                            <option value="Guam">Guam</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="Heard and McDonald Islands">Heard and Mc Donald Islands
                                            </option>
                                            <option value="Holy See">Holy See (Vatican City State)</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="India">India</option>
                                            <option value="Indonesia">Indonesia</option>
                                            <option value="Iran">Iran (Islamic Republic of)</option>
                                            <option value="Iraq">Iraq</option>
                                            <option value="Ireland">Ireland</option>
                                            <option value="Israel">Israel</option>
                                            <option value="Italy">Italy</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="Democratic People's Republic of Korea">Korea, Democratic
                                                People's Republic of</option>
                                            <option value="Korea">Korea, Republic of</option>
                                            <option value="Kuwait">Kuwait</option>
                                            <option value="Kyrgyzstan">Kyrgyzstan</option>
                                            <option value="Lao">Lao People's Democratic Republic</option>
                                            <option value="Latvia">Latvia</option>
                                            <option value="Lebanon">Lebanon</option>
                                            <option value="Lesotho">Lesotho</option>
                                            <option value="Liberia">Liberia</option>
                                            <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</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, The Former Yugoslav Republic of
                                            </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="Martinique">Martinique</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, Federated States of</option>
                                            <option value="Moldova">Moldova, Republic of</option>
                                            <option value="Monaco">Monaco</option>
                                            <option value="Mongolia">Mongolia</option>
                                            <option value="Montserrat">Montserrat</option>
                                            <option value="Morocco">Morocco</option>
                                            <option value="Mozambique">Mozambique</option>
                                            <option value="Myanmar">Myanmar</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="Northern Mariana Islands">Northern Mariana Islands</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">Pitcairn</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="Reunion">Reunion</option>
                                            <option value="Romania">Romania</option>
                                            <option value="Russia">Russian Federation</option>
                                            <option value="Rwanda">Rwanda</option>
                                            <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                                            <option value="Saint Lucia">Saint LUCIA</option>
                                            <option value="Saint Vincent">Saint Vincent and the Grenadines</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="Seychelles">Seychelles</option>
                                            <option value="Sierra">Sierra Leone</option>
                                            <option value="Singapore">Singapore</option>
                                            <option value="Slovakia">Slovakia (Slovak Republic)</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 Georgia">South Georgia and the South Sandwich Islands
                                            </option>
                                            <option value="Span">Spain</option>
                                            <option value="Sri Lanka">Sri Lanka</option>
                                            <option value="St. Helena">St. Helena</option>
                                            <option value="St. Pierre and Miguelon">St. Pierre and Miquelon</option>
                                            <option value="Sudan">Sudan</option>
                                            <option value="Suriname">Suriname</option>
                                            <option value="Svalbard">Svalbard and Jan Mayen Islands</option>
                                            <option value="Swaziland">Swaziland</option>
                                            <option value="Sweden">Sweden</option>
                                            <option value="Switzerland">Switzerland</option>
                                            <option value="Syria">Syrian Arab Republic</option>
                                            <option value="Taiwan">Taiwan, Province of China</option>
                                            <option value="Tajikistan">Tajikistan</option>
                                            <option value="Tanzania">Tanzania, United Republic of</option>
                                            <option value="Thailand">Thailand</option>
                                            <option value="Togo">Togo</option>
                                            <option value="Tokelau">Tokelau</option>
                                            <option value="Tonga">Tonga</option>
                                            <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                                            <option value="Tunisia">Tunisia</option>
                                            <option value="Turkey">Turkey</option>
                                            <option value="Turkmenistan">Turkmenistan</option>
                                            <option value="Turks and Caicos">Turks and Caicos Islands</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="United States Minor Outlying Islands">United States Minor
                                                Outlying Islands</option>
                                            <option value="Uruguay">Uruguay</option>
                                            <option value="Uzbekistan">Uzbekistan</option>
                                            <option value="Vanuatu">Vanuatu</option>
                                            <option value="Venezuela">Venezuela</option>
                                            <option value="Vietnam">Viet Nam</option>
                                            <option value="Virgin Islands (British)">Virgin Islands (British)</option>
                                            <option value="Virgin Islands (U.S)">Virgin Islands (U.S.)</option>
                                            <option value="Wallis and Futana Islands">Wallis and Futuna Islands</option>
                                            <option value="Western Sahara">Western Sahara</option>
                                            <option value="Yemen">Yemen</option>
                                            <option value="Serbia">Serbia</option>
                                            <option value="Zambia">Zambia</option>
                                            <option value="Zimbabwe">Zimbabwe</option>
                                        </select>
                                    </div>
                                </div>

