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<div class="insurance-banner" style="background-image: url(<?php echo base_url();?>assets/images/finance-banner-01.jpg)"> <div class="container"> <div class="row"> <div class="col-12"> <div class="banner-title-card"> <!--<h5 class="text-white">finance service with</h5>--> <h3 class="text-white">Škoda Finance</h3> </div> </div> </div> </div> </div> <section class="finance-form"> <div class="container"> <div class="row"> <div class="col-lg-6"> <div id='crmWebToEntityForm' class='zcwf_lblLeft crmWebToEntityForm'> <meta name='viewport' content='width=device-width, initial-scale=1.0'> <META HTTP-EQUIV='content-type' CONTENT='text/html;charset=UTF-8'> <form action='<?php echo base_url();?>save-finance' method='POST' enctype='multipart/form-data' accept-charset='UTF-8'> <!-- Do not remove this code. --> <div class="form-row"> <div class="col-12"> <h3 style="padding-top: 50px;">My Contact Details</h3> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <div class='zcwf_row'> <div class='zcwf_col_lab'> <label for='Last_Name'>Name<span style='color:red;'>*</span></label> </div> <div class='zcwf_col_fld'><input type='text' id='firstname' name='firstname' class="form-control" maxlength='80' required> <div class='zcwf_col_help'></div> </div> </div> </span> </div> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <div class='zcwf_row'> <div class='zcwf_col_lab'> <label for='Email'>Email</label> </div> <div class='zcwf_col_fld'> <input type='email' ftype='email' id='email' name='email' class="form-control" maxlength='100'> <div class='zcwf_col_help'></div> </div> </div> </span> </div> </div> </div> <div class="form-row"> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <div class='zcwf_row'> <div class='zcwf_col_lab' style='font-size:12px; font-family: Arial;'><label for='LEADCF23'>Select Outlet</label></div> <div class='zcwf_col_fld'><select class='zcwf_col_fld_slt custom-select mr-sm-2' id='LEADCF23' name='outlet'> <option value=''>-Outlet-</option> <option value='Gurgaon Showroom'>Gurgaon Showroom</option> <option value='Gurgaon Workshop'>Gurgaon Workshop</option> </select> <div class='zcwf_col_help'></div> </div> </div> </span> </div> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <div class='zcwf_row'> <div class='zcwf_col_lab'> <label for='Phone'>Phone<span style='color:red;'>*</span></label> </div> <div class='zcwf_col_fld'><input type='tel' id='phone' class="form-control" name='phone' maxlength='10' minlength='10' required> <div class='zcwf_col_help'></div> </div> </div> </span> </div> </div> </div> <div class="form-row"> <div class="col-md-12 mb-6"> <div class="form-group"> <span class="has-float-label"> <label for="last-name">Comments</label> <textarea class="form-control" name="comment" required></textarea> </span> </div> </div> </div> <div class="form-row"> <div class="col-12"> <h3>Share Loan Requirements</h3> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <div class='zcwf_row'> <div class='zcwf_col_lab'> <label for='LEADCF6'>Model<span style='color:red;'>*</span></label> </div> <div class='zcwf_col_fld'><select class='zcwf_col_fld_slt custom-select mr-sm-2' id='model' name='model' required> <option value=''>-Select Model-</option> <option value='SKODA OCTAVIA'>ŠKODA OCTAVIA</option> <option value='SKODA KUSHAQ'>ŠKODA KUSHAQ</option> <option value='SKODA RAPID'>ŠKODA RAPID</option> <option value='SKODA SUPERB'>ŠKODA SUPERB</option> </select> <div class='zcwf_col_help'></div> </div> </div> </span> </div> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <label for="last-name">Purchase Time</label> <select class="custom-select mr-sm-2" name="purchase_time" required> <option value="">-Select Purchase Time-</option> <option value="Immediate">Immediate</option> <option value="2 Weeks">2 Weeks</option> <option value="3 Weeks">3 Weeks</option> <option value="4 Weeks">4 Weeks</option> <option value="4-6 Weeks">4-6 Weeks</option> <option value="6+ Weeks">6+ Weeks</option> </select> </span> </div> </div> </div> <div class="form-row"> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <label for="last-name">Loan Amount</label> <input type="text" id='loan_amount' name='loan_amount' class="form-control" required> </span> </div> </div> <div class="col-md-6 mb-3"> <div class="form-group"> <span class="has-float-label"> <label for="last-name">Loan Duration In Years</label> <input type="text" name="loan_duration" class="form-control" required> </span> </div> </div> </div> <div class="form-row"> <div class="col-md-12 mb-3"> <div class="form-group"> <div class="form-check"> <input class="form-check-input" type="checkbox" value="" id="invalidCheck" required> <label class="form-check-label" for="invalidCheck"> I Agree </label> <p>Disclaimer: I agree that by clicking the ‘Submit’ button below, I am explicitly soliciting a call / Message from Ring Road Škoda (Masyy Cars Private Limited) or its Representatives on my 'Mobile'.</p> </div> </div> <input type="hidden" id="zc_gad" name="zc_gad" value="" /> <button class="btn btn-primary " id='formsubmit' name="submit " type="submit">Get Your Car Loan Now </button> </div> </div> </form> </META> </div> </div> <div class="col-lg-6"> <!--<div class="row">--> <!-- <div class="emi-image">--> <!-- <figure>--> <!-- <img src="https://images-saboomaruti-in.s3.ap-south-1.amazonaws.com/saboonexa/Saboo-Nexa-EMI.webp" alt="finance-image">--> <!-- </figure>--> <!-- </div>--> <!--</div>--> <div id="form-wrapper"> <h2>EMI Calculator </h2> <div id="calculator"> <p>Vehicle Value: <input class="form-control" id="amount" type="number" onchange="Calculate()"> </p> <p>Interest Rate: <input class="form-control" id="rate" type="number" onchange="Calculate()"> </p> <p>Months: <input class="form-control" id="months" type="number" onchange="Calculate()"> </p> <h2 id="total"></h2> </div> </div> </div> </div> </div> </section>