@extends('layouts.secondHeader') @section('content')
Bonds Form
@csrf
Insurance Co. Details
Insurance Company Name
Select an Option
Plan Name
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Sub Plan Name
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Personal Details
Name
DOB
Gender
Select an Option
Male
Female
Others
Aadhaar No
Is Pan Card available ?
Select an Option
Yes
No
PAN NO
Height
Weight
Education
Email
Mobile No
Alternate Mobile No
Employee Type
Please Select Employee Type
Salaried
Self Employed
Self Employed Professional
Yearly Income
Please Select Income
Up to 3 lacs
3 to 4 lacs
4 to 5 lacs
5 to 10 lacs
10+ lacs
Company Name
Permanent Address
Same as Permanent Address
Communication Address
Occupation
Annual Income
Nominee Details
Nominee Name
Nominee DOB
Nominee Relationship
Select an Option
@foreach ($relationship as $data)
{{ $data->relationship_name }}
@endforeach
Appointee?
Appointee Name
Appointee DOB
Appointee Relationship
Select an Option
@foreach ($relationship as $data)
{{ $data->relationship_name }}
@endforeach
Father Name
Mother Name
Spouse Name
Premium Details
PPT
PT
Frequency
Select an Option
Monthly
Quartely
Half Yearly
Yearly
Loan Amount
Please Select Amount
Up to 3 lacs
3 to 4 lacs
4 to 5 lacs
5 to 10 lacs
10+ lacs
Number Of Due Collected In Months
Select an Option
1 Month
2 Months
3 Months
Total Premium With Tax / Collected premium
GST Percentage
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GST AMOUNT
Premium Without Tax
Annualised Net Premium
Total Sum Assured
Bond Details
Interest Payment Frequency
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Monthly
Quartely
Half Yearly
Yearly
YTM (Yeild to maturity)
Select an Option
10.9 %
Coupon Type
Maturity Date
Rating
Allotment Date
Necxt Interest Payment Date
Security Class
Type Of Bond
Select an Option
Secured
Regular
Attachments
Add Attchment
Pan / Form 60
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Pan / Form 60
File
Remarks
Aadhaar Front Side
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Aadhaar Front Side
File
Remarks
Aadhaar Back Side
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Aadhaar Back Side
File
Remarks
Recent Photo
Select an Option
Recent Photo
File
Remarks
Remarks
Add Remarks
Remarks
Remarks Filled by
Submit
@stop