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newBusiness-pdf.blade.php 27KB

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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <style type="text/css">
  5. body{
  6. font-family: 'Helvetica','sans-serif';
  7. }
  8. .fontStyle1 {
  9. font-size: 8px;
  10. line-height: 10px;
  11. }
  12. .fontStyle1 p{
  13. margin-top: 0px;
  14. margin-bottom: 0px;
  15. }
  16. .page-break {
  17. page-break-after: always;
  18. }
  19. </style>
  20. </head>
  21. <body>
  22. <!-- Address -->
  23. <table width="100%">
  24. @if($package->name != '1' && $package->contract == '24' && ($dateSubmittion >= '12/08/2020' || $dateSubmittion >= '01/10/2020') )
  25. <tr>
  26. <td align="left" style="font-size: 10px">
  27. <b style="color: red">PROMOTION (RM 10 off for 24 months)</b>
  28. </td>
  29. </tr>
  30. @endif
  31. <tr>
  32. <td align="right" class="fontStyle1">
  33. <b>ALLO TECHNOLOGY SDN BHD</b>
  34. <p>Cyberview Garden Villas, Persiaran Multimedia, Cyber 7</p>
  35. <p>63000 Cyberjaya, Selangor Darul Ehsan</p>
  36. <p>Tel: 03-8800 5222 Fax 03-8800 5221</p>
  37. <p>E-mail:customerservice@citybroadband.my</p>
  38. <p>Website:www.citybroadband.my</p>
  39. </td>
  40. </tr>
  41. <tr>
  42. <td height="10"></td>
  43. </tr>
  44. <!-- Title -->
  45. <tr>
  46. <td style="border: 1px solid #000">
  47. <table width="100%">
  48. <tr>
  49. <td align="center" style="font-size: 13px;line-height:16px;font-weight:bold">
  50. BROADBAND INTERNET ACCESS SERVICE APPLICATION FORM
  51. </td>
  52. </tr>
  53. </table>
  54. </td>
  55. </tr>
  56. <tr>
  57. <td height="7"></td>
  58. </tr>
  59. <tr>
  60. <td style="font-size: 10px;font-style: italic;">Please write in CAPITAL LETTERS and tick(/) where required</td>
  61. </tr>
  62. <tr>
  63. <td height="7"></td>
  64. </tr>
  65. <!-- Application Type-->
  66. <tr>
  67. <td>
  68. <table>
  69. <tr>
  70. <td style="font-size: 11px;">APPLICATION:</td>
  71. <td width="20">&nbsp;</td>
  72. <td style="width: 16px;border:1px solid #000">
  73. <span>
  74. @if($form->Form->type_service == "New")
  75. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  76. @endif
  77. </span>
  78. </td>
  79. <td style="font-size: 10px;">New</td>
  80. <td width="20">&nbsp;</td>
  81. <td style="width: 16px;border:1px solid #000">
  82. <span>
  83. @if($form->Form->type_service == "Upgrade")
  84. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  85. @endif
  86. </span>
  87. </td>
  88. <td style="font-size: 10px;">Upgrading/Downgrading</td>
  89. <td width="20">&nbsp;</td>
  90. <td style="width: 16px;border:1px solid #000">
  91. <span>
  92. @if($form->Form->type_service == "Relocation")
  93. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  94. @endif
  95. </span>
  96. </td>
  97. <td style="font-size: 10px;">Relocation(RM150)</td>
  98. <td width="20">&nbsp;</td>
  99. <td style="width: 16px;border:1px solid #000">
  100. <span>
  101. @if($form->Form->type_service == "Rectification")
  102. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  103. @endif
  104. </span>
  105. </td>
  106. <td style="font-size: 10px;">Rectification</td>
  107. </tr>
  108. </table>
  109. </td>
  110. </tr>
  111. <!-- Application Type-->
  112. <tr>
  113. <td>
  114. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  115. <tr>
  116. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  117. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">APPLICATION INFORMATION</span>
  118. </td>
  119. </tr>
  120. <tr><td height="5"></td></tr>
  121. <tr>
  122. <td>
  123. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  124. <tr>
  125. <td width="28%" style="font-size: 11px;">Full Name</td>
  126. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->name }}</td>
  127. </tr>
  128. <tr><td colspan="2" height="10"></td></tr>
  129. <tr>
  130. <td width="28%" style="font-size: 11px;">NRIC/Passport No.</td>
  131. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->ic }}</td>
  132. </tr>
  133. <tr><td colspan="2" height="10"></td></tr>
  134. <tr>
  135. <td colspan="2">
