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Rev 7073 Rev 7080
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		<div style="margin: 0px 10px 0px 10px;padding-top: 7px;">
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		<div style="margin: 0px 10px 0px 10px;padding-top: 7px;">
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			<span style="float:left">PLEASE ENTER DETAILS</span>
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			<span style="float:left">PLEASE ENTER DETAILS</span>
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		</div>
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		</div>
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	</div>
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	</div>
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	<form id='rechargeDetailsForm' action='/confirm' method='post' onsubmit='validateAllFields()'>
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	<form id='rechargeDetailsForm' action='/test/confirm' method='post' onsubmit='validateAllFields()'>
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    	#if($action.getErrorMsg() == "")
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    	#if($action.getErrorMsg() == "")
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    	<div class='padding-row'>
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    	<div class='padding-row'>
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    	</div>
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    	</div>
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    	#else
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    	#else
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    	<div class="padding-row" style="font-size: 16px;color: red;text-align: center;border: 1px solid red;margin: 5px;padding: 5px;">
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    	<div class="padding-row" style="font-size: 16px;color: red;text-align: center;border: 1px solid red;margin: 5px;padding: 5px;">
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    	</div>
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    	</div>
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    	#end
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    	#end
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    	<div class="row">
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    	<div class="row">
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        	<div class="text">Recharge Type : </div>
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        	<div class="text">Recharge Type : </div>
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        	<div style="0 0 0 10px;">
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        	<div style="0 0 0 10px;">
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    			<input class='rechargetype' type="radio" checked name="rechargetype" value="1">Normal</input>
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    			<input class='rechargetype' type="radio" checked name="rechargeType" value="1">Normal</input>
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    			<input class='rechargetype' type="radio" name="rechargetype" value="2">New Connection</input>
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    			<input class='rechargetype' type="radio" name="rechargeType" value="2">New Connection</input>
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    		</div>
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    		</div>
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        </div>
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        </div>
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    	<div class="row">
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    	<div class="row">
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        	<div class="text">Device Type : </div>
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        	<div class="text">Device Type : </div>
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        	<div style="0 0 0 10px;">
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        	<div style="0 0 0 10px;">
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    			<input class='devicetype' type="radio" checked name="devicetype" value="1">Mobile</input>
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    			<input class='devicetype' type="radio" checked name="deviceType" value="1">Mobile</input>
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    			<input class='devicetype' type="radio" name="devicetype" value="2">DTH</input>
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    			<input class='devicetype' type="radio" name="deviceType" value="2">DTH</input>
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    		</div>
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    		</div>
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        </div>
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        </div>
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        <div class="row">
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        <div class="row">
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        	<div class="text">Device Number : </div>
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        	<div class="text">Device Number : </div>
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        			<input class='inputbox padding15' type='text' name='caf'></input>
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        			<input class='inputbox padding15' type='text' name='caf'></input>
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        		</div>
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        		</div>
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    		</div>
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    		</div>
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			<div class="row">
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			<div class="row">
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            	<div class="text">Discount : </div>
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            	<div class="input-div">
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        			<input class='inputbox rupee padding48' type='text' name='discount'></input>
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        		</div>
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    		</div>
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			<div class="row">
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            	<div class="text">Alternate Number : </div>
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            	<div class="text">Alternate Number : </div>
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            	<div class="input-div">
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            	<div class="input-div">
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        			<input class='inputbox padding15' type='text' name='altNum'></input>
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        			<input class='inputbox padding15' type='text' name='altNum'></input>
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        		</div>
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        		</div>
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    		</div>
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    		</div>