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104.117.207.129
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Submitted URL: http://va.pcb3.in/HZgcX
Effective URL: https://www.online.citibank.co.in/portal/newgen/cards/tab/stp-popup.htm?ecid=SL16DINCCAENALLCARDSECPLSMS&site=DANGLEMEDIASMSECPL_1...
Submission: On September 11 via manual from IN — Scanned from DE
Effective URL: https://www.online.citibank.co.in/portal/newgen/cards/tab/stp-popup.htm?ecid=SL16DINCCAENALLCARDSECPLSMS&site=DANGLEMEDIASMSECPL_1...
Submission: On September 11 via manual from IN — Scanned from DE
Form analysis
2 forms found in the DOMName: frmportaldropoff — POST #
<form name="frmportaldropoff" id="userForm" class="dynform" enctype="multipart/form-data" action="#" method="post" onsubmit="return false;" autocomplete="off">
<input type="hidden" id="otpReferenceNo" name="otpReferenceNo">
<input type="hidden" id="formExternalId" value="f13eab5b-0c30-4fbf-8ff1-4bd4d519d649">
<input type="hidden" id="formInternalId" value="0358a81f-7ada-4e73-8606-e8a2eedc4ffb">
<input type="hidden" id="advCondJson" value="{"formId":"3983d4b0-7c50-46e6-b44e-5f48e4f60442","FormData":[{"conditionSet1":[{"IfCondition":[]},{"SetCondition":[]}]}]}">
<script type="text/javascript" src="https://online.citibank.co.in/formbuilder/js/advanceProperties/advPropsValidation.js"></script>
<script type="text/javascript" src="https://online.citibank.co.in/formbuilder/js/advanceProperties/updateAdvProps.js"></script>
<input type="hidden" id="showHideJson" value="{"formId":"3983d4b0-7c50-46e6-b44e-5f48e4f60442","FormData":[{"groupCondition1":[{"IfCondition":[]},{"SetCondition":[]}]}]}">
<script type="text/javascript" src="https://online.citibank.co.in/formbuilder/js/advanceProperties/advPropsValidation.js"></script>
<script type="text/javascript" src="https://online.citibank.co.in/formbuilder/js/advanceProperties/showHideAdvProps.js"></script>
<input type="hidden" id="enableIncompleteTracking" value="1">
<input type="hidden" value="" name="Browser_Name" id="Browser_Name">
<input type="hidden" name="Lead_Type" value="STPPOPUP" id="Lead_Type">
<input name="CardType" id="CardType" value="Citi Rewards Credit Card" type="hidden">
<input name="Product_Name" id="Product_Name" value="" type="hidden">
<input name="lead_id" id="lead_id" value="" type="hidden">
<div class="flx_div">
<div class="form_field">
<input class="inputBox alphaOnly txtfield salutation1" tabindex="3" position="above" id="FirstName" onkeypress="return enter_check(event);" name="firstName-text-1590481274484" pattern="^((?!Name).)*$" placeholder="Name" maxlength="50"
type="text" required="true" visibility="show" error="Please enter your Full Name" title="Please enter your Full Name" oninvalid="setCustomValidity('Please enter your Full Name'); return true;" onchange="setCustomValidity('')">
<!-- <input class="inputBox" type="text" name="FirstName" id="FirstName" maxlength="50" tabindex="2" onkeypress="return enter_check(event);" placeholder="Name"> -->
<span class="error" id="Name_error"></span>
</div>
<div class="form_field">
<input class="inputBox numOnly txtfield" position="above" tabindex="4" label="&lt;p&gt;Mobile Number&lt;/p&gt;" id="mobile" name="mobile-text-1590481316493" pattern="[6-9]{1}[0-9]{9}" placeholder="Mobile Number" maxlength="10"
type="text" required="true" visibility="show" error="Please enter your Mobile Number" title="Please enter your Mobile Number" oninvalid="setCustomValidity('Please enter your Mobile Number')" onchange="setCustomValidity('')">
<!-- <input class="inputBox numOnly" type="tel" name="mobile" id="mobile" maxlength="10" tabindex="3" onkeypress="return enter_check(event);" placeholder="Mobile Number"> -->
<span class="error" id="mobile_error"></span>
</div>
<div class="form_field select_field" id="ageSec">
<select class="nova txtfield" position="above" id="age" type="select" required="true" visibility="show" error="Please select your Age Range" title="Please select your Age Range" oninvalid="setCustomValidity('Please select your Age Range')"
