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residential-pdf.blade.php 30KB

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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' && $created >= '2020-08-12')
  25. <tr>
  26. <td align="left" style="font-size: 10px">
  27. <b style="color: red">PROMOTION (RM 10 off for 24 months)</b>
  28. </td>
  29. </tr>
  30. @else
  31. @endif
  32. <tr>
  33. <td align="right" class="fontStyle1">
  34. <b>ALLO TECHNOLOGY SDN BHD</b>
  35. <p>Cyberview Garden Villas, Persiaran Multimedia, Cyber 7</p>
  36. <p>63000 Cyberjaya, Selangor Darul Ehsan</p>
  37. <p>Tel: 03-8800 5222 Fax 03-8800 5221</p>
  38. <p>E-mail:customerservice@citybroadband.my</p>
  39. <p>Website:www.citybroadband.my</p>
  40. </td>
  41. </tr>
  42. <tr>
  43. <td height="10"></td>
  44. </tr>
  45. <!-- Title -->
  46. <tr>
  47. <td style="border: 1px solid #000">
  48. <table width="100%">
  49. <tr>
  50. <td align="center" style="font-size: 13px;line-height:16px;font-weight:bold">
  51. BROADBAND INTERNET ACCESS SERVICE APPLICATION FORM
  52. </td>
  53. </tr>
  54. </table>
  55. </td>
  56. </tr>
  57. <tr>
  58. <td height="7"></td>
  59. </tr>
  60. <tr>
  61. <td style="font-size: 10px;font-style: italic;">Please write in CAPITAL LETTERS and tick(/) where required</td>
  62. </tr>
  63. <tr>
  64. <td height="7"></td>
  65. </tr>
  66. <!-- Application Type-->
  67. <tr>
  68. <td>
  69. <table>
  70. <tr>
  71. <td style="font-size: 11px;">APPLICATION:</td>
  72. <td width="20">&nbsp;</td>
  73. <td style="width: 16px;border:1px solid #000">
  74. <span>
  75. @if($form->Form->type_service == "New")
  76. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  77. @endif
  78. </span>
  79. </td>
  80. <td style="font-size: 10px;">New</td>
  81. <td width="20">&nbsp;</td>
  82. <td style="width: 16px;border:1px solid #000">
  83. <span>
  84. @if($form->Form->type_service == "Upgrade")
  85. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  86. @endif
  87. </span>
  88. </td>
  89. <td style="font-size: 10px;">Upgrading/Downgrading</td>
  90. <td width="20">&nbsp;</td>
  91. <td style="width: 16px;border:1px solid #000">
  92. <span>
  93. @if($form->Form->type_service == "Relocation")
  94. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  95. @endif
  96. </span>
  97. </td>
  98. <td style="font-size: 10px;">Relocation(RM150)</td>
  99. <td width="20">&nbsp;</td>
  100. <td style="width: 16px;border:1px solid #000">
  101. <span>
  102. @if($form->Form->type_service == "Rectification")
  103. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  104. @endif
  105. </span>
  106. </td>
  107. <td style="font-size: 10px;">Rectification</td>
  108. </tr>
  109. </table>
  110. </td>
  111. </tr>
  112. <!-- Application Type-->
  113. <tr>
  114. <td>
  115. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  116. <tr>
  117. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  118. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">APPLICATION INFORMATION</span>
  119. </td>
  120. </tr>
  121. <tr><td height="5"></td></tr>
  122. <tr>
  123. <td>
  124. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  125. <tr>
  126. <td width="28%" style="font-size: 11px;">Full Name</td>
  127. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->name }}</td>
  128. </tr>
  129. <tr><td colspan="2" height="10"></td></tr>
  130. <tr>
  131. <td colspan="2">
  132. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  133. <tr>
  134. <td width="28%" style="font-size: 11px;">NRIC/Passport No.</td>
  135. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->ic }}</td>
  136. <td width="24%" style="font-size: 11px;text-align:right;padding-right: 10px">Gender</td>
  137. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->gender }}</td>
  138. </tr>
  139. </table>
  140. </td>
  141. </tr>
  142. <tr><td colspan="2" height="10"></td></tr>
  143. <tr>
  144. <td colspan="2">
  145. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  146. <tr>
  147. <td width="28%" style="font-size: 11px;">Primary Contact No.</td>
  148. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone1 }}</td>
