User manual customer transaction detail form

As customer will click on online transaction button  of XYZ company website , they will see the Customer Detail Form. There they will fill their personal and bank detail. That contain personal detail like name,gender,email,address,city,state and bank detail like bank name,transaction detail ,date of transaction. 

Dear Ankit,

We are XYZ  Company Pvt. Ltd. and we want you to develop a Customer Transaction Detail Form for our website which customer have to fill before  having online transaction through our website:

Specifications are as follows:

Name

Gender

E-mail Id

Phone No.

City

State

Transaction date

Payment method

Bank name

Regards,

Afan Mozammil,

B14006

Customer Transaction Detail Form