onchange="setCustomValidity('');onchangeDob();" name="dropdown-select-1590481570351" tabindex="5">
<option value="" selected="selected"> Age Range</option>
<option value="below21Years"> Less than 21 years</option>
<option value="above21Years"> More than 21 years</option>
</select>
<span class="error formSpacing dobmsg" id="dob_error" style="margin-top: 0px;"></span>
</div>
</div>
<div class="flx_div">
<div class="form_field proffield select_field" id="profdrop">
<select class="nova txtfield" tabindex="6" position="above" id="profession" type="select" required="true" visibility="show" error="Please select your Profession" title="Please select your Profession"
oninvalid="setCustomValidity('Please select your Profession')" onchange="setCustomValidity('')" name="dropdown-select-1590482123907">
<option selected="selected" value=""> Profession</option>
<option value="Salaried" id="salariedemp"> Salaried</option>
<option value="Selfemployed" id="selfemp"> Self-employed</option>
<option value="Others" id="others"> Others</option>
</select>
<span class="error formSpacing" id="profession_error"></span>
</div>
<div class="form_field select_field" id="annualradio">
<select class="nova txtfield" position="above" id="annualIncome" tabindex="7" onkeypress="return enter_check(event);" type="select" required="true" visibility="show" error="Please select your Annual Income"
title="Please select your Annual Income" oninvalid="setCustomValidity('Please select your Annual Income')" onchange="setCustomValidity('')" name="dropdown-select-1590482126585">
<option value=""> Gross Annual Income</option>
<option value="Below3lacs"> Below 3 lacs</option>
<option value="3lacsto6lacs"> 3 lacs to 6 lacs</option>
<option value="Morethan6lacs"> More than 6 lacs</option>
</select>
<span class="error" id="annualIncome_error"></span>
</div>
<div class="form_field autocomplete" id="bigbasketrespin">
<input class="txtfield inputBox numOnly" position="above" id="pincode" tabindex="8" placeholder="Current Residence Pin Code" pattern="^[1-9][0-9]{5}$" name="textField-text-1590482163757" type="text" maxlength="6" visibility="show"
error="Please select your Current Residence Pin Code" title="Please select your Current Residence Pin Code" oninvalid="setCustomValidity('Please select your Current Residence Pin Code')" onkeypress="return enter_check(event);" required=""
onchange="setCustomValidity("")">
<span class="error formSpacing" id="bigbasketpin_error"></span>
</div>
</div>
<div class="flx_div">
<div class="form_field" id="rescity">
<input class="inputBox txtfield" position="above" id="residenceCity" onkeypress="return enter_check(event);" placeholder="Residence City" name="textField-text-1590482166446" type="text" required="true" visibility="show" tabindex="9"
readonly="readonly">
<!-- <input class="inputBox" id="residenceCity" name="residenceCity" onkeypress="return enter_check(event);" type="text" tabindex="6" readonly="readonly" placeholder="Residence City"> -->
<span class="error formSpacing" id="city_error"></span>
</div>
<div class="form_field" id="coupon-field" style="display:none;">
<input class="inputBox txtfield" position="above" id="Coupon_code" name="textField-text-1597838083382" type="text" visibility="show" readonly="readonly" placeholder="Coupon Code" value="NA" maxlength="50">
<!--<input class="inputBox" id="Coupon_code" name="Coupon_code" type="text" readonly="readonly" placeholder="Coupon Code" value="NA" maxlength="50" tabindex='10'>-->
</div>
</div>
<div class="cLsContactus lightGreyBg" id="otpfunc" style="display:none;">
<div class="cA-DD-cddontent_new otp_block" style="display:none;">
<div class="cA-DD-OTP">
<p class="form_field">
<input class="inputBox txtfield" position="above" id="otpField" placeholder="*Enter OTP here" pattern="^[1-9][0-9]{5}$" name="textField-text-1591079211213" type="text" maxlength="6" visibility="show" error="Please enter OTP"
title="Please enter OTP" oninvalid="setCustomValidity('Please enter OTP')" onchange="setCustomValidity('')">
