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loanrequest.blade.php
@include('layouts.extension') <div class="content"> <div class="row"> <div class="col-md-8"> <div class="card"> <div class="card-header"> <h5 class="title">Request Loan</h5> </div> <div class="card-body"> <form id="loanapplication" action="submitloanrequest" method="post" enctype="multipart/form-data"> {{ csrf_field() }} <div class="row"> <div class="col-md-9 pr-1"> <div class="form-group"> <label>Name</label> <input type="text" class="form-control" id="membername" name="membername" value="{{ Auth::user()->name }}"> </div> </div> <div class="col-md-3 pl-1"> <div class="form-group"> <label>IPPIS Number</label> <input type="text" name="ippis" id="ippis" class="form-control" value="{{ Auth::user()->ippisnumber }}" placeholder="Enter IPPIS Number" required> </div> </div> </div> <div class="row"> <div class="col-md-4 pr-1"> <div class="form-group"> <label>Loan Type</label> <select name="loantypse" id="loantypse" class="form-control selectpicker" data-style="btn btn-round" required> <option value="">Select Loan Type</option> @isset($loantypes) @foreach($loantypes as $loantype) <option value="{{ $loantype->id }}">{{ $loantype->loantype }}</option> @endforeach @endisset </select> </div> </div> <div class="col-md-3 px-1"> <div class="form-group"> <label>Requested Amount (₦)</label> <input type="text" name="amount" id="amounts" onkeypress="return isNumberKey(event)" class="form-control" placeholder="Enter requested amount" maxlength="11" required> <input type="hidden" id="qualified"> </div> </div> <div class="col-md-2 px-1"> <div class="form-group"> <label>Duration (Months)</label> <select name="duration" id="duration" class=" form-control selectpicker" data-style="btn btn-round" required> <option value="">Select</option> @for($i=1; $i<= 36; $i++) <option>{{ $i }}</option> @endfor </select> </div> </div> <div class="col-md-3 pl-1"> <div class="form-group"> <label>Admin Fee (₦)</label> <p class="form-control" id="adminfee">Calculated</p> <input type="hidden" id="adminfeeper"> <input type="hidden" id="adminfeeamount" name="adminfeeamount"> </div> </div> </div> <div class="row"> <div class="col-md-4 pr-1"> <div class="form-group"> <label>Repayment Method</label> <select name="repaymentmethod" id="repaymentmethod" required data-style="btn-round" class="form-control selectpicker"> <option>Deduct from Source</option> <option>Monthly Payment</option> <option>Direct Debit</option> </select> </div> </div> <div class="col-md-5 px-1"> <div class="form-group"> <label>Recipient Name</label> <input type="text" name="recipientname" id="recipientname" class="form-control" placeholder="Enter recipient name" required> </div> </div> <div class="col-md-3 pl-1"> <div class="form-group"> <label>Bank Name</label> <input type="text" name="bankname" required id="bankname" class="form-control" placeholder="Enter bank name"> </div> </div> </div> <div class="row"> <div class="col-md-5 pr-1"> <div class="form-group"> <label>Account Name</label> <input type="text" id="accountname" required name="accountname" class="form-control" placeholder="Enter accountname"> </div> </div> <div class="col-md-3 px-1"> <div class="form-group"> <label>Account Number</label> <input type="text" id="accountnumber" maxlength="10" onkeypress="return isNumberKey(event)" name="accountnumber" class="form-control" required placeholder="Enter account number"> </div> </div> <div class="col-md-4 pl-1"> <div class="form-group"> <label>Do You Have Any Loan Running?</label> <select name="runningloan" id="runningloan" class="form-control selectpicker" data-style="btn btn-round" required> <option value="">Select Option</option> <option>Yes</option> <option>No</option> </select> </div> </div> </div> <div class="row" id="runningloandiv"> <div class="col-md-4 pr-1"> <div class="form-group"> <label>Loan Type</label> <select name="runningloantype" id="runningloantype" class="form-control selectpicker" data-style="btn btn-round"> <option value="">Select Option</option> <option>Bank Loan</option> <option>Business Purchase</option> <option>Other Loans</option> </select> </div> </div> <div class="col-md-4 pr-1"> <div class="form-group"> <label>Principal Amount</label> <input type="text" name="runningloanamount" onkeypress="return isNumberKey(event)" id="runningloanamount" class="form-control" placeholder="Enter Principal Amount" value="" maxlength="11" > </div> </div> <div class="col-md-4 pl-1"> <div class="form-group"> <label>Monthly Repayment</label> <input type="text" name="runningloanmonthly" onkeypress="return isNumberKey(event)" id="runningloanmonthly" class="form-control" placeholder="Running loan monthly repayment" maxlength="11" > </div> </div> </div> <br /> <h5 class="title">Declarations</h5> <div class="row"> <div class="col-md-12 pr-1"> <div class="form-group"> <div class="form-check"> <label class="form-check-label"> <input class="form-check-input" required type="checkbox" value="I am not indebted to any bank, co-operative society or loan agency, either as a borrower or guarantor, except as stated above" name="indebtedness" id="indebtedness" data-on-label="<i class='now-ui-icons ui-1_check'></i>" data-off-label="<i class='now-ui-icons ui-1_simple-remove'></i>"> <span class="form-check-sign"></span> I am not indebted to any bank, co-operative society or loan agency, either as a borrower or guarantor, except as stated above. </label> </div> </div> </div> </div> <div class="row"> <div class="col-md-12 pr-1"> <div class="form-group"> <div class="form-check"> <label class="form-check-label"> <input