@extends('layouts.frontend')
@section('title', 'View Policy')
@section('pageCss')
<link rel="stylesheet" href="{{ URL::asset('assets/plugins/datepicker/datepicker3.css') }}">
@stop
@section('content')
<section class="inner-content">
    <div class="clearfix"></div>
    <div class="container " >
  <div class="panel panel-default ">
            @if(isset($policy_prefix))
                          @else
                          @endif

            @if(isset($policy_prefix))
                          @else
                          @endif

            @if(isset($information->product_name))
                          @else
                          @endif

            @if(isset($information->insurer))
                          @else
                          @endif

            <div class="panel-heading">
            @if(Auth::user()->role == 2)
            <a href="{{URL::to('/user-dashboard')}}">
              <button class="btn btn-sm btn-primary pull-right" type="button"><i class="fa fa-list"></i> &nbsp;&nbsp;  My policies </button>
            </a>
            @else
            <a href="{{URL::to('/affiliate-dashboard')}}">
              <button class="btn btn-sm btn-primary pull-right" type="button"><i class="fa fa-list"></i> &nbsp;&nbsp;  My policies </button>
            </a>
            @endif

            <div class="static-content">
              <h2>
                    @if($product_name != '' && $policy_number != '')
                        {{$product_name}} - {{$policy_number}}
                    @else
                        {{$information->title.' '.$information->fname.' '.$information->lname}}
                    @endif

               </h2>
            </div></div>

            @if($information->status == 0)
            <div class="panel-heading with-border col-md-12">
                <h3 class="box-title text-red col-md-12"  > Rejected!</h3>
                <P class="col-md-12"><b>Comment: </b>{{$information->comments_for_rejection}} </P>
            </div>
            <div class="clearfix"></div>
            @endif
            <div class="panel-body no-padding">
              {!! Form::open(array('url' => 'account/update-completed-lead')) !!}
                <div class="form-group col-md-6 view-lead-middle-border" style="">
                    <!-- Quote Id -->
                    {{ Form::hidden('id', $information->id)}}
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Policy Number') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">
                    
                    {{$policy_prefix.$information->policy_number}} </div>

                   

                    <div class="clearfix"></div>
                   <!--  <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Is Webline Product') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->is_webline_product}} </div> -->
                    <!-- <div class="clearfix"></div> -->
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Product Name') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$product_name}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Insurer') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$insurer}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Increasing Benefit ') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->increasing_benefit}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Date Of Birth ') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->dob}}</div>
    
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Occupation') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->occupation}} </div>
                    <div class="clearfix"></div>
                                        <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Premise Name') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->premiseName}} </div>
                    <div class="clearfix"></div>

                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Address') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$address}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Telephone') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->telephone}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Type Of Cover') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->typeofcover}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Monthly Commitment') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->monthlycommitment}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Monthly Benefit') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->monthlybenefit}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Monthly Cost') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding"> £{{ number_format((float)str_replace(',','',$information->monthlycost), 2, '.', '') }}  </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Excess period') !!} :</div>

                                        
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$excess_period}} </div>
                    
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Salary') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->salary}} </div>
                    
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Account Number') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->accountnumber}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('IBAN') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->iban}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Bank Bic') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->bankbic}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Branch Bic') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->branchbic}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Town') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->town}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Bank Phone') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->bank_phone}} </div>
                    <div class="clearfix"></div>

                    
                </div>

                
                <div class="form-group col-md-6 col-xs-12 col-sm-12">
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Name') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->title.' '.$information->fname.' '.$information->lname}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding ">{!! Form::label('Employee Status') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->emp_status}} </div>
                    <div class="clearfix"></div>
                   
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Employer Name ') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->employer_name}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Postcode') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->postcode}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Email') !!} :</div>
                    <div class="col-md-6  col-xs-12 col-sm-12  lead-padding">{{$information->email}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Insurance Startdate') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{date('d-m-Y', strtotime($information->insurance_startdate))}} </div>
                    <div class="clearfix"></div>

                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Insurance Enddate') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{date('d-m-Y', strtotime($information->insurance_enddate))}} </div>
                    <div class="clearfix"></div>
                   
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Type of Protection') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{ucwords(str_replace('_',' ',$information->typeofprotection))}} </div>
                    <div class="clearfix"></div>
                    
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Age') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->age}} </div>
                    <div class="clearfix"></div>
                    