                            </div>
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label for="form_email">Sender Address *</label>
                                        <input id="form_email" type="text" name="Sender_Address" class="form-control"
                                            placeholder="Please enter Sender Address *"
                                            data-error="Valid Sender Address is required.">

                                    </div>
                                </div>
                            </div>
                            <hr class="new3">
                            <button type="button" class="btn btn-primary">Receiver Information</button><br><br>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Receiver Name *</label>
                                        <input id="form_name" type="text" name="Receiver" class="form-control"
                                            placeholder="Please Enter Receiver Name *"
                                            data-error="Receiver Name is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Receiver Email *</label>
                                        <input id="form_name" type="text" name="Receiver_Email" class="form-control"
                                            placeholder="Please Enter Receiver Email  *"
                                            data-error="Receiver Valid Email  is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Receiver Number *</label>
                                        <input id="form_name" type="text" name="Receiver_Number" class="form-control"
                                            placeholder="Please enter Receiver Number *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Country Of Receiver*</label>
                                        <select id="form_need" name="Destination" class="form-control"
                                            data-error="Please specify Destination.">
                                            <option value="United States">United States</option>
                                            <option value="Afghanistan">Afghanistan</option>
                                            <option value="Albania">Albania</option>
                                            <option value="Algeria">Algeria</option>
                                            <option value="American Samoa">American Samoa</option>
                                            <option value="Andorra">Andorra</option>
                                            <option value="Angola">Angola</option>
                                            <option value="Anguilla">Anguilla</option>
                                            <option value="Antartica">Antarctica</option>
                                            <option value="Antigua and Barbuda">Antigua and Barbuda</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="Bahamas">Bahamas</option>
                                            <option value="Bahrain">Bahrain</option>
                                            <option value="Bangladesh">Bangladesh</option>
                                            <option value="Barbados">Barbados</option>
                                            <option value="Belarus">Belarus</option>
                                            <option value="Belgium">Belgium</option>
                                            <option value="Belize">Belize</option>
                                            <option value="Benin">Benin</option>
                                            <option value="Bermuda">Bermuda</option>
                                            <option value="Bhutan">Bhutan</option>
                                            <option value="Bolivia">Bolivia</option>
                                            <option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>
                                            <option value="Botswana">Botswana</option>
                                            <option value="Bouvet Island">Bouvet Island</option>
                                            <option value="Brazil">Brazil</option>
                                            <option value="British Indian Ocean Territory">British Indian Ocean
                                                Territory</option>
                                            <option value="Brunei Darussalam">Brunei Darussalam</option>
                                            <option value="Bulgaria">Bulgaria</option>
                                            <option value="Burkina Faso">Burkina Faso</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="Cayman Islands">Cayman Islands</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 Islands">Cocos (Keeling) Islands</option>
                                            <option value="Colombia">Colombia</option>
                                            <option value="Comoros">Comoros</option>
                                            <option value="Congo">Congo</option>
                                            <option value="Congo">Congo, the Democratic Republic of the</option>
                                            <option value="Cook Islands">Cook Islands</option>
                                            <option value="Costa Rica">Costa Rica</option>
                                            <option value="Cota D'Ivoire">Cote d'Ivoire</option>
                                            <option value="Croatia">Croatia (Hrvatska)</option>
                                            <option value="Cuba">Cuba</option>
                                            <option value="Cyprus">Cyprus</option>
                                            <option value="Czech Republic">Czech Republic</option>
                                            <option value="Denmark">Denmark</option>
                                            <option value="Djibouti">Djibouti</option>
                                            <option value="Dominica">Dominica</option>
                                            <option value="Dominican Republic">Dominican Republic</option>
                                            <option value="East Timor">East Timor</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 (Malvinas)</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="France Metropolitan">France, Metropolitan</option>
                                            <option value="French Guiana">French Guiana</option>
                                            <option value="French Polynesia">French Polynesia</option>
                                            <option value="French Southern Territories">French Southern Territories
                                            </option>
                                            <option value="Gabon">Gabon</option>
                                            <option value="Gambia">Gambia</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="Grenada">Grenada</option>
                                            <option value="Guadeloupe">Guadeloupe</option>
                                            <option value="Guam">Guam</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="Heard and McDonald Islands">Heard and Mc Donald Islands
                                            </option>
                                            <option value="Holy See">Holy See (Vatican City State)</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="India">India</option>
                                            <option value="Indonesia">Indonesia</option>
