<apex:page sidebar="false" showheader="false" standardController="Application__c" extensions="PrePopulatedCisForm" cache="true" renderAs="{!pdfgenerator}">
<head>
<style>
@page {
size:A4 ;
margin-top: 100px;
margin-bottom:80px;
@top-center {
content: element(header);
}
@bottom-left {
content: element(footer);
}
}
</style>
</head>
<apex:form >
<apex:outputPanel rendered="{!ShowApp}">
<apex:pageBlock id="pb">
<apex:pageBlockButtons >
<apex:commandButton value="Download Pdf" action="{!SelectedAccounts}" style="Background:Pink;font-family: Times New Roman"/>
</apex:pageBlockButtons>
<apex:pageBlockTable value="{!Opportunities}" var="p" id="table">
<apex:column >
<apex:inputCheckbox value="{!p.selected}" />
</apex:column>
<apex:column value="{!p.SO.name}"/>
<apex:column value="{!p.SO.Account.name}"/>
<apex:column value="{!p.SO.Account.LastName__c}"/>
<apex:column value="{!p.SO.Account.CIS_No_new__c}"/>
<apex:column value="{!p.SO.Account.Customer_Id__c}"/>
<apex:column value="{!p.SO.Status__c}"/>
<apex:column value="{!p.SO.Opportunity_Status__c}"/>
</apex:pageBlockTable>
</apex:pageBlock>
</apex:outputPanel>
<apex:outputPanel rendered="{!Showpdf}">
<apex:variable var="cnt" value="{!0}" />
<apex:repeat value="{!acc}" var="a" >
<!-- <body >-->
<!-- Header Logos and photo --->
<div style="{!if(cnt < 1, 'page-break-before:avoid;','page-break-before:always;')}">
<apex:variable var="cnt" value="{!cnt+1}" />
<div>
<table width="100%" height="10%" >
<tr >
<td>
<div >
<table CELLPADDING="6">
<tr><td><apex:image id="logo2" value="{!$Resource.Janalakshmi_Likho_Apni_Kahani}" style="height:50px;width:50px" /></td>
<td></td><td></td><td></td>
<td ><h6 style="font-family: Times New Roman,Georgia,sans-serif;font-size:10px"><b>Janalakshmi Financial Services Pvt.ltd</b><br/> customer infromation sheet<br/>(Please fill the form in BOLD letters and tick relevant options)</h6></td>
<td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td>
<td rowspan="10" ><apex:image id="theImage5" value="{!$Resource.Photograph}" style="height:70px;width:90px;align:right" /></td><td></td></tr>
</table>
</div>
</td>
</tr><hr/>
</table>
</div>
<!--- Data Captaring start here --->
<div>
<table width="100%" border="1px" style="font-family:calibri;font-size:8px">
<tr >
<td><div>1.CIS</div></td>
<td >{!a.Middle_Nam__c}</td>
<td ><div>2.Date</div></td>
<td ><apex:outputField value="{!a.Date__c}" style="font-size:10px"/></td>
<td><div>3.Branch code</div></td>
<td rowspan="0"><apex:outputField value="{!a.Branch_Name__r.Branch_Code__c}" /></td>
<td width="30px"></td>
</tr>
<tr >
<td><div>4.Customer Type</div></td>
<td > New <apex:image value="{!$Resource.Checked}" rendered="{!(a.Customer_Type__c == 'New to JFS')}" style="align:center;height:10px;width:10px" />
</td>
<td > Existing <apex:image value="{!$Resource.Checked}" rendered="{!(a.Customer_Type__c == 'Existing JFS Customer')}" style="align:center;height:10px;width:10px"/>
</td>
<td><div>5.URN</div></td>
<td ><apex:outputField value="{!a.Customer_Id__c}" /></td>
</tr>
</table>
<hr/>
<div style="font-family: calibri;font-size:10px">
Primary Customer Details:(as per photo identity proof provided)
</div>
<table border="1px" width="100%" style="font-family:calibri;font-size:7px">
<tr>
<td><div>6.Name</div></td>
<td colspan="10"><apex:outputText value="{!a.Name} {!a.LastName__c}" /></td>
</tr>
<tr >
<td ><div>7.D.O.B</div></td>
<td ><apex:outputField value="{!a.DOB_Borrower__c }" /></td>
<td colspan="2"><div>8.Marital Status</div></td>
<td colspan="2">Married <apex:image value="{!$Resource.Checked}" rendered="{!(a.Marital_Status__c == 'Married')}" style="align:center;height:10px;width:10px"/> </td>
<td colspan="2">UnMarried <apex:image value="{!$Resource.Checked}" rendered="{!(a.Marital_Status__c == 'Unmarried')}" style="align:center;height:10px;width:10px"/> </td>
<td colspan="2">Separated <apex:image value="{!$Resource.Checked}" rendered="{!(a.Marital_Status__c == 'Seperated')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Divorced<apex:image value="{!$Resource.Checked}" rendered="{!(a.Marital_Status__c == 'Divorced')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Widowed <apex:image value="{!$Resource.Checked}" rendered="{!(a.Marital_Status__c == 'Widow')}" style="align:center;height:10px;width:10px"/></td>
</tr>
<tr >
<td colspan="1"><div>9.Father's Name</div></td>
<td colspan="4"><apex:outputText value="{!a.Father_Husband_s_First_Name__c} {!a.F_H_s_Last_Name__c}" /></td>
<td colspan="1"><div>10.Spouse Name</div></td>
<td colspan="0"><apex:outputText value="{!a.Spouse_First_Name__c} {!a.Spouse_Last_Name__c}" /></td>
<td colspan="4"></td>
</tr>
<tr >
<td><div>11.Education</div></td>
<td colspan="0">Illiterate(A) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'Illiterate')}" style="align:center;height:10px;width:10px"/> </td>
<td colspan="2">Literate but no formal schooling / School upto 4 years(B) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'Literate but no formal schooling / School upto 4 years')}" style="align:center;height:10px;width:10px"/> </td>
<td colspan="2">School 5 to 9 years(C) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'School 5 to 9 years')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">SSC/HSC(D)<apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'SSC/HSC')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">College (incl. diploma) but not grad.(E) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'College (incl. diploma) but not grad.')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Graduate/Post Graduate: General(F) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'Graduate/Post Graduate: General')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Graduate/Post Graduate: Professional(G) <apex:image value="{!$Resource.Checked}" rendered="{!(a.Education1__c == 'Graduate/Post Graduate: Professional')}" style="align:center;height:10px;width:10px"/></td>
</tr>
<tr >
<td colspan="2"><div>12.Aadhar Availability</div></td>
<td colspan="2">YES<apex:image value="{!$Resource.Checked}" rendered="{!(a.Aadhar_Card__c == 'Yes')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">No<apex:image value="{!$Resource.Checked}" rendered="{!(a.Aadhar_Card__c == 'No')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2"><div>13.Aadhar No</div></td>
<td colspan="4"><apex:outputText value="{!a.Aadhar_Card_No__c}" /></td>
</tr>
<tr >
<td><div>14.Primary Id </div></td>
<td >Aadhar<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Adhaar card')}" style="align:center;height:10px;width:10px"/> </td>
<td >Voter's ID<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Voter Identity Card')}" style="align:center;height:10px;width:10px"/> </td>
<td >PAN<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'PAN')}" style="align:center;height:10px;width:10px"/></td>
<td >DL<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Driving Licence')}" style="align:center;height:10px;width:10px"/></td>
<td >Passport<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Passport')}" style="align:center;height:10px;width:10px"/></td>
<td >NREGA ID<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'NREGA Job Card')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Identity Card Central/State<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Govt ID Proof')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Letter issused by Gazetted officer with photo<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof__c == 'Gazette letter')}" style="align:center;height:10px;width:10px"/></td>
</tr>
<tr>
<td ><div>15.Primary Id No. </div></td>
<td colspan="2"><apex:outputText value="{!a.IdentityProofNo__c}" /></td>
<td colspan="4"></td>
</tr>
<tr >
<td><div>16.Secondary Id </div></td>
<td >Aadhar<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c== 'Adhaar card')}" style="align:center;height:10px;width:10px"/> </td>
