| Transaction Date |
Document Number |
| {{ isset($response['data']['transaction_date']) ? dateDMYFormat($response['data']['transaction_date']) : "--" }} |
{{ $response['data']['document_number'] }} |
| 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 |
| {{ $response['data']['city'] }} |
{{ $response['data']['area'] }} |
{{ $response['data']['mobile_number'] }} |
| Email Address |
Gender |
| {{ $response['data']['email'] }} |
{{ $response['data']['gender'] }} |
| DOB |
Relation With Head |
| {{ isset($response['data']['dob']) ? dateDMYFormat($response['data']['dob']) : "--" }} |
{{ $response['data']['relation_with_head'] }} |
| Select Insurance Company |
Select Branch |
| {{ $response['data']['insurance_company'] }} |
{{ $response['data']['branch'] }} |
| Policy Number |
Insurance Plan Number |
| {{ $response['data']['policy_number'] }} |
{{ $response['data']['insurance_plan'] }} |
| Select Mode |
Risk Term |
Premium Paying Term |
| {{ $response['data']['mode'] }} |
{{ $response['data']['risk_term'] }} |
{{ $response['data']['premium_paying_term'] }} |
| Risk Start Date (Doc) |
Maturity Date |
| {{ isset($response['data']['risk_from_date']) ? dateDMYFormat($response['data']['risk_from_date']) : "--" }} |
{{ isset($response['data']['maturity_date']) ? dateDMYFormat($response['data']['maturity_date']) : "--" }} |
| Last Premium Payment Date |
Next Premium Due Date |
| {{ isset($response['data']['last_payment_date']) ? dateDMYFormat($response['data']['last_payment_date']) : "--" }} |
{{ isset($response['data']['risk_to_date']) ? dateDMYFormat($response['data']['risk_to_date']) : "--" }} |
| Sum Assured |
Accident Risk Amount |
| {{ $response['data']['sum_assured'] }} |
{{ $response['data']['accident_risk_amount'] }} |
| Basic Premium Amount |
Tax Amount |
| {{ $response['data']['basic_amount'] }} |
{{ $response['data']['tax_amount'] }} |
| Commissionable Amount |
Total Premium Amount |
| {{ $response['data']['commisionable_amount'] }} |
{{ $response['data']['total_amount'] }} |
| Select Policy Status |
Select Broker |
| {{ $response['data']['life_policy_status'] }} |
{{ $response['data']['broker'] }} |
| Select Agency Name |
Select Sub Agent Name |
| {{ $response['data']['agency'] }} |
{{ $response['data']['sub_agent'] }} |
| Remarks |
| {{ $response['data']['remark'] != '' ? $response['data']['remark'] : "--" }} |
| Paid By Client |
Amount |
| {{ $response['data']['party_payment_mode'] != null ? $response['data']['party_payment_mode'] : "--" }} |
{{ $response['data']['party_payout_amount'] }} |
| Paid By Agent |
Amount |
| {{ $response['data']['byus_payment_mode'] != null ? $response['data']['byus_payment_mode'] : "--" }} |
{{ $response['data']['byus_payout_amount'] }} |