  149. <td width="24%" style="font-size: 11px;text-align:right;padding-right: 10px">Secondary Contact No.</td>
  150. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->phone2 }}</td>
  151. </tr>
  152. </table>
  153. </td>
  154. </tr>
  155. <tr><td colspan="2" height="10"></td></tr>
  156. <tr>
  157. <td colspan="2">
  158. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  159. <tr>
  160. <td width="28%" style="font-size: 11px;">Citizenship</td>
  161. <td width="24%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->citizen }}</td>
  162. <td width="10%" style="font-size: 11px;text-align:right;padding-right: 10px"> E-mail</td>
  163. <td width="38%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->email }}</td>
  164. </tr>
  165. </table>
  166. </td>
  167. </tr>
  168. </table>
  169. </td>
  170. </tr>
  171. <tr><td height="2"></td></tr>
  172. </table>
  173. </td>
  174. </tr>
  175. <!-- Installation Address -->
  176. <tr>
  177. <td>
  178. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  179. <tr>
  180. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  181. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">INSTALLATION ADDRESS</span>
  182. </td>
  183. </tr>
  184. <tr><td height="5"></td></tr>
  185. <tr>
  186. <td>
  187. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  188. <tr>
  189. <td width="28%" style="font-size: 11px;">Unit.No </td>
  190. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->unit_no }}</td>
  191. </tr>
  192. <tr><td colspan="2" height="10"></td></tr>
  193. <tr>
  194. <td width="28%" style="font-size: 11px;">Building</td>
  195. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->building_name }}</td>
  196. </tr>
  197. <tr><td colspan="2" height="10"></td></tr>
  198. <tr>
  199. <td width="28%" style="font-size: 11px;">Street</td>
  200. <td width="72%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->street }}</td>
  201. </tr>
  202. <tr><td colspan="2" height="10"></td></tr>
  203. <tr>
  204. <td colspan="2">
  205. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  206. <tr>
  207. <td width="28%" style="font-size: 11px;">City/State</td>
  208. <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>
  209. <td width="15%" style="font-size: 11px;text-align:right;padding-right: 10px"> Postcode</td>
  210. <td width="25%" height="18" style="font-size: 11px;border:1px solid black;padding:0px 3px;word-wrap: break-word;">{{ $form->postcode }}</td>
  211. </tr>
  212. </table>
  213. </td>
  214. </tr>
  215. </table>
  216. </td>
  217. </tr>
  218. <tr><td height="2"></td></tr>
  219. </table>
  220. </td>
  221. </tr>
  222. <!-- Service Details -->
  223. <tr>
  224. <td>
  225. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  226. <tr>
  227. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  228. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">SERVICE DETAILS</span>
  229. </td>
  230. </tr>
  231. <tr><td height="3"></td></tr>
  232. <tr>
  233. <td>
  234. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  235. <tr>
  236. <td width="35%" style="font-size: 11px;">1. Subscription/Contract Period : </td>
  237. <td style="width: 20px;border:1px solid #000"><span>
  238. @if( $package->contract == "12")
  239. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  240. @endif
  241. </span></td>
  242. <td width="5">&nbsp;</td>
  243. <td width="15%" style="font-size: 11px;"> 12 months</td>
  244. <td style="width: 20px;border:1px solid #000"><span>
  245. @if( $package->contract == "24")
  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="40%" style="font-size: 11px;"> 24 months</td>
  251. </tr>
  252. </table>
  253. </td>
  254. </tr>
  255. <tr><td height="10"></td></tr>
  256. <tr>
  257. <td>
  258. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  259. <tr>
  260. <td width="35%" style="font-size: 11px;">2. Required For Service : </td>
  261. <td width="65%" height="16" style="font-size: 11px;border:1px solid #000"><span>{{ $package->rfs }}</span></td>
  262. </tr>
  263. </table>
  264. </td>
  265. </tr>
  266. <tr><td height="8"></td></tr>
  267. <tr>
  268. <td>
  269. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  270. <tr>
