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business-pdf.blade.php 38KB

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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. <tr>
  25. <td align="right" class="fontStyle1">
  26. <b>ALLO TECHNOLOGY SDN BHD</b>
  27. <p>Cyberview Garden Villas, Persiaran Multimedia, Cyber 7</p>
  28. <p>63000 Cyberjaya, Selangor Darul Ehsan</p>
  29. <p>Tel: 03-8800 5222 Fax 03-8800 5221</p>
  30. <p>E-mail:customerservice@citybroadband.my</p>
  31. <p>Website:www.citybroadband.my</p>
  32. </td>
  33. </tr>
  34. <tr>
  35. <td height="10"></td>
  36. </tr>
  37. <!-- Title -->
  38. <tr>
  39. <td style="border: 1px solid #000">
  40. <table width="100%">
  41. <tr>
  42. <td align="center" style="font-size: 13px;line-height:16px;font-weight:bold">
  43. BROADBAND INTERNET ACCESS SERVICE APPLICATION FORM
  44. </td>
  45. </tr>
  46. </table>
  47. </td>
  48. </tr>
  49. <tr>
  50. <td height="7"></td>
  51. </tr>
  52. <tr>
  53. <td style="font-size: 10px;font-style: italic;">Please write in CAPITAL LETTERS and tick(/) where required</td>
  54. </tr>
  55. <tr>
  56. <td height="7"></td>
  57. </tr>
  58. <!-- Application Type-->
  59. <tr>
  60. <td>
  61. <table>
  62. <tr>
  63. <td style="font-size: 11px;">APPLICATION:</td>
  64. <td width="20">&nbsp;</td>
  65. <td style="width: 16px;border:1px solid #000">
  66. <span>
  67. @if($form->Form->type_service == "New")
  68. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  69. @endif
  70. </span>
  71. </td>
  72. <td style="font-size: 10px;">New</td>
  73. <td width="20">&nbsp;</td>
  74. <td style="width: 16px;border:1px solid #000">
  75. <span>
  76. @if($form->Form->type_service == "Upgrade")
  77. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  78. @endif
  79. </span>
  80. </td>
  81. <td style="font-size: 10px;">Upgrading/Downgrading</td>
  82. <td width="20">&nbsp;</td>
  83. <td style="width: 16px;border:1px solid #000">
  84. <span>
  85. @if($form->Form->type_service == "Relocation")
  86. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  87. @endif
  88. </span>
  89. </td>
  90. <td style="font-size: 10px;">Relocation(RM150)</td>
  91. <td width="20">&nbsp;</td>
  92. <td style="width: 16px;border:1px solid #000">
  93. <span>
  94. @if($form->Form->type_service == "Rectification")
  95. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  96. @endif
  97. </span>
  98. </td>
  99. <td style="font-size: 10px;">Rectification</td>
  100. </tr>
  101. </table>
  102. </td>
  103. </tr>
  104. <!-- Application Type-->
  105. <tr>
  106. <td>
  107. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  108. <tr>
  109. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  110. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">APPLICATION INFORMATION</span>
  111. </td>
  112. </tr>
  113. <tr><td height="5"></td></tr>
  114. <tr>
  115. <td>
  116. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  117. <tr>
  118. <td width="28%" style="font-size: 11px;">Full Name</td>
  119. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->name }}</td>
  120. </tr>
  121. <tr><td colspan="2" height="10"></td></tr>
  122. <tr>
  123. <td width="28%" style="font-size: 11px;">NRIC/Passport No.</td>
  124. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->ic }}</td>
  125. </tr>
  126. <tr><td colspan="2" height="10"></td></tr>
  127. <tr>
  128. <td colspan="2">
  129. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  130. <tr>
  131. <td width="28%" style="font-size: 11px;">Primary Contact No.</td>
  132. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone1 }}</td>
  133. <td width="24%" style="font-size: 11px;text-align:right;padding-right: 10px">Secondary Contact No.</td>
  134. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone2 }}</td>
  135. </tr>
  136. </table>
  137. </td>
  138. </tr>
  139. <tr><td colspan="2" height="10"></td></tr>
  140. <tr>
  141. <td width="28%" style="font-size: 11px;">Designation</td>
  142. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->designation }}</td>
  143. </tr>
  144. <tr><td colspan="2" height="10"></td></tr>
