{!! Form::label('disbursementDate', 'Disbursement Date:', ['class' => 'control-label']) !!}
{!! Form::text('disbursementDate', date('d-m-Y', strtotime($loanApplication->disbursementDate)), [
'class' => 'form-control',
'id' => 'disbursementDate',
'readonly',
]) !!}
{!! Form::label('loanCode', 'Loan Code:', ['class' => 'control-label']) !!}
{!! Form::text('loanCode', $loanCode, [
'class' => 'form-control',
'id' => 'loanCode',
'readonly',
]) !!}
{!! Form::label('mraLoanCode', 'MRA Loan Code:', ['class' => 'control-label']) !!}
{!! Form::text('mraLoanCode', $mraLoanCode, [
'class' => 'form-control',
'id' => 'mraLoanCode',
'readonly',
]) !!}
{!! Form::label('loanApplicationNo', 'Loan Application No:', ['class' => 'control-label']) !!} (Optional)
{!! Form::text('loanApplicationNo', null, [
'class' => 'form-control',
'id' => 'loanApplicationNo',
'autocomplete' => 'off',
]) !!}
{!! Form::label('installmentDate', 'Installment Date:', ['class' => 'control-label required']) !!}
{!! Form::select('installmentDate', ['' => 'Select'], null, [
'class' => 'form-control',
'id' => 'installmentDate',
'data-validate' => 'required',
]) !!}
{!! Form::label('installmentDay', 'Installment Day:', ['class' => 'control-label required']) !!}
{!! Form::select('installmentDay', ['' => 'Select'], null, [
'class' => 'form-control',
'id' => 'installmentDay',
'data-validate' => 'required',
]) !!}
{!! Form::label('firstRepayDate', 'First Repay Date:', ['class' => 'control-label']) !!}
{!! Form::text('firstRepayDate', $firstRepayDate, [
'class' => 'form-control',
'id' => 'firstRepayDate',
'readonly',
]) !!}
{!! Form::label('loanCycle', 'Loan Cycle:', ['class' => 'control-label']) !!}
{!! Form::text('loanCycle', $loanCycle, [
'class' => 'form-control',
'id' => 'loanCycle',
'readonly',
]) !!}
{!! Form::label('insuranceAmount', 'Insurance Amount:', ['class' => 'control-label']) !!}
{!! Form::text('insuranceAmount', $insuranceAmount, [
'class' => 'form-control',
'id' => 'insuranceAmount',
'readonly',
]) !!}
{!! Form::label('folioNum', 'Folio No:', ['class' => 'control-label']) !!} (Optional)
{!! Form::text('folioNum', null, [
'class' => 'form-control',
'id' => 'folioNum',
'autocomplete' => 'off',
]) !!}
{!! Form::label('interestCalculationMethod', 'Interest Calculation Method:', [
'class' => 'control-label',
]) !!}
{!! Form::text('interestCalculationMethod', null, [
'class' => 'form-control',
'id' => 'interestCalculationMethod',
'readonly',
]) !!}
{!! Form::label('interestRate', 'Interest Rate:', ['class' => 'control-label']) !!}
{!! Form::text('interestRate', null, [
'class' => 'form-control',
'id' => 'interestRate',
'readonly',
]) !!}
{!! Form::label('interestDiscountAmount', 'Interest Discount Amount:', ['class' => 'control-label']) !!} (Optional)
{!! Form::number('interestDiscountAmount', 0, [
'class' => 'form-control',
'id' => 'interestDiscountAmount',
'autocomplete' => 'off',
]) !!}
{!! Form::label('totalRepayAmount', 'Total Repay Amount:', [
'class' => 'control-label',
]) !!}
{!! Form::text('totalRepayAmount', null, [
'class' => 'form-control',
'id' => 'totalRepayAmount',
'readonly',
]) !!}
{!! Form::label('interestAmount', 'Interest Amount:', ['class' => 'control-label']) !!}
{!! Form::text('interestAmount', null, [
'class' => 'form-control',
'id' => 'interestAmount',
'readonly',
]) !!}
{!! Form::label('installmentAmount', 'Installment Amount:', ['class' => 'control-label']) !!}
{!! Form::text('installmentAmount', null, [
'class' => 'form-control',
'id' => 'installmentAmount',
'readonly',
]) !!}
{!! Form::label('paymentTypeIdFk', 'Payment Type:', ['class' => 'control-label required']) !!}
@if(count($paymentType) == 1)
{!! Form::select('paymentTypeIdFk', $paymentType, null, [
'class' => 'form-control',
'id' => 'paymentTypeIdFk',
'readonly' => 'readonly',
]) !!}
@else
{!! Form::select('paymentTypeIdFk', ['' => 'Select']+$paymentType, null, [
'class' => 'form-control',
'id' => 'paymentTypeIdFk',
]) !!}
@endif
@if(isset($paidBankAccount))
{!! Form::label('bankName', 'Bank Name:', ['class' => 'control-label required']) !!}
{!! Form::text('bankName', $paidBankAccount->bankName, [
'class' => 'form-control',
'type' => 'text',
'readonly' => 'readonly',
]) !!}
{!! Form::label('bankAcNumber', 'Bank Acc. Number:', ['class' => 'control-label required']) !!}
{!! Form::text('bankAcNumber', $paidBankAccount->bankAcNumber, [
'class' => 'form-control',
'type' => 'text',
'readonly' => 'readonly',
]) !!}
{!! Form::label('txType', 'Txn Type:', ['class' => 'control-label required']) !!}
{!! Form::text('txType', $paidBankAccount->txType, [
'class' => 'form-control',
'type' => 'text',
'readonly' => 'readonly',
]) !!}
