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						<input placeholder="Name" id="shopName${a}" name="shopName${a}" shopId ="0" type="text" value="" class="form-control input-sm">
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						<input placeholder="Name" id="shopName${a}" name="shopName${a}" shopId ="0" type="text" value="" class="form-control input-sm">
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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="col-lg-4 form-group">
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					<div class="col-lg-4 form-group">
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						<p class="bold-details">NAME</p>
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					</div>
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					<div class="col-lg-6 form-group">
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						<input placeholder="" id="shopName${a}" name="shopName${a}" shopId ="0" type="text" value="" class="form-control input-sm">
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					</div>
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				</div>
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				<div class="row">
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					<div class="col-lg-4 form-group">
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						<p class="bold-details">DOCUMENT</p>
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						<p class="bold-details">DOCUMENT</p>
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					</div>
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					</div>
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					<div class="col-lg-3 form-group">
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					<div class="col-lg-3 form-group">
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						<label class="btn btn-file">
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						<label class="btn btn-file">
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							Browse<input type="file" shopId = "0" class="retailerShopDocument" id="retailerShopDocument${a}" name="retailerShopDocument${a}" documentId="0" style="display:none">
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							Browse<input type="file" shopId = "0" class="retailerShopDocument" id="retailerShopDocument${a}" name="retailerShopDocument${a}" documentId="0" style="display:none">