{% extends 'base.html.twig' %} {% block title %}Policy{% endblock %} {% block stylesheets %} {% endblock %} {% block body %} {{ include('./components/full-loader-container.html.twig') }} {{ include('mx/nav_menu.twig',{option:''}) }}
{#
#}
Policy Information
{{ form_widget(form.issuingDate, {'attr': {'placeholder': 'Date', 'class': 'form-control custom-input datepicker'}}) }}
{{ form_widget(form.typePolicy, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.insuranceCompany, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.certificateNumber,{'attr':{'class':'validate form-control custom-input', 'placeholder' : 'MX00TACA000500'}}) }}
{{ form_widget(form.policyNumber,{'attr':{'class':'form-control custom-input validate', 'placeholder' : '0/11783 - A9000'}}) }}
{{ form_widget(form.term, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.startDate,{'attr':{'placeholder':'Date','class':'form-control custom-input datepicker'}}) }}
{{ form_widget(form.endDate,{'attr':{'placeholder':'Date','class':'form-control custom-input datepicker'}}) }}
{{ form_widget(form.currency, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.netPremium,{'attr': {'class':'form-control custom-input number-format', 'placeholder' : '0.00'} } ) }}
{{ form_widget(form.financialSurcharge,{'attr': {'class':'form-control custom-input number-format', 'placeholder' : '0.00'} }) }}
{{ form_widget(form.policyFee,{'attr': {'class':'form-control custom-input number-format', 'placeholder' : '0.00'} }) }}
{{ form_widget(form.tax,{'attr': {'class':' form-control custom-input number-format', 'placeholder' : '0.00'} }) }}
{{ form_widget(form.totalPremium,{'attr': {'class':'form-control custom-input number-format','placeholder' : '0.00'} }) }}
{% if canModifySalePerson %}
{{ form_widget(form.saleChannel,{'attr': {'class':'form-select custom-select'}}) }}
{{ form_widget(form.salePerson,{'attr': {'class':'form-control custom-input','placeholder':'Distributor link, Executive Name'}}) }}
{% endif %}
{{ form_widget(form.aboutUsList, {'attr': {'class': 'form-select custom-select'}}) }} {{ form_widget(form.aboutUs, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(form.auxAboutUs, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(form.issuingMode, {'attr': {'class': 'form-control custom-input', 'placeholder':'ws / novamar'}}) }}

Accounting Information


{{ form_widget(form.commission, {'attr': {'class': 'form-control custom-input', 'placeholder' : '0.00'}}) }}
{{ form_widget(form.totalCommissionAmount, {'attr': {'class': 'form-control custom-input number-format', 'placeholder' : '0.00'}}) }}
{{ form_widget(form.commissionToday, {'attr': {'class': 'form-control custom-input number-format', 'placeholder' : '0.00'}}) }}
{{ form_widget(form.paymentDay, {'attr': {'class': 'form-control custom-input datepicker', 'placeholder' : 'Date'}}) }}
{{ form_widget(form.paymentForm, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.paymentType, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.mount, {'attr': {'class': 'form-control custom-input number-format', 'placeholder' : '0.00'}}) }}
{{ form_widget(form.paymentStatus, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.policyStatus, {'attr': {'class': 'form-select custom-select'}}) }}
{{ form_widget(form.cancellationDate, {'attr': {'class': 'form-control custom-input datepicker', 'placeholder' : 'mm/dd/YYYY'}}) }}
{{ form_widget(form.comments, {'attr': {'class': 'form-control custom-input', 'placeholder' : 'Write your notes (Max. 300 characters)'}}) }}

Address Policy Information

{{ form_widget(addressform.address, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(addressform.postalCode, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(addressform.city, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(addressform.state, {'attr': {'class': 'form-control custom-input'}}) }}
{{ form_widget(addressform.country, {'attr': {'class': 'form-control custom-input'}}) }}
{# {% include 'mx/partialForms/medical_tourism.html.twig' %} #} {% include 'mx/partialForms/autoana.html.twig' %} {% include 'mx/partialForms/homeinfo.html.twig' %} {% include 'mx/partialForms/autoinfo.html.twig' %} {% include 'mx/partialForms/boatinfo.html.twig' %} {% include 'mx/partialForms/residentAutoInfo.html.twig' %} {% include 'mx/partialForms/touristAutoQualitasWsInfo.html.twig' %}
{% if canModifySalePerson == false %}{% endif %}




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{#
#}
{% endblock %} {% block javascripts %} {% if app.environment != 'dev' %} {% else %} {% endif %} {# #} {% endblock %}