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Benefit Period') !!} :</div>
                    @if($information->benefit_period == 6)
                      <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">6 Months</div>
                    @elseif($information->benefit_period == 12)
                      <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">12 Months</div>
                    @elseif($information->benefit_period == 18)
                      <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">18 Months</div>
                    @else
                      <div class="col-md-6  col-xs-6 col-sm-6 lead-padding"></div>
                    @endif
                    <div class="clearfix"></div>
                     <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Cover') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->cover}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding lead-padding">{!! Form::label('Account Name') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->accountname}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Sortcode') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{$information->sortcode}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Bank') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->bank}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{!! Form::label('Branch') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6 lead-padding">{{$information->branch}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Branch Address') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->branch_address}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Bank Postcode') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->bank_postcode}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Affiliate Id') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->affid}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Smoker') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->smoker}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Lead Source Field') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->lead_source_field}} </div>
              

                </div>
                <div class="qsn-ansr">
                @if(!empty($web_questions))
                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      <label>{!! $underwriting_questions->q1 !!} </label>
                      <div class="ansr"> {{$web_questions->q1}} </div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      <label>{!! $underwriting_questions->q2 !!}</label>
                    
                      <div class="ansr">{{$web_questions->q2}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q3 !!}</label>
                    
                    
                      <input type="hidden" name="q3_employed_salary" id="hidden_q3_employed_salary" value='{{$web_questions->q3_employed_salary}}'>
                      <input type="hidden" name="q3_selfemployed_profit" id="hidden_q3_selfemployed_profit" value='{{$web_questions->q3_selfemployed_profit}}'>
                      <input type="hidden" name="q3_earnings" id="hidden_q3_earnings" value='{{$web_questions->q3_earnings}}'>
                      <input type="hidden" name="q3_dividends" id="hidden_q3_dividends" value='{{$web_questions->q3_dividends}}'>
                      <input type="hidden" name="q3_total" id="hidden_q3_total" value='{{$web_questions->q3_total}}'>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q4 !!}</label>
                   
                      <div class="ansr">{{$web_questions->q4}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q5 !!}</label>
                    <div class="ansr">{{$web_questions->q5}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q6 !!}</label>
                    <div class="ansr">{{$web_questions->q6}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q7 !!}</label>
                    <div class="ansr">{{$web_questions->q7}}</div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q8 !!}</label>
                    <div class="ansr">{{$web_questions->q8}}</div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q9 !!}</label>
                    <div class="ansr">
                    @if($web_questions->q9 == 'Kg')
                    
                      {{$web_questions->q9_message.''}}<br>
                    @else
                    
                      {{$web_questions->q9_message.''}}<br>
                    @endif
                      </div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> When would be the most convenient time for your medical tele-interview? </label><br>
                     <div class="ansr"><span> Available date:  </span>
                     {{$web_questions->q10_date}}<br>
                     <span> Preferred time: </span>
                      {{$web_questions->q10_time}}</div>
                    
                      
                    </div>
                  </div>
                  
                @endif
				</div>
                @if(isset($productQuestions) && $underwriting_questions)

                
                @endif

                
              </form>
            </div>
    </div>
    </div>
</section>

@stop
@section('pageBottomJs')
<style type="text/css">
    .lead-padding{
        margin-bottom: 15px;
    }
    .view-lead-middle-border{
      border-right: 1px solid #ccc;
    }
</style>

<link rel="stylesheet" href="{{ URL::asset('assets/plugins/iCheck/all.css') }}">
<!-- iCheck 1.0.1 -->
<script src="{{ URL::asset('assets/plugins/iCheck/icheck.min.js') }}"></script>
<script src="{{ URL::asset('assets/plugins/datepicker/bootstrap-datepicker.js') }}"></script>
<script>
    $(document).ready(function () {

        $('#datepicker').datepicker({
          autoclose: true
        });

        // Adding the data for q3
        var hidden_q3_employed_salary = $('#hidden_q3_employed_salary').val();
        var hidden_q3_selfemployed_profit = $('#hidden_q3_selfemployed_profit').val();
        var hidden_q3_earnings = $('#hidden_q3_earnings').val();
        var hidden_q3_dividends = $('#hidden_q3_dividends').val();
        var hidden_q3_total = $('#hidden_q3_total').val();

        if(hidden_q3_employed_salary.leangth != 0){
          $('#q3_employed_salary').val(hidden_q3_employed_salary);
        }
        if(hidden_q3_selfemployed_profit.leangth != 0){
          $('#q3_selfemployed_profit').val(hidden_q3_selfemployed_profit);
        }
        if(hidden_q3_earnings.leangth != 0){
          $('#q3_earnings').val(hidden_q3_earnings);
        }
        if(hidden_q3_dividends.leangth != 0){
          $('#q3_dividends').val(hidden_q3_dividends);
        }
        if(hidden_q3_total.leangth != 0){
          $('#q3_total').val(hidden_q3_total);
        }

    });
</script>
@stop