Dear Doctor, please remember to include a cancelled cheque when providing your bank details.

{{ Form::open(['url' => '#', 'name' => 'bankValidateForm', 'id' => 'bankValidateForm', 'enctype' => 'multipart/form-data']) }}

Bank Account No * doctor_submit_declaration == 1) ? 'readonly' : ''}}>

Re enter Bank Account No * doctor_submit_declaration == 1) ? 'readonly' : ''}}>

Name as per Cheque *

IFSC Code * doctor_submit_declaration == 1) ? 'readonly' : ''}}>

Bank Account Type *

Upload Files

@if (isset($isBankDataAdded)) @if ($isBankDataAdded != '')

@endif @else

(Upload in JPG, PNG or PDF format; Max. size 5 MB per file)

@endif {{--

(Upload in JPG, PNG or PDF format; Max. size 5 MB per file)

--}}

@if (isset($isBankDataAdded)) @if ($isBankDataAdded != '') @endif @endif {{ Form::close() }}