  145. <tr>
  146. <td colspan="2">
  147. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  148. <tr>
  149. <td width="28%" style="font-size: 11px;">Citizenship</td>
  150. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">-</td>
  151. <td width="10%" style="font-size: 11px;text-align:right;padding-right: 10px"> E-mail</td>
  152. <td width="38%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->email }}</td>
  153. </tr>
  154. </table>
  155. </td>
  156. </tr>
  157. </table>
  158. </td>
  159. </tr>
  160. <tr><td height="2"></td></tr>
  161. </table>
  162. </td>
  163. </tr>
  164. <!-- Installation Address -->
  165. <tr>
  166. <td>
  167. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  168. <tr>
  169. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  170. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">INSTALLATION ADDRESS</span>
  171. </td>
  172. </tr>
  173. <tr><td height="5"></td></tr>
  174. <tr>
  175. <td>
  176. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  177. <tr>
  178. <td width="28%" style="font-size: 11px;">Company Reg.No</td>
  179. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_reg }}</td>
  180. </tr>
  181. <tr><td colspan="2" height="10"></td></tr>
  182. <tr>
  183. <td width="28%" style="font-size: 11px;">Company Name</td>
  184. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_name }}</td>
  185. </tr>
  186. <tr><td colspan="2" height="10"></td></tr>
  187. <tr>
  188. <td width="28%" style="font-size: 11px;">Unit. No</td>
  189. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->unit_no }}</td>
  190. </tr>
  191. <tr><td colspan="2" height="10"></td></tr>
  192. <tr>
  193. <td width="28%" style="font-size: 11px;">Address</td>
  194. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{$form->building_name}} , {{ $form->street }}</td>
  195. </tr>
  196. <tr><td colspan="2" height="10"></td></tr>
  197. <tr>
  198. <td colspan="2">
  199. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  200. <tr>
  201. <td width="28%" style="font-size: 11px;">City/State</td>
  202. <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>
  203. <td width="15%" style="font-size: 11px;text-align:right;padding-right: 10px"> Postcode</td>
  204. <td width="25%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->postcode }}</td>
  205. </tr>
  206. </table>
  207. </td>
  208. </tr>
  209. <tr><td colspan="2" height="10"></td></tr>
  210. <tr>
  211. <td colspan="2">
  212. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  213. <tr>
  214. <td width="28%" style="font-size: 11px;">Company No.</td>
  215. <td width="32%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_num }}</td>
  216. <td width="15%" style="font-size: 11px;text-align:right;padding-right: 10px"> Company Fax No.</td>
  217. <td width="25%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->company_fax }}</td>
  218. </tr>
  219. </table>
  220. </td>
  221. </tr>
  222. </table>
  223. </td>
  224. </tr>
  225. <tr><td height="2"></td></tr>
  226. </table>
  227. </td>
  228. </tr>
  229. <!-- Service Details -->
  230. <tr>
  231. <td>
  232. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  233. <tr>
  234. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  235. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">SERVICE DETAILS</span>
  236. </td>
  237. </tr>
  238. <tr><td height="3"></td></tr>
  239. <tr>
  240. <td>
  241. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  242. <tr>
  243. <td width="35%" style="font-size: 11px;">1. Subscription/Contract Period : </td>
  244. <td style="width: 20px;border:1px solid #000"><span>
  245. @if( $package->contract == "12")
  246. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  247. @endif
  248. </span></td>
  249. <td width="5">&nbsp;</td>
  250. <td width="13%" style="font-size: 11px;"> 12 months</td>
  251. <td style="width: 20px;border:1px solid #000"><span>
  252. @if( $package->contract == "24")
  253. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  254. @endif
  255. </span></td>
  256. <td width="5">&nbsp;</td>
  257. <td style="font-size: 11px;"> 24 months</td>