  136. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  137. <tr>
  138. <td width="28%" style="font-size: 11px;">Primary Contact No.</td>
  139. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone1 }}</td>
  140. <td width="24%" style="font-size: 11px;text-align:right;padding-right: 10px">Secondary Contact No.</td>
  141. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone2 }}</td>
  142. </tr>
  143. </table>
  144. </td>
  145. </tr>
  146. <tr><td colspan="2" height="10"></td></tr>
  147. <tr>
  148. <td width="28%" style="font-size: 11px;">Designation</td>
  149. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->designation }}</td>
  150. </tr>
  151. <tr><td colspan="2" height="10"></td></tr>
  152. <tr>
  153. <td colspan="2">
  154. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  155. <tr>
  156. <td width="28%" style="font-size: 11px;">Citizenship</td>
  157. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">-</td>
  158. <td width="10%" style="font-size: 11px;text-align:right;padding-right: 10px"> E-mail</td>
  159. <td width="38%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->email }}</td>
  160. </tr>
  161. </table>
  162. </td>
  163. </tr>
  164. </table>
  165. </td>
  166. </tr>
  167. <tr><td height="2"></td></tr>
  168. </table>
  169. </td>
  170. </tr>
  171. <!-- Installation Address -->
  172. <tr>
  173. <td>
  174. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  175. <tr>
  176. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  177. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">INSTALLATION ADDRESS</span>
  178. </td>
  179. </tr>
  180. <tr><td height="5"></td></tr>
  181. <tr>
  182. <td>
  183. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  184. <tr>
  185. <td width="28%" style="font-size: 11px;">Company Reg.No</td>
  186. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_reg }}</td>
  187. </tr>
  188. <tr><td colspan="2" height="10"></td></tr>
  189. <tr>
  190. <td width="28%" style="font-size: 11px;">Company Name</td>
  191. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_name }}</td>
  192. </tr>
  193. <tr><td colspan="2" height="10"></td></tr>
  194. <tr>
  195. <td width="28%" style="font-size: 11px;">Unit. No</td>
  196. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->unit_no }}</td>
  197. </tr>
  198. <tr><td colspan="2" height="10"></td></tr>
  199. <tr>
  200. <td width="28%" style="font-size: 11px;">Address</td>
  201. @if(!empty($form->building_name))
  202. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{$form->building_name}} , {{ $form->street }}</td>
  203. @else
  204. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->street }}</td>
  205. @endif
  206. </tr>
  207. <tr><td colspan="2" height="10"></td></tr>
  208. <tr>
  209. <td colspan="2">
  210. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  211. <tr>
  212. <td width="28%" style="font-size: 11px;">City/State</td>
  213. <td width="32%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->city }} / {{ $form->state }}</td>
  214. <td width="15%" style="font-size: 11px;text-align:right;padding-right: 10px"> Postcode</td>
  215. <td width="25%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->postcode }}</td>
  216. </tr>
  217. </table>
  218. </td>
  219. </tr>
  220. <tr><td colspan="2" height="10"></td></tr>
  221. <tr>
  222. <td colspan="2">
  223. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  224. <tr>
  225. <td width="28%" style="font-size: 11px;">Company No.</td>
  226. <td width="32%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_num }}</td>
  227. <td width="15%" style="font-size: 11px;text-align:right;padding-right: 10px"> Company Fax No.</td>
  228. <td width="25%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_fax }}</td>
  229. </tr>
  230. </table>
  231. </td>
  232. </tr>
  233. </table>
  234. </td>
  235. </tr>
  236. <tr><td height="2"></td></tr>
  237. </table>
  238. </td>
  239. </tr>
  240. <!-- Service Details -->
  241. <tr>
  242. <td>
  243. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  244. <tr>
  245. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  246. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">SERVICE DETAILS</span>
