source: main/kofacustom.nigeria/branches/uli-paypal/src/kofacustom/nigeria/interswitch/browser_templates/applicant_goto_webcheckout.pt

<form i18n:domain="kofacustom.nigeria"
  tal:attributes="action view/action" method="POST">

  <p i18n:translate="">
    These data will be submitted to the Interswitch Web Checkout payment gateway,
    please check:
  </p>

  <table class="form-table" i18n:domain="waeup.kofa">
    <tbody>
      <tr>
        <td i18n:translate="" class="fieldname">
          Total Amount Authorized:</td>
        <td>
          <span tal:replace="view/context/amount_auth">AMOUNT</span>
        </td>
      </tr>
      <tr>
        <td i18n:translate="" class="fieldname">
          Transaction Reference:</td>
        <td>
          <span tal:replace="view/context/p_id">TXNREF</span>
        </td>
      </tr>
      <tr>
        <td i18n:translate="" class="fieldname">
          Customer Id:</td>
        <td>
          <span tal:replace="view/applicant/applicant_id">CUSTID</span>
        </td>
      </tr>
      <tr>
        <td i18n:translate="" class="fieldname">
          Customer Name:</td>
        <td>
          <span tal:replace="view/applicant/display_fullname">CUSTNAME</span>
        </td>
      </tr>
      <tr>
        <td i18n:translate="" class="fieldname">
          Customer Email:</td>
        <td>
          <span tal:replace="view/applicant/email">EMAIL</span>
        </td>
      </tr>
      <tr>
        <td i18n:translate="" class="fieldname">
          Payment Category:</td>
        <td>
          <span tal:replace="view/category">PAYMENTCATEGORY</span>
        </td>
      </tr>
    </tbody>
  </table>

  <input type="hidden" name="merchant_code" tal:attributes="value view/merchant_code" />
  <input type="hidden" name="currency" tal:attributes="value view/currency" />
  <input type="hidden" name="pay_item_id" tal:attributes="value view/pay_item_id" />
  <input type="hidden" name="site_redirect_url" tal:attributes="value view/site_redirect_url" />
  <input type="hidden" name="amount" tal:attributes="value view/amount_auth" />
  <input type="hidden" name="txn_ref" tal:attributes="value view/context/p_id" />
  <input type="hidden" name="pay_item_name" tal:attributes="value view/category" />
  <input type="hidden" name="cust_id" tal:attributes="value view/applicant/applicant_id" />
  <input type="hidden" name="cust_name" tal:attributes="value view/applicant/display_fullname" />
  <input type="hidden" name="cust_email" tal:attributes="value view/applicant/email" />
  <input type="hidden" name="split_accounts" tal:condition="view/split_accounts" tal:attributes="value view/split_accounts" />

  <br />
  <input type="submit" class="btn btn-primary" tal:attributes="value view/submit_button"/>

  <br /><br />

  <img src="/static/img/interswitch_logos.png" />

</form>