<td >Voter's ID<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Voter Identity Card')}" style="align:center;height:10px;width:10px"/> </td>
<td >PAN<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'PAN')}" style="align:center;height:10px;width:10px"/></td>
<td >DL<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Driving Licence')}" style="align:center;height:10px;width:10px"/></td>
<td >Ration card<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Ration Card')}" style="align:center;height:10px;width:10px"/></td>
<td >Passport<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Passport')}" style="align:center;height:10px;width:10px"/></td>
<td >NREGA ID<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'NREGA Job Card')}" style="align:center;height:10px;width:10px"/></td>
<td >Identity Card Central/State<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Govt ID Proof')}" style="align:center;height:10px;width:10px"/></td>
<td >Letter issused by Gazetted officer with photo<apex:image value="{!$Resource.Checked}" rendered="{!(a.IdentityProof_coborr__c == 'Gazette letter')}" style="align:center;height:10px;width:10px"/></td>
</tr>
<tr>
<td ><div>17.Secondary Id No. </div></td>
<td ><apex:outputText value="{!a.IdentityProofNo1__c}" /></td>
<td colspan="4"></td>
<td><div>19.Mobile Number </div></td>
<td><apex:outputText value="{!a.Mobile_NO_Contact__c}" /></td>
<td colspan="4"></td>
</tr>
<tr >
<td><div>18.Caste </div></td>
<td>SC<apex:image value="{!$Resource.Checked}" rendered="{!(a.Caste__c== 'SC')}" style="align:center;height:10px;width:10px"/> </td>
<td >ST<apex:image value="{!$Resource.Checked}" rendered="{!(a.Caste__c== 'ST')}" style="align:center;height:10px;width:10px"/> </td>
<td >OBC<apex:image value="{!$Resource.Checked}" rendered="{!(a.Caste__c== 'OBC')}" style="align:center;height:10px;width:10px"/></td>
<td >Others<apex:image value="{!$Resource.Checked}" rendered="{!(a.Caste__c== 'Others')}" style="align:center;height:10px;width:10px"/></td>
<td><div>20.Religion </div></td>
<td>Hindu<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c== 'Hindu')}" style="align:center;height:10px;width:10px"/> </td>
<td >Muslim<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c== 'Muslim')}" style="align:center;height:10px;width:10px"/> </td>
<td >Christian<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c == 'Christian')}" style="align:center;height:10px;width:10px"/></td>
<td >Sikh<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c == 'Sikh')}" style="align:center;height:10px;width:10px"/></td>
<td >Jain<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c == 'Jain')}" style="align:center;height:10px;width:10px"/></td>
<td >Others<apex:image value="{!$Resource.Checked}" rendered="{!(a.Religion__c == 'Others')}" style="align:center;height:10px;width:10px"/></td>
</tr>
</table>
<div style="font-family:calibri;font-size:10px">
21.Present Address
</div>
<table border="1px" width="100%" style="font-family:calibri;font-size:7px">
<tr>
<td rowspan="2" width="10px">21a.Door no </td>
<td><apex:outputText value="{!a.Door_No_Main_Borrower__c}" /> </td>
<td rowspan="2" width="10px">21b.cross</td>
<td><apex:outputText value="{!a.Present_Address_Cross__c}" /> </td>
<td rowspan="2" width="10px">21c.street Name</td>
<td><apex:outputText value="{!a.Street_Name_main__c}" /> </td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
<tr >
<td rowspan="2" width="10px" ><div>21d.Sub Area/Village </div></td>
<td><apex:outputText value="{!a.Village__c}" /></td>
<td rowspan="2" width="10px"> <div>21e.Main Area/Taluk </div></td>
<td><apex:outputText value="{!a.TALUK__c}" /></td>
<td rowspan="2" width="10px"><div>21f.City/Dist </div></td>
<td><apex:outputText value="{!a.City_Borrower__c}" /></td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
<tr >
<td rowspan="2" width="10px"><div>21g.state </div></td>
<td><apex:outputText value="{!a.States__c}" /></td>
<td rowspan="2" width="10px" ><div>21h.Pincode </div></td>
<td><apex:outputText value="{!a.Pin_COntacts__c}" /></td>
<td rowspan="2" width="10px"><div>21i.LandMark </div></td>
<td><apex:outputText value="{!a.Landmark_contacts__c}" /></td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
</table>
<div style="font-family:calibri;font-size:10px" >
22.Permanent Address 23.Tick here if the permanent address is same as present address <apex:outputfield value="{!a.Same_As_Communication_Address__c}"/>
</div>
<table border="1px" width="100%" style="font-family:calibri;font-size:8px">
<tr>
<td rowspan="2" width="10px">23a.Door No</td>
<td height="10px" ><apex:outputText value="{!a.Door_No_contact__c}" /></td>
<td rowspan="2" width="10px">23b.Cross</td>
<td height="10px" ><apex:outputText value="{!a.Native_Address_Cross__c}" /></td>
<td rowspan="2" width="10px">23c.Street Name</td>
<td height="10px" ><apex:outputText value="{!a.Street_Name_Contact__c}" /> </td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
<tr>
<td rowspan="2" width="10px" >23d.Sub area/village</td>
<td height="10px" ><apex:outputText value="{!a.Sub_Area_Village__c}" /></td>
<td rowspan="2" width="10px" >23e.Main Area/Taulk</td>
<td height="10px" ><apex:outputText value="{!a.Main_Area_Taluk__c}" /></td>
<td rowspan="2" width="10px" >23f.city/dist</td>
<td height="10px" ><apex:outputText value="{!a.City_Contact__c}" /></td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
<tr>
<td rowspan="2" width="10px" >23g.state</td>
<td height="10px" ><apex:outputText value="{!a.State1__c}" /></td>
<td rowspan="2" >23h.pincode</td>
<td height="10px" ><apex:outputText value="{!a.Pin_contact__c}" /></td>
<td rowspan="2" width="10px" >23i.landmark</td>
<td height="10px" ><apex:outputText value="{!a.Landmark__c}" /></td>
</tr>
<tr>
<td height="15px"></td>
<td height="15px"></td>
<td height="15px"></td>
</tr>
</table>
<table width="100%" style="font-family:calibri;font-size:8px" border="1px">
<tr >
<td>
<table border="1px">
<tr >
<td colspan="7">24.Employment Details-Nature of Employment</td>
</tr>
<tr>
<td colspan="2">Self Employed<br/><apex:image value="{!$Resource.Checked}" rendered="{!(a.Natureofemployment__c == 'Self- Employed')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="2">Salaried <apex:image value="{!$Resource.Checked}" rendered="{!(a.Natureofemployment__c == 'Salaried')}" style="align:center;height:10px;width:10px"/></td>
<td colspan="3">Not Employed<br/><apex:image value="{!$Resource.Checked}" rendered="{!(a.Natureofemployment__c == 'Not-Employed')}" style="align:center;height:10px;width:10px"/></td>
</tr>
<tr>
<td>Full Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(a.Natureofemployment__c == 'Self- Employed',a.Type_of_Employment__c=='Full time')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Part Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(a.Natureofemployment__c == 'Self- Employed',a.Type_of_Employment__c=='part time')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Full Time<br/><apex:image value="{!$Resource.Checked}" rendered="{!AND(a.Natureofemployment__c == 'Salaried',a.Type_of_Employment__c=='Full time')}" style="align:center;height:10px;width:10px"/></td>
<td>Part Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(a.Natureofemployment__c == 'Self- Employed',a.Type_of_Employment__c=='part time')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>House wife<br/><apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Employment__c=='House wife')}" style="align:center;height:10px;width:10px"/></td>
<td>student<apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Employment__c=='Student')}" style="align:center;height:10px;width:10px"/></td>
<td>Others<apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Employment__c=='Others')}" style="align:center;height:10px;width:10px"/></td>
</tr>
</table>
</td>
<td>
<table border="1px" >
<tr>
<td colspan="7">25.Type of Industry<br/></td>
</tr>
<tr>
<td>Manufacturing<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry =='Manufacturing')}" style="align:center;height:10px;width:10px"/></td>