  247. </td>
  248. </tr>
  249. <tr><td height="3"></td></tr>
  250. <tr>
  251. <td>
  252. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  253. <tr>
  254. <td width="35%" style="font-size: 11px;">1. Subscription/Contract Period : </td>
  255. <td style="width: 20px;border:1px solid #000"><span>
  256. @if( $package->contract == "12")
  257. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  258. @endif
  259. </span></td>
  260. <td width="5">&nbsp;</td>
  261. <td width="13%" style="font-size: 11px;"> 12 months</td>
  262. <td style="width: 20px;border:1px solid #000"><span>
  263. @if( $package->contract == "24")
  264. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  265. @endif
  266. </span></td>
  267. <td width="5">&nbsp;</td>
  268. <td style="font-size: 11px;"> 24 months</td>
  269. </tr>
  270. </table>
  271. </td>
  272. </tr>
  273. <tr><td height="10"></td></tr>
  274. <tr>
  275. <td>
  276. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  277. <tr>
  278. <td width="34%" style="font-size: 11px;">2. Required For Service : </td>
  279. <td width="25%" height="16" style="font-size: 11px;border:1px solid #000"><span>{{ $package->rfs }}</span></td>
  280. <td width="25%" style="font-size: 11px;text-align: right;padding-right: 5px;">Billing Cycle</td>
  281. <td width="3%" style="font-size: 11px;border:1px solid #000"><span><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></span></td>
  282. <td width="25%"></td>
  283. </tr>
  284. </table>
  285. </td>
  286. </tr>
  287. <tr><td height="10"></td></tr>
  288. <tr>
  289. <td>
  290. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  291. <tr>
  292. <td width="34%" style="font-size: 11px;">3. Subscribe for Fixed IP : </td>
  293. <td width="50%" height="16" style="font-size: 11px;border:1px solid #000"><span>{{ $package->ip }}</span></td>
  294. <td width="3%" style="font-size: 11px;"></td>
  295. <td width="25%"></td>
  296. </tr>
  297. </table>
  298. </td>
  299. </tr>
  300. <tr><td height="8"></td></tr>
  301. <tr>
  302. <td>
  303. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  304. <tr>
  305. <td style="font-size: 10px;font-style: italic">1. Standard contract period is 24 months unless otherwise stated</td>
  306. </tr>
  307. <tr>
  308. <td style="font-size: 10px;font-style: italic">2. Required For Service (RFS) is subject to the avaiability of required infrastructure and/or equipment</td>
  309. </tr>
  310. <tr>
  311. <td style="font-size: 10px;font-style: italic">3. Early termination will subject to RM 500 penalty.</td>
  312. </tr>
  313. <tr>
  314. <td style="font-size: 10px;font-style: italic">4. Separete penalty charge for broadband and voice</td>
  315. </tr>
  316. </table>
  317. </td>
  318. </tr>
  319. <tr><td height="8"></td></tr>
  320. <tr>
  321. <td>
  322. <table border="0" cellpadding="0" cellspacing="0">
  323. <tr>
  324. <td height="20" width="200" style="font-size: 10px;border:1px solid #000;padding: 5px 3px;font-style: italic">Remarks</td>
  325. </tr>
  326. </table>
  327. </td>
  328. </tr>
  329. <tr><td height="2"></td></tr>
  330. </table>
  331. </td>
  332. </tr>
  333. <!-- Service Details -->
  334. <tr>
  335. <td>
  336. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  337. <tr>
  338. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  339. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">PACKAGE DETAILS</span>
  340. </td>
  341. </tr>
  342. <tr><td height="5"></td></tr>
  343. <tr>
  344. <td>
  345. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  346. <tr>
  347. <td style="font-size: 11px;font-weight: bold">1. City Broadband Business (Best Effort Bandwith)</td>
  348. </tr>
  349. </table>
  350. </td>
  351. </tr>
  352. <tr><td height="5"></td></tr>
  353. <tr>
  354. <td>
  355. <table border="0" cellpadding="0" cellspacing="0">
  356. @if ($dateSubmittion >= '12/08/2020'|| $dateSubmittion >= '01/10/2020'))
  357. @foreach($product as $p)
  358. @if($p->speed != '10' && $p->speed != '30')
  359. <tr>
  360. <td width="13" height="13" style="border:1px solid black;">
  361. <span>