  258. </tr>
  259. </table>
  260. </td>
  261. </tr>
  262. <tr><td height="10"></td></tr>
  263. <tr>
  264. <td>
  265. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  266. <tr>
  267. <td width="34%" style="font-size: 11px;">2. Required For Service : </td>
  268. <td width="25%" height="16" style="font-size: 11px;border:1px solid #000"><span>{{ $package->rfs }}</span></td>
  269. <td width="25%" style="font-size: 11px;text-align: right;padding-right: 5px;">Billing Cycle</td>
  270. <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>
  271. <td width="25%"></td>
  272. </tr>
  273. </table>
  274. </td>
  275. </tr>
  276. <tr><td height="10"></td></tr>
  277. <tr>
  278. <td>
  279. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  280. <tr>
  281. <td width="34%" style="font-size: 11px;">3. Subscribe for Fixed IP : </td>
  282. <td width="50%" height="16" style="font-size: 11px;border:1px solid #000"><span>{{ $package->ip }}</span></td>
  283. <td width="3%" style="font-size: 11px;"></td>
  284. <td width="25%"></td>
  285. </tr>
  286. </table>
  287. </td>
  288. </tr>
  289. <tr><td height="8"></td></tr>
  290. <tr>
  291. <td>
  292. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  293. <tr>
  294. <td style="font-size: 10px;font-style: italic">1. Standard contract period is 24 months unless otherwise stated</td>
  295. </tr>
  296. <tr>
  297. <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>
  298. </tr>
  299. <tr>
  300. <td style="font-size: 10px;font-style: italic">3. Early termination will subject to RM 500 penalty.</td>
  301. </tr>
  302. <tr>
  303. <td style="font-size: 10px;font-style: italic">4. Separete penalty charge for broadband and voice</td>
  304. </tr>
  305. </table>
  306. </td>
  307. </tr>
  308. <tr><td height="8"></td></tr>
  309. <tr>
  310. <td>
  311. <table border="0" cellpadding="0" cellspacing="0">
  312. <tr>
  313. <td height="20" width="200" style="font-size: 10px;border:1px solid #000;padding: 5px 3px;font-style: italic">Remarks</td>
  314. </tr>
  315. </table>
  316. </td>
  317. </tr>
  318. <tr><td height="2"></td></tr>
  319. </table>
  320. </td>
  321. </tr>
  322. <!-- Service Details -->
  323. <tr>
  324. <td>
  325. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  326. <tr>
  327. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  328. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">PACKAGE DETAILS</span>
  329. </td>
  330. </tr>
  331. <tr><td height="5"></td></tr>
  332. <tr>
  333. <td>
  334. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  335. <tr>
  336. <td style="font-size: 11px;font-weight: bold">1. City Broadband Business (Best Effort Bandwith)</td>
  337. </tr>
  338. </table>
  339. </td>
  340. </tr>
  341. <tr><td height="5"></td></tr>
  342. <tr>
  343. @if( date('d/m/Y', strtotime($form->created_at)) >= '03/02/2020' )
  344. <td>
  345. <table border="0" cellpadding="0" cellspacing="0">
  346. @foreach($product as $p)
  347. @if($p->speed != '10' && $p->speed != '30')
  348. <tr>
  349. <td width="13" height="13" style="border:1px solid black;">
  350. <span>
  351. @if( $package->name == $p->speed )
  352. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  353. @endif
  354. </span>
  355. </td>
  356. <td width="5">&nbsp;</td>
  357. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  358. <td width="10">&nbsp;</td>
  359. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval(preg_replace("/\,/", "",$p->retail_price)) * 1.06, 2) }} )</td>
  360. <td>&nbsp;</td>
  361. </tr>
  362. @endif
  363. @endforeach
  364. </table>
  365. </td>
  366. @else
  367. <td>
  368. <table border="0" cellpadding="0" cellspacing="0">
  369. @foreach($product as $p)
  370. <tr>
  371. <td width="13" height="13" style="border:1px solid black;">
  372. <span>
  373. @if( $package->name == $p->speed )
  374. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  375. @endif
  376. </span>
  377. </td>
  378. <td width="5">&nbsp;</td>
  379. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  380. <td width="10">&nbsp;</td>
  381. <td style="font-size: 11px;">
