@extends('layouts.default') @section('content')
Recurring Deposit Form
@csrf
Insurance Co. Details
Insurance Company Name
Select an Option
Plan Name
Select an Option
Sub Plan Name
Select an Option
Personal Details
Name
DOB
Gender
Select an Option
personal_gender=='male' ? 'selected': ''}}>Male
personal_gender=='female' ? 'selected': ''}}>Female
personal_gender=='others' ? 'selected': ''}}>Others
Aadhaar No
Is Pan Card available ?
Select an Option
pancard_available=='Yes' ? 'selected': ''}}>Yes
pancard_available=='No' ? 'selected': ''}}>No
PAN NO
Height
Weight
Education
Email
Mobile No
Alternate Mobile No
Employee Type
Please Select Employee Type
emp_type=='salaried' ? 'selected': ''}}>Salaried
emp_type=='self_employed' ? 'selected': ''}}>Self Employed
emp_type=='self_employed_professional' ? 'selected': ''}}>Self Employed Professional
Yearly Income
Please Select Income
yearly_income=='upto_3' ? 'selected': ''}}>Up to 3 lacs
yearly_income=='3_to_4' ? 'selected': ''}}>3 to 4 lacs
yearly_income=='4_to_5' ? 'selected': ''}}>4 to 5 lacs
yearly_income=='5_to_10' ? 'selected': ''}}>5 to 10 lacs
yearly_income=='10_above' ? 'selected': ''}}>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 $data)
nominee_relatinship==trim($data->relationship_name ,' ')? 'selected' : ''}}>{{ $data->relationship_name }}
@endforeach
Appointee?
Appointee Name
Appointee DOB
Appointee Relationship
Select an Option
@foreach ($relationship as $data)
appointee_relationship==trim($data->relationship_name ,' ')? 'selected' : ''}}>{{ $data->relationship_name }}
@endforeach
Father Name
Mother Name
Spouse Name
Premium Details
PPT
PT
Frequency
Select an Option
Monthly
Quartely
Half Yearly
Yearly
Loan Amount
Please Select Amount
Up to 3 lacs
3 to 4 lacs
4 to 5 lacs
5 to 10 lacs
10+ lacs
Number Of Due Collected In Months
Select an Option
1 Month
2 Months
3 Months
Total Premium With Tax / Collected premium
GST Percentage
Select an Option
GST AMOUNT
Premium Without Tax
Annualised Net Premium
Total Sum Assured
NPS Details
Investment Amount
Investment Frequency
Please Select Payout
investment_frequency == 'monthly' ? 'selected' : ''}}>Monthly
investment_frequency == 'quaterly' ? 'selected' : ''}}>Quaterly
investment_frequency == 'halfyearly' ? 'selected' : ''}}>Half Yearly
investment_frequency == 'yearly' ? 'selected' : ''}}>Yearly
Pay for
Please Select Payout
@for($i=5;$i<=15;$i++)
pay_for == {{$i}} ? 'selected' : ''}}>{{$i}} Years
@endfor
Payout Frequency
Please Select Payout
payout_frequency == 'monthly' ? 'selected' : ''}}>Monthly
payout_frequency == 'quaterly' ? 'selected' : ''}}>Quaterly
payout_frequency == 'halfyearly' ? 'selected' : ''}}>Half Yearly
payout_frequency == 'yearly' ? 'selected' : ''}}>Yearly
Get Pension When & Turn
Please Select Payout
@for($i=20;$i<=100;)
pension_turn == {{$i}} ? 'selected' : ''}}>{{$i}} Years
{{$i = $i + 5}}; @endfor
Loan Amount
Please Select Amount
loan_amount_type == 'upto_3' ? 'selected' : ''}}>Up to 3 lacs
loan_amount_type == '3_to_4' ? 'selected' : ''}}>3 to 4 lacs
loan_amount_type == '4_to_5' ? 'selected' : ''}}>4 to 5 lacs
loan_amount_type == '5_to_10' ? 'selected' : ''}}>5 to 10 lacs
loan_amount_type == 'above_10' ? 'selected' : ''}}>10+ lacs
Loan Status
Select an Option
loan_status == 'Issued' ? 'selected' : ''}}>Issued
loan_status == 'Query' ? 'selected' : ''}}>Query
loan_status == 'Rejected' ? 'selected' : ''}}>Rejected / Cancelled
loan_status == 'Under Process' ? 'selected' : ''}}>Under Process
Quote Id
Payment Url
Ekyc Status
Please Select Amount
kyc_status=='failed'?'selected':''}}>Failed