                                            <option value="Iran">Iran (Islamic Republic of)</option>
                                            <option value="Iraq">Iraq</option>
                                            <option value="Ireland">Ireland</option>
                                            <option value="Israel">Israel</option>
                                            <option value="Italy">Italy</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="Democratic People's Republic of Korea">Korea, Democratic
                                                People's Republic of</option>
                                            <option value="Korea">Korea, Republic of</option>
                                            <option value="Kuwait">Kuwait</option>
                                            <option value="Kyrgyzstan">Kyrgyzstan</option>
                                            <option value="Lao">Lao People's Democratic Republic</option>
                                            <option value="Latvia">Latvia</option>
                                            <option value="Lebanon">Lebanon</option>
                                            <option value="Lesotho">Lesotho</option>
                                            <option value="Liberia">Liberia</option>
                                            <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</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, The Former Yugoslav Republic of
                                            </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="Martinique">Martinique</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, Federated States of</option>
                                            <option value="Moldova">Moldova, Republic of</option>
                                            <option value="Monaco">Monaco</option>
                                            <option value="Mongolia">Mongolia</option>
                                            <option value="Montserrat">Montserrat</option>
                                            <option value="Morocco">Morocco</option>
                                            <option value="Mozambique">Mozambique</option>
                                            <option value="Myanmar">Myanmar</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="Northern Mariana Islands">Northern Mariana Islands</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">Pitcairn</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="Reunion">Reunion</option>
                                            <option value="Romania">Romania</option>
                                            <option value="Russia">Russian Federation</option>
                                            <option value="Rwanda">Rwanda</option>
                                            <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                                            <option value="Saint Lucia">Saint LUCIA</option>
                                            <option value="Saint Vincent">Saint Vincent and the Grenadines</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="Seychelles">Seychelles</option>
                                            <option value="Sierra">Sierra Leone</option>
                                            <option value="Singapore">Singapore</option>
                                            <option value="Slovakia">Slovakia (Slovak Republic)</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 Georgia">South Georgia and the South Sandwich Islands
                                            </option>
                                            <option value="Span">Spain</option>
                                            <option value="Sri Lanka">Sri Lanka</option>
                                            <option value="St. Helena">St. Helena</option>
                                            <option value="St. Pierre and Miguelon">St. Pierre and Miquelon</option>
                                            <option value="Sudan">Sudan</option>
                                            <option value="Suriname">Suriname</option>
                                            <option value="Svalbard">Svalbard and Jan Mayen Islands</option>
                                            <option value="Swaziland">Swaziland</option>
                                            <option value="Sweden">Sweden</option>
                                            <option value="Switzerland">Switzerland</option>
                                            <option value="Syria">Syrian Arab Republic</option>
                                            <option value="Taiwan">Taiwan, Province of China</option>
                                            <option value="Tajikistan">Tajikistan</option>
                                            <option value="Tanzania">Tanzania, United Republic of</option>
                                            <option value="Thailand">Thailand</option>
                                            <option value="Togo">Togo</option>
                                            <option value="Tokelau">Tokelau</option>
                                            <option value="Tonga">Tonga</option>
                                            <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                                            <option value="Tunisia">Tunisia</option>
                                            <option value="Turkey">Turkey</option>
                                            <option value="Turkmenistan">Turkmenistan</option>
                                            <option value="Turks and Caicos">Turks and Caicos Islands</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="United States Minor Outlying Islands">United States Minor
                                                Outlying Islands</option>
                                            <option value="Uruguay">Uruguay</option>
                                            <option value="Uzbekistan">Uzbekistan</option>
                                            <option value="Vanuatu">Vanuatu</option>
                                            <option value="Venezuela">Venezuela</option>
                                            <option value="Vietnam">Viet Nam</option>
                                            <option value="Virgin Islands (British)">Virgin Islands (British)</option>
                                            <option value="Virgin Islands (U.S)">Virgin Islands (U.S.)</option>
                                            <option value="Wallis and Futana Islands">Wallis and Futuna Islands</option>
                                            <option value="Western Sahara">Western Sahara</option>
                                            <option value="Yemen">Yemen</option>
                                            <option value="Serbia">Serbia</option>
                                            <option value="Zambia">Zambia</option>
                                            <option value="Zimbabwe">Zimbabwe</option>
                                        </select>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label for="form_email">Receiver Address *</label>
                                        <input id="form_email" type="text" name="Receiver_Address" class="form-control"
                                            placeholder="Please enter Receiver Address *"
                                            data-error="Receiver Address is required.">

