Halal Flex Lease Form
Applicant Information:
1. Full Name:
{{ $productOrder->customer_detail->cust_nid_name_en }}
2. Applicant NID Number:
{{ $productOrder->customer_detail->cust_nid_number }}
3. Father’s / Spouse Name:
{{ $productOrder->customer_detail->cust_nid_father_name_en }}
@php
$dob = \Carbon\Carbon::parse($productOrder->customer_detail->cust_nid_dob);
$day = $dob->format('d');
$month = $dob->format('m');
$year = $dob->format('Y');
@endphp
4. Date of Birth:
{{ $day[0] }}
{{ $day[1] }}
{{ $month[0] }}
{{ $month[1] }}
{{ $year[0] }}
{{ $year[1] }}
{{ $year[2] }}
{{ $year[3] }}
Gender:
{{ $productOrder->customer_detail->gender == 'Male' ? '☑' : '☐' }} Male
{{ $productOrder->customer_detail->gender == 'Female' ? '☑' : '☐' }} Female
5. Mobile Number:
{{ $productOrder->customer_detail->user->mobile_number ?? '' }}
Email Address (If any):
{{ $productOrder->customer_detail->user->email ?? '' }}
6. Marital Status: ☐ Single ☐ Married ☐ Others
{{--
7. Present Address: House No.____________ Road No. ______________ Area:__________________________
8. City: _________________________ Thana _______________________ Division: __________________________
--}}
7/8. Present Address:
{{-- {{ $productOrder->customer_detail->cust_present_address }} --}}
9. Permanent Address:
{{ $productOrder->customer_detail->cust_nid_address }}
Applicant Employment Status:
{{--
10. Employment Status:
{{ $productOrder->customer_detail->service_type === 'Job Holder' ? '☑' : '☐' }} Employed
{{ $productOrder->customer_detail->service_type === 'Business' ? '☑' : '☐' }} Self Employed
{{ $productOrder->customer_detail->service_type === 'Student' ? '☑' : '☐' }} Others
--}}
10. Employment Status:
{{ $productOrder->customer_detail->service_type ?? '' }}
11. Job Title/Business Name:
{{ $productOrder->customer_detail->jobh_designation ?? '' }}
12. Organization Name:
{{ $productOrder->customer_detail->jobh_company_name }}
13. Organization Address:
14. Mobile Number:
{{ $productOrder->customer_detail->user->mobile_number ?? '' }}
Email Address (If any):
{{ $productOrder->customer_detail->user->email ?? '' }}
15. Monthly Income (Tk.):
16. Office Colleague Name:
@php
$mobile = preg_replace('/\D/', '', $productOrder->customer_detail->user->mobile_number ?? '');
if (str_starts_with($mobile, '88')) {
$mobile = substr($mobile, 2);
}
$digits = str_split($mobile);
@endphp
17. Mobile Number: +88
@for($i = 0; $i < 3; $i++)
{{ $digits[$i] ?? '' }}
@endfor
@for($i = 3; $i < 8; $i++)
{{ $digits[$i] ?? '' }}
@endfor
@for($i = 8; $i < 11; $i++)
{{ $digits[$i] ?? '' }}
@endfor
18. Guarantor Name:
{{ $productOrder->guarantors[0]->guar_nid_name_en ?? '-' }}
@php
$mobile = $productOrder->guarantors[0]->guar_mobile_number ?? '';
$mobile = preg_replace('/\D/', '', $mobile);
if (str_starts_with($mobile, '88')) {
$mobile = substr($mobile, 2);
}
$digits = str_split($mobile);
@endphp
19. Guarantor Mobile Number: +88
{{-- first 3 digits --}}
@for($i = 0; $i < 3; $i++)
{{ $digits[$i] ?? '' }}
@endfor
{{-- next 5 digits --}}
@for($i = 3; $i < 8; $i++)
{{ $digits[$i] ?? '' }}
@endfor
{{-- last 3 digits --}}
@for($i = 8; $i < 11; $i++)
{{ $digits[$i] ?? '' }}
@endfor
Halal Flex Phone Details:
20. Phone Model Name:
{{ $productOrder->product->product_name ?? '' }}
Halal Flex Tenure:
{{ $productOrder->tenure_months == 3 ? '☑' : '☐' }} 3 Months
{{ $productOrder->tenure_months == 6 ? '☑' : '☐' }} 6 Months
21. Phone IMEI-1:
{{ $productOrder->imei_number ?? '-' }}
22. Halal Flex Price:
{{ $productOrder->total_price ?? '-' }}
@php
$deliveryDate = $productOrder->delivery_date ?? null;
$tenureMonths = (int) ($productOrder->tenure_months ?? 0);
// Date of Issue
