@extends('layouts.default') @section('content')
Personal Loan 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
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)
{{ $data->relationship_name }}
@endforeach
Father Name
Mother Name
Spouse Name
Premium Details
PPT
PT
Frequency
Select an Option
Monthly
Quartely
Half Yearly
Yearly
Loan Amount
Please Select Amount
Up to 3 lacs
3 to 4 lacs
4 to 5 lacs
5 to 10 lacs
10+ lacs
Number Of Due Collected In Months
Select an Option
1 Month
2 Months
3 Months
Total Premium With Tax / Collected premium
GST Percentage
Select an Option
GST AMOUNT
Premium Without Tax
Annualised Net Premium
Total Sum Assured
Team Details
TEAM DETAILS
Employee
Partner
Caller
Select an Option
@foreach ($caller_list as $data)
{{ $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)
{{ $data->firstname }} {{ $data->lastname }}-{{$data->employee_code }}
@endforeach
Branch - Center Location Name
Select an Option
@foreach ($branchlist->ResponseObject as $branch)
{{ $branch->branch_name }}
@endforeach
Partner Details
Choose an option
Manager Details
Relationship Manager
Choose an option
Payout Cycle
Location
Discrepancy Team Details
DISCREPANCY TEAM DETAILS
DISCREPANCY TEAM DETAILS
Select Option
YES
NO
Caller
Choose an option
Team Leader
Choose an option
Assistant Manager
Choose an option
Manager
Choose an option
Center Head
Choose an option
Regional Head / AVP
Choose an option
Zonal Head
Choose an option
Vice President
Choose an option
Relationship Manager & Relationship Manager Code
Choose an option
Branch - Center Location Name
Select an Option
Employee List Not Available
Choose an option
New Joinee
Others
Partner Details
Select an Option
Manager Details
Relation Manager
Choose an option
Payout Cycle
Location
Remarks
CBRE
Is Cashback offered ?
Select an Option
Yes
No
CBRE %
Employee who offered CBRE to Client
Select an Option
@foreach ($leads->ResponseObject as $data)
{{ $data->firstname }} {{ $data->lastname }} -{{$data->employee_code }}
@endforeach
Remarks
Loan Details
Loan Referance No
Loan No
Quote Id
Loan Type
Please Select Amount
New
Renewal
Payment Url
Ekyc Status
Please Select Amount
Failed
Pending
Approved
Loan Amount
Please Select Amount
Up to 3 lacs
3 to 4 lacs
4 to 5 lacs
5 to 10 lacs
10+ lacs
Loan Status
Select an Option
Approved
Rejected
Submitted
Disbursed
Closed
Attachments
Add Attchment
Pan / Form 60
Select an Option
Pan / Form 60
File
Remarks
Aadhaar Front Side
Select an Option
Aadhaar Front Side
File
Remarks
Aadhaar Back Side
Select an Option
Aadhaar Back Side
File
Remarks
Recent Photo
Select an Option
Recent Photo
File
Remarks
Remarks
Add Remarks
Remarks
Remarks Filled by
Submit
@stop