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index4.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Choose Your Policy</title>
<link rel="stylesheet" href="style4.css">
</head>
<body>
<header>
<div class="container">
<nav>
<div class="logo-container">
<img src="images/logo.png" alt="logo" id="toHome">
<div class="header-txt">
<h3>SA INSURANCE COMPANY</h3>
<p>Reliable Fast Personal</p>
</div>
</div>
<div class="user-details">
<div class="user-spec">
<p>Customer Name</p><span id="cusNameSpan">: Suhail Ahmed</span><br>
<p>Customer ID</p><span id="cusIdSpan">: D54rDe4</span></br>
</div>
<div class="logOut">
<p><img src="images/logout.png" alt="logOut" id="logoutBtn"> Logout</p>
</div>
</div>
</nav>
</div>
</header>
<hr>
<main>
<div class="cContainer">
<h2>Choose Your Policy</h2>
<form id="policyForm">
<label for="policyType"> Choose a Policy:</label>
<select name="policyType" id="policyType">
<option value="life">Life Insurance</option>
<option value="health">Health Insurance</option>
<option value="car">Car Insurance</option>
<option value="home">Home Insurance</option>
<option value="travel">Travel Insurance</option>
</select> <br>
<label for="policyTitle">Policy Title:</label>
<select name="policyTitle" id="policyTitle">
</select><br>
<label for="sumAssured">Sum Assured (Rs):</label>
<input type="text" name="sumAssured" id="sumAssured" readonly><br>
<label for="premiumAmount">Premium Amount (Rs):</label>
<input type="text" name="premiumAmount" id="premiumAmount" readonly><br>
<label for="policyTerm">Policy Term (Years):</label>
<input type="text" name="policyTerm" id="policyTerm" readonly><br>
<input type="submit" value="Confirm" class="btn" onclick="confirm()">
<input type="reset" value="View Policy" class="btn" onclick="viewPolicy()">
</form>
</div>
</main>
</body>
<script src="index4.js"></script>
</html>
</html>