$issue = $deliveryDate ? \Carbon\Carbon::parse($deliveryDate)->format('dmY') : '00000000';
$issueDay = substr($issue, 0, 2);
$issueMonth = substr($issue, 2, 2);
$issueYear = substr($issue, 4, 4);
// Date of Expiry
$expiry = $deliveryDate ? \Carbon\Carbon::parse($deliveryDate)->addMonths($tenureMonths)->format('dmY') : '00000000';
$expiryDay = substr($expiry, 0, 2);
$expiryMonth = substr($expiry, 2, 2);
$expiryYear = substr($expiry, 4, 4);
@endphp
Date of Issue:
{{-- Day --}}
@foreach(str_split($issueDay) as $d)
{{ $d }}
@endforeach
{{-- Month --}}
@foreach(str_split($issueMonth) as $m)
{{ $m }}
@endforeach
{{-- Year --}}
@foreach(str_split($issueYear) as $y)
{{ $y }}
@endforeach
Date of Expiry:
{{-- Day --}}
@foreach(str_split($expiryDay) as $d)
{{ $d }}
@endforeach
{{-- Month --}}
@foreach(str_split($expiryMonth) as $m)
{{ $m }}
@endforeach
{{-- Year --}}
@foreach(str_split($expiryYear) as $y)
{{ $y }}
@endforeach
Self Declaration
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief.
I undertake to inform you of any changes therein immediately. In case any information is found false or misleading,
I am aware that I may be liable for it.
Customer Name:
{{ $productOrder->customer_detail->cust_nid_name_en }}
Date: _____/______/______________
Customer Signature: ______________________________________________
Halal Flex Lease Agreement Terms & Conditions
{!! str_replace(' ', ' ', html_entity_decode(strip_tags($kycAgreemnt->acknowledgment_text ?? '', '
'))) !!}
{{-- By signing this agreement, you ("the Customer") agree to the following terms and conditions for availing Halal Flex (Equated Monthly Installment) financing services from Ambala Commerce:
-
Acknowledgment of Terms
You confirm that you have read, understood, and accepted the terms outlined in this document.
-
Delivery of Items
Upon availing the Halal Flex facility, you will receive handset and all other items, including the original packaging and documentation.
-
Payment Obligations
You agree to make timely Halal Flex payments as per the agreed schedule. Failure to do so will result in:
- Forfeiture of ownership rights over the financed phone.
- An obligation to return the phone to Ambala Commerce.
- Waiver of any claim to refunds or reimbursements.
-
Non-Payment and Recovery
In the event of non-payment, Ambala Commerce reserves the right to restrict your use of the device and initiate legal proceedings against you:
- Dispatch authorized representatives to your registered residential address for phone recovery.
- Charge you for all associated costs, including but not limited to legal fees and transportation charges.
-
Access for Recovery
You agree to fully cooperate with Ambala or its representatives in retrieving the financed phone, including granting access to your premises if necessary.
-
Liability for Misuse
You accept full responsibility for any fraudulent or illegal activity conducted using the financed phone.
-
Contact Information
You agree to keep Ambala Commerce informed of any changes in your contact details or employment status throughout the Halal Flex tenure.
-
Amendments to Terms
Ambala Commerce reserves the right to amend or update these terms and conditions at any time, with or without prior notice.
--}}
Acknowledgment and Acceptance 2
{{--
By signing below, you confirm that you have read and agree to be bound by the above terms and conditions.
--}}
{!! str_replace(' ', ' ', html_entity_decode(strip_tags($kycAgreemnt->acknowledgment_text ?? '', '
'))) !!}
Customer Signature: __________________________
Date: _____/______/______________
Representative Signature: __________________________
Date: _____/______/______________