  382. @if($p->speed == '10')
  383. <b>RM 149</b> ( RM {{ number_format(149 * 1.06, 2) }} )
  384. @elseif($p->speed == '30')
  385. <b>RM 259</b> ( RM {{ number_format(259 * 1.06, 2) }} )
  386. @elseif($p->speed == '50')
  387. <b>RM 279</b> ( RM {{ number_format(279 * 1.06, 2) }} )
  388. @elseif($p->speed == '100')
  389. <b>RM 299</b> ( RM {{ number_format(299 * 1.06, 2) }} )
  390. @elseif($p->speed == '300')
  391. <b>RM 999</b> ( RM {{ number_format(999 * 1.06, 2) }} )
  392. @elseif($p->speed == '500')
  393. <b>RM 1899</b> ( RM {{ number_format(1899 * 1.06, 2) }} )
  394. @elseif($p->speed == '1')
  395. <b>RM 3499</b> ( RM {{ number_format(3499 * 1.06, 2) }} )
  396. @endif
  397. </td>
  398. <td>&nbsp;</td>
  399. </tr>
  400. @endforeach
  401. </table>
  402. </td>
  403. @endif
  404. </tr>
  405. <tr><td height="4"></td></tr>
  406. <tr>
  407. <td style="font-size: 9px;font-style: italic">*All prices shown in the bracket include 6% Goods and Services Tax (SST)</td>
  408. </tr>
  409. <tr><td height="5"></td></tr>
  410. <tr>
  411. <td>
  412. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  413. <tr>
  414. <td style="font-size: 11px;font-weight: bold">2. Voice (Home)</td>
  415. </tr>
  416. </table>
  417. </td>
  418. </tr>
  419. <tr><td height="5"></td></tr>
  420. <tr>
  421. <td>
  422. <table border="0" cellpadding="0" cellspacing="0">
  423. <tr>
  424. <td width="13" height="13" style="border:1px solid black;">
  425. <span>
  426. @if($package->voice_fee == "Yes" || $package->voice_fee == "yes")
  427. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  428. @else
  429. @endif
  430. </span>
  431. </td>
  432. <td width="5">&nbsp;</td>
  433. <td style="font-size: 11px;"><b>Yes</b></td>
  434. <td width="25">&nbsp;</td>
  435. <td width="13" height="13" style="border:1px solid black;">
  436. <span>
  437. @if($package->voice_fee == "no" || $package->voice_fee == '' || $package->voice_fee == "No")
  438. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  439. @else
  440. @endif
  441. </span>
  442. </td>
  443. <td width="5">&nbsp;</td>
  444. <td style="font-size: 11px;"><b>No</b></td>
  445. </tr>
  446. </table>
  447. </td>
  448. </tr>
  449. <tr><td height="20"></td></tr>
  450. <tr>
  451. <td>
  452. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  453. <tr>
  454. <td style="font-size: 11px;font-weight: bold;font-style: italic"><u>Advanced Payment</u></td>
  455. </tr>
  456. <tr>
  457. <td style="font-size: 11px;">1 Month Fee : <b>RM {{ $package->montly_fee }}</b> (including GST)</td>
  458. </tr>
  459. <tr>
  460. <td style="font-size: 11px;">Deposit Fee : <b>RM {{ $package->deposit }}</b></td>
  461. </tr>
  462. @if( date('d/m/Y', strtotime($form->created_at)) >= '03/02/2020' )
  463. <tr>
  464. @if($package->voice_fee == "no" || $package->voice_fee == "No" || $package->voice_fee == "NO")
  465. <td style="font-size: 11px;">Voice Fee : <b>RM 0</b></td>
  466. @elseif($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  467. <td style="font-size: 11px;">Voice Fee : <b>RM 20</b></td>
  468. @endif
  469. </tr>
  470. @else
  471. <tr>
  472. @if($package->voice_fee == "no" || $package->voice_fee == "No" || $package->voice_fee == "NO")
  473. <td style="font-size: 11px;">Voice Fee : <b>RM 0</b></td>
  474. @elseif($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  475. <td style="font-size: 11px;">Voice Fee : <b>RM 30</b></td>
  476. @endif
  477. </tr>
  478. @endif
  479. <tr>
  480. <td style="font-size: 11px;">OTC Fee : <b>RM {{ $package->upfront_payment }}</b></td>
  481. </tr>
  482. <tr>
  483. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->montly_fee) + floatval($package->deposit) + floatval($package->voice_fee) + floatval($package->upfront_payment), 2) }}</b></td>
  484. </tr>
  485. <tr>
  486. <td style="font-size: 9px;">*Installation fee will be waived for premises with available of required infrastructure</td>
  487. </tr>
  488. <tr>
  489. <td style="font-size: 9px;">**Deposit is refundable</td>
  490. </tr>
  491. </table>
  492. </td>
  493. </tr>
  494. <tr><td height="20"></td></tr>
