@extends('dealer.master')
@section('content')
<div class="app-content my-3 my-md-5">
	<div class="side-app">
		<div id="head-of-page" class="page-header">
			<h4 class="page-title">Buyer Details</h4>
			<ol class="breadcrumb">
				<li class="breadcrumb-item"><a href="#">Components</a></li>
				<li class="breadcrumb-item active" aria-current="page">Invoice</li>
			</ol>
		</div>

		<div class="card p-5" id="section-to-print-my-form">
			
			<div class="row">
				<div>
					<img src="{{URL::to('back/assets/images/brand/logo.png')}}">
				</div>
				<div class="title-text-for-print-page">
					<div class="text-center">
						<strong >Lake View</strong>
					<p class="ml-3">City</p>
					<address>					
					<p>1st Floor, H.A.Tower 226 Sector C, Bahria Town Lahore</p>  
					<p>
					Call :  92-42-37308833, 0302-9424823, 0300-4683818
					</p>
					<p>
					WebSite : www.lakeviewcity.pk
					</p>
					<p>
					info@lakeviewcity.pk
					</p>
					</address>
					</div>
				</div>
			</div>
			<div class="row align-items-center">
				<div class="col-9">
					 <div class="form-entries-with-data">
					 	<div><b>Name Mr./Mrs./Miss</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					 <div class="form-entries-with-data">
					 	<div><b>Father's Name/ Husband's Name</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					 	 <div class="form-entries-with-data">
					 	<div><b>Permanent Address</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					  <div class="form-entries-with-data ">
					 	<!-- <div><b>Permanent Address</b></div> -->
					 	<div class="input-data-underline mt-5 mb-2"></div>
					 </div>
					 	 <div class="form-entries-with-data">
					 	<div><b>Corresspondes Address</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					  <div class="form-entries-with-data ">
					 	<!-- <div><b>Permanent Address</b></div> -->
					 	<div class="input-data-underline mt-5 mb-2"></div>
					 </div>
					  <div class="form-entries-with-data">
					 	<div><b>National Identity Card Number</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					<div class="row">
						<div class="col-6">
							 <div class="form-entries-with-data">
					 	<div><b>Telephone No.</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
						</div>
						<div class="col-6">
							 <div class="form-entries-with-data">
					 	<div><b>Mobile No.</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
						</div>
					</div>
					 <div class="form-entries-with-data">
					 	<div><b>Email:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
				</div>
				<div class="col-3">
					 <div class="dummy-image-box ml-2">
					 	<div class="dummy-photo-tag">Photo</div>
					 </div>
				</div>
			</div>

			<div>
			<p class="section-full-width-heading">Plot's Detail</p>					
				<div class="row">
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div><b>Plot No:</b></div>
					 	<div class="input-data-underline">12345</div>
					 </div>
					</div>	
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div><b>Block:</b></div>
					 	<div class="input-data-underline">ckituyaadgl</div>
					 </div>
					</div>	
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div><b>Size:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div><b>Dmensions:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
				</div>
				<div class="row">
					<div class="col-5">
						<div class="form-entries-with-data">
					 	<div><b>Plot's Price Rs:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
					<div class="col-4">
						<div class="form-entries-with-data">
					 	<div><b>Corner Special Rs.</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
					<div class="col-3">
						<div class="form-entries-with-data">
					 	<div><b>Total Price:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
				</div>
			</div>

		


			<div>
			<p class="section-full-width-heading">Booking Schedule</p>					
				<div class="row">
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div>Booking Price Rs.</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
				</div>
				<div class="row">		
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div>Advance Ammount.</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
					</div>
					<div class="row justify-content-between">
					<div class="col-3">
						 <div class="form-entries-with-data">
					 	<div>Balance RS:</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
					<div class="col-4">
						<div class="form-entries-with-data">
					 	<div>Date.</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
				</div>
				
			</div>

			<div>
			<p class="section-full-width-heading">Next Of Kin</p>					
			<div class="row">
			<div class="col-9">
						<div class="row">
					<div class="col-12">
						 <div class="form-entries-with-data">
					 	<div>Name:</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
				</div>
				<div class="row">		
					<div class="col-12">
						 <div class="form-entries-with-data">
					 	<div>CNIC:</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
				</div>
				<div class="row">		
					<div class="col-12">
						 <div class="form-entries-with-data">
					 	<div>Relationship:</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
					</div>
						
					<div class="row">
					<div class="col-12">
						 <div class="form-entries-with-data">
					 	<div>Mobile:</div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
				</div>
					</div>

					<div class="col-3">
					 <div class="dummy-image-box ml-2">
					 	<div class="dummy-photo-tag">Photo</div>
					 </div>
				</div>
				</div>
			</div>
				<div>
			<p class="section-full-width-heading">Terms For Booking</p>					
				<div class="px-3">
					<p>I am interested to purchase a Plot in your residential LAKE VIEW CITY, Situated on Ghaus e Azam 
					Road Rawalpindi. I have also read the “Terms and Condition” of booking on the back of the application form. I shall abide by the rules and regulations formed by M/s RAMZ Developers from time to time for the maintenance and smooth functioning of the scheme. </p>
				</div>
				<div class="px-3">		
					<p>I here declare and certify that the above particulars are correct </p>
				</div>
				<div class="row align-items-center justify-content-center">		
						<div class="col-3">
						<div class="form-entries-with-data">
					 	<div><b>Date:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
					<div class="col-3">
						<div class="form-entries-with-data">
					 	<div><b>Signature.</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>
					<div class="col-3">
						<div class="form-entries-with-data">
					 	<div><b>Thumb Impression:</b></div>
					 	<div class="input-data-underline"></div>
					 </div>
					</div>	
				</div>
						
				<div class="px-3">
						<p>1. Please Notify Change of address immediately.</p>
						<p>2. Bank Draft / Pay Order to be made by payable to RAMZ Developers (Regd.) </p>
				</div>
			</div>




			<div class="card-body">
				<button type="button" id="form-print-btn" class="btn btn-primary float-right" onclick="printpage()"><i class="si si-printer"></i> Print Details
				</button>
			</div>
		</div>
</div>

@stop