  362. @if( $package->name == $p->speed )
  363. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  364. @endif
  365. </span>
  366. </td>
  367. <td width="5">&nbsp;</td>
  368. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  369. <td width="10">&nbsp;</td>
  370. @if( $p->promotion_price != '0' && $package->contract == "24")
  371. <td style="font-size: 11px;">
  372. <span style="text-decoration: line-through;">
  373. <b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )
  374. </span>
  375. <b>RM {{ $p->promotion_price }}</b> ( RM {{ number_format(floatval($p->promotion_price) * 1.06, 2) }} )
  376. </td>
  377. @elseif($p->promotion_price == '0' || $package->contract == "12" )
  378. @if ( $p->speed == '1')
  379. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM 3708.94 )</td>
  380. @else
  381. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )</td>
  382. @endif
  383. @endif
  384. <td>&nbsp;</td>
  385. </tr>
  386. @endif
  387. @endforeach
  388. @else
  389. @foreach($product as $p)
  390. @if($p->speed != '10' && $p->speed != '30')
  391. <tr>
  392. <td width="13" height="13" style="border:1px solid black;">
  393. <span>
  394. @if( $package->name == $p->speed )
  395. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  396. @endif
  397. </span>
  398. </td>
  399. <td width="5">&nbsp;</td>
  400. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  401. <td width="10">&nbsp;</td>
  402. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval(preg_replace("/\,/", "",$p->retail_price)) * 1.06, 2) }} )</td>
  403. <td>&nbsp;</td>
  404. </tr>
  405. @endif
  406. @endforeach
  407. @endif
  408. </table>
  409. </td>
  410. </tr>
  411. <tr><td height="4"></td></tr>
  412. @if ($package->name != '1' && $package->contract == '24' && ($dateSubmittion >= '12/08/2020'|| $dateSubmittion >= '01/10/2020'))
  413. <tr>
  414. <td style="font-size: 11px;">
  415. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"> RM 10 off for 24 months
  416. </td>
  417. </tr>
  418. @endif
  419. <tr>
  420. <td style="font-size: 9px;font-style: italic">*All prices shown in the bracket include 6% Services Tax (SST)</td>
  421. </tr>
  422. <tr><td height="5"></td></tr>
  423. <tr>
  424. <td>
  425. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  426. <tr>
  427. <td style="font-size: 11px;font-weight: bold">2. Voice (Home)</td>
  428. </tr>
  429. </table>
  430. </td>
  431. </tr>
  432. <tr><td height="5"></td></tr>
  433. <tr>
  434. <td>
  435. <table border="0" cellpadding="0" cellspacing="0">
  436. @if($package->name == '50')
  437. <tr>
  438. <td width="13" height="13" style="border:1px solid black;">
  439. <span>
  440. @if($package->voice_fee == "Yes" || $package->voice_fee == "yes")
  441. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  442. @else
  443. @endif
  444. </span>
  445. </td>
  446. <td width="5">&nbsp;</td>
  447. <td style="font-size: 11px;"><b>Yes</b></td>
  448. <td width="25">&nbsp;</td>
  449. <td width="13" height="13" style="border:1px solid black;">
  450. <span>
  451. @if($package->voice_fee == "no" || $package->voice_fee == '' || $package->voice_fee == "No")
  452. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  453. @else
  454. @endif
  455. </span>
  456. </td>
  457. <td width="5">&nbsp;</td>
  458. <td style="font-size: 11px;"><b>No</b></td>
  459. </tr>
  460. @else
  461. <tr>
  462. <td width="13" height="13" style="border:1px solid black;">
  463. <span>
  464. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  465. </span>
  466. </td>
  467. <td width="5">&nbsp;</td>
  468. <td style="font-size: 11px;"><b>Free</b></td>
  469. </tr>
  470. @endif
  471. </table>
  472. </td>
  473. </tr>
  474. <tr><td height="20"></td></tr>
  475. <tr>
  476. <td>
  477. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  478. <tr>
  479. <td style="font-size: 11px;font-weight: bold;font-style: italic"><u>Advanced Payment</u></td>
  480. </tr>
  481. <tr>
  482. <td style="font-size: 11px;">1 Month Fee : <b>RM {{ $package->montly_fee }}</b> (including 6% ST)</td>
  483. </tr>
  484. <tr>