  495. </table>
  496. </td>
  497. </tr>
  498. <!-- Document -->
  499. <tr>
  500. <td>
  501. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  502. <tr>
  503. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  504. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">DOCUMENTS AND DECLARATION</span>
  505. </td>
  506. </tr>
  507. <tr><td height="5"></td></tr>
  508. <tr>
  509. <td style="font-size: 11px;"><b>Documents Required:</b></td>
  510. </tr>
  511. <tr><td height="5"></td></tr>
  512. <tr>
  513. <td>
  514. <table border="0" cellpadding="0" cellspacing="0">
  515. <tr>
  516. <td width="12" height="12" style="border:1px solid black"><span><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></span></td>
  517. <td width="5">&nbsp;</td>
  518. <td style="font-size: 11px;">Photocopy of MyKad (front and back) or passport for Non-Malaysian (minimum 12 months validity)</td>
  519. </tr>
  520. </table>
  521. </td>
  522. </tr>
  523. <tr><td height="5"></td></tr>
  524. <tr>
  525. <td style="font-size: 11px;"><b>Declarations:</b></td>
  526. </tr>
  527. <tr><td height="5"></td></tr>
  528. <tr>
  529. <td>
  530. <table border="0" cellpadding="0" cellspacing="0">
  531. <tr>
  532. <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>
  533. </tr>
  534. <tr><td height="10"></td></tr>
  535. <tr>
  536. <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>
  537. </tr>
  538. <tr><td height="10"></td></tr>
  539. <tr>
  540. <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>
  541. </tr>
  542. </table>
  543. </td>
  544. </tr>
  545. <tr><td height="5"></td></tr>
  546. <tr>
  547. <td style="font-size: 12px;text-align: justify"><b>Submitted Date:</b> {{ $form->created_at }}</td>
  548. </tr>
  549. </table>
  550. </td>
  551. </tr>
  552. </table>
  553. @if($form->back_ic != "" && $form->front_ic != "")
  554. @if(($ext1 == "jpeg" && $ext2 == "jpeg") || ($ext1 == "jpg" && $ext2 == "jpg") || ($ext1 == "JPG" && $ext2 == "JPG"))
  555. @if($ext3 == "pdf" && $ext4 == "pdf")
  556. @if(($ext5 == "jpeg" && $ext6 == "jpeg") || ($ext5 == "jpg" && $ext6 == "jpg") || ($ext5 == "JPG" && $ext6 == "JPG"))
  557. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  558. <tr>
  559. <td>
  560. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  561. <tr>
  562. <td align="center" style="font-size: 16; font-weight: bold;">
  563. Attachment
  564. </td>
  565. </tr>
  566. <tr><td height="10"></td></tr>
  567. <tr>
  568. <td style="font-size: 14; font-weight: bold;">
  569. Identity Card (Front)
  570. </td>
  571. </tr>
  572. <tr><td height="5"></td></tr>
  573. <tr>
  574. <td width="100%">
  575. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  576. </td>
  577. </tr>
  578. <tr><td height="5"></td></tr>
  579. <tr>
  580. <td style="font-size: 14; font-weight: bold;">
  581. Identity Card (Back)
  582. </td>
  583. </tr>
  584. <tr><td height="5"></td></tr>
  585. <tr>
  586. <td width="100%">
  587. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  588. </td>
  589. </tr>
  590. </table>
  591. </td>
  592. </tr>
  593. <tr>
  594. <td>
  595. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  596. <tr>
  597. <td style="font-size: 14; font-weight: bold;">
  598. Visa (Front)
  599. </td>
  600. </tr>
  601. <tr><td height="5"></td></tr>
  602. <tr>
  603. <td width="100%">
  604. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaF) }}">
  605. </td>
  606. </tr>
  607. <tr><td height="5"></td></tr>
  608. <tr>
  609. <td style="font-size: 14; font-weight: bold;">
  610. Visa (Back)
  611. </td>
  612. </tr>
  613. <tr><td height="5"></td></tr>
  614. <tr>
  615. <td width="100%">
  616. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaB) }}">
  617. </td>
  618. </tr>
  619. </table>
  620. </td>
  621. </tr>
  622. </table>
  623. @elseif($ext5 == "pdf" && $ext6 == "pdf")
  624. @else
  625. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  626. <tr>
  627. <td>
  628. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  629. <tr>
  630. <td align="center" style="font-size: 16; font-weight: bold;">
  631. Attachment
  632. </td>
