Code: {{$data['customercode']}} Customer Image
{{$data['firstname']}} {{$data['middlename']}} {{$data['lastname']}}
{{$data['street']}}, {{$data['barangay']}}
{{$data['municipality']}}, {{$data['province']}}
Phone: {{$data['mobilenumber']}}
Nationality: {{$data['nationality']}}
Birthday: {{$data['dateofbirth']}}
Birthplace: {{$data['placeofbirth']}}
{{$data['branchname']}}

ID Provided: {{strtoupper($data['idtype'])}}
ID Number: {{$data['idnumber']}}
Sourch of Fund: {{$data['sourceoffund']}}
Nature of Work: {{strtoupper($data['employment'])}}
Name of Business: {{$data['companyname']}}


ID Presented:

Customer ID


Signatures:

1. ____________________

2. ____________________

3. ____________________