<%= form_tag({:action=>'create'} ,:multipart=>true,:id=>:facility ) do %>

Office Information

Aid

Education Aid

PF Y/N

checked="checked"<% end %>/>

PF No

UAN

Extra PF

Settlement Date

Marriage Aid

PF Y/N

checked="checked"<% end %>/>

PF No

UAN

Extra PF

Settlement Date

Facilities

LIC

PF Y/N

checked="checked"<% end %>/>

PF No

UAN

Extra PF

Settlement Date

Group Insurance Policy

PF Y/N

checked="checked"<% end %>/>

PF No

UAN

Extra PF

Settlement Date

<% end %>