  633. </tr>
  634. <tr><td height="10"></td></tr>
  635. <tr>
  636. <td style="font-size: 14; font-weight: bold;">
  637. Identity Card (Front)
  638. </td>
  639. </tr>
  640. <tr><td height="5"></td></tr>
  641. <tr>
  642. <td width="100%">
  643. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  644. </td>
  645. </tr>
  646. <tr><td height="5"></td></tr>
  647. <tr>
  648. <td style="font-size: 14; font-weight: bold;">
  649. Identity Card (Back)
  650. </td>
  651. </tr>
  652. <tr><td height="5"></td></tr>
  653. <tr>
  654. <td width="100%">
  655. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  656. </td>
  657. </tr>
  658. </table>
  659. </td>
  660. </tr>
  661. </table>
  662. @endif
  663. @elseif(($ext3 == "jpeg" && $ext4 == "jpeg") || ($ext3 == "jpg" && $ext4 == "jpg") || ($ext3 == "JPG" && $ext4 == "JPG"))
  664. @if(($ext5 == "jpeg" && $ext6 == "jpeg") || ($ext5 == "jpg" && $ext6 == "jpg") || ($ext5 == "JPG" && $ext6 == "JPG"))
  665. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  666. <tr>
  667. <td>
  668. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  669. <tr>
  670. <td align="center" style="font-size: 16; font-weight: bold;">
  671. Attachment
  672. </td>
  673. </tr>
  674. <tr><td height="10"></td></tr>
  675. <tr>
  676. <td style="font-size: 14; font-weight: bold;">
  677. Identity Card (Front)
  678. </td>
  679. </tr>
  680. <tr><td height="5"></td></tr>
  681. <tr>
  682. <td width="100%">
  683. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  684. </td>
  685. </tr>
  686. <tr><td height="5"></td></tr>
  687. <tr>
  688. <td style="font-size: 14; font-weight: bold;">
  689. Identity Card (Back)
  690. </td>
  691. </tr>
  692. <tr><td height="5"></td></tr>
  693. <tr>
  694. <td width="100%">
  695. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  696. </td>
  697. </tr>
  698. </table>
  699. </td>
  700. </tr>
  701. <tr>
  702. <td>
  703. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  704. <tr>
  705. <td style="font-size: 14; font-weight: bold;">
  706. Visa (Front)
  707. </td>
  708. </tr>
  709. <tr><td height="5"></td></tr>
  710. <tr>
  711. <td width="100%">
  712. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaF) }}">
  713. </td>
  714. </tr>
  715. <tr><td height="5"></td></tr>
  716. <tr>
  717. <td style="font-size: 14; font-weight: bold;">
  718. Visa (Back)
  719. </td>
  720. </tr>
  721. <tr><td height="5"></td></tr>
  722. <tr>
  723. <td width="100%">
  724. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaB) }}">
  725. </td>
  726. </tr>
  727. </table>
  728. </td>
  729. </tr>
  730. <tr>
  731. <td>
  732. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  733. <tr>
  734. <td style="font-size: 14; font-weight: bold;">
  735. Form 24_49
  736. </td>
  737. </tr>
  738. <tr><td height="5"></td></tr>
  739. <tr>
  740. <td width="100%">
  741. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  742. </td>
  743. </tr>
  744. <tr><td height="5"></td></tr>
  745. <tr>
  746. <td style="font-size: 14; font-weight: bold;">
  747. Form 9_44
  748. </td>
  749. </tr>
  750. <tr><td height="5"></td></tr>
  751. <tr>
  752. <td width="100%">
  753. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  754. </td>
  755. </tr>
  756. </table>
  757. </td>
  758. </tr>
  759. </table>
  760. @elseif($ext5 == "pdf" && $ext6 == "pdf")
  761. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  762. <tr>
  763. <td>
  764. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  765. <tr>
  766. <td align="center" style="font-size: 16; font-weight: bold;">
  767. Attachment
  768. </td>
  769. </tr>
  770. <tr><td height="10"></td></tr>
  771. <tr>
  772. <td style="font-size: 14; font-weight: bold;">
  773. Identity Card (Front)
  774. </td>
  775. </tr>
  776. <tr><td height="5"></td></tr>
  777. <tr>
  778. <td width="100%">
  779. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  780. </td>
  781. </tr>
  782. <tr><td height="5"></td></tr>
  783. <tr>
  784. <td style="font-size: 14; font-weight: bold;">
  785. Identity Card (Back)
  786. </td>
  787. </tr>
  788. <tr><td height="5"></td></tr>