  271. <td style="font-size: 10px;font-style: italic">1. Standard contract period is 24 months unless otherwise stated</td>
  272. </tr>
  273. <tr>
  274. <td style="font-size: 10px;font-style: italic">2. Required For Service (RFS) is subject to the avaiability of required infrastructure and/or equipment</td>
  275. </tr>
  276. <tr>
  277. <td style="font-size: 10px;font-style: italic">3. Early termination will subject to RM 500 penalty.</td>
  278. </tr>
  279. </table>
  280. </td>
  281. </tr>
  282. <tr><td height="8"></td></tr>
  283. <tr>
  284. <td>
  285. <table border="0" cellpadding="0" cellspacing="0">
  286. <tr>
  287. <td height="20" width="200" style="font-size: 10px;border:1px solid #000;padding: 5px 3px;font-style: italic">Remarks</td>
  288. </tr>
  289. </table>
  290. </td>
  291. </tr>
  292. <tr><td height="2"></td></tr>
  293. </table>
  294. </td>
  295. </tr>
  296. <!-- Service Details -->
  297. <tr>
  298. <td>
  299. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  300. <tr>
  301. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  302. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">PACKAGE DETAILS</span>
  303. </td>
  304. </tr>
  305. <tr><td height="5"></td></tr>
  306. <tr>
  307. <td>
  308. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  309. <tr>
  310. <td style="font-size: 11px;font-weight: bold">1. City Broadband Residental (Best Effort Bandwith)</td>
  311. </tr>
  312. </table>
  313. </td>
  314. </tr>
  315. <tr><td height="5"></td></tr>
  316. <tr>
  317. <td>
  318. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  319. @if(strpos($created_at, '2018') !== false)
  320. <tr>
  321. <td width="13" height="13" style="border:1px solid black;">
  322. <span>
  323. @if( $package->name == '100')
  324. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  325. @endif
  326. </span>
  327. </td>
  328. <td width="5">&nbsp;</td>
  329. <td style="font-size: 11px;"><b>100Mbps</b></td>
  330. <td width="10">&nbsp;</td>
  331. <td style="font-size: 11px;"><b>RM 109</b> ( RM 115.54 )</td>
  332. <td>&nbsp;</td>
  333. </tr>
  334. <tr>
  335. <td width="13" height="13" style="border:1px solid black;">
  336. <span>
  337. @if( $package->name == '300')
  338. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  339. @endif
  340. </span>
  341. </td>
  342. <td width="5">&nbsp;</td>
  343. <td style="font-size: 11px;"><b>300Mbps</b></td>
  344. <td width="10">&nbsp;</td>
  345. @if(strpos($created_at, '10') !== false || strpos($created_at, '11') !== false || strpos($created_at, '12') !== false)
  346. <td style="font-size: 11px;"><b>RM 149</b> ( RM 157.94 )</td>
  347. @else
  348. <td style="font-size: 11px;"><b>RM 169</b> ( RM 179.14 )</td>
  349. @endif
  350. <td>&nbsp;</td>
  351. </tr>
  352. <tr>
  353. <td width="13" height="13" style="border:1px solid black;">
  354. <span>
  355. @if( $package->name == '500')
  356. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  357. @endif
  358. </span>
  359. </td>
  360. <td width="5">&nbsp;</td>
  361. <td style="font-size: 11px;"><b>500Mbps</b></td>
  362. <td width="10">&nbsp;</td>
  363. @if(strpos($created_at, '10') !== false || strpos($created_at, '11') !== false || strpos($created_at, '12') !== false)
  364. <td style="font-size: 11px;"><b>RM 239</b> ( RM 253.34 )</td>
  365. @else
  366. <td style="font-size: 11px;"><b>RM 259</b> ( RM 274.54 )</td>
  367. @endif
  368. <td>&nbsp;</td>
  369. </tr>
  370. <tr>
  371. <td width="13" height="13" style="border:1px solid black;">
  372. <span>
  373. @if( $package->name == '1')
  374. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  375. @endif
  376. </span>
  377. </td>
  378. <td width="5">&nbsp;</td>
  379. <td style="font-size: 11px;"><b></b></td>
  380. <td width="10">&nbsp;</td>
  381. @if(strpos($created_at, '10') !== false || strpos($created_at, '11') !== false || strpos($created_at, '12') !== false)
  382. <td style="font-size: 11px;"><b>RM 379</b> ( RM 401.74 )</td>
  383. @else
  384. <td style="font-size: 11px;"><b>RM 399</b> ( RM 422.94)</td>
  385. @endif
  386. <td>&nbsp;</td>
  387. </tr>
  388. @else
