<?php $__env->startSection('title'); ?>
     Individual Report
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<style>

</style>
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<?php $__env->startSection('content'); ?>

<?php echo $__env->make('partials.nav', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<div style="">
<h1>Principal Report</h1>

<p>This is an on-file report received from Compuscan that reflects the individual information on their personal capacity as a person or as a sole trader. This report is highly accurate as it takes personal accounts and CPA information into consideration. Consumer Payment History and Trends, Adverse Details, Hand Overs, Consumer Credit Score, Current Accounts, Enquiry History This report is namely used for principal sureties taken on goods or on sole trader accounts. The report is called for by an ID number and personal details.</p>

<hr style="margin-top: 10px;">
<form id="mainForm" method="POST" action="/consumer-credit-report2" accept-charset="UTF-8" enctype="multipart/form-data">
<div class="row">
    <div class="large-6 columns">
    <!-- required -->
        <?php if($errors->first('idNumber')): ?>
            <label class="red">ID Number *</label>
            <?php echo Form::text('idNumber', '', ['class' => 'formFieldGrey', 'style'=>"border: 2px solid rgba(255, 0, 0, 0.3)"]); ?>

        <?php else: ?>
            <label>ID Number *</label>
            <input type="text" id="idNumber" name="idNumber" class="formFieldGrey" onkeyup="checkFormsValidity();" required/>
        <?php endif; ?>
    </div>
    <div class="large-6 columns">
         <!-- required -->
        <?php if($errors->first('surname')): ?>
            <label class="red">Surname *</label>
            <?php echo Form::text('surname', '', ['class' => 'formFieldGrey', 'style'=>"border: 2px solid rgba(255, 0, 0, 0.3)"]); ?>

        <?php else: ?>
            <label>Surname *</label>
            <input type="text" id="surname" name="surname" class="formFieldGrey" onkeyup="checkFormsValidity();" required/>
        <?php endif; ?>
    </div>
</div>
<div class="row">
    <div class="large-6 columns">
        <!-- required -->
        <?php if($errors->first('forename1')): ?>
            <label class="red">Forename 1 *</label>
            <?php echo Form::text('forename1', '', ['class' => 'formFieldGrey', 'style'=>"border: 2px solid rgba(255, 0, 0, 0.3)"]); ?>

        <?php else: ?>
            <label>Forename 1 *</label>
            <input type="text" id="forename1" name="forename1" class="formFieldGrey" onkeyup="checkFormsValidity();" required/>
        <?php endif; ?>
    </div>
    <div class="large-6 columns">
        <label>Forename 2 - <em>(if applicable)</em></label>
        <?php echo Form::text('forename2', '', ['class' => 'formFieldGrey']); ?>

    </div>
</div>
<div class="row">
    <div class="large-6 columns">
            <label>Forename 3 - <em>(if applicable)</em></label>
            <?php echo Form::text('forename3'); ?>

    </div>
    <div class="large-6 columns">
    <!-- required -->
    <?php if($errors->first('gender')): ?>
        <label class="red">Gender *</label>
        <select style="border: 2px solid rgba(255, 0, 0, 0.3);" name="gender">
          <option value="">Please Select</option>
          <option value="M">Male</option>
          <option value="F">Female</option>
        </select>
    <?php else: ?>
        <label>Gender *</label>
        <select name="gender">
        <option value="">Please Select</option>
          <option value="M">Male</option>
          <option value="F">Female</option>
        </select>
    <?php endif; ?>
     </div>
</div>

<button class="myButton" id="submitBtn">Request</button>


</form>
<hr>
</div>
<?php echo $__env->make('partials.footer', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>

<?php $__env->stopSection(); ?>

<?php $__env->startSection('scripts'); ?>
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<?php echo $__env->make('master', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>