<td>Retail Trading<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry=='Retail Trade')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Accomodation Services<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry=='Accomdation Services(Hotel/Lodging)')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Service Activities<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry =='Service Activities')}" style="align:center;height:10px;width:10px"/><br/></td>
</tr>
<tr>
<td>Construction<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry =='Construction')}" style="align:center;height:10px;width:10px"/></td>
<td>Wholesale Trade<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry=='Wholesale Trade')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Food Services<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry =='Food Services(Catering/Restaurant)')}" style="align:center;height:10px;width:10px"/><br/></td>
<td>Others<apex:image value="{!$Resource.Checked}" rendered="{!(a.Industry=='Other')}" style="align:center;height:10px;width:10px"/></td>
</tr>
</table>
</td>
<td>
<table border="1px">
<tr>
<td colspan="7">26.Main Product or service soold <br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!a.Main_Product_or_Service_sold__c}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px">
<tr>
<td colspan="7">27.Brief desc.of occ. <br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!a.Brief_Description_of_Occupation_words__c}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px">
<tr>
<td colspan="7">28.NCO Code<br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!a.NCO_Occupation_Code__r.name}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px">
<tr>
<td colspan="3">29.Freq.of Income<br/></td>
</tr>
<tr>
<td>Daily <apex:image value="{!$Resource.Checked}" rendered="{!(a.Frequency_of_wages__c=='Daily')}" style="align:center;height:10px;width:10px"/></td>
<td>Weekly <apex:image value="{!$Resource.Checked}" rendered="{!(a.Frequency_of_wages__c=='Weekly')}" style="align:center;height:10px;width:10px"/></td>
<td>Monthly <apex:image value="{!$Resource.Checked}" rendered="{!(a.Frequency_of_wages__c=='Monthly')}" style="align:center;height:10px;width:10px"/></td>
</tr>
</table>
</td>
</tr>
</table>
<div style="font-family:calibri;font-size:10px">
30.Family Details
</div>
<apex:variable var="counter" value="{!1}"/>
<table border="0px" width="100%" cellspacing="0" style="font-family:calibri;font-size:8px" >
<tr>
<td>No</td>
<td>30A.Member Name<br/></td>
<td colspan="2">30b.Gender</td>
<td colspan="7">30c.Education</td>
<td colspan="5">30d.Marital Status<br/></td>
<td colspan="5">30e.Occupation type/professional status</td>
<td>Chief Wage Earner</td>
</tr>
<tr >
<apex:repeat value="{!a.family__r}" var="f" rows="6">
<tr >
<td> {!counter}
</td>
<td><apex:outputfield value="{!f.name}"/></td>
<td >M<apex:image value="{!$Resource.Checked}" rendered="{!(f.Gender__c=='M')}" style="align:center;height:10px;width:10px"/></td>
<td>F<apex:image value="{!$Resource.Checked}" rendered="{!(f.Gender__c=='F')}" style="align:center;height:10px;width:10px"/></td>
<td>A<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='Illiterate')}" style="align:center;height:10px;width:10px"/></td>
<td>B<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='Literate but no formal schooling / School up-to 4 years')}" style="align:center;height:10px;width:10px"/></td>
<td>C<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='School 5 to 9 years')}" style="align:center;height:10px;width:10px"/></td>
<td>D<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='SSC/HSC')}" style="align:center;height:10px;width:10px"/></td>
<td>E<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='College (incl. diploma) but not grad')}" style="align:center;height:10px;width:10px"/></td>
<td>F<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='Graduate/Post Graduate: General')}" style="align:center;height:10px;width:10px"/></td>
<td>G<apex:image value="{!$Resource.Checked}" rendered="{!(f.Education__c=='Graduate/Post Graduate: Professional')}" style="align:center;height:10px;width:10px"/></td>
<td>M <apex:image value="{!$Resource.Checked}" rendered="{!(f.Marital_Status__c=='Married')}" style="align:center;height:10px;width:10px"/> </td>
<td>UM <apex:image value="{!$Resource.Checked}" rendered="{!(f.Marital_Status__c=='Unmarried')}" style="align:center;height:10px;width:10px"/> </td>
<td>SP <apex:image value="{!$Resource.Checked}" rendered="{!(f.Marital_Status__c=='Seperated')}" style="align:center;height:10px;width:10px"/> </td>
<td>D <apex:image value="{!$Resource.Checked}" rendered="{!(f.Marital_Status__c=='Divorced')}" style="align:center;height:10px;width:10px"/> </td>
<td>W <apex:image value="{!$Resource.Checked}" rendered="{!(f.Marital_Status__c=='Widow')}" style="align:center;height:10px;width:10px"/> </td>
<td>newborn <apex:image value="{!$Resource.Checked}" rendered="{!(f.Occupation_Types__c=='New Born')}" style="align:center;height:10px;width:10px"/> <br/> </td>
<td>student <apex:image value="{!$Resource.Checked}" rendered="{!(f.Occupation_Types__c=='Student')}" style="align:center;height:10px;width:10px"/> </td>
<td>employed <apex:image value="{!$Resource.Checked}" rendered="{!(f.Occupation_Types__c=='Employed')}" style="align:center;height:10px;width:10px"/> </td>
<td>not employed <apex:image value="{!$Resource.Checked}" rendered="{!(f.Occupation_Types__c =='Not Employed')}" style="align:center;height:10px;width:10px"/> <br/> </td>
<td>Retired <apex:image value="{!$Resource.Checked}" rendered="{!(f.Occupation_Types__c=='Retired')}" style="align:center;height:10px;width:10px"/> </td>
<td> <apex:image value="{!$Resource.Checked}" rendered="{!(f.Chief_wage_earner_of_the_family__c ==true)}" style="align:center;height:10px;width:10px"/> </td>
<apex:variable var="counter" value="{!counter+1}"/>
</tr>
</apex:repeat>
</tr>
<tr style="display: {!IF((counter>6), 'none', 'table-row')}">
<td>{!counter}</td>
<td></td>
<td>M</td>
<td>F</td>
<td>A</td>
<td>B</td>
<td>C</td>
<td>D</td>
<td>E</td>
<td>F</td>
<td>G</td>
<td>M</td>
<td>UM</td>
<td>SP</td>
<td>D</td>
<td>W</td>
<td>newborn</td>
<td>student</td>
<td>employed</td>
<td>not employed</td>
<td>Retired</td>
<td></td>
<apex:variable var="counter" value="{!counter+1}"/>
</tr>
<tr style="display: {!IF((counter>6), 'none', 'table-row')}">
<td>{!counter}</td>
<td></td>
<td>M</td>
<td>F</td>
<td>A</td>
<td>B</td>
<td>C</td>
<td>D</td>
<td>E</td>
<td>F</td>
<td>G</td>
<td>M</td>
<td>UM</td>
<td>SP</td>
<td>D</td>
<td>W</td>
<td>newborn</td>
<td>student</td>
<td>employed</td>
<td>not employed</td>
<td>Retired</td>
<td></td>
<apex:variable var="counter" value="{!counter+1}"/>
</tr>
<tr style="display: {!IF((counter>6), 'none', 'table-row')}">
<td>{!counter}</td>
<td></td>
<td>M</td>
<td>F</td>
<td>A</td>
<td>B</td>
<td>C</td>
<td>D</td>
<td>E</td>
<td>F</td>
<td>G</td>
<td>M</td>
<td>UM</td>
<td>SP</td>
<td>D</td>
<td>W</td>
<td>newborn</td>
<td>student</td>
<td>employed</td>
<td>not employed</td>
<td>Retired</td>
<td></td>
<apex:variable var="counter" value="{!counter+1}"/>
</tr>
<tr style="display: {!IF((counter>6), 'none', 'table-row')}">
<td>{!counter}</td>
<td></td>
<td>M</td>
<td>F</td>
<td>A</td>
<td>B</td>
<td>C</td>
<td>D</td>
<td>E</td>
<td>F</td>
<td>G</td>
<td>M</td>
<td>UM</td>
<td>SP</td>
<td>D</td>
<td>W</td>
<td>newborn</td>
<td>student</td>
<td>employed</td>
<td>not employed</td>
<td>Retired</td>
<td></td>
<apex:variable var="counter" value="{!counter+1}"/>
</tr>
</table>
<table border="0px" width="100%" cellspacing="0" style="font-family: Times New Roman,Georgia,sans-serif;font-size:7.5px">
<tr>
<td>31.Total Number of Family members </td>
<td><apex:outputText value="{!a.Opportunities[0].No_of_Family_Members__c}" /></td>
<td width="18px" ></td>
<td>32.Total No.of Earning members </td>
