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| 1 | <br /> |
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| 2 | |
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| 3 | <p i18n:domain="kofacustom.nigeria" i18n:translate=""> |
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| 4 | Go to the bank, show your payment slip and make your payment. |
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| 5 | You'll receive a confirmation mumber. |
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| 6 | Enter the confirmation number here. |
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| 7 | Take note of the authorized payment amount which is |
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| 8 | <span tal:replace="context/amount_auth">1000.0</span> Naira. |
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| 9 | </p> |
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| 10 | <br /> |
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| 11 | <form method="POST" class="form-inline" tal:attributes="action view/action"> |
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| 12 | <div class="form-group half"> |
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| 13 | <input name="confirmation_number" type="text" class="form-control" maxlength="" |
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| 14 | value="" tal:attributes="placeholder view/placeholder"/> |
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| 15 | </div> |
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| 16 | <div class="form-group"> |
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| 17 | <input type="submit" name="SUBMIT" class="btn btn-primary" |
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| 18 | tal:attributes="value view/buttonname" /> |
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| 19 | </div> |
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| 20 | </form> |
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