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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>