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Hi, I have gone through your requirement. I can do the required form using PHP and mysql, however, I have some queries regarding the data. If you have all bank details in your table i can do it straight away. if not i will try to get the details of the branches from other sites to fill. -- in this case i am not 100% sure about the completion of task. please let me know how the data need to be retrieved. Thankyou Regards.

hi