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<?php $__env->startSection('title','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 text-right"> <form action="<?php echo e(route('form.status', $organization->form_id)); ?>" method="post"> <?php echo csrf_field(); ?> Status : <select name="status"> <option value="">Select Status</option> <?php if($organization->status=='Approved') { ?> <option value="Approved" selected>Approved</option> <option value="Action required" >Action required</option> <option value="Re-apply" >Re-apply</option> <option value="Pending" >Pending</option> <?php } elseif($organization->status=='Action required') { ?> <option value="Action required" selected>Action required</option> <option value="Approved" >Approved </option> <option value="Re-apply" >Re-apply</option> <option value="Pending" >Pending</option> <?php } elseif($organization->status=='Re-apply') { ?> <option value="Re-apply" selected >Re-apply </option> <option value="Action required" >Action required</option> <option value="Approved" >Approved</option> <option value="Pending" >Pending</option> <?php }else { ?> <option value="Re-apply" >Re-apply </option> <option value="Action required" >Action required</option> <option value="Approved" >Approved</option> <option value="Pending" selected>Pending</option> <?php } ?> </select> <button class="btn-primary btn-xs" name="submit" value="Send">Submit</button> </form> </h4> <form id="example-form" action="#"> <div > <h3>Organization</h3> <section > <h4>Organization Information</h4> <div class="form-group"> <label>Name of Applicant</label> <input type="text" class="form-control" aria-describedby="emailHelp" name="name_of_applicant" value="<?php echo $organization->name_of_applicant ?>" readonly> </div> <div class="form-group"> <label>Name of Director / Chairman of the Organization</label> <input type="text" class="form-control" aria-describedby="emailHelp" name="name_director" value="<?php echo $organization->name_director ?>" readonly> </div> <div class="form-group"> <label>Nature of Organization (Pvt Ltd./Public Ltd/ Partnership Firm)</label> <input type="text" class="form-control" name="nature_organization" value="<?php echo $organization->nature_organization ?>" readonly> </div> <div class="form-group"> <label>Website Address</label> <input type="text" class="form-control" name="website_address" value="<?php echo $organization->website_address ?>" readonly> </div> <div class="form-group"> <label>Date of Establishment of Organization</label> <input type="text" class="form-control" name="establishment_date" value="<?php echo $organization->establishment_date ?>" readonly> </div> <div class="form-group"> <label>Total no. of Employees as on Date of Application </label> <input type="text" class="form-control" name="total_employees" value="<?php echo $organization->total_employees ?>" readonly> </div> <div class="form-group"> <label>Details of Current Business Activities of The Organization</label> <textarea class="form-control" name="current_business_detail" readonly><?php echo $organization->current_business_detail ?></textarea> </div> <div class="form-group"> <label>Legal Registration Details of Organization</label> <textarea class="form-control" name="legal_registration_detail" readonly><?php echo $organization->legal_registration_detail ?></textarea> </div> </section> <h3>Establishment</h3> <section > <h4>Establishment Information</h4> <div class="form-group"> <label>Head Office / Admin. address</label> <textarea class="form-control" name="office_address" readonly><?php echo $establishment->office_address ?></textarea> </div> <div class="form-group"> <label>Details of other branch locations</label> <textarea class="form-control" name="other_branch_location" readonly><?php echo $establishment->other_branch_location ?></textarea> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3 "> <div class="form-group"> <label>Type of Service Provided</label> <input type="text" class="form-control" name="types_of_service" value="<?php echo $establishment->types_of_service_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="types_of_service_2" value="<?php echo $establishment->types_of_service_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="types_of_service_3" value="<?php echo $establishment->types_of_service_3 ?>" readonly> </div> </div> <div class="col-3 "> <div class="form-group"> <label>Service Details </label> <input type="text" class="form-control" name="service_details" value="<?php echo $establishment->service_details_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="service_details_2" value="<?php echo $establishment->service_details_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="service_details_3" value="<?php echo $establishment->service_details_3 ?>" readonly> </div> </div> <div class="col-3 "> <div class="form-group"> <label>Product Details</label> <input type="text" class="form-control" name="product_details" value="<?php echo $establishment->product_details_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="product_details_2" value="<?php echo $establishment->product_details_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="product_details_3" value="<?php echo $establishment->product_details_3 ?>" readonly> </div> </div> <div class="col-3 "> <div class="form-group"> <label>Client Data </label> <input type="text" class="form-control" name="client_data" value="<?php echo $establishment->client_data_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="client_data_2" value="<?php echo $establishment->client_data_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="client_data_3" value="<?php echo $establishment->client_data_3 ?>" readonly> </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>Year</label> <input type="text" class="form-control" name="year_1" value="<?php echo $financial->year_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="year_2" value="<?php echo $financial->year_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="year_3" value="<?php echo $financial->year_3 ?>" readonly> </div> </div> <div class="col-2"> <div class="form-group"> <label>Revenue Earned</label> <input type="text" class="form-control" name="revenue_1" value="<?php echo $financial->revenue_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="revenue_2" value="<?php echo $financial->revenue_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="revenue_3" value="<?php echo $financial->revenue_3 ?>" readonly> </div> </div> <div class="col-2"> <div class="form-group"> <label>Gross Profit </label> <input type="text" class="form-control" name="gross_1" value="<?php echo $financial->gross_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="gross_2" value="<?php echo $financial->gross_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="gross_3" value="<?php echo $financial->gross_3 ?>" readonly> </div> </div> <div class="col-2"> <div class="form-group"> <label>Net Profit / Loss </label> <input type="text" class="form-control" name="net_profit_1" value="<?php echo $financial->net_profit_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="net_profit_2" value="<?php echo $financial->net_profit_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="net_profit_3" value="<?php echo $financial->net_profit_3 ?