  789. <tr>
  790. <td width="100%">
  791. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  792. </td>
  793. </tr>
  794. </table>
  795. </td>
  796. </tr>
  797. <tr>
  798. <td>
  799. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  800. <tr>
  801. <td style="font-size: 14; font-weight: bold;">
  802. Form 24_49
  803. </td>
  804. </tr>
  805. <tr><td height="5"></td></tr>
  806. <tr>
  807. <td width="100%">
  808. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  809. </td>
  810. </tr>
  811. <tr><td height="5"></td></tr>
  812. <tr>
  813. <td style="font-size: 14; font-weight: bold;">
  814. Form 9_44
  815. </td>
  816. </tr>
  817. <tr><td height="5"></td></tr>
  818. <tr>
  819. <td width="100%">
  820. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  821. </td>
  822. </tr>
  823. </table>
  824. </td>
  825. </tr>
  826. </table>
  827. @else
  828. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  829. <tr>
  830. <td>
  831. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  832. <tr>
  833. <td align="center" style="font-size: 16; font-weight: bold;">
  834. Attachment
  835. </td>
  836. </tr>
  837. <tr><td height="10"></td></tr>
  838. <tr>
  839. <td style="font-size: 14; font-weight: bold;">
  840. Identity Card (Front)
  841. </td>
  842. </tr>
  843. <tr><td height="5"></td></tr>
  844. <tr>
  845. <td width="100%">
  846. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->front_ic) }}">
  847. </td>
  848. </tr>
  849. <tr><td height="5"></td></tr>
  850. <tr>
  851. <td style="font-size: 14; font-weight: bold;">
  852. Identity Card (Back)
  853. </td>
  854. </tr>
  855. <tr><td height="5"></td></tr>
  856. <tr>
  857. <td width="100%">
  858. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->back_ic) }}">
  859. </td>
  860. </tr>
  861. </table>
  862. </td>
  863. </tr>
  864. <tr>
  865. <td>
  866. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  867. <tr>
  868. <td style="font-size: 14; font-weight: bold;">
  869. Form 24_49
  870. </td>
  871. </tr>
  872. <tr><td height="5"></td></tr>
  873. <tr>
  874. <td width="100%">
  875. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  876. </td>
  877. </tr>
  878. <tr><td height="5"></td></tr>
  879. <tr>
  880. <td style="font-size: 14; font-weight: bold;">
  881. Form 9_44
  882. </td>
  883. </tr>
  884. <tr><td height="5"></td></tr>
  885. <tr>
  886. <td width="100%">
  887. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  888. </td>
  889. </tr>
  890. </table>
  891. </td>
  892. </tr>
  893. </table>
  894. @endif
  895. @endif
  896. @elseif($ext1 == "pdf" && $ext2 == "pdf")
  897. @if($ext3 == "pdf" && $ext4 == "pdf")
  898. @if($ext5 == "pdf" && $ext6 == "pdf")
  899. @elseif(($ext5 == "jpeg" && $ext6 == "jpeg") || ($ext5 == "jpg" && $ext6 == "jpg") || ($ext5 == "JPG" && $ext6 == "JPG"))
  900. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  901. <tr>
  902. <td>
  903. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  904. <tr>
  905. <td align="center" style="font-size: 16; font-weight: bold;">
  906. Attachment
  907. </td>
  908. </tr>
  909. </table>
  910. </td>
  911. </tr>
  912. <tr>
  913. <td>
  914. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  915. <tr>
  916. <td style="font-size: 14; font-weight: bold;">
  917. Visa (Front)
  918. </td>
  919. </tr>
  920. <tr><td height="5"></td></tr>
  921. <tr>
  922. <td width="100%">
  923. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaF) }}">
  924. </td>
  925. </tr>
  926. <tr><td height="5"></td></tr>
  927. <tr>
  928. <td style="font-size: 14; font-weight: bold;">
  929. Visa (Back)
  930. </td>
  931. </tr>
  932. <tr><td height="5"></td></tr>
  933. <tr>
  934. <td width="100%">
  935. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaB) }}">
  936. </td>
  937. </tr>
  938. </table>
  939. </td>
  940. </tr>
  941. </table>
  942. @else
  943. @endif
  944. @elseif(($ext3 == "jpeg" && $ext4 == "jpeg") || ($ext3 == "jpg" && $ext4 == "jpg") || ($ext3 == "JPG" && $ext4 == "JPG"))
  945. @if($ext5 == "pdf" && $ext6 == "pdf")
