Coming Soon

Back Back Up Normal Editor

<?php $__env->startSection('title','View Application Form'); ?> <?php $__env->startSection('main_container'); ?>  <div class="main-panel "> <div class="content-wrapper"> <div class="page-header"> <h3 class="page-title"> Application Form </h3> <nav aria-label="breadcrumb"> <ol class="breadcrumb"> <li class="breadcrumb-item"><a href="#">Home</a></li> <li class="breadcrumb-item active" aria-current="page">Document</li> </ol> </nav> </div> <div class="row"> <div class="col-12 grid-margin"> <div class="card"> <div class="card-body"> <h4 class="card-title">jquery-steps wizard</h4> <form id="edit-form" action="<?php echo e(url('/edit_document/'.$organization->form_id)); ?>" method="POST" enctype="multipart/form-data" > <?php echo csrf_field(); ?> <div >  <h3>Organization</h3> <section > <input type="hidden" name="form_id" id="form_id" value="<?php echo $organization->form_id ?>"/> <h4>Organization Information</h4> <div class="form-group"> <label for="name_of_applicant">Name of Applicant <span style="color:red">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="name_of_applicant" name="name_of_applicant" value="<?php echo e($organization->name_of_applicant); ?>" > </div> <div class="form-group"> <label for="name_director">Name of Director / Chairman of the Organization <span style="color:red">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="name_director" name="name_director" value="<?php echo e($organization->name_director); ?>" > </div> <div class="form-group"> <label for="nature_organization">Nature of Organization (Pvt Ltd./Public Ltd/ Partnership Firm) <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="nature_organization" id="nature_organization" value="<?php echo e($organization->nature_organization); ?>" > </div> <div class="form-group"> <label for="website_address">Website Address <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="website_address" id="website_address" value="<?php echo e($organization->website_address); ?>" > </div> <div class="form-group"> <label for="establishment_date">Date of Establishment of Organization <span style="color:red">*</span></p></label> <input type="date" class="form-control" name="establishment_date" id="establishment_date" value="<?php echo e($organization->establishment_date); ?>" > </div> <div class="form-group"> <label for="total_employees">Total no. of Employees as on Date of Application <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="total_employees" id="total_employees" value="<?php echo e($organization->total_employees); ?>"> </div> <div class="form-group"> <label for="current_business_detail">Details of Current Business Activities of The Organization <span style="color:red">*</span></p></label> <textarea class="form-control" name="current_business_detail" id="current_business_detail"><?php echo e($organization->current_business_detail); ?></textarea> </div> <div class="form-group"> <label for="legal_registration_detail">Legal Registration Details of Organization <span style="color:red">*</span></p></label> <textarea class="form-control" name="legal_registration_detail" id="legal_registration_detail" ><?php echo e($organization->legal_registration_detail); ?></textarea> </div> </section> <h3>Establishment</h3> <section > <h4>Establishment Information</h4> <div class="form-group"> <label for="office_address">Head Office / Admin. address</label> <textarea class="form-control" name="office_address" id="office_address"><?php echo e($establishment->office_address); ?></textarea> </div> <div class="form-group"> <label for="other_branch_location">Details of other branch locations</label> <textarea class="form-control" name="other_branch_location" id="other_branch_location"><?php echo e($establishment->other_branch_location); ?></textarea> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3 "> <div class="form-group"> <label for="types_of_service">Type of Service Provided</label> <input type="text" class="form-control" name="types_of_service" id="types_of_service" value="<?php echo e($establishment->types_of_service_1); ?>" > </div> <div class="form-group"> <label for="types_of_service_2"></label> <input type="text" class="form-control" name="types_of_service_2" id="types_of_service_2" value="<?php echo e($establishment->types_of_service_2); ?>" > </div> <div class="form-group"> <label for="types_of_service_3"></label> <input type="text" class="form-control" name="types_of_service_3" id="types_of_service_3" value="<?php echo e($establishment->types_of_service_3); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="service_details">Service Details </label> <input type="text" class="form-control" name="service_details" id="service_details" value="<?php echo e($establishment->service_details_1); ?>" > </div> <div class="form-group"> <label for="service_details_2"></label> <input type="text" class="form-control" name="service_details_2" id="service_details_2" value="<?php echo e($establishment->service_details_2); ?