| Document Number |
Transaction Date |
| {{ $response['data']['document_number'] }} |
{{ isset($response['data']['transaction_date']) ? dateDMYFormat($response['data']['transaction_date']) : "--" }} |
| Family Group |
Policy Holder Name |
| {{ $response['data']['group'] }} |
{{ $response['data']['policy_holder_name'] }} |
| First Name |
Middle Name |
Last Name |
| {{ $response['data']['first_name'] }} |
{{ $response['data']['middle_name'] }} |
{{ $response['data']['last_name'] }} |
| Address Line1 |
Address Line2 |
| {{ $response['data']['address1'] }} |
{{ $response['data']['address2'] }} |
| City
| Area |
Mobile Number/Whatsapp Number |
| {{ $response['data']['city'] }} |
{{ $response['data']['area'] }} |
{{ $response['data']['mobile_number'] }}/{{ $response['data']['whatsapp_number'] }} |
| Email Address |
Gender |
DOB/Anniversary Date |
| {{ $response['data']['email'] }} |
{{ $response['data']['gender'] }} |
{{ isset($response['data']['dob']) ? dateDMYFormat($response['data']['dob']) : "--" }}/{{ isset($response['data']['anniversary_date']) ? dateDMYFormat($response['data']['anniversary_date']) : "--" }} |
| Family Head Name |
Relation With Head |
| {{ $response['data']['family_head'] }} |
{{ $response['data']['relation_with_head'] }} |
| Select Division |
Select Segment |
Select Insurance Company |
| {{ $response['data']['division'] }} |
{{ $response['data']['segment'] }} |
{{ $response['data']['insurance_company'] }} |
| Current Policy Number |
Previous Policy Number |
| {{ $response['data']['current_policy_number'] }} |
{{ $response['data']['previous_policy_number'] }} |
| Select Mode |
Risk Start Date |
Risk End Date |
| {{ $response['data']['mode'] }} |
{{ isset($response['data']['risk_from_date']) ? $response['data']['risk_from_date'] : "--" }} |
@if($response['data']['mode'] == null && ($response['data']['mode'] == 'Single' || $response['data']['mode'] == 'Till Termination'))
Till Termination of transit as per duration clause |
@else
{{ isset($response['data']['risk_to_date']) ? $response['data']['risk_to_date'] : "--" }} |
@endif
| Sum Assured |
Basic Premium Amount |
Tax Amount |
| {{ $response['data']['sum_assured'] }} |
{{ $response['data']['basic_amount'] }} |
{{ $response['data']['tax_amount'] }} |
| Total Premium Amount |
Net Commissionable Amount |
| {{ $response['data']['total_amount'] }} |
{{ $response['data']['net_commisionable_amount'] }} |
| Select Broker |
Select Agency Name |
Select Sub Agent Name |
| {{ $response['data']['broker'] }} |
{{ $response['data']['agency'] }} |
{{ $response['data']['sub_agent'] }} |
| Select Family Member |
Remarks |
|
@for ($i=0; $i < count($response['data']['family_members']); $i++)
{{ $response['data']['family_members'][$i]['text'] }},
@endfor
|
{{ $response['data']['remark'] }} |
| Paid By Client
| Amount |
| {{ $response['data']['party_payment_mode_name'] == "null" ? $response['data']['party_payment_mode_name'] : "--" }} |
{{ $response['data']['party_payout_amount'] }} |
| Paid By Agent |
Amount |
| {{ $response['data']['byus_payment_mode_name'] == "null" ? $response['data']['byus_payment_mode_name'] : "--" }} |
{{ $response['data']['byus_payout_amount'] }} |