  946. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  947. <tr>
  948. <td>
  949. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  950. <tr>
  951. <td align="center" style="font-size: 16; font-weight: bold;">
  952. Attachment
  953. </td>
  954. </tr>
  955. </table>
  956. </td>
  957. </tr>
  958. <tr>
  959. <td>
  960. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  961. <tr>
  962. <td style="font-size: 14; font-weight: bold;">
  963. Form 24_49
  964. </td>
  965. </tr>
  966. <tr><td height="5"></td></tr>
  967. <tr>
  968. <td width="100%">
  969. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  970. </td>
  971. </tr>
  972. <tr><td height="5"></td></tr>
  973. <tr>
  974. <td style="font-size: 14; font-weight: bold;">
  975. Form 9_44
  976. </td>
  977. </tr>
  978. <tr><td height="5"></td></tr>
  979. <tr>
  980. <td width="100%">
  981. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  982. </td>
  983. </tr>
  984. </table>
  985. </td>
  986. </tr>
  987. </table>
  988. @elseif(($ext5 == "jpeg" && $ext6 == "jpeg") || ($ext5 == "jpg" && $ext6 == "jpg") || ($ext5 == "JPG" && $ext6 == "JPG"))
  989. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  990. <tr>
  991. <td>
  992. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  993. <tr>
  994. <td align="center" style="font-size: 16; font-weight: bold;">
  995. Attachment
  996. </td>
  997. </tr>
  998. </table>
  999. </td>
  1000. </tr>
  1001. <tr>
  1002. <td>
  1003. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  1004. <tr>
  1005. <td style="font-size: 14; font-weight: bold;">
  1006. Visa (Front)
  1007. </td>
  1008. </tr>
  1009. <tr><td height="5"></td></tr>
  1010. <tr>
  1011. <td width="100%">
  1012. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaF) }}">
  1013. </td>
  1014. </tr>
  1015. <tr><td height="5"></td></tr>
  1016. <tr>
  1017. <td style="font-size: 14; font-weight: bold;">
  1018. Visa (Back)
  1019. </td>
  1020. </tr>
  1021. <tr><td height="5"></td></tr>
  1022. <tr>
  1023. <td width="100%">
  1024. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->visaB) }}">
  1025. </td>
  1026. </tr>
  1027. </table>
  1028. </td>
  1029. </tr>
  1030. <tr>
  1031. <td>
  1032. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  1033. <tr>
  1034. <td style="font-size: 14; font-weight: bold;">
  1035. Form 24_49
  1036. </td>
  1037. </tr>
  1038. <tr><td height="5"></td></tr>
  1039. <tr>
  1040. <td width="100%">
  1041. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  1042. </td>
  1043. </tr>
  1044. <tr><td height="5"></td></tr>
  1045. <tr>
  1046. <td style="font-size: 14; font-weight: bold;">
  1047. Form 9_44
  1048. </td>
  1049. </tr>
  1050. <tr><td height="5"></td></tr>
  1051. <tr>
  1052. <td width="100%">
  1053. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  1054. </td>
  1055. </tr>
  1056. </table>
  1057. </td>
  1058. </tr>
  1059. </table>
  1060. @else
  1061. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  1062. <tr>
  1063. <td>
  1064. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  1065. <tr>
  1066. <td align="center" style="font-size: 16; font-weight: bold;">
  1067. Attachment
  1068. </td>
  1069. </tr>
  1070. </table>
  1071. </td>
  1072. </tr>
  1073. <tr>
  1074. <td>
  1075. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  1076. <tr>
  1077. <td style="font-size: 14; font-weight: bold;">
  1078. Form 24_49
  1079. </td>
  1080. </tr>
  1081. <tr><td height="5"></td></tr>
  1082. <tr>
  1083. <td width="100%">
  1084. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form24_49) }}">
  1085. </td>
  1086. </tr>
  1087. <tr><td height="5"></td></tr>
  1088. <tr>
  1089. <td style="font-size: 14; font-weight: bold;">
  1090. Form 9_44
  1091. </td>
  1092. </tr>
  1093. <tr><td height="5"></td></tr>
  1094. <tr>
  1095. <td width="100%">
  1096. <img style="display:block;max-width:670px;height:auto" src="{{ url($form->form9_44) }}">
  1097. </td>
  1098. </tr>
  1099. </table>
  1100. </td>
  1101. </tr>
  1102. </table>
  1103. @endif
  1104. @endif
  1105. @endif
  1106. @endif
  1107. </body>
  1108. </html>