  485. <td style="font-size: 11px;">Deposit Fee : <b>RM {{ $package->deposit }}</b></td>
  486. </tr>
  487. <tr>
  488. @if($package->voice_fee == "no" || $package->voice_fee == "No" || $package->voice_fee == "NO")
  489. <td style="font-size: 11px;">Voice Fee : <b>RM 0</b></td>
  490. @elseif($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  491. <td style="font-size: 11px;">Voice Fee : <b>RM 21.20</b> (including 6% ST)</td>
  492. @endif
  493. </tr>
  494. <tr>
  495. <td style="font-size: 11px;">One Time Charge Fee : <b>RM {{ $package->upfront_payment }}</b> (including 6% ST)</td>
  496. </tr>
  497. <tr>
  498. <td style="font-size: 11px;">IP Fee: <b>RM {{ $package->ip_tax }}</b> (including 6% ST)</td>
  499. </tr>
  500. <tr>
  501. @if ($package->name == "1")
  502. @if ($package->ip == "1 Fixed IP RM200/1P/Month")
  503. @if ($package->contract == "12")
  504. <td style="font-size: 11px;">Total : <b>RM 4238.94</b> </td>
  505. @else
  506. <td style="font-size: 11px;">Total : <b>RM 3920.94</b> </td>
  507. @endif
  508. @elseif ($package->ip == "5 Fixed IP RM400/1P/Month")
  509. @if ($package->contract == "12")
  510. <td style="font-size: 11px;">Total : <b>RM 4450.94</b> </td>
  511. @else
  512. <td style="font-size: 11px;">Total : <b>RM 4132.94</b> </td>
  513. @endif
  514. @else
  515. @if ($package->contract == "12")
  516. <td style="font-size: 11px;">Total : <b>RM 4026.94</b> </td>
  517. @else
  518. <td style="font-size: 11px;">Total : <b>RM 3708.94</b> </td>
  519. @endif
  520. @endif
  521. @else
  522. @if($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  523. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->montly_fee) + floatval($package->upfront_payment) + floatval($package->ip_tax) + 21.20 , 2) }}</b></td>
  524. @else
  525. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->montly_fee) + floatval($package->upfront_payment) + floatval($package->ip_tax) , 2) }}</b></td>
  526. @endif
  527. @endif
  528. </tr>
  529. <tr>
  530. <td style="font-size: 9px;">*Installation fee will be woved for permises with available of required infrastructure</td>
  531. </tr>
  532. <tr>
  533. <td style="font-size: 9px;">**Deposit is refundable</td>
  534. </tr>
  535. </table>
  536. </td>
  537. </tr>
  538. <tr><td height="20"></td></tr>
  539. </table>
  540. </td>
  541. </tr>
  542. <!-- Document -->
  543. <tr>
  544. <td>
  545. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  546. <tr>
  547. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  548. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">DOCUMENTS AND DECLARATION</span>
  549. </td>
  550. </tr>
  551. <tr><td height="5"></td></tr>
  552. <tr>
  553. <td style="font-size: 11px;"><b>Documents Required:</b></td>
  554. </tr>
  555. <tr><td height="5"></td></tr>
  556. <tr>
  557. <td>
  558. <table border="0" cellpadding="0" cellspacing="0">
  559. <tr>
  560. <td width="12" height="12" style="border:1px solid black"><span><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></span></td>
  561. <td width="5">&nbsp;</td>
  562. <td style="font-size: 11px;">Photocopy of MyKad (both sides) or passport (Non-Malaysian)</td>
  563. </tr>
  564. </table>
  565. </td>
  566. </tr>
  567. <tr><td height="5"></td></tr>
  568. <tr>
  569. <td style="font-size: 11px;"><b>Declarations:</b></td>
  570. </tr>
  571. <tr><td height="5"></td></tr>
  572. <tr>
  573. <td>
  574. <table border="0" cellpadding="0" cellspacing="0">
  575. <tr>
  576. <td style="font-size: 12px;text-align: justify"><div style="width:16px;height:16px;border:1px solid black;float:left;margin-right: 3px;"><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></div>I hereby consent to the collection, use, disclosure of my personal information in accordance with the PRIVACY POLICY available on www.citybroadband.my</td>
  577. </tr>
  578. <tr><td height="10"></td></tr>
  579. <tr>