>" readonly> </div> </div> <div class="col-2"> <div class="form-group"> <label>Remarks if any </label> <input type="text" class="form-control" name="remarks_1" value="<?php echo $financial->remarks_1 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="remarks_2" value="<?php echo $financial->remarks_2 ?>" readonly> </div> <div class="form-group"> <input type="text" class="form-control" name="remarks_3" value="<?php echo $financial->remarks_3 ?>" readonly> </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>Yes/No </label> <input type="text" class="form-control" name="financial_rescords_confirmation" value="<?php echo $statutory->q1_confirmation ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Please give justification</label> <input type="text" class="form-control" name="financial_records_justification" value="<?php echo $statutory->q1_justification ?>" readonly> </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>Yes/No </label> <input type="text" class="form-control" name="adverse_remarks_confirmation" value="<?php echo $statutory->q2_confirmation ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Please give justification</label> <input type="text" class="form-control" name="adverse_remarks_justification" value="<?php echo $statutory->q2_justification ?>" readonly> </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>N/A </label> <input type="text" class="form-control" name="q3_not_applicable" placeholder="N/A" value="<?php echo $statutory->q3_not_applicable ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Yes/No </label> <input type="text" class="form-control" name="notice_confirmation" value="<?php echo $statutory->q3_confirmation ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Please give justification</label> <input type="text" class="form-control" name="notice_justification" value="<?php echo $statutory->q3_justification ?>" readonly> </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>N/A </label> <input type="text" class="form-control" name="q4_not_applicable" placeholder="N/A" value="<?php echo $statutory->q4_not_applicable ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Yes/No </label> <input type="text" class="form-control" name="prosecuted_confirmation" value="<?php echo $statutory->q4_confirmation ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <label>Please give justification</label> <input type="text" class="form-control" name="prosecuted_justification" value="<?php echo $statutory->q4_justification ?>" readonly> </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"> <div class="form-group"> <h5>Status (Leased/Owned)</h5> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="head_status" value="<?php echo $resource->head_status ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="branch_status" value="<?php echo $resource->branch_status ?>" readonly> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <h5>Carpet area of Office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="head_area" value="<?php echo $resource->head_area ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="branch_area" value="<?php echo $resource->branch_area ?>" readonly> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <h5>Infrastructure in office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="head_infrastructure" value="<?php echo $resource->head_infrastructure ?>" readonly> </div> </div> <div class="col-4"> <div class="form-group"> <input type="text" class="form-control" name="branch_infrastructure" value="<?php echo $resource->branch_infrastructure ?>" readonly> </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"> <div class="form-group"> <h5>Permanent</h5> </div> </div> <div class="col-5 row"> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="man_permanent" value="<?php echo $staff->man_permanent ?>" readonly> </div> </div> <div class="col-5" > <div class="form-group"> <input type="text" class="form-control" name="man_permanent_shift" placeholder="PT/FT" value="<?php echo $staff->man_permanent_shift ?>" readonly> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="non_man_permanent" value="<?php echo $staff->non_man_permanent ?>" readonly> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <input type="text" class="form-control" name="non_man_permanent_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_permanent_shift ?>" readonly> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2"> <div class="form-group"> <h5>Temporary</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="man_temporary" value="<?php echo $staff->man_temporary ?>" readonly> </div> </div> <div class="col-5" > <div class="form-group"> <input type="text" class="form-control" name="man_temporary_shift" value="<?php echo $staff->man_temporary_shift ?>" readonly> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="non_man_temporary" value="<?php echo $staff->non_man_temporary ?>" readonly> </div> </div> <div class="col-5" > <div class="form-group"> <input type="text" class="form-control" name="non_man_temporary_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_temporary_shift ?>" readonly> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2"> <div class="form-group"> <h5>Contractual</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="man_contractual" value="<?php echo $staff->man_contractual ?>" readonly> </div> </div> <div class="col-5" > <div class="form-group"> <input type="text" class="form-control" name="man_contractual_shift" placeholder="PT/FT" value="<?php echo $staff->man_contractual_shift ?>" readonly> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="non_man_contractual" value="<?php echo $staff->non_man_contractual ?>" readonly> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <input type="text" class="form-control" name="non_man_contractual_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_contractual_shift ?>" readonly> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-2"> <div class="form-group"> <h5>Consulting</h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="man_consulting_advisory" value="<?php echo $staff->man_consulting_advisory ?>" readonly> </div> </div> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="man_consulting_shift" placeholder="PT/FT" value="<?php echo $staff->man_consulting_shift ?>" readonly> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <input type="text" class="form-control" name="non_man_consulting_advisory" value="<?php echo $staff->non_man_consulting_advisory ?>" readonly> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <input type="text" class="form-control" name="non_man_consulting_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_consulting_shift ?>" readonly> </div> </div> </div> </div> </section> </div> </form> </div> </div> </div> </div> </div>  <?php $__env->stopSection(); ?> <?php echo $__env->make('Admin.Layout.main_layout', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH C:\xampp\htdocs\iimtlms\resources\views/Admin/application_form.blade.php ENDPATH**/ ?>

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