  389. @if((($package->montly_fee == '1 Month FREE' && $package->contract == '24') || ($package->name == '500' && $package->contract == '24')) && ($created >= '2019-12-12' && $created <= '2020-01-31'))
  390. @foreach($product as $p)
  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. @if( $p->promotion_price != '0' && $package->contract == "24")
  403. <td style="font-size: 11px;">
  404. <span style="text-decoration: line-through;">
  405. <b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )
  406. </span>
  407. <b>RM {{ $p->promotion_price }}</b> ( RM {{ number_format(floatval($p->promotion_price) * 1.06, 2) }} )
  408. </td>
  409. @elseif($p->promotion_price == '0')
  410. @if($p->speed == '500')
  411. <td style="font-size: 11px;">
  412. <span style="text-decoration: line-through;">
  413. <b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )
  414. </span>
  415. <b>RM 127</b> ( RM {{ number_format(127 * 1.06, 2) }} )
  416. </td>
  417. @else
  418. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )</td>
  419. @endif
  420. @endif
  421. <td>&nbsp;</td>
  422. </tr>
  423. @endforeach
  424. @elseif ($created >= '2020-08-12')
  425. @foreach($product as $p)
  426. <tr>
  427. <td width="13" height="13" style="border:1px solid black;">
  428. <span>
  429. @if( $package->name == $p->speed )
  430. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  431. @endif
  432. </span>
  433. </td>
  434. <td width="5">&nbsp;</td>
  435. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  436. <td width="10">&nbsp;</td>
  437. @if( $p->promotion_price != '0' && $package->contract == "24")
  438. <td style="font-size: 11px;">
  439. <span style="text-decoration: line-through;">
  440. <b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )
  441. </span>
  442. <b>RM {{ $p->promotion_price }}</b> ( RM {{ number_format(floatval($p->promotion_price) * 1.06, 2) }} )
  443. </td>
  444. @elseif($p->promotion_price == '0' || $package->contract == "12" )
  445. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )</td>
  446. @endif
  447. <td>&nbsp;</td>
  448. </tr>
  449. @endforeach
  450. @else
  451. @foreach($product as $p)
  452. <tr>
  453. <td width="13" height="13" style="border:1px solid black;">
  454. <span>
  455. @if( $package->name == $p->speed )
  456. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  457. @endif
  458. </span>
  459. </td>
  460. <td width="5">&nbsp;</td>
  461. <td style="font-size: 11px;"><b>{{ $p->package_name }}</b></td>
  462. <td width="10">&nbsp;</td>
  463. <td style="font-size: 11px;"><b>RM {{ $p->retail_price }}</b> ( RM {{ number_format(floatval($p->retail_price) * 1.06, 2) }} )</td>
  464. <td>&nbsp;</td>
  465. </tr>
  466. @endforeach
  467. @endif
  468. @endif
  469. </table>
  470. </td>
  471. </tr>
  472. <tr><td height="4"></td></tr>
  473. @if ($package->name != '1' && $package->contract == '24' && $created >= '2020-08-12')
  474. <tr>
  475. <td style="font-size: 11px;">
  476. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"> RM 10 off for 24 months
  477. </td>
  478. </tr>
  479. @endif
  480. <tr>
  481. <td style="font-size: 9px;font-style: italic">*All prices shown in the bracket include 6% Services Tax (ST)</td>
  482. </tr>
  483. <tr><td height="5"></td></tr>
  484. <tr>
  485. <td>
  486. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  487. <tr>
  488. <td style="font-size: 11px;font-weight: bold">2. Voice (Home)</td>
  489. </tr>
  490. </table>
  491. </td>
  492. </tr>
  493. <tr><td height="5"></td></tr>
  494. <tr>
  495. <td>
  496. <table border="0" cellpadding="0" cellspacing="0">
  497. <tr>
  498. <td width="13" height="13" style="border:1px solid black;">
  499. <span>
  500. @if($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  501. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  502. @endif
  503. </span>
  504. </td>
  505. <td width="5">&nbsp;</td>
  506. <td style="font-size: 11px;"><b>Yes</b></td>
  507. <td width="25">&nbsp;</td>
  508. <td width="13" height="13" style="border:1px solid black;">
  509. <span>
  510. @if($package->voice_fee == "no" || $package->voice_fee == "No" || $package->voice_fee == "NO")
  511. <img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto">
  512. @endif
  513. </span>
  514. </td>