  580. <td style="font-size: 12px;text-align: justify"><div style="width:16px;height:16px;border:1px solid black;float:left;margin-right: 3px;"><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></div> I hereby declare that the above information, documents and any appendices attached are true and valid. I have read and undertood the consent of this form and agreed to be bound by TERMS & CONDITIONS as stated on the next page of this form which accompany the subscription of product(s) and/or service(s). Allo Technology Sdn Bhd reserve the rights to refuse any application at any given time should any of the information is incorrect.</td>
  581. </tr>
  582. <tr><td height="10"></td></tr>
  583. <tr>
  584. <td style="font-size: 12px;text-align: justify"><div style="width:16px;height:16px;border:1px solid black;float:left;margin-right: 3px;"><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></div> By signing this document, I agree and accept TERMS & CONDITIONS stipulated herein. I declare that the information provided by me is true and valid. Allo Technology Sdn Bhd reserve the rights to refuse my application at any given time without any refund or whatever monies held by Allo Technology Sdn Bhd should any of the above informationis found to be incorrect. If the service is offered to me, I declare to be bound by the TERMS & CONDITIONS of the service herein</td>
  585. </tr>
  586. </table>
  587. </td>
  588. </tr>
  589. <tr><td height="5"></td></tr>
  590. <tr>
  591. <td style="font-size: 12px;text-align: justify"><b>Submitted Date:</b> {{ $form->created_at }}</td>
  592. </tr>
  593. </table>
  594. </td>
  595. </tr>
  596. </table>
  597. <div class="page-break"></div>
  598. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  599. <tr>
  600. <td>
  601. @if($form->back_ic != "" && $form->front_ic != "")
  602. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  603. <tr>
  604. <td align="center" style="font-size: 16; font-weight: bold;">
  605. Attachment
  606. </td>
  607. </tr>
  608. <tr><td height="10"></td></tr>
  609. @if ($ext1 != "pdf")
  610. <tr>
  611. <td style="font-size: 14; font-weight: bold;">
  612. Identity Card (Front)
  613. </td>
  614. </tr>
  615. <tr><td height="5"></td></tr>
  616. <tr>
  617. <td width="100%">
  618. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  619. </td>
  620. </tr>
  621. @endif
  622. <tr><td height="5"></td></tr>
  623. @if ($ext2 != "pdf")
  624. <tr>
  625. <td style="font-size: 14; font-weight: bold;">
  626. Identity Card (Back)
  627. </td>
  628. </tr>
  629. <tr><td height="5"></td></tr>
  630. <tr>
  631. <td width="100%">
  632. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  633. </td>
  634. </tr>
  635. @endif
  636. </table>
  637. </td>
  638. </tr>
  639. @endif
  640. @if($form->form9_44 != "" && $ext3 != "pdf")
  641. <tr>
  642. <td>
  643. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  644. <tr>
  645. <td style="font-size: 14; font-weight: bold;">
  646. Company Form
  647. </td>
  648. </tr>
  649. <tr><td height="5"></td></tr>
  650. <tr>
  651. <td width="100%" style="text-align: center">
  652. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->form9_44) }}">
  653. </td>
  654. </tr>
  655. </table>
  656. </td>
  657. </tr>
  658. @endif
  659. @if($form->paymentReceipt != "" && $ext4 !="pdf")
  660. <tr>
  661. <td>
  662. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  663. <tr>
  664. <td style="font-size: 14; font-weight: bold;">
  665. Upfront Payment Receipt
  666. </td>
  667. </tr>
  668. <tr><td height="5"></td></tr>
  669. <tr>
  670. <td width="100%" style="text-align: center">
  671. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->paymentReceipt) }}">
  672. </td>
  673. </tr>
  674. </table>
  675. </td>
  676. </tr>
  677. @endif
  678. @if($form->soForm != "" && $ext5 !="pdf")
  679. <tr>
  680. <td>
  681. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  682. <tr>
  683. <td style="font-size: 14; font-weight: bold;">
  684. Service Order Form
  685. </td>
  686. </tr>
  687. <tr><td height="5"></td></tr>
  688. <tr>
  689. <td width="100%" style="text-align: center">
  690. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->soForm) }}">
  691. </td>
  692. </tr>
  693. </table>
  694. </td>
  695. </tr>
  696. @endif
  697. </table>
  698. </table>
  699. </table>
  700. </table>
  701. </table>
  702. </table>
  703. </table>
  704. </body>
  705. </html>