<td><apex:outputText value="{!a.No_of_Earning_Members__c}" /></td>
<td width="18px"></td>
<td>33.Total no.of Non Earning Members </td>
<td><apex:outputText value="{!a.Opportunities[0].No_of_non_Earning_members__c}" /></td>
<td width="10px"></td>
<td>34.Yrs in Curr.Residence </td>
<td><apex:outputText value="{!a.No_of_Years_in_Current_Residence__c}" /></td>
<td width="18px"></td>
<td>35.Yrs.in Curr.City</td>
<td><apex:outputText value="{!a.Present_No_of_Years_in_Current_City__c }" /></td>
<td width="18px"></td>
</tr>
</table>
<!--opportunities --->
<apex:repeat value="{!a.opportunities}" var="So" >
<table border="1px" width="100%" cellspacing="0" style="font-family:calibri;font-size:6px">
<tr>
<td>36.Agri/.allied activities<br/></td>
<td>Y <apex:image value="{!$Resource.Checked}" rendered="{!(a.Involvement_in_Agriculture_Allied_Acti__c=='Yes')}" height="8px" width="5px"/> </td>
<td>N <apex:image value="{!$Resource.Checked}" rendered="{!(a.Involvement_in_Agriculture_Allied_Acti__c=='No')}" height="8px" width="5px"/></td>
<td>Cultivation Crop <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Cultivation of crops in land')}" height="8px" width="5px"/></td>
<td>Dairy <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Dairying')}" height="8px" width="5px"/></td>
<td>Poultry <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Poultry')}" height="8px" width="5px"/></td>
<td colspan="2">Piggery <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Piggery')}" height="8px" width="5px"/></td>
<td colspan="2">Honey bee keeping <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Honeybee keeping')}" height="8px" width="5px"/></td>
<td>sheep/goat rearing <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Sheep / Goat rearing')}" height="8px" width="5px" /></td>
<td>fisheries <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Fisheries')}" height="8px" width="5px" /></td>
<td>Sericulture <apex:image value="{!$Resource.Checked}" rendered="{!(a.Type_of_Activity__c =='Sericulture – rearing of silk worms')}" height="8px" width="5px" /></td>
</tr>
<tr>
<td>37.Residence Ownership<br/></td>
<td>Owned <apex:image value="{!$Resource.Checked}" rendered="{!(So.Residential_Status_Currently__c =='Owned')}" height="8px" width="5px"/> </td>
<td>Rented/Leased <apex:image value="{!$Resource.Checked}" rendered="{!(So.Residential_Status_Currently__c =='Rented/Leased')}" height="8px" width="5px"/></td>
<td>Owned by relative <apex:image value="{!$Resource.Checked}" rendered="{!(So.Residential_Status_Currently__c =='Owned by relative')}" height="8px" width="5px"/></td>
<td>Others <apex:image value="{!$Resource.Checked}" rendered="{!(So.Residential_Status_Currently__c =='Others')}" height="8px" width="5px"/></td>
<td>38.House Type </td>
<td >Kacha <apex:image value="{!$Resource.Checked}" rendered="{!(So.Type_Of_Residence__c =='Kacha')}" height="8px" width="5px"/></td>
<td >Semi pucca <apex:image value="{!$Resource.Checked}" rendered="{!(So.Type_Of_Residence__c =='Semi Paca')}" height="8px" width="5px" /></td>
<td >pucca <apex:image value="{!$Resource.Checked}" rendered="{!(So.Type_Of_Residence__c =='Pacca')}" height="8px" width="5px" /></td>
</tr>
<tr>
<td>39.Durables/Assets Owned </td>
<td> <b style="color:Red"><apex:outputField value="{!So.Durables_Owned__c}" /> </b></td>
<td>Electric connection <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Elect. Connection')}" height="8px" width="5px"/> </td>
<td>Residential plot <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c =='Residential plot')}" height="8px" width="5px" /></td>
<td>LPG stove <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='LPG Stove')}"/> <br/></td>
<td>Air conditioner <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Air Conditioner/Cooler')}"/></td>
<td>Two wheeler <apex:image value="{!$Resource.Checked}" rendered="{!(So.Vehicle_Used__c=='Two Wheeler')}"/></td>
<td>color tv <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Color TV')}"/></td>
<td>Refrigerator <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Fridge')}" height="8px" width="5px"/><br/></td>
<td>Agriculture land <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Agricultural land')}" height="8px" width="5px" /><br/></td>
<td>Washing machine <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c =='Washing Machine')}" height="8px" width="5px" /></td>
<td>Personal computer/laptop <apex:image value="{!$Resource.Checked}" rendered="{!(So.Durables_Owned__c=='Computer/Laptop')}" height="8px" width="5px" /></td>
<td>Car/jeep/van <apex:image value="{!$Resource.Checked}" rendered="{!(So.Vehicle_Used__c=='Car/Jeep/Van')}" height="8px" width="5px" /></td>
<td>Ceiling fan <apex:image value="{!$Resource.Checked}" rendered="{!(So.Electric_Fans_new__c==True)}" height="8px" width="5px" /></td>
</tr>
<tr>
<td>40.Area</td>
<td>Recognized Slum <apex:image value="{!$Resource.Checked}" rendered="{!(a.Is_the_residence_in_a__c=='Recognized Slum')}" height="8px" width="5px" /></td>
<td>Unrecognized Slum <apex:image value="{!$Resource.Checked}" rendered="{!(a.Is_the_residence_in_a__c=='Unrecognized Slum')}" height="8px" width="5px" /></td>
<td>Others <apex:image value="{!$Resource.Checked}" rendered="{!(a.Is_the_residence_in_a__c=='Others')}" height="8px" width="5px" /></td>
<td>41.Do you own or run a provision/kirana store </td>
<td>Y <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_own_run_a_Provision_Kirana_Store__c =='Yes')}" height="8px" width="5px" /></td>
<td>N <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_own_run_a_Provision_Kirana_Store__c =='No')}" height="8px" width="5px" /></td>
<td>44.Does the Customer live <br/> in the address specified?</td>
<td>Y <apex:image value="{!$Resource.Checked}" rendered="{!(So.Does_the_applicant_live_in_address_spcfd__c =='Yes')}" height="8px" width="5px" /></td>
<td>N <apex:image value="{!$Resource.Checked}" rendered="{!(So.Does_the_applicant_live_in_address_spcfd__c =='No')}" height="8px" width="5px" /></td>
<td>45.If No,specify address</td>
<td colspan="3"><apex:outputField value="{!So.Specify_the_Correct_Address__c }" /></td>
</tr>
<tr>
<td>42.LPG </td>
<td>Y <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_have_LPG_connecton__c=='Yes')}" height="8px" width="5px" /></td>
<td>N <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_have_LPG_connecton__c =='No')}" height="8px" width="5px" /></td>
<td>43.DTH</td>
<td>Y <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_have_DTH_connecton__c =='Yes')}" height="8px" width="5px" /></td>
<td>N <apex:image value="{!$Resource.Checked}" rendered="{!(a.Do_you_have_DTH_connecton__c =='No')}" height="8px" width="5px" /></td>
<td>Dish <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Dish')}" height="8px" width="5px" /></td>
<td>Tata <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Tata')}" height="8px" width="5px" /></td>
<td>Airtel <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Airtel')}" height="8px" width="5px" /></td>
<td>Sun <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Sun')}" height="8px" width="5px" /></td>
<td>Big Tv <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Big TV')}" height="8px" width="5px" /></td>
<td>Videocon <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Videocon')}" height="8px" width="5px" /></td>
<td>Act <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='ACT')}" height="8px" width="5px" /></td>
<td>Local <apex:image value="{!$Resource.Checked}" rendered="{!(a.Who_is_your_DTH_provider__c =='Local')}" height="8px" width="5px" /></td>
</tr>
</table>
</apex:repeat>
<apex:repeat value="{!a.Secondary_Customer_Details__r}" var="sc" >
<table width="100%" style="font-family:calibri;font-size:12px;page-break-before: always;">
<tr >
<td>
<div style="padding-left:2px; padding-bottom:5px; padding-top:8px;">
<table CELLPADDING="6">
<tr><td><apex:image id="logo2" value="{!$Resource.Janalakshmi_Likho_Apni_Kahani}" style="height:50px;width:50px" /></td>
