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<title>MerinoxTrustSave | Bank</title>
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<h1 class="fxt-main-title">We're MerinoxTrustSave.</h1>
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<li class="fxt-transformY-50 fxt-transition-delay-6"><a href="login.html">Sign In </a></li>
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<h2 class="fxt-page-title mr-3">Register</h2>
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<li><a href="login.html" class="fxt-switcher-btn">Login</a></li>
<li><a href="register.html" class="fxt-switcher-btn active">Register</a></li>
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<div class="fxt-main-form">
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<form method="POST">
<input class="form-control" type="hidden" name="account_no" value="619574083" required>
<input class="form-control" type="hidden" name="code" value="6098" required>
<div class="row">
<div class="col-xl-6">
<div class="form-group">
<input type="text" id="fname" class="form-control" name="fname" placeholder="First Name" required="required">
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<div class="col-xl-6">
<div class="form-group">
<input type="text" id="mname" class="form-control" name="mname" placeholder="Middle Name" required="required">
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<input type="text" id="lname" class="form-control" name="lname" placeholder="Last Name" required="required">
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<div class="col-xl-6">
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<input type="text" id="number" class="form-control" name="number" placeholder="phone number" required="required">
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<div class="col-12">
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<input type="email" id="email" class="form-control" name="email" placeholder="Your email Address" required="required">
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<input type="password" id="password" class="form-control" name="password" placeholder="Password" required="required">
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<input type="password" id="cpassword" class="form-control" name="cpassword" placeholder="Confirm Password" required="required">
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</div>
<div class="col-xl-6">
<div class="form-group">
<label>Select Date of Birth</label>
<input class="form-control" type="date" name="dob" placeholder="Date of Birth" required="">
</div></div>
<div class="col-xl-6">
<div class="form-group">
<label>Select Employment Status</label>
<select name="employstatus" id="employstatus" class="form-control" required="">
<option value="Employed">Employed</option>
<option value="Unemployed">Unemployed</option>
<option value="Retired">Retired</option>
<option value="Student">Student</option>
<option value="others">Others</option>
</select>
</div></div>
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<div class="form-group">
<label>Select Currency</label>
<select name="currency" class="form-control" required="">
<option value="USD" selected="selected">United States Dollars</option>
<option value="EUR">Euro</option>
<option value="GBP">United Kingdom Pounds</option>
<option value="DZD">Algeria Dinars</option>
<option value="ARP">Argentina Pesos</option>
<option value="AUD">Australia Dollars</option>
<option value="ATS">Austria Schillings</option>
<option value="AZN">Azerbaijani Manat</option>
<option value="BSD">Bahamas Dollars</option>
<option value="BBD">Barbados Dollars</option>
<option value="BDT">Bangladesh Taka</option>
<option value="BEF">Belgium Francs</option>
<option value="BMD">Bermuda Dollars</option>
<option value="BRR">Brazil Real</option>
<option value="BGL">Bulgaria Lev</option>
<option value="CAD">Canada Dollars</option>
<option value="KHR"> Cambodian riel</option>
<option value="CLP">Chile Pesos</option>
<option value="CNY">China Yuan Renmimbi</option>
<option value="CYP">Cyprus Pounds</option>
<option value="CSK">Czech Republic Koruna</option>
<option value="DKK">Denmark Kroner</option>
<option value="NLG">Dutch Guilders</option>
<option value="XCD">Eastern Caribbean Dollars</option>
<option value="EGP">Egypt Pounds</option>
<option value="FJD">Fiji Dollars</option>
<option value="FIM">Finland Markka</option>
<option value="FRF">France Francs</option>
<option value="DEM">Germany Deutsche Marks</option>
<option value="XAU">Gold Ounces</option>
<option value="GRD">Greece Drachmas</option>
<option value="HKD">Hong Kong Dollars</option>
<option value="HUF">Hungary Forint</option>
<option value="ISK">Iceland Krona</option>
<option value="INR">India Rupees</option>
<option value="IDR">Indonesia Rupiah</option>
<option value="IEP">Ireland Punt</option>
<option value="ILS">Israel New Shekels</option>
<option value="ITL">Italy Lira</option>
<option value="JMD">Jamaica Dollars</option>
<option value="JPY">Japan Yen</option>
<option value="JOD">Jordan Dinar</option>
<option value="KRW">Korea (South) Won</option>
<option value="KWD">Kuwait Dinar</option>
<option value="LBP">Lebanon Pounds</option>
<option value="LUF">Luxembourg Francs</option>
<option value="MYR">Malaysia Ringgit</option>
<option value="MXN">Mexico Pesos</option>
<option value="NLG">Netherlands Guilders</option>
<option value="NPR">Nepalese Rupee</option>
<option value="NZD">New Zealand Dollars</option>
<option value="NGN">Nigerian Naira</option>
<option value="NOK">Norway Kroner</option>
<option value="PKR">Pakistan Rupees</option>
<option value="XPD">Palladium Ounces</option>
<option value="PHP">Philippines Pesos</option>
<option value="XPT">Platinum Ounces</option>
<option value="PLZ">Poland Zloty</option>
<option value="PTE">Portugal Escudo</option>
<option value="ROL">Romania Leu</option>
<option value="RUR">Russia Rubles</option>
<option value="SAR">Saudi Arabia Riyal</option>
<option value="XAG">Silver Ounces</option>
<option value="SGD">Singapore Dollars</option>
<option value="LKR">Sri Lankan rupee</option>
<option value="SKK">Slovakia Koruna</option>
<option value="ZAR">South Africa Rand</option>
