@extends('admin/layout') @section('content')
{{ $error }}
Insurer Name Choose @foreach($companies as $company) company_id?'selected':'')}}>{{$company->company_name}} @endforeach
Plan Name
Policy Type Choose @foreach($policy_types as $policy_type) {{$policy_type}} @endforeach
Application Number
Equote Number
Policy Term
Policy Paying Term
Policy Number
Sum Insured
Premium
Paying Mode Choose @foreach($modes as $mode) {{$mode}} @endforeach
Annual Income Choose @foreach($incomes as $income) {{$income}} @endforeach
Is Tobacco User? Choose Yes No
Date Of Payment
Policy Mode Select Online Offline
Remarks
Proposer Name
Proposer Email
Proposer DOB
Proposer City
Proposer Address
Proposer Mobile
Proposer Alternate Mobile