  515. <td width="5">&nbsp;</td>
  516. <td style="font-size: 11px;"><b>No</b></td>
  517. </tr>
  518. </table>
  519. </td>
  520. </tr>
  521. <tr><td height="20"></td></tr>
  522. <tr>
  523. <td>
  524. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  525. <tr>
  526. <td style="font-size: 11px;font-weight: bold;font-style: italic"><u>Advanced Payment</u></td>
  527. </tr>
  528. @if($package->montly_fee == '1 Month FREE' && $package->contract == '24')
  529. <tr>
  530. <td style="font-size: 11px;">1 Month Fee : <b>1 Month FREE</b></td>
  531. </tr>
  532. @else
  533. <tr>
  534. <td style="font-size: 11px;">1 Month Fee : <b>RM {{ $package->montly_fee }}</b> (including 6% ST)</td>
  535. </tr>
  536. @endif
  537. <tr>
  538. <td style="font-size: 11px;">Deposit Fee : <b>RM {{ $package->deposit }}</b></td>
  539. </tr>
  540. <tr>
  541. @if($package->voice_fee == "no" || $package->voice_fee == "No" || $package->voice_fee == "NO")
  542. <td style="font-size: 11px;">Voice Fee : <b>RM 0.00</b></td>
  543. @elseif($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  544. @if($created >= '2020-08-12')
  545. <td style="font-size: 11px;">Voice Fee : <b>RM 21.20</b> (including 6% ST)</td>
  546. @else
  547. <td style="font-size: 11px;">Voice Fee : <b>RM 21.20</b> (including 6% ST)</td>
  548. @endif
  549. @endif
  550. </tr>
  551. <tr>
  552. <td style="font-size: 11px;">One Time Charge Fee : <b>RM {{ (float)$package->upfront_payment}}</b> (including 6% ST)</td>
  553. </tr>
  554. @if($package->montly_fee == '1 Month FREE' && $package->contract == '24')
  555. <tr>
  556. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->deposit) + floatval($package->voice_fee) + (float)$package->upfront_payment * 1.06, 2) }}</b></td>
  557. </tr>
  558. @else
  559. <tr>
  560. @if($package->voice_fee == "yes" || $package->voice_fee == "Yes" || $package->voice_fee == "YES")
  561. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->montly_fee) + floatval($package->deposit) + 21.20 + (float)$package->upfront_payment, 2) }}</b></td>
  562. @else
  563. <td style="font-size: 11px;">Total : <b>RM {{ number_format(floatval($package->montly_fee) + floatval($package->deposit) + (float)$package->upfront_payment, 2) }}</b></td>
  564. @endif
  565. </tr>
  566. @endif
  567. <tr>
  568. <td style="font-size: 9px;">*Installation fee will be woved for permises with available of required infrastructure</td>
  569. </tr>
  570. <tr>
  571. <td style="font-size: 9px;">**Deposit is refundable</td>
  572. </tr>
  573. </table>
  574. </td>
  575. </tr>
  576. <tr><td height="20"></td></tr>
  577. </table>
  578. </td>
  579. </tr>
  580. <!-- Document -->
  581. <tr>
  582. <td>
  583. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  584. <tr>
  585. <td bgcolor="#b4b4e1" style="font-size: 12px;font-weight: bold; padding: 5px 3px;">
  586. <span style="display:inline-block;border-bottom:1px solid black; padding-bottom:0px;margin-bottom: 0px">DOCUMENTS AND DECLARATION</span>
  587. </td>
  588. </tr>
  589. <tr><td height="5"></td></tr>
  590. <tr>
  591. <td style="font-size: 11px;"><b>Documents Required:</b></td>
  592. </tr>
  593. <tr><td height="5"></td></tr>
  594. <tr>
  595. <td>
  596. <table border="0" cellpadding="0" cellspacing="0">
  597. <tr>
  598. <td width="12" height="12" style="border:1px solid black"><span><img src="{{ url('/assets/tick.png') }}" style="width:14px; height:auto"></span></td>
  599. <td width="5">&nbsp;</td>
  600. <td style="font-size: 11px;">Photocopy of MyKad (both sides) or passport (Non-Malaysian)</td>
  601. </tr>
  602. </table>
  603. </td>
  604. </tr>
  605. <tr><td height="5"></td></tr>
  606. <tr>
  607. <td style="font-size: 11px;"><b>Declarations:</b></td>
  608. </tr>
  609. <tr><td height="5"></td></tr>
  610. <tr>
  611. <td>
  612. <table border="0" cellpadding="0" cellspacing="0">
  613. <tr>
  614. <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>
  615. </tr>
  616. <tr><td height="10"></td></tr>
  617. <tr>
  618. <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>
  619. </tr>
  620. <tr><td height="10"></td></tr>
  621. <tr>
  622. <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>
  623. </tr>