{!! Form::label('batchNumber', 'Batch Number:', ['class' => 'control-label required']) !!}
{!! Form::text('batchNumber', $paidBankAccount->batchNumber, [
'class' => 'form-control',
'type' => 'text',
'readonly' => 'readonly',
]) !!}
@else
{!! Form::label('ledgerId', 'Bank Name:', ['class' => 'control-label required']) !!}
{!! Form::select('ledgerId', ['' => 'Select'], null, [
'class' => 'form-control',
'id' => 'ledgerId',
]) !!}
@endif
{!! Form::label('chequeNo', 'Cheque No:', ['class' => 'control-label required']) !!}
{!! Form::text('chequeNo', $value = null, [
'class' => 'form-control',
'id' => 'chequeNo',
'type' => 'text',
]) !!}
{!! Form::label('chequeDate', 'Cheque Date:', ['class' => 'control-label required']) !!}
{!! Form::text('chequeDate', $value = null, [
'class' => 'form-control datepicker',
'id' => 'chequeDate',
'type' => 'text',
'readonly' => 'readonly',
]) !!}
{!! Form::label('firstGuarantorName', 'Guarantor#1 Name:*', ['class' => 'control-label required']) !!}
{!! Form::text('firstGuarantorName', null, [
'class' => 'form-control',
'id' => 'firstGuarantorName',
]) !!}
{!! Form::label('firstGuarantorRelation', 'Relation:', ['class' => 'control-label required']) !!}
{!! Form::text('firstGuarantorRelation', null, [
'class' => 'form-control',
'id' => 'firstGuarantorRelation',
]) !!}
{!! Form::label('firstGuarantorAddress', 'Address:', ['class' => 'control-label required']) !!}
{!! Form::text('firstGuarantorAddress', $value = null, [
'class' => 'form-control',
'id' => 'firstGuarantorAddress',
]) !!}
{!! Form::label('firstGuarantorContact', 'Contact:', ['class' => 'control-label required']) !!}
{!! Form::text('firstGuarantorContact', null, [
'class' => 'form-control',
'id' => 'firstGuarantorContact',
]) !!}
{!! Form::label('secondGuarantorName', 'Guarantor#2 Name:', ['class' => 'control-label']) !!}
{!! Form::text('secondGuarantorName', null, [
'class' => 'form-control',
'id' => 'secondGuarantorName',
]) !!}
{!! Form::label('secondGuarantorRelation', 'Relation:', ['class' => 'control-label']) !!}
{!! Form::text('secondGuarantorRelation', null, [
'class' => 'form-control',
'id' => 'secondGuarantorRelation',
]) !!}
{!! Form::label('secondGuarantorAddress', 'Address:', ['class' => 'control-label']) !!}
{!! Form::text('secondGuarantorAddress', null, [
'class' => 'form-control',
'id' => 'secondGuarantorAddress',
]) !!}
{!! Form::label('secondGuarantorContact', 'Contact:', ['class' => 'control-label']) !!}
{!! Form::text('secondGuarantorContact', null, [
'class' => 'form-control',
'id' => 'secondGuarantorContact',
]) !!}
Employment Related Information
Self-Employment / Family Employment
N.B: Minimum
Self-Employment Should be 1
Full Time Employment
{!! Form::label('Male', 'Male:', ['class' => 'control-label']) !!}
{!! Form::number('FEFullTimeMale', null, [
'class' => 'form-control',
'id' => 'FEFullTimeMale',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
{!! Form::label('Female', 'Female:', ['class' => 'control-label']) !!}
{!! Form::number('FEFullTimeFemale', null, [
'class' => 'form-control',
'id' => 'FEFullTimeFemale',
'type' => 'number',
'autocomplete' => 'off',
'data-validate' => 'required',
'min' => 0,
'max' => 99,
]) !!}
Part Time Employment
{!! Form::label('Male', 'Male:', ['class' => 'control-label']) !!}
{!! Form::number('FEPartTimeMale', null, [
'class' => 'form-control',
'id' => 'FEPartTimeMale',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
{!! Form::label('Female', 'Female:', ['class' => 'control-label']) !!}
{!! Form::number('FEPartTimeFemale', null, [
'class' => 'form-control',
'id' => 'FEPartTimeFemale',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
Wage-Based Employment
Full Time Employment
{!! Form::label('Male', 'Male:', ['class' => 'control-label']) !!}
{!! Form::number('FEFullTimeMaleWage', null, [
'class' => 'form-control',
'id' => 'FEFullTimeMaleWage',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
{!! Form::label('Female', 'Female:', ['class' => 'control-label']) !!}
{!! Form::number('FEFullTimeFemaleWage', null, [
'class' => 'form-control',
'id' => 'FEFullTimeFemaleWage',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
Part Time Employment
{!! Form::label('Male', 'Male:', ['class' => 'control-label']) !!}
{!! Form::number('OFEPartTimeMaleWage', null, [
'class' => 'form-control',
'id' => 'OFEPartTimeMaleWage',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}
{!! Form::label('Female', 'Female:', ['class' => 'control-label']) !!}
{!! Form::number('OFEPartTimeFemaleWage', null, [
'class' => 'form-control',
'id' => 'OFEPartTimeFemaleWage',
'type' => 'number',
'autocomplete' => 'off',
'min' => 0,
'max' => 99,
]) !!}