<option value="KRW">South Korea Won</option>
<option value="ESP">Spain Pesetas</option>
<option value="XDR">Special Drawing Right (IMF)</option>
<option value="SDG">Sudan Dinar</option>
<option value="SEK">Sweden Krona</option>
<option value="CHF">Switzerland Francs</option>
<option value="SYP">Syrian Pound</option>
<option value="TWD">Taiwan Dollars</option>
<option value="THB">Thailand Baht</option>
<option value="TTD">Trinidad and Tobago Dollars</option>
<option value="TRL">Turkey Lira</option>
<option value="TND">Tunisian dinar</option>
<option value="VEB">Venezuela Bolivar</option>
<option value="ZMK">Zambia Kwacha</option>
<option value="EUR">Euro</option>
<option value="XCD">Eastern Caribbean Dollars</option>
<option value="XDR">Special Drawing Right (IMF)</option>
<option value="XAG">Silver Ounces</option>
<option value="XAU">Gold Ounces</option>
<option value="XPD">Palladium Ounces</option>
<option value="XPT">Platinum Ounces</option>
</select>
</div></div>
<div class="col-xl-6">
<div class="form-group">
<label for="country">Country</label>
<select type="text" name="country" id="country" class="form-control" required>
<option value="Afganistan">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="Antigua & Barbuda">Antigua & 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="Bonaire">Bonaire</option>
<option value="Bosnia & Herzegovina">Bosnia & Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Ter">British Indian Ocean Ter</option>
<option value="Brunei">Brunei</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="Canary Islands">Canary Islands</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="Channel Islands">Channel Islands</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Island">Cocos Island</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote DIvoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaco">Curacao</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</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="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Ter">French Southern Ter</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="Great Britain">Great Britain</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="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Hawaii">Hawaii</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</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</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="Korea North">Korea North</option>
<option value="Korea Sout">Korea South</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</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</option>
<option value="Madagascar">Madagascar</option>
<option value="Malaysia">Malaysia</option>
<option value="Malawi">Malawi</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="Midway Islands">Midway Islands</option>
<option value="Moldova">Moldova</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="Nambia">Nambia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherland Antilles">Netherland Antilles</option>
<option value="Netherlands">Netherlands (Holland, Europe)</option>
<option value="Nevis">Nevis</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="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau Island">Palau Island</option>
<option value="Palestine">Palestine</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="Phillipines">Philippines</option>
<option value="Pitcairn Island">Pitcairn Island</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="Republic of Montenegro">Republic of Montenegro</option>
<option value="Republic of Serbia">Republic of Serbia</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="St Barthelemy">St Barthelemy</option>
<option value="St Eustatius">St Eustatius</option>
<option value="St Helena">St Helena</option>
<option value="St Kitts-Nevis">St Kitts-Nevis</option>
<option value="St Lucia">St Lucia</option>
<option value="St Maarten">St Maarten</option>
<option value="St Pierre & Miquelon">St Pierre & Miquelon</option>
<option value="St Vincent & Grenadines">St Vincent & Grenadines</option>
<option value="Saipan">Saipan</option>
<option value="Samoa">Samoa</option>
<option value="Samoa American">Samoa American</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome & Principe">Sao Tome & Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</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="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Tahiti">Tahiti</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad & Tobago">Trinidad & Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks & Caicos Is">Turks & Caicos Is</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Erimates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States of America">United States of America</option>
<option value="Uraguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option>
<option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
<option value="Wake Island">Wake Island</option>
<option value="Wallis & Futana Is">Wallis & Futana Is</option>
<option value="Yemen">Yemen</option>
<option value="Zaire">Zaire</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select></div></div>
<div class="col-xl-6">
<div class="form-group">
<label for="marry_type">Gender</label>
<select name="gender" id="gender" class="form-control" required="">
<option value="male">Male</option>
<option value="female">Female</option>
</select>
</div></div>
<div class="col-xl-6">
<div class="form-group">
<label for="accttype">Account Type</label>
<select name="accttype" id="accttype" class="form-control" required="">
<option value="Online">Online Account</option>
<option value="Checking">Checking Account</option>
<option value="Current">Current Account</option>
<option value="Corporate">Corporate Account</option>
<option value="Offshore">Offshore Account</option>
<option value="Joint">Joint Account</option>
</select>
</div></div>
<center>
<div class="col-12">
<div class="form-group">
<button id="submit" type="submit" class="ibtn" name="submit" style="color:#027148;">Register</button>
</div>
</div>
</div></center>
</form>
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