<td></td><td></td>
<td ><h6><b>Janalakshmi Financial Services Pvt.ltd</b><br/> customer infromation sheet<br/>(Please fill the form in BOLD letters and tick relevant options)</h6></td>
<td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td>
<td rowspan="7"><apex:image id="theImage5" value="{!$Resource.Photograph}" style="height:70px;width:90px;align:right"/></td><td></td></tr>
</table>
</div>
</td>
</tr><hr/>
</table>
<tr style="font-family:calibri;font-size:10px">
<td><div>46.PRODUCT CODE </div></td>
<td colspan="4"><apex:outputText value="{!a.opportunities[0].Name}" /></td>
</tr>
<div style="font-family:calibri;font-size:10px">
Secondary Customer Details:(as per photo identity proof provided)
</div>
<table border="1px" width="100%" cellspacing="2" style="font-family:calibri;font-size:8px">
<tr >
<td colspan="2"> <div>47.Name</div></td>
<td colspan="4"><apex:outputText value="{!sc.Name} {!sc.Last_Name__c}" /></td>
<td colspan="6"></td>
</tr>
<tr >
<td colspan="2"><div>48.D.O.B</div></td>
<td colspan="4"><apex:outputField value="{!sc.Date_of_Birtht__c}" /></td>
<td colspan="6"></td>
</tr>
<tr >
<td colspan="2"><div>49.Father's Name</div></td>
<td ><apex:outputText value="{!sc.FH_FirstName__c} {!sc.FH_LastNames__c}" /></td>
<td colspan="4"></td>
<td colspan="1"><div>50.Spouse Name</div></td>
<td ><apex:outputText value="{!sc.Spouse_First_Name_SC__c} {!sc.Spouse_Last_Name_SC__c }" /></td>
<td colspan="4"></td>
</tr>
<tr >
<td><div>51.Education</div></td>
<td >Illiterate(A) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'Illiterate')}"/> </td>
<td colspan="2">Literate but no formal schooling / School upto 4 years(B) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'Literate but no formal schooling / School upto 4 years')}"/> </td>
<td >School 5 to 9 years(C) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'School 5 to 9 years')}"/></td>
<td >SSC/HSC(D)<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'SSC/HSC')}"/></td>
<td colspan="2">College (incl. diploma) but not grad.(E) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'College (incl. diploma) but not grad.')}"/></td>
<td colspan="2">Graduate/Post Graduate: General(F) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'Graduate/Post Graduate: General')}"/></td>
<td colspan="2">Graduate/Post Graduate: Professional(G) <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Educations__c == 'Graduate/Post Graduate: Professional')}"/></td>
</tr>
<tr >
<td colspan="2"><div>52.Aadhar Availability</div></td>
<td colspan="2">YES<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Aadhar_Card__c== 'Yes')}"/></td>
<td colspan="2">No<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Aadhar_Card__c == 'No')}"/></td>
<td colspan="2"><div>53.Aadhar No</div></td>
<td colspan="2"><apex:outputText value="{!sc.Aadhar_Card_No__c}" /></td>
<td colspan="4"></td>
</tr>
<tr >
<td><div>54.Primary Id </div></td>
<td >Aadhar<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c== 'Adhaar card')}"/> </td>
<td >Voter's ID<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'Voter Identity Card')}"/> </td>
<td >PAN<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c== 'PAN')}"/></td>
<td >DL<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'Driving Licence')}"/></td>
<td >Passport<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'Passport')}"/></td>
<td >NREGA ID<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'NREGA Job Card')}"/></td>
<td colspan="2">Identity Card Central/State<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'Govt ID Proof')}"/></td>
<td colspan="2">Letter issused by Gazetted officer with photo<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Identity_Proofs__c == 'Gazette letter')}"/></td>
</tr>
<tr >
<td><div>55.Primary Id No. </div></td>
<td colspan="2"><apex:outputText value="{!sc.Identity_ProofNo__c }" /></td>
<td colspan="4"></td>
<td>56.Are You part of any pension scheme</td>
<td>Y<apex:image value="{!$Resource.Checked}" rendered="{!(a.Are_You_Part_Of_Any_Pension_Scheme__c== 'Yes')}"/></td>
<td>N<apex:image value="{!$Resource.Checked}" rendered="{!(a.Are_You_Part_Of_Any_Pension_Scheme__c== 'No')}"/></td>
</tr>
<tr >
<td><div>57.PC Relationship with SC </div></td>
<td>Wife <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Wife')}"/></td>
<td>Husband <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Husband')}"/></td>
<td>Son <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Son')}"/></td>
<td>Daughter <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Daughter')}"/></td>
<td>Mother-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Mother-in-law')}"/></td>
<td>Father-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Father-in-law')}"/></td>
<td>Daughter-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Daughter-in-law')}"/></td>
<td>Mother <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Mother')}"/></td>
<td>Father <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Father')}"/></td>
<td>Sister <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Sister')}"/></td>
<td>Brother <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Brother')}"/></td>
<td>Group Member <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Relationdhip_with_Secondary_Customer__c== 'Group Member')}"/></td>
</tr>
<tr >
<td><div>58.SC Relationship with PC </div></td>
<td>Wife <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Wife')}"/></td>
<td>Husband <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Husband')}"/></td>
<td>Son <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Son')}"/></td>
<td>Daughter <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Daughter')}"/></td>
<td>Mother-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Mother-in-law')}"/></td>
<td>Father-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Father-in-law')}"/></td>
<td>Daughter-in-law <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Daughter-in-law')}"/></td>
<td>Mother <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Mother')}"/></td>
<td>Father <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Father')}"/></td>
<td>Sister <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Sister')}"/></td>
<td>Brother <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Brother')}"/></td>
<td>Group Member <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Relation__c== 'Group Member')}"/></td>
</tr>
<tr >
<td><div>59. Relationship Proof </div></td>
<td>ID proof <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'Id proof')}"/></td>
<td colspan="2">Address Proof <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'Address Proof')}"/></td>
<td colspan="2">Married Photo <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'Marriage Photo')}"/></td>
<td colspan="2">Marriage Certification/Invite <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'Marriage registration/Invitation')}"/></td>
<td colspan="2">Ration Card <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'Ration Card')}"/></td>
<td>No proof <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Proof_b_w_Borrower_and_Co_Borrower__c== 'No Proof')}"/></td>
</tr>
</table>
<table width="100%" border="1px">
<tr style="font-family:calibri;font-size:8px">
<td>
<table border="1px" style="font-family:calibri;font-size:8px">
<tr >
<td colspan="7">60.Employment Details-Nature of Employment</td>
</tr>
<tr>
<td colspan="2">Self Employed<br/><apex:image value="{!$Resource.Checked}" rendered="{!(sc.Nature_of_Employment__c == 'Self- Employed')}"/></td>
<td colspan="2">Salaried <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Nature_of_Employment__c == 'Salaried')}"/></td>
<td colspan="3">Not Employed<br/><apex:image value="{!$Resource.Checked}" rendered="{!(sc.Nature_of_Employment__c == 'Not-Employed')}"/></td>
</tr>
<tr>
<td>Full Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(sc.Nature_of_Employment__c == 'Self- Employed',a.Type_of_Employment__c=='Full time')}"/><br/></td>