>" > </div> <div class="form-group"> <label for="service_details_3"> </label> <input type="text" class="form-control" name="service_details_3" id="service_details_3" value="<?php echo e($establishment->service_details_3); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="product_details">Product Details</label> <input type="text" class="form-control" name="product_details" id="product_details" value="<?php echo e($establishment->product_details_1); ?>" > </div> <div class="form-group"> <label for="product_details_2"></label> <input type="text" class="form-control" name="product_details_2" id="product_details_2" value="<?php echo e($establishment->product_details_2); ?>"> </div> <div class="form-group"> <label for="product_details_3"></label> <input type="text" class="form-control" name="product_details_3" id="product_details_3" value="<?php echo e($establishment->product_details_3); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="client_data">Client Data </label> <input type="text" class="form-control" name="client_data" id="client_data" value="<?php echo e($establishment->client_data_1); ?>"> </div> <div class="form-group"> <label for="client_data_2"></label> <input type="text" class="form-control" name="client_data_2" id="client_data_2" value="<?php echo e($establishment->client_data_2); ?>" > </div> <div class="form-group"> <label for="client_data_3"></label> <input type="text" class="form-control" name="client_data_3" id="client_data_3" value="<?php echo e($establishment->client_data_3); ?>" > </div> </div> </div> </section> <h3>Financial</h3> <section > <h4>Financial Resource Data of last 3 years (in INR Lac)</h4><br> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="year_1">Year</label> <input type="text" class="form-control" name="year_1" id="year_1" value="<?php echo e($financial->year_1); ?>" > </div> <div class="form-group"> <label for="year_2"></label> <input type="text" class="form-control" name="year_2" id="year_2" value="<?php echo e($financial->year_2); ?>" > </div> <div class="form-group"> <label for="year_3"></label> <input type="text" class="form-control" name="year_3" id="year_3" value="<?php echo e($financial->year_3); ?>"> </div> </div> <div class="col-2"> <div class="form-group"> <label for="revenue_1">Revenue Earned</label> <input type="text" class="form-control" name="revenue_1" id="revenue_1" value="<?php echo e($financial->revenue_1); ?>" > </div> <div class="form-group"> <label for="revenue_2"></label> <input type="text" class="form-control" name="revenue_2" id="revenue_2" value="<?php echo e($financial->revenue_2); ?>" > </div> <div class="form-group"> <label for="revenue_3"></label> <input type="text" class="form-control" name="revenue_3" id="revenue_3" value="<?php echo e($financial->revenue_3); ?>" > </div> </div> <div class="col-2"> <div class="form-group"> <label for="gross_1">Gross Profit </label> <input type="text" class="form-control" name="gross_1" id="gross_1" value="<?php echo e($financial->gross_1); ?>" > </div> <div class="form-group"> <label for="gross_2"></label> <input type="text" class="form-control" name="gross_2" id="gross_2" value="<?php echo e($financial->gross_2); ?>" > </div> <div class="form-group"> <label for="gross_3"></label> <input type="text" class="form-control" name="gross_3" id="gross_3" value="<?php echo e($financial->gross_3); ?>" > </div> </div> <div class="col-2"> <div class="form-group"> <label for="net_profit_1">Net Profit / Loss </label> <input type="text" class="form-control" name="net_profit_1" id="net_profit_1" value="<?php echo e($financial->net_profit_1); ?>" > </div> <div class="form-group"> <label for="net_profit_2"></label> <input type="text" class="form-control" name="net_profit_2" id="net_profit_2" value="<?php echo e($financial->net_profit_2); ?>" > </div> <div class="form-group"> <label for="net_profit_3"></label> <input type="text" class="form-control" name="net_profit_3" id="net_profit_3" value="<?php echo e($financial->net_profit_3); ?>" > </div> </div> <div class="col-2"> <div class="form-group"> <label for="remarks_1">Remarks if any </label> <input type="text" class="form-control" name="remarks_1" id="remarks_1" value="<?php echo e($financial->remarks_1); ?>" > </div> <div class="form-group"> <label for="remarks_2"></label> <input type="text" class="form-control" name="remarks_2" id="remarks_2" value="<?php echo e($financial->remarks_2); ?>" > </div> <div class="form-group"> <label for="remarks_3"></label> <input type="text" class="form-control" name="remarks_3" id="remarks_3" value="<?php echo e($financial->remarks_3); ?>" > </div> </div> </div> </section> <h3>Statutory</h3> <section> <h4>Statutory Compliance</h4> <div class="form-group"> <label>Statutory Compliance Declaration </label> <input type="text" class="form-control" value="Are your financial records audited by independent auditor for last 3 years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="financial_rescords_confirmation">Yes/No </label> <input type="text" class="form-control" name="financial_rescords_confirmation" id="financial_rescords_confirmation" value="<?php echo e($statutory->q1_confirmation); ?