                                    </div>
                                </div>
                            </div>

                            <hr class="new3">
                            <button type="button" class="btn btn-primary">Other Information</button><br><br>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Type of Item*</label>
                                        <select id="form_need" name="Name_Item" class="form-control"
                                            data-error="Please specify your need.">
                                            <option value="" selected disabled>--Select Type of Item--
                                            </option>
                                            <option>Consignment</option>
                                            <option>Package</option>
                                            <option>Parcel</option>
                                            <option>Envelope</option>
                                        </select>

                                    </div>
                                </div>
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">Color of Item *</label>
                                        <input id="form_name" type="text" name="Color_Item" class="form-control"
                                            placeholder="Color of Item *" data-error="Color of Item  is required.">

                                    </div>
                                </div>
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">List of Items *</label>
                                        <input id="form_name" type="text" name="List_Item" class="form-control"
                                            placeholder=" List of Items *" data-error="Number of Items is required.">

                                    </div>
                                </div>
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">Departure Date *</label>
                                        <input type="date" id="birthday" name="Sent">

                                    </div>
                                </div>
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">Arrival Date *</label>
                                        <input type="date" id="birthday" name="Delivery">

                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">Weight*</label>
                                        <input id="form_name" type="text" name="Weight" class="form-control"
                                            placeholder="Weight*" data-error="Weight is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Type of Charges*</label>
                                        <select id="form_need" name="Type" class="form-control"
                                            data-error="Please specify your need.">
                                            <option value="" selected disabled>--Select Type of Charges--
                                            </option>
                                            <option>Customs Clearance</option>
                                            <option>Registration of Consignment / Package</option>
                                            <option>Import Duty Charges</option>
                                            <option>Custom Duty Charges</option>
                                        </select>

                                    </div>
                                </div>

                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_need">Currency Paid By Sender*</label>
                                        <select id="currency" name="Sender_Current" class="form-control"
                                            data-error="Please specify Currency.">
                                            --Select Currency--



