@extends('layouts.app') @section('content')
Location:
  {{ $location->location_description }}
{!! csrf_field() !!}
New Issuance
@if ($errors->has('business_name')) {{ $errors->first('business_name') }} @endif
House No./Floor, Building and Street Name @if ($errors->has('business_address'))
{{ $errors->first('business_address') }} @endif
Barangay @if ($errors->has('barangay'))
{{ $errors->first('barangay') }} @endif
City
@if ($errors->has('business_type')) {{ $errors->first('business_type') }} @endif
@if ($errors->has('area')) {{ $errors->first('area') }} @endif
@if(Auth::check()) @if (Auth::user()->premier_access == 'Yes')
@if ($errors->has('email_add')) {{ $errors->first('email_add') }} @endif
@if ($errors->has('phone_num')) {{ $errors->first('phone_num') }} @endif
@endif @endif @if($location->location_id == 11)
@if ($errors->has('referral')) {{ $errors->first('referral') }} @endif
@endif
Breakdown of Fees
Total Sum Insured: 0.00
Total Premium: 0.00
Doc. Stamps: 0.00
V.A.T.: 0.00
L.G.T.: 0.00
Total Amount Due: 0.00
*Note: Convenience fee not included. Depends on chosen mode of payment.

IMPORTANT!

Please confirm all the details above. All information should match your application. Any misinformation will result to rejection. This transaction is not reversible and not refundable.

Back
@endsection