>"> </div> </div> <div class="col-4"> <div class="form-group"> <label for="financial_records_justification">Please give justification</label> <input type="text" class="form-control" name="financial_records_justification" id="financial_records_justification" value="<?php echo e($statutory->q1_justification); ?>" > </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Are there any adverse remarks by auditors in the 3 year’s P & L Accounts?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="adverse_remarks_confirmation">Yes/No </label> <input type="text" class="form-control" name="adverse_remarks_confirmation" id="adverse_remarks_confirmation" value="<?php echo e($statutory->q2_confirmation); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="adverse_remarks_justification">Please give justification</label> <input type="text" class="form-control" name="adverse_remarks_justification" id="adverse_remarks_justification" value="<?php echo e($statutory->q2_justification); ?>" > </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Has your organization / directors received any notice regarding any non-compliance under any applicable law in the last 3 Years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="q3_not_applicable">N/A </label> <input type="text" class="form-control" name="q3_not_applicable" id="q3_not_applicable" placeholder="N/A" value="<?php echo e($statutory->q3_not_applicable); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="notice_confirmation">Yes/No </label> <input type="text" class="form-control" name="notice_confirmation" id="notice_confirmation" value="<?php echo e($statutory->q3_confirmation); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="notice_justification">Please give justification</label> <input type="text" class="form-control" name="notice_justification" id="notice_justification" value="<?php echo e($statutory->q3_justification); ?>" > </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Has your organization/directors been prosecuted under any law in the last 3 financial years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="q4_not_applicable">N/A </label> <input type="text" class="form-control" name="q4_not_applicable" id="q4_not_applicable" placeholder="N/A" value="<?php echo e($statutory->q4_not_applicable); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="prosecuted_confirmation">Yes/No </label> <input type="text" class="form-control" name="prosecuted_confirmation" id="prosecuted_confirmation" value="<?php echo e($statutory->q4_confirmation); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="prosecuted_justification">Please give justification</label> <input type="text" class="form-control" name="prosecuted_justification" id="prosecuted_justification" value="<?php echo e($statutory->q4_justification); ?>" > </div> </div> </div> </section> <h3>Other Resource</h3> <section > <h4>Other Resources</h4><br> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> </div> <div class="col-4"> <div class="form-group"> <h5>Head Office – Corporate Office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <h5>Branch Offices</h5> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Status (Leased/Owned)</h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_status"></label> <input type="text" class="form-control" name="head_status" id="head_status" value="<?php echo e($resource->head_status); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_status"></label> <input type="text" class="form-control" name="branch_status" id="branch_status" value="<?php echo e($resource->branch_status); ?>"> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Carpet area of Office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_area"></label> <input type="text" class="form-control" name="head_area" id="head_area" value="<?php echo e($resource->head_area); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_area"></label> <input type="text" class="form-control" name="branch_area" id="branch_area" value="<?php echo e($resource->branch_area); ?>" > </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Infrastructure in office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_infrastructure"></label> <input type="text" class="form-control" name="head_infrastructure" id="head_infrastructure" value="<?php echo e($resource->head_infrastructure); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_infrastructure"></label> <input type="text" class="form-control" name="branch_infrastructure" id="branch_infrastructure" value="<?php echo e($resource->branch_infrastructure); ?