                                            <option value="AFN">AFN - Afghan Afghani</option>
                                            <option value="ALL">ALL - Albanian Lek</option>
                                            <option value="DZD">DZD - Algerian Dinar</option>
                                            <option value="AOA">AOA - Angolan Kwanza</option>
                                            <option value="ARS">ARS - Argentine Peso</option>
                                            <option value="AMD">AMD - Armenian Dram</option>
                                            <option value="AWG">AWG - Aruban Florin</option>
                                            <option value="AUD">AUD - Australian Dollar</option>
                                            <option value="AZN">AZN - Azerbaijani Manat</option>
                                            <option value="BSD">BSD - Bahamian Dollar</option>
                                            <option value="BHD">BHD - Bahraini Dinar</option>
                                            <option value="BDT">BDT - Bangladeshi Taka</option>
                                            <option value="BBD">BBD - Barbadian Dollar</option>
                                            <option value="BYN">BYN - Belarusian Ruble</option>
                                            <option value="BZD">BZD - Belize Dollar</option>
                                            <option value="BMD">BMD - Bermudan Dollar</option>
                                            <option value="BTN">BTN - Bhutanese Ngultrum</option>
                                            <option value="BTC">BTC - Bitcoin</option>
                                            <option value="BOB">BOB - Bolivian Boliviano</option>
                                            <option value="BAM">BAM - Bosnia-Herzegovina Convertible Mark</option>
                                            <option value="BWP">BWP - Botswanan Pula</option>
                                            <option value="BRL">BRL - Brazilian Real</option>
                                            <option value="GBP">GBP - British Pound Sterling</option>
                                            <option value="BND">BND - Brunei Dollar</option>
                                            <option value="BGN">BGN - Bulgarian Lev</option>
                                            <option value="BIF">BIF - Burundian Franc</option>
                                            <option value="KHR">KHR - Cambodian Riel</option>
                                            <option value="CAD">CAD - Canadian Dollar</option>
                                            <option value="CVE">CVE - Cape Verdean Escudo</option>
                                            <option value="KYD">KYD - Cayman Islands Dollar</option>
                                            <option value="XOF">XOF - CFA Franc BCEAO</option>
                                            <option value="XAF">XAF - CFA Franc BEAC</option>
                                            <option value="XPF">XPF - CFP Franc</option>
                                            <option value="CLP">CLP - Chilean Peso</option>
                                            <option value="CNY">CNY - Chinese Yuan</option>
                                            <option value="COP">COP - Colombian Peso</option>
                                            <option value="KMF">KMF - Comorian Franc</option>
                                            <option value="CDF">CDF - Congolese Franc</option>
                                            <option value="CRC">CRC - Costa Rican Colón</option>
                                            <option value="HRK">HRK - Croatian Kuna</option>
                                            <option value="CUC">CUC - Cuban Convertible Peso</option>
                                            <option value="CZK">CZK - Czech Koruna</option>
                                            <option value="DKK">DKK - Danish Krone</option>
                                            <option value="DJF">DJF - Djiboutian Franc</option>
                                            <option value="DOP">DOP - Dominican Peso</option>
                                            <option value="XCD">XCD - East Caribbean Dollar</option>
                                            <option value="EGP">EGP - Egyptian Pound</option>
                                            <option value="ERN">ERN - Eritrean Nakfa</option>
                                            <option value="ETB">ETB - Ethiopian Birr</option>
                                            <option value="EUR">EUR - Euro</option>
                                            <option value="FKP">FKP - Falkland Islands Pound</option>
                                            <option value="FJD">FJD - Fijian Dollar</option>
                                            <option value="GMD">GMD - Gambian Dalasi</option>
                                            <option value="GEL">GEL - Georgian Lari</option>
                                            <option value="GHS">GHS - Ghanaian Cedi</option>
                                            <option value="GIP">GIP - Gibraltar Pound</option>
                                            <option value="GTQ">GTQ - Guatemalan Quetzal</option>
                                            <option value="GNF">GNF - Guinean Franc</option>
                                            <option value="GYD">GYD - Guyanaese Dollar</option>
                                            <option value="HTG">HTG - Haitian Gourde</option>
                                            <option value="HNL">HNL - Honduran Lempira</option>
                                            <option value="HKD">HKD - Hong Kong Dollar</option>
                                            <option value="HUF">HUF - Hungarian Forint</option>
                                            <option value="ISK">ISK - Icelandic Króna</option>
