Memo
Leads
Group
Individuals
Report
Contacts
Claims
Logout
@if(session()->get('success'))
{{ session()->get('success') }}
@endif
Add New {{$groups->name}} Group Memeber
{{--
Message
--}} {{--
--}}
{{ csrf_field() }}
MEMBER DETAILS
NAME :
SURNAME :
DATE OF BIRTH :
CELLPHONE :
I.D / PASSPORT NUMBER :
ADDRESS :
POLICY NUMBER :
COMMENCEMENT DATE :
BENEFIT :
BENEFIT AMOUNT :
PREMIUM :
POLICY TYPE :
SINGLE
SINGLE PARENT
FAMILY
1+5
1+9
1+13
+ Add Member