kyc_status=='pending'?'selected':''}}>Pending
kyc_status=='approved'?'selected':''}}>Approved
Banking Details
Bank Name
Account Number
IFSC Code
Bank Address
Bank Branch
Team Details
TEAM DETAILS
team_detail_type=='employee' ? 'selected' : ''}}>Employee
team_detail_type=='partner' ? 'selected' : ''}}>Partner
Caller
Select an Option
@foreach ($caller_list as $data)
employee_code == $nps->caller_code) selected @endif>{{ $data->firstname }} {{ $data->lastname }}-{{$data->employee_code }}
@endforeach
Team Leader
Assistant Manager
Manager
Center Head
Regional Head / AVP
Zonal Head
Vice President
SM / RM
Select an Option
@foreach ($leads->ResponseObject as $data)
employee_code == $nps->sm_code) selected @endif> {{ $data->firstname }} {{ $data->lastname}}-{{$data->employee_code }}
@endforeach
Branch - Center Location Name
Select an Option
@foreach ($branchlist->ResponseObject as $branch)
branch_id == $nps->team_location_code) selected @endif> {{ $branch->branch_name }}
@endforeach
Partner Details
Choose an option
Manager Details
Relationship Manager
Choose an option
Payout Cycle
Location
Discrepancy Team Details
DISCREPANCY TEAM DETAILS
DISCREPANCY TEAM DETAILS
Select Option
YES
NO
Caller
Choose an option
Team Leader
Choose an option
Assistant Manager
Choose an option
Manager
Choose an option
Center Head
Choose an option
Regional Head / AVP
Choose an option
Zonal Head
Choose an option
Vice President
Choose an option
Relationship Manager & Relationship Manager Code
Choose an option
Branch - Center Location Name
Select an Option
Employee List Not Available
Choose an option
New Joinee
Others
Partner Details
Select an Option
Manager Details
Relation Manager
Choose an option
Payout Cycle
Location
Remarks
CBRE
Is Cashback offered ?
Select an Option
cashback_offered=='Yes' ? 'selected' : ''}}>Yes
cashback_offered=='No' ? 'selected' : ''}}>No
CBRE %
Employee who offered CBRE to Client
Select an Option
@foreach ($leads->ResponseObject as $data)
cbre_to_client)) == 2 && $data->employee_code == explode("-", $nps->cbre_to_client)[1]) selected @endif> {{ $data->firstname }} {{ $data->lastname }}- {{$data->employee_code}}
@endforeach
Remarks
{{$nps->cbre_remarks}}
Attachments
Add Attchment
@if($checkattachfile == 0 || $checkattachfile == "0")
Document Type
Select an Option
Policy Copy
KYC DOC
Proposal Form
Verification Call Recording
Datasheet
Aadhaar Front Side
Aadhaar Back Side
Pan
Recent Photo
Bank passbook
Bank Statement
Bank Cheque
File
Remarks
@endif @foreach($policy_attachmentss as $key => $attchment)
Document Type
Select an Option
Policy Copy
KYC DOC
Proposal Form
Verification Call Recording
Datasheet
Aadhaar Front Side
Aadhaar Back Side
Pan
Recent Photo
Proposal From
Illustration
Receipt Copy / Payment Paid Confirmation
Cancelled Cheque Leaf or Bank Pass Book
Bank passbook
Bank Statement
Bank Cheque
File
@if($attchment['file_attach_type'] == "image")
x
@else
x
@endif
Remarks
{{$attchment['attachments_remarks']}}
@endforeach
Declaration
declaration1 == "on" ? 'checked' : ''}}>
I am not politically exposed
declaration2 == "on" ? 'checked' : ''}}>
I pay tax only in india
declaration3 == "on" ? 'checked' : ''}}>
I hereby give my consent fo vizzafintech to feith my details from ckyc and share the same to credit card companies
declaration4 == "on" ? 'checked' : ''}}>
I agree to the terms & condition of vizza fintech and credit card companies terms and conditions and FATCA/CRS declaration
Remarks
Add Remarks
@if($remarks =='')
Remarks
Remarks Filled by
@endif @foreach($remarks as $remark)
Remarks
{{$remark['remarks']}}
Remarks Filled by
@endforeach
Submit
@stop