WordPress

Coming Soon

revealability

File "27d81f4e46a3d3a9b78efc8f740a5d28bd6eb2fd.php"

Full Path: /home/karnava/public_html/center.karnavati.in/storage/framework/views/27d81f4e46a3d3a9b78efc8f740a5d28bd6eb2fd.php
File size: 37.42 KB
MIME-type: text/html
Charset: utf-8

 
Open Edit   Advanced Editor   Back 
 	
<?php $__env->startSection('title','View Application Form'); ?>
<?php $__env->startSection('main_container'); ?>
      <!-- partial --->
      <div class="main-panel ">
        <div class="content-wrapper">
          <div class="page-header">
            <h3 class="page-title">
                Application Form
            </h3>
            <nav aria-label="breadcrumb">
                <ol class="breadcrumb">
                <li class="breadcrumb-item"><a href="#">Home</a></li>
                <li class="breadcrumb-item active" aria-current="page">Document</li>
                </ol>
            </nav>
          </div>
          <div class="row">
            <div class="col-12 grid-margin">
              <div class="card">
                <div class="card-body">
                  <h4 class="card-title">jquery-steps wizard</h4>
                  <form id="edit-form" action="<?php echo e(url('/edit_document/'.$organization->form_id)); ?>" method="POST" enctype="multipart/form-data" >
                    <?php echo csrf_field(); ?>
                    
                    <div >
                    <!-- <p><?php if(session()->has('success')): ?>
                          <i class="alert alert-success"><?php echo e(session('success')); ?></i>
                        <?php endif; ?></p> -->
                      <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 &amp; 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>
        <!-- content-wrapper ends -->
        <?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**/ ?>