<td>Part Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(sc.Nature_of_Employment__c == 'Self- Employed',a.Type_of_Employment__c=='part time')}"/><br/></td>
<td>Full Time<br/><apex:image value="{!$Resource.Checked}" rendered="{!AND(sc.Nature_of_Employment__c == 'Salaried',a.Type_of_Employment__c=='Full time')}"/></td>
<td>Part Time<apex:image value="{!$Resource.Checked}" rendered="{!AND(sc.Nature_of_Employment__c == 'Self- Employed',a.Type_of_Employment__c=='part time')}"/><br/></td>
<td>House wife<br/><apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Employment__c=='House wife')}"/></td>
<td>student<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Employment__c=='Student')}"/></td>
<td>Others<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Type_of_Employment__c=='Others')}"/></td>
</tr>
</table>
</td>
<td>
<table border="1px" style="font-family:calibri;font-size:8px">
<tr>
<td colspan="7">61.Type of Industry<br/></td>
</tr>
<tr>
<td>Manufacturing<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c =='Manufacturing')}"/></td>
<td>Retail Trading<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c=='Retail Trade')}"/><br/></td>
<td>Accomodation Services<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c=='Accomdation Services(Hotel/Lodging)')}"/><br/></td>
<td>Service Activities<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c =='Service Activities')}"/><br/></td>
</tr>
<tr>
<td>Construction<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c =='Construction')}"/></td>
<td>Wholesale Trade<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c=='Wholesale Trade')}"/><br/></td>
<td>Food Services<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c =='Food Services(Catering/Restaurant)')}"/><br/></td>
<td>Others<apex:image value="{!$Resource.Checked}" rendered="{!(sc.Industry__c=='Other')}"/></td>
</tr>
</table>
</td>
<td>
<table border="1px" >
<tr>
<td colspan="7">62.Main Product or service soold <br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!sc.Main_Product_or_Service_sold__c}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px" >
<tr>
<td colspan="7">63.Brief desc.of occ. <br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!sc.Brief_Description_of_Occupation_words__c}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px" >
<tr>
<td colspan="7">64.NCO Code<br/></td>
</tr>
<tr>
<td ><apex:outputText value="{!sc.NCO_Occupation_Code__r.name}"/><br/></td>
</tr>
<tr>
<td colspan="7" height="10px"></td>
</tr>
</table>
</td>
<td>
<table border="1px" >
<tr>
<td colspan="3">65.Freq.of Income<br/></td>
</tr>
<tr>
<td rowspan="5">Daily <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Frequency_of_wages__c=='Daily')}"/></td>
<td rowspan="5">Weekly <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Frequency_of_wages__c=='Weekly')}"/></td>
<td rowspan="5">Monthly <apex:image value="{!$Resource.Checked}" rendered="{!(sc.Frequency_of_wages__c=='Monthly')}"/></td>
</tr>
</table>
</td>
</tr>
</table>
</apex:repeat>
<div style="font-family:calibri;font-size:10px">66.Financial Details</div>
<table cellpadding="2" width="100%" border="1" style="font-family:calibri;font-size:10px">
<tr>
<td>Total Inflow</td><td>Outflow-Excluding Financial aenses</td><td>Outflow-Financial aenses</td><td>Total OutFlow</td><td>Net Cash Flow</td>
</tr>
<tr>
<td> <apex:outputText value="{!a.Total_Inlfow__c}"/> </td>
<td><apex:outputText value="{!a.Outflow_Excluding_Financial_expenses__c}"/> </td>
<td><apex:outputText value="{!a.Financial__c}"/> </td>
<td><apex:outputtext value="{!a.Total_Outflow__c}"/> </td>
<td><apex:outputText value="{!a.Net_Cash_Flow__c}"/> </td>
</tr>
<tr>
<td height="10px" ></td>
<td height="10px" ></td>
<td height="10px" ></td>
<td height="10px" ></td>
<td height="10px" ></td>
</tr>
</table>
<!--
<table width="100%">
<tr><td><apex:image id="logo3" value="{!$Resource.CISFormpage2Declaration}" width="100%" height="320px" /></td></tr>
<tr><td><apex:image id="logo4" value="{!$Resource.CISFormpage2Declaration1}" width="100%" /></td></tr>
</table>
--->
<div width="100%">
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;">Declarations:</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
I/We declare that all the particular and information given in this form are true, correct and upto date in all respects and I/we have not withheld any information. I/We confirm that
I/we had no insolvency proceedings initiated against me/us nor have I/we ever been declared as insolvent(s). In case any of the above information is found to be incorrect,
Janalakshmi Financial Services Pvt. Ltd., reserves the right to reject the application without assigning any reason. I/We declare that the total family income as declared and earned
through the profession, which I/we are professing, does not exceed Rs.8,333 p.m./Rs.1,00,000 p.a.(rural) and Rs.13,333 p.m./Rs.1,60,000 p.a. (urban). I/We also declare that
the current total borrowing of the family does not exceed Rs.1,00,000. The total family income and borrowing, as mentioned in the CIS submitted to Janalakshmi Financial
Services Pvt. Ltd., is true to the best of my/our knowledge and belief and I/we stand by the same. I/We understand and note that if it is proved that the income furnished is
incorrect, on verification by the Janalakshmi Financial Services Pvt. Ltd's field officers, the loan application submitted by me/us is liable for rejection.
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
Disclosure and information</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
1. The Customer hereby authorises and permits JFS and any officer of JFS to disclose any customer information in relation to the Customer or any other information whatsoever in relation to the Customer and/or any agreement or
document entered into by the Customer or any other person in relation to any Facilities as JFS shall consider appropri¬ate for any such commercial, banking, administrative, funding or business purposes as JFS thinks fit to:
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(a) Any affiliate of JFS; and </p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(b) Any other person: </p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(I) To (or through) whom JFS assigns or transfers (or may potentially assign or transfer) all or any of its rights and obligations under the Facilities;</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(II) Any rating agency, insurer or insurance broker of, or direct or indirect provider of credit protection to JFS or its affiliates;</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(111) Any court or tribunal or regulatory, supervisory, statutory, governmental or quasi-governmental authority with jurisdiction over JFS or its affiliates;</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(IV) Pursuant to the processing or management of data relating to any facility or proposed facility or the Customer;</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(V) To whom such disclosure is considered by JFS to be in JFS's interests.
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
2. The Customer hereby agrees as a pre-condition of the Facilities given to the Customer by JFS that in case the Customer commits default in the repayment of the Facilities
or in the repayment of interest thereon or any of the agreed instalment of a Facility on due date/s, JFS and/or the Reserve Bank of India will have an un-qualified right to
disclose or publish the name/s (along with photograph and any other information) of the Customer/s or the name/s (along with photograph and any other information) of its
partner/s or Directors or the name/s (along with photograph and any other information) of the guarantor/s as defaulter/s in such manner and through such medium as JFS
or Reserve Bank of India in their absolute discretion may think fit.