>" > </div> </div> </div> <div> </div> </section> <h3>Staff</h3> <section > <h4>Staff Details - NUMBERS (FT=Full time, PT=Part time)</h4><br> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2"> </div> <div class="col-5"> <div class="form-group"> <h5>Management</h5> </div> </div> <div class="col-5"> <div class="form-group"> <h5 style="padding-left:72x;">Non - Management</h5> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Permanent</h5> </div> </div> <div class="col-5 row"> <div class="col-5"> <div class="form-group"> <label for="man_permanent"></label> <input type="text" class="form-control" name="man_permanent" id="man_permanent" value="<?php echo e($staff->man_permanent); ?>" > </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_permanent_shift"></label> <input type="text" class="form-control" name="man_permanent_shift" id="man_permanent_shift" placeholder="PT/FT" value="<?php echo e($staff->man_permanent_shift); ?>" > </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_permanent"></label> <input type="text" class="form-control" name="non_man_permanent" id="non_man_permanent" value="<?php echo e($staff->non_man_permanent); ?>" > </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_permanent_shift"></label> <input type="text" class="form-control" name="non_man_permanent_shift" id="non_man_permanent_shift" placeholder="PT/FT" value="<?php echo e($staff->non_man_permanent_shift); ?>" > </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Temporary</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_temporary"></label> <input type="text" class="form-control" name="man_temporary" id="man_temporary" value="<?php echo e($staff->man_temporary); ?>" > </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_temporary_shift"></label> <input type="text" class="form-control" name="man_temporary_shift" id="man_temporary_shift" value="<?php echo e($staff->man_temporary_shift); ?>" > </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_temporary"></label> <input type="text" class="form-control" name="non_man_temporary" id="non_man_temporary" value="<?php echo e($staff->non_man_temporary); ?>" > </div> </div> <div class="col-5" > <div class="form-group"> <label for="non_man_temporary_shift"></label> <input type="text" class="form-control" name="non_man_temporary_shift" id="non_man_temporary_shift" placeholder="PT/FT" value="<?php echo e($staff->non_man_temporary_shift); ?>" > </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Contractual</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_contractual"></label> <input type="text" class="form-control" name="man_contractual" id="man_contractual" value="<?php echo e($staff->man_contractual); ?>"> </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_contractual_shift"></label> <input type="text" class="form-control" name="man_contractual_shift" id="man_contractual_shift" placeholder="PT/FT" value="<?php echo e($staff->man_contractual_shift); ?>" > </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_contractual"></label> <input type="text" class="form-control" name="non_man_contractual" id="non_man_contractual" value="<?php echo e($staff->non_man_contractual); ?>"> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_contractual_shift"></label> <input type="text" class="form-control" name="non_man_contractual_shift" id="non_man_contractual_shift" placeholder="PT/FT" value="<?php echo e($staff->non_man_contractual_shift); ?>" > </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Consulting</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_consulting_advisory"></label> <input type="text" class="form-control" name="man_consulting_advisory" id="man_consulting_advisory" value="<?php echo e($staff->man_consulting_advisory); ?>" > </div> </div> <div class="col-5"> <div class="form-group"> <label for="man_consulting_shift"></label> <input type="text" class="form-control" name="man_consulting_shift" id="man_consulting_shift" placeholder="PT/FT" value="<?php echo e($staff->man_consulting_shift); ?>" > </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_consulting_advisory"></label> <input type="text" class="form-control" name="non_man_consulting_advisory" id="non_man_consulting_advisory" value="<?php echo e($staff->non_man_consulting_advisory); ?>" > </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_consulting_shift"></label> <input type="text" class="form-control" name="non_man_consulting_shift" id="non_man_consulting_shift" placeholder="PT/FT" value="<?php echo e($staff->non_man_consulting_shift); ?>"> </div> </div> </div> </div> </section> <h3>Declaration</h3> <section> <h4>Declaration</h4> <div class="form-check"> <label class="form-check-label"> <input class="checkbox" type="checkbox" checked> I the undersigned declare that all the above data and information submitted by me are true and correct to the best of my knowledge and I agree to provide all documentary evidence in support of all my claims. </label> </div> </section> </div> </form> </div> </div> </div> </div> </div>  <?php $__env->stopSection(); ?> <?php echo $__env->make('User.Layout.main_layout', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH C:\xampp\htdocs\iimtlms\resources\views/User/edit_document.blade.php ENDPATH**/ ?>

WordPress