                                            <option value="INR">INR - Indian Rupee</option>
                                            <option value="IDR">IDR - Indonesian Rupiah</option>
                                            <option value="IRR">IRR - Iranian Rial</option>
                                            <option value="IQD">IQD - Iraqi Dinar</option>
                                            <option value="ILS">ILS - Israeli New Sheqel</option>
                                            <option value="JMD">JMD - Jamaican Dollar</option>
                                            <option value="JPY">JPY - Japanese Yen</option>
                                            <option value="JOD">JOD - Jordanian Dinar</option>
                                            <option value="KZT">KZT - Kazakhstani Tenge</option>
                                            <option value="KES">KES - Kenyan Shilling</option>
                                            <option value="KWD">KWD - Kuwaiti Dinar</option>
                                            <option value="KGS">KGS - Kyrgystani Som</option>
                                            <option value="LAK">LAK - Laotian Kip</option>
                                            <option value="LBP">LBP - Lebanese Pound</option>
                                            <option value="LSL">LSL - Lesotho Loti</option>
                                            <option value="LRD">LRD - Liberian Dollar</option>
                                            <option value="LYD">LYD - Libyan Dinar</option>
                                            <option value="MOP">MOP - Macanese Pataca</option>
                                            <option value="MKD">MKD - Macedonian Denar</option>
                                            <option value="MGA">MGA - Malagasy Ariary</option>
                                            <option value="MWK">MWK - Malawian Kwacha</option>
                                            <option value="MYR">MYR - Malaysian Ringgit</option>
                                            <option value="MVR">MVR - Maldivian Rufiyaa</option>
                                            <option value="MRU">MRU - Mauritanian Ouguiya</option>
                                            <option value="MUR">MUR - Mauritian Rupee</option>
                                            <option value="MXN">MXN - Mexican Peso</option>
                                            <option value="MDL">MDL - Moldovan Leu</option>
                                            <option value="MNT">MNT - Mongolian Tugrik</option>
                                            <option value="MAD">MAD - Moroccan Dirham</option>
                                            <option value="MZN">MZN - Mozambican Metical</option>
                                            <option value="MMK">MMK - Myanmar Kyat</option>
                                            <option value="NAD">NAD - Namibian Dollar</option>
                                            <option value="NPR">NPR - Nepalese Rupee</option>
                                            <option value="ANG">ANG - Netherlands Antillean Guilder</option>
                                            <option value="TWD">TWD - New Taiwan Dollar</option>
                                            <option value="NZD">NZD - New Zealand Dollar</option>
                                            <option value="NIO">NIO - Nicaraguan Córdoba</option>
                                            <option value="NGN">NGN - Nigerian Naira</option>
                                            <option value="KPW">KPW - North Korean Won</option>
                                            <option value="NOK">NOK - Norwegian Krone</option>
                                            <option value="OMR">OMR - Omani Rial</option>
                                            <option value="PKR">PKR - Pakistani Rupee</option>
                                            <option value="PAB">PAB - Panamanian Balboa</option>
                                            <option value="PGK">PGK - Papua New Guinean Kina</option>
                                            <option value="PYG">PYG - Paraguayan Guarani</option>
                                            <option value="PEN">PEN - Peruvian Sol</option>
                                            <option value="PHP">PHP - Philippine Peso</option>
                                            <option value="PLN">PLN - Polish Zloty</option>
                                            <option value="QAR">QAR - Qatari Rial</option>
                                            <option value="RON">RON - Romanian Leu</option>
                                            <option value="RUB">RUB - Russian Ruble</option>
                                            <option value="RWF">RWF - Rwandan Franc</option>
                                            <option value="SAR">SAR - Saudi Riyal</option>
                                            <option value="SDG">SDG - Sudanese Pound</option>
                                            <option value="SRD">SRD - Surinamese Dollar</option>
                                            <option value="SZL">SZL - Swazi Lilangeni</option>
                                            <option value="SEK">SEK - Swedish Krona</option>
                                            <option value="CHF">CHF - Swiss Franc</option>
                                            <option value="STN">STN - São Tomé and Príncipe Dobra</option>
                                            <option value="TSH">TSH - Tanzanian Shillings</option>
                                            <option value="USD">USD - United States Dollars</option>
                                            <option value="VES">VES - Venezuelan Bolívar</option>
                                            <option value="ZMW">ZMW - Zambian Kwacha</option>
                                        </select>