class="form-check-input" required type="checkbox" value="I agree to permit the co-operative to carry out a credit check on myself if ther deem it necessary" name="creditcheck" id="creditcheck" data-on-label="<i class='now-ui-icons ui-1_check'></i>" data-off-label="<i class='now-ui-icons ui-1_simple-remove'></i>"> <span class="form-check-sign"></span> I agree to permit the co-operative to carry out a credit check on myself if ther deem it necessary. </label> </div> </div> </div> </div> <div class="row"> <div class="col-md-12 pr-1"> <div class="form-group"> <div class="form-check"> <label class="form-check-label"> <input class="form-check-input" required value="I have read and understood the guidline required for this loan application" type="checkbox" name="guidline" id="guidline" data-on-label="<i class='now-ui-icons ui-1_check'></i>" data-off-label="<i class='now-ui-icons ui-1_simple-remove'></i>"> <span class="form-check-sign"></span> I have read and understood the guidline required for this loan application. </label> </div> </div> </div> </div> <div class="row"> <div class="col-md-12 pr-1"> <div class="form-group"> <div class="form-check"> <label class="form-check-label"> <input class="form-check-input" required type="checkbox" value="I declare that the information I have given on this form is to the best of knowledge and belief, accurate and full information. I understand that the provision of false information is fraud and the co-operative society may take appropriate action if I am found to have deliberately provided false or misleading information" name="attestation" id="attestation" data-on-label="<i class='now-ui-icons ui-1_check'></i>" data-off-label="<i class='now-ui-icons ui-1_simple-remove'></i>"> <span class="form-check-sign"></span> I declare that the information I have given on this form is to the best of knowledge and belief, accurate and full information. I understand that the provision of false information is fraud and the co-operative society may take appropriate action if I am found to have deliberately provided false or misleading information. </label> </div> </div> </div> </div> <br /> <h5 class="title">Guarantor Details</h5> <div class="row"> <div class="col-md-4 pr-1"> <div class="form-group"> <label>IPPIS Number</label> <input type="text" name="guarantorid" id="guarantorid" class="form-control" placeholder="Enter Guarantor ID" required> </div> </div> <div class="col-md-8 pl-1"> <div class="form-group"> <label>Guarantor Name</label> <input type="text" name="guarantorname" id="guarantorname" class="form-control" placeholder="Enter Guarantor Name" value="" required> </div> </div> </div> <h4><strong>Upload Three Most Recent Payslips</strong></h4> <div class="row"> <div class="col-md-4 pr-1"> <div class="form-group"> <label>First Payslip</label> <div class="form-group"> <div class="fileinput fileinput-new text-center" data-provides="fileinput"> <div class="fileinput-preview fileinput-exists thumbnail"></div> <div> <span class="btn btn-rose btn-round btn-file"> <span class="fileinput-new">Upload Passport</span> <span class="fileinput-exists">Change</span> <input type="file" name="payslip1" id="payslip1" required value="" accept="image/jpeg,image/jpg,image/gif,image/png,image/bmp" /> </span> <a href="#pablo" class="btn btn-danger btn-round fileinput-exists" data-dismiss="fileinput"><i class="fa fa-times"></i> Remove</a> </div> </div> </div> </div> </div> <div class="col-md-4 px-1"> <div class="form-group"> <label>Second Payslip</label> <div class="form-group"> <div class="fileinput fileinput-new text-center" data-provides="fileinput"> <div class="fileinput-preview fileinput-exists thumbnail"></div> <div> <span class="btn btn-rose btn-round btn-file"> <span class="fileinput-new">Upload Passport</span> <span class="fileinput-exists">Change</span> <input type="file" name="payslip2" id="payslip2" required value="" accept="image/jpeg,image/jpg,image/gif,image/png,image/bmp" /> </span> <a href="#pablo" class="btn btn-danger btn-round fileinput-exists" data-dismiss="fileinput"><i class="fa fa-times"></i> Remove</a> </div> </div> </div> </div> </div> <div class="col-md-4 pl-1"> <div class="form-group"> <label>Third Payslip</label> <div class="form-group"> <div class="fileinput fileinput-new text-center" data-provides="fileinput"> <div class="fileinput-preview fileinput-exists thumbnail"></div> <div> <span class="btn btn-rose btn-round btn-file"> <span class="fileinput-new">Upload Passport</span> <span class="fileinput-exists">Change</span> <input type="file" name="payslip3" id="payslip3" required value="" accept="image/jpeg,image/jpg,image/gif,image/png,image/bmp" /> </span> <a href="#pablo" class="btn btn-danger btn-round fileinput-exists" data-dismiss="fileinput"><i class="fa fa-times"></i> Remove</a> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="col-md-12"> <div class="form-group"> <p id="message" class="alert"></p> </div> </div> </div> @if(App\Http\Controllers\Controller::confirmprivilege(Auth::user()->userrole, 'Loan Request', 'Create') == 'allow') <div class="row"> <div class="col-md-4"> </div> <div class="col-md-5 px-1"> <div class="form-group"> </div> </div> <div class="col-md-3 pr-1"> <div class="form-group"> <input type="submit" id="button" class="btn btn-round btn-warning btn-lg" value="Submit Request"> <img src="{{ asset('assets/img/processing.gif') }}" id="processing"> </div> </div> </div> @endif </form> </div> </div> </div> @include('layouts.profile') </div> </div> @include('layouts.footer') @include('process.loans')
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