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
3. The Customer hereby confirms and accepts that as pre-condition, relating to the grant of the said Facilities to the Customer, JFS requires the Customer's consent for the
disclosure by JFS of information and data relating to the Customer of the Facilities availed / to be availed by the Customer, obligations assumed / to be assumed by the
Customer, in relation thereto and default, if any, committed by the Customer, in discharge thereof. Accordingly, the Customer hereby agrees and gives consent for the
disclosure by JFS of all or any such:
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(a) Information and data relating to the Customer;</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(b) The information or data relating to any credit facility availed of / to be availed by the Customer; and </p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(c) Default, if any, committed by the Customer, in discharge of the Customer's such obligation; </p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(d) As JFS may deem appropriate and necessary, to disclose and furnish to Credit Information Bureau (India) limited and any other agency authorized in this behalf by Reserve Bank of India.</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(e) The Customer declares that the information and data furnished by the Customer to JFS is true and correct.<br/>
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
4. The Customer undertakes that:</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(a) the Credit Information Bureau (India) Limited and any other agency so authorized may use, process the said information and data disclosed by JFS in the manner as
deemed fit by them; and
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
(b) the Credit Information Bureau (India) Limited and any other agency so authorized may furnish for consideration, the proposed information and data of products thereof
prepared by them, to banks / financial institutions and other credit grantors or registered users, as may be specified by the Reserve Bank of India in this behalf.
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
5. This Clause is not, and shall not be deemed to constitute, an express or implied agreement by JFS with the Customer for a higher degree of confidentiality than that
prescribed under Banking Regulation Act, 1949 or extant regulations and guidelines prescribed from time to time. The rights conferred on JFS in this Clause shall be in
addition to and shall not be in any way prejudiced or affected by any other agreement, expressed or implied, between the Customer and JFS in relation to any Customer
Information nor shall any such other agreement be in any way prejudiced or affected by this Clause.
</p>
<p style="font-size:8px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;">
I hereby declare that I have been explained the entire process of the loan to be given to me and usage of card by the Janalakshmi official, Mr./Mrs_________________________________________________</p>
<p style="font-size:7px;margin:0 ;font-family:calibri,Georgia,serif;text-align:justify;line-height:1.5;"> _______________________________in________________________________________________________ (write name of the language spoken/understood by the customer) language
spoken/understood by me and I am fully informed of the same. I have also understood the terms and conditions of
the loan being extended to me and subscribe my signature/Left Thumb Mark in proof of the same. I hereby authorize Janalakshmi Financial Services Pvt Ltd.,
to disburse my loan amount through a prepaid card /Cash
</p>
</div>
<div >
<table width="100%" height="10%" >
<tr style="page-break-before: always;">
<td>
<div >
<table >
<tr><td><apex:image id="logo21" value="{!$Resource.Janalakshmi_Likho_Apni_Kahani}" style="height:50px;width:50px" /></td>
<td></td><td></td><td></td>
<td ><h6 style="font-family: Times New Roman,Georgia,sans-serif;font-size:10px"><b>Janalakshmi Financial Services Pvt.ltd</b><br/> customer infromation sheet<br/>(Please fill the form in BOLD letters and tick relevant options)</h6></td>
<td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td>
</tr>
</table>
</div>
</td>
</tr><hr/>
</table>
</div>
<table width="100%" >
<tr >
<td>
<p style="font-size:10px;font-family:calibri,Georgia,serif;;text-align:justify;">
We declare that we shall not use the Loan proceeds for a project or investment that employs person under the age of fifteen(15) for any form of labour or under
the age of eighteen(18) for work involving hazardous labour acivity.We declare that we are family and family-scale holding that produce for local consumption
and do not regularty employ hired workers.
</p>
</td>
</tr>
<tr width="100%" style="font-family:calibri,Georgia,serif;font-size:10px;text-align:justify;">
<td>67.I agree to enroll my self for NPS lite pension scheme
Yes <apex:image value="{!$Resource.Checked}" rendered="{!(a.Opted_for_NPS_Lite__c=='Yes')}" height="8px" width="8px" style="align:center"/>
No <apex:image value="{!$Resource.Checked}" rendered="{!(a.Opted_for_NPS_Lite__c=='No')}" height="8px" width="8px" style="align:center"/></td>
</tr>
<tr style="font-family:calibri,Georgia,serif;font-size:10px">
<td >68.I hereby declared that address mentioned above page 1-point no 21 is my current Place of residance </td>
</tr>
<tr style="font-family:calibri,Georgia,serif;font-size:10px">
<td>69.FORM 60 </td>
</tr>
<tr style="font-family:calibri,Georgia,serif;font-size:10px">
<td>1.Particulars of transaction:Application for Prepaid Card </td>
</tr>
<tr style="font-family:calibri,Georgia,serif;font-size:10px">
<td>2.Amount of transaction:Not Applicable</td>
</tr>
<tr width="100%" style="font-family:calibri,Georgia,serif;font-size:10px">
<td>3.Are you an assessee as per the income Tax Act 1961?
Yes <apex:image value="{!$Resource.Checked}" rendered="{!(a.Customer_tagged_as_Income_Tax_Assesse__c=='Yes')}" height="8px" width="8px" style="align:center"/>
No <apex:image value="{!$Resource.Checked}" rendered="{!(a.Customer_tagged_as_Income_Tax_Assesse__c=='No')}" height="8px" width="8px" style="align:center"/></td>
</tr><tr></tr>
<tr style="font-family:calibri,Georgia,serif;font-size:10px">
<td >If yes,</td>
</tr>
<tr width="100%" style="font-family:calibri,Georgia,serif;font-size:10px" border="2px">
<td >(i)Details of Ward/Circle/Range Where the last return of income was field? <b><apex:outputField value="{!a.IT_Details_of_last_filed_returns__c}" /></b> </td>
<td></td>
</tr>
<tr width="100%" style="font-family:calibri,Georgia,serif;font-size:10px" border="2px">
<td>(ii) Reason for not having permanent Account Number?<b> <apex:outputField value="{!a.Reason_for_not_having_PAN_Card__c}" /></b></td>
<td></td>
</tr>
</table>
<br/>
<!---
<table width="100%">
<tr><td><apex:image id="logo5" value="{!$Resource.CISFormpage3Declaration}" width="100%" height="320px" /></td></tr>
</table>
--->
<div width="100%">
<p style="font-size:10px;font-family:calibri,Georgia,serif;text-align:justify;line-height:2;">
Declaration </p>
<p style="font-size:10px;font-family:calibri,Georgia,serif;;text-align:justify;">
I have read, understood and hereby agree to abide by the terms and conditions, rules and regulations and other statutory requirements applicable in respect to the Jana Cash <br/>
Card (prepaid card), as amended from time to time. I hereby declare that the particulars and information given in this application form (and all the documents referred and <br/>
provided therewith) are true,correct,complete and upto date in all respects and to the best of my knowledge and belief that I have not withheld any information.I understand <br/>
that certain particulars given by me are required by the operational guidelines governing BIN Sponsor Banking companies. I agree and undertake to provide any further <br/>
information/documentation as and when required by Janalakshmi Financial Services Pvt Ltd.,(JFS), BIN Sponsor Bank or its authorized agents. The documents submitted<br/>
along with this application form are genuine and I am not providing this application form in contravention of any Act, Rules, Regulations or any statute or legislation ,<br/>
or any notifications, directions issued by any governmental or statutory or regulatory authority from time to time. I hereby undertake to promptly inform <br/>
JFS (the Business Correspondent (BC) of BIN Sponsor Bank), Rajashree Saroja Plaza, #34/1, Andree Road, Shanthi Nagar, Bangalore, of any changes in the information <br/>
provided hereinabove and agree and accept that JFS and BIN Sponsor Bank are not liable and responsible for any losses, costs, damages arising out of any actions <br/>
undertaken or activities performed by them on the basis of information provided by me as also due to my non intimation/delay in initiating such changes.<br/>
I hereby agree to use the prepaid card within Reserve Bank of India (RBI) specified limit and for all transactions with prescribed merchants for the products/services <br/>
as mentioned by merchant on this application form and website and further agree not to use it for any unlawful purposes/activities. I will neither abet nor be a party <br/>
to any illegal/criminal/money laundering activities undertaken, using this prepaid card. I also agree to abide by the terms and conditions regarding usage of this prepaid card. <br/>
I agree and understand that JFS and BIN Sponsor Bank reserve the right to reject the application without providing any reason or reference to me. I agree that the prepaid card <br/>
can be downgraded to an essential services card by JFS and/or BIN Sponsor Bank in the event that KYC documents provided by me are not as per the requirements of BIN <br/>
Sponsor Bank.I agree and understand that BIN Sponsor Bank reserves the right to retain the application form/s and the documents provided therewith <br/>
including the photographs and shall not return the same to me under any circumstances whatsoever. I shall not hold JFS and BIN Sponsor Bank liable and responsible for <br/>
furnishing of the processed information/data/products thereof to other BIN Sponsor Banks/financial institutions/credit bureaus/any statutory or regulatory authority.<br/>
Note: The Applicant is advised not to disclose/share ATM PIN and CVV with anyone. JFS and BIN Sponsor Bank shall not be held responsible or liable for any fraud or<br/>
misuse of the Prepaid Card. Please collect and retain your acknowledgement for future reference.