                                    </div>
                                </div>
                                <div class="col-md-2">
                                    <div class="form-group">
                                        <label for="form_name">Amount To Be Paid*</label>
                                        <input id="form_name" type="text" name="Amount" class="form-control"
                                            placeholder="Amount *" data-error="Amount is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Payment Status *</label>
                                        <select id="form_need" name="Status" class="form-control"
                                            data-error="Please specify your need.">
                                            <option value="" selected disabled>--Select Payment Status--
                                            </option>
                                            <option>Paid</option>
                                            <option>Not Paid</option>
                                            <option>Pending</option>
                                        </select>
                                    </div>
                                </div>
                            </div>
                            <hr class="new3">
                            <button type="button" class="btn btn-primary">Receiver Information</button><br><br>
                            <div class="row">
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Dispatched At*</label>
                                        <input id="form_name" type="text" name="Dispatched" class="form-control"
                                            placeholder="Please Enter Office Of Dispatch *"
                                            data-error="Receiver Name is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Arrives At*</label>
                                        <input id="form_name" type="text" name="Arrive" class="form-control"
                                            placeholder="Please enter Airport On Arrival *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>

                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Departs *</label>
                                        <input id="form_name" type="text" name="Departs" class="form-control"
                                            placeholder="Please enter Airport of Departure *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">On Transit *</label>
                                        <input id="form_name" type="text" name="Transit" class="form-control"
                                            placeholder="Please enter Transit Airport *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Departs On Transit*</label>
                                        <input id="form_name" type="text" name="Depart_Transit" class="form-control"
                                            placeholder="Please enter Departs On Transit *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label for="form_name">Arrived *</label>
                                        <input id="form_name" type="text" name="Arrived" class="form-control"
                                            placeholder="Please enter Airport on Arrival *"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                            </div>
                            <hr class="new3">
                            <button type="button" class="btn btn-primary">Movement Of Consignment / Parcel
                            </button><br><br>
                            <div class="row">
                                <div class="col-md-8">
                                    <div class="form-group">
                                        <label for="form_name">Movement *</label>
                                        <input id="form_name" type="text" name="Movement" class="form-control"
                                            placeholder="Please enter Movement Of Consignment / Parcel*"
                                            data-error="Receiver Number is required.">

                                    </div>
                                </div>
                            </div>


                            <div class="submit"><input name="submit" value="CREATE TRACKING DETAILS"
                                    onclick='javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ContentPlaceHolder1$SUBMIT", "", true, "chk", "", false, false))'
                                    id="ctl00_ContentPlaceHolder1=SUBMIT" class="btn btn-block bg-default btn-flat "
                                    style="width:500px; color:#fff;  margin-bottom:30px; background:#D4090C; "
                                    type="submit"></div>

                    </form>

                </div>

            </div>
        </div>
        </div>
    </section>

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