  624. </table>
  625. </td>
  626. </tr>
  627. </table>
  628. </td>
  629. </tr>
  630. <!-- Signature -->
  631. <tr>
  632. <td>
  633. <table border="0" cellpadding="0" cellspacing="0">
  634. <tr><td height="15"></td></tr>
  635. <tr>
  636. <td width="150" bgcolor="#b4b4e1" style="font-size: 10px;font-weight:bold;font-style: italic; padding: 5px 3px;">
  637. <span style="display:inline-block; padding-bottom:0px;margin-bottom: 0px">APPLICATION ACKNOWLEDGEMENT</span>
  638. </td>
  639. </tr>
  640. <tr>
  641. <td height="100" style="border:1px solid black;padding: 5px 3px;">
  642. <span>
  643. @if($form->signature != "")
  644. <img src="{{ url($form->signature) }}" style="width:300px; height:auto">
  645. @endif
  646. </span>
  647. </td>
  648. </tr>
  649. <tr>
  650. <td style="font-size: 11px;"><b>Submitted Date: {{ $form->Form->created_at }}</b></td>
  651. </tr>
  652. </table>
  653. </td>
  654. </tr>
  655. </table>
  656. @if ($ext1 !="pdf" && $ext2 !="pdf" && $ext3 !="pdf" && $ext4 !="pdf" && $ext5 != "pdf" && $ext6 !="pdf")
  657. @if($form->back_ic != "" && $form->front_ic != "")
  658. <!-- <div class="page-break"></div> -->
  659. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  660. <tr>
  661. <td>
  662. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  663. <tr>
  664. <td align="center" style="font-size: 16; font-weight: bold;">
  665. Attachment
  666. </td>
  667. </tr>
  668. <tr><td height="10"></td></tr>
  669. @if($ext1 !="pdf")
  670. <tr>
  671. <td style="font-size: 14; font-weight: bold;">
  672. Identity Card (Front)
  673. </td>
  674. </tr>
  675. <tr><td height="5"></td></tr>
  676. <tr>
  677. <td width="100%" style="text-align: center">
  678. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->front_ic) }}">
  679. </td>
  680. </tr>
  681. @endif
  682. <tr><td height="5"></td></tr>
  683. @if($ext2 !="pdf")
  684. <tr>
  685. <td style="font-size: 14; font-weight: bold;">
  686. Identity Card (Back)
  687. </td>
  688. </tr>
  689. <tr><td height="5"></td></tr>
  690. <tr>
  691. <td width="100%" style="text-align: center">
  692. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->back_ic) }}">
  693. </td>
  694. </tr>
  695. @endif
  696. </table>
  697. </td>
  698. </tr>
  699. @if($form->visaF != "" && $form->visaB != "")
  700. <tr>
  701. <td>
  702. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  703. @if($ext3 !="pdf")
  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%" style="text-align: center">
  712. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->visaF) }}">
  713. </td>
  714. </tr>
  715. @endif
  716. <tr><td height="5"></td></tr>
  717. @if($ext4 !="pdf")
  718. <tr>
  719. <td style="font-size: 14; font-weight: bold;">
  720. Visa (Back)
  721. </td>
  722. </tr>
  723. <tr><td height="5"></td></tr>
  724. <tr>
  725. <td width="100%" style="text-align: center">
  726. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->visaB) }}">
  727. </td>
  728. </tr>
  729. @endif
  730. </table>
  731. </td>
  732. </tr>
  733. @endif
  734. @if($form->paymentReceipt != "" && $ext5 !="pdf")
  735. <tr>
  736. <td>
  737. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  738. <tr>
  739. <td style="font-size: 14; font-weight: bold;">
  740. Upfront Payment Receipt
  741. </td>
  742. </tr>
  743. <tr><td height="5"></td></tr>
  744. <tr>
  745. <td width="100%" style="text-align: center">
  746. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->paymentReceipt) }}">
  747. </td>
  748. </tr>
  749. </table>
  750. </td>
  751. </tr>
  752. @endif
  753. @if($form->soForm != "" && $ext6 !="pdf")
  754. <tr>
  755. <td>
  756. <table border="0" cellpadding="0" cellspacing="0" width="100%">
  757. <tr>
  758. <td style="font-size: 14; font-weight: bold;">
  759. Service Order Form
  760. </td>
  761. </tr>
  762. <tr><td height="5"></td></tr>
  763. <tr>
  764. <td width="100%" style="text-align: center">
  765. <img style="display:block;max-width:700px;max-height:500px" src="{{ url($form->soForm) }}">
  766. </td>
  767. </tr>
  768. </table>
  769. </td>
  770. </tr>
  771. @endif
  772. </table>
  773. @endif
  774. @endif
  775. </body>
  776. </html>