</p>
</div>
<table height="500px" style="page-break-before: always;">
<table height="500px">
<tr >
<td>
<div >
<table >
<tr><td><apex:image id="logo26" value="{!$Resource.Janalakshmi_Likho_Apni_Kahani}" style="height:50px;width:50px" /></td>
<td></td><td></td><td></td>
<td ><h6 style="font-family: Times New Roman,Georgia,sans-serif;font-size:10px"><b>Janalakshmi Financial Services Pvt.ltd</b><br/> customer infromation sheet<br/>(Please fill the form in BOLD letters and tick relevant options)</h6></td>
<td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td>
</tr>
</table>
</div>
</td>
</tr>
<hr/>
</table>
<br/>
<div>
<p style="font-size:10px;font-family:calibri;text-align:justify;">
"I/We confirm that I/We have been explained on the Life insurance product offered by_______________________________________________________ under a Master Policy
issued to Janalakshmi Financial Services Pvt. Ltd for Life insurance cover. I/We acknowledge and understand that the insurance cover would commence only on the
disbursement of loan amount. I/We further confirm that no payment towards premium, either in full or in part has been made by me in cash on field. I/We hereby execute the
proposal form and acknowledgement form based the above declaration."
</p>
<tr style="font-size:10px;font-family:courier;text-align:justify;line-height:2;">
<td align="right" >
__________________________
</td>
<td width="63%"></td>
<td align="left">
____________________________
</td>
</tr>
<tr style="font-size:10px;font-family:courier;text-align:justify;line-height:2;">
<td>
Signature of primary customer
</td>
<td width="53%"></td>
<td >
Signature of secondary customer
</td>
</tr>
<p style="font-size:10px;font-family:courier;text-align:justify;line-height:2;">
Vernacular Declaration </p>
<p style="font-size:10px;font-family:calibri;text-align:justify;">
I confirm that the Primary Customer_____________________________(name of illiterate applicant) and the Secondary Customer_______________________________
who are deemed to be the applicant and co-applicant and co-applicant are illiterate(s) and both of them have been explained the process of the loan and the amount of loan
being distributed to the Primary Customer and both of them have understood the transaction/their responsibilities as a borrower and co-borrower to Janalakshmi Financial
Services Pvt. Ltd. and her/his LTM is duly attested by me hereunder. Other literate member(s) has also explained the batch functionality and the loan quantum to the Primary
Customer/Secondary Customer and the declaration obtained in this regard is given below.
</p>
<tr style="font-size:10px;font-family:courier;text-align:justify;line-height:2;">
<td>
_____________________________________
</td>
<td width="63%"></td>
<td >
____________________________
</td>
</tr>
<tr style="font-size:10px;font-family:courier;text-align:justify;line-height:2;">
<td style="font-size:9px;font-family:courier;text-align:justify;">
Name of the Declarant who is a Batch Member
</td>
<td width="51%"></td>
<td >
Signature of Batch Member
</td>
</tr>
</div>
<br/>
<apex:repeat value="{!a.opportunities}" var="t" >
<table cellpadding="2" width="100%" border="1" style="font-family:calibri;font-size:10px">
<tr>
<td colspan="2" > 70.Does the Secondary customer <br/> have a separate family support </td>
<td colspan="2" > 71.DOes the secondary customer <br/> live in the dame address </td>
<td colspan="2" > 72.if No Specify the address </td>
<td colspan="2" > 73.Verifiers Remarks on Family Income </td>
<td colspan="2" > 74.Overall Verifiers Assessment Remarks </td>
</tr>
<tr>
<td>Yes <apex:image value="{!$Resource.Checked}" rendered="{!(t.Does_Coapplicant_have_a_seperate_family__c=='Yes')}" height="8px" width="8px"/></td>
<td>No <apex:image value="{!$Resource.Checked}" rendered="{!(t.Does_Coapplicant_have_a_seperate_family__c=='No')}" height="8px" width="8px"/></td>
<td>Yes <apex:image value="{!$Resource.Checked}" rendered="{!(t.Does_Coaplicant_live_in_same_address__c=='Yes')}" height="8px" width="8px"/></td>
<td>No <apex:image value="{!$Resource.Checked}" rendered="{!(t.Does_Coaplicant_live_in_same_address__c=='No')}" height="8px" width="8px"/></td>
<td colspan="2" > <apex:outputText value="{!t.Specify_the_Correct_Address__c }" /> </td>
<td colspan="2"> <apex:outputText value="{!t.Income_Assesment_remarks__c}" /> </td>
<td colspan="2"> <apex:outputText value="{!t.Remarks_Official__c}" /> </td>
</tr>
</table>
<br/>
<div style="font-family:calibri;font-size:12px" align="Center"> <b>(For Office Use Only)</b></div>
<table width="100%" style="font-family:calibri;font-size:10px" border="1px">
<tr>
<td width="0px">CREM Name </td>
<td width="40px"> <apex:outputField value="{!t.CRE_Collection_s_NameLp__r.name}" /></td>
<td width="0px">E.Code </td>
<td width="20px"> <apex:outputField value="{!t.CRE_Collection_s_NameLp__r.Employee_Code__c}" /></td>
<td width="0px">Signature - Date/Time </td>
<td width="40px"> <apex:outputField value="{!t.CRM_s_Signature_Date_Time__c}" /></td>
</tr>
<tr>
<td >CREM Name</td>
<td width="40px"></td>
<td >E.Code </td>
<td width="30px"></td>
<td >Signature - Date/Time </td>
<td width="30px"> </td>
</tr>
<tr>
<td> Sourced by </td>
<td > <apex:outputField value="{!t.CRE_Sales_NameLP__r.name}" /></td>
<td >E.Code </td>
<td > <apex:outputField value="{!t.CRE_Sales_NameLP__r.Employee_Code__c}" /></td>
<td >Signature - Date/Time </td>
<td> <apex:outputField value="{!t.CRE_Sales_Signature_Date_Time__c}" /></td>
</tr>
<tr>
<td >Sourced by</td>
<td></td>
<td>E.Code </td>
<td ></td>
<td >Signature - Date/Time </td>
<td > </td>
</tr>
</table>
</apex:repeat>
</table>
</div>
</div>
</apex:repeat>
</apex:outputPanel>
</apex:form>
</apex:page>
Friday, October 2, 2015
visualforce page design
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Hi Ashok,
ReplyDeleteI Really Thank for this Tutorial .This is very very helpful for me…Thanks