<!-- <input type="text" name="otpval" class="inputBox" id="otpField" placeholder="*Enter OTP here" /> -->
</p>
<span class="redTxt wrong-top"></span>
</div>
<div class="delay20sec">
<p id="proceed" style="display:none;">Having trouble receiving the OTP? You can alternately give a missed call from your mobile number on <span class="text-bold"><a href="tel:08068806202" style="color:inherit;">08068806202</a></span> to
receive a call back from our tele calling executive</p>
</div>
</div>
</div>
<ul class="cLsContactus lightGreyBg clsPadBtmForm" id="otpmax" style="display:none;">
<li>
<div class="cA-DD-OTP">
<span class="max-otp"></span>
</div>
</li>
</ul>
<input type="hidden" value="SL16DINCCAENALLCARDSECPLSMS" name="ecid" id="ecid">
<div class="terms">
<span class="consent">
<input type="checkbox" class="radiobttn" id="dncconsent" position="" name="checkbox-checkbox-1590483272742" value="dncconsent" tabindex="9" required="true" visibility="show" error="Do you agree to authorise Citibank to verify any information"
title="Do you agree to authorise Citibank to verify any information" oninvalid="setCustomValidity('Do you agree to authorise Citibank to verify any information')" onclick="setCustomValidity('')" style="height:20px; width:20px;">
</span>
<span class="consent">I have read & fully accepted the <a href="/portal/newgen/cards/tab/creditcards_tc.htm?eOfferCode=INCCTNC1" title="Authorization Statement" target="_blank">Authorization Statement</a>,
<a href="/portal/newgen/cards/tab/Know-your-card.pdf" title="Know Your Credit Card" target="_blank">Know Your Credit Card</a>,
<a href="/portal/newgen/cards/cardmember.pdf" title="Card Member Terms and conditions" target="_blank">Card Member Terms and conditions</a> and
<a href="/portal/newgen/cards/tab/creditcards_tc.htm#termsmitc?eOfferCode=INCCTNC2" title="Most Important Terms and conditions" target="_blank">Most Important Terms and conditions</a> and consent to receiving information from Central KYC
Registry through SMS/Email. I authorize Citibank and/or its associates/subsidiaries/affiliates to contact me for offers/products. This will override any registration for DNC/NDNC.</span>
<span class="error" id="errauthorization"></span>
</div>
<div class="formSubmitMain">
<div class="formSubmitMainRgt" style="text-align:center;float:inherit;">
<div class="validate_confirm">
<script src="/formbuilder/js/createJSON-stppopup.js"></script>
<button type="image" class="submitBtn" hiddenid="submit" id="submitBtnStp">
<input type="hidden" id="PG" value="false">
<input type="hidden" id="clicktocall" value="false">
<img class="submitImg" hiddenid="submit" id="submit-image-1590483362820" src="https://online.citibank.co.in/formbuilder/images/submitbtn.jpg" name="submit-image-1590483362820" type="image">
</button>
<span id="talknow" data-ctaname="IN:Public:CreditCard:Short Lead Form Start:Click To Receive OTP" data-ctatype="Button" class="orgCta" title="Click to Receive OTP" onclick="Per_loansubmit(1);">Click to Receive OTP</span>
<div id="recevieotploader" style="display:none">
<img src="https://www.online.citibank.co.in/portal/newgen/cards/tab/short-form-revamp/images/ajax-loader.gif" alt="" title="" style="width:20px;border:0;">
</div>
<a id="submit" style="display: none;" href="javascript:;" class="orgCta" onclick="return validateField2k(1);" title="SUBMIT" tabindex="14">SUBMIT</a>
</div>
<a style="display:none;" id="otpvalidation" class="orgCta validate_otp" href="javascript:;" title="Submit 4 Call" tabindex="14">Submit 4 Call</a>
<div class="loader_gif" style="display: none;"><img src="images/img-loader.gif" alt=""></div>
</div>
</div>
<input type="hidden" class="txtfield" id="form_id" name="hiddenfield-hiddenfield-1590488541249" defaultvalue="frmportaldropoff" value="frmportaldropoff">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#form_id').attr('value', 'frmportaldropoff');
});
</script>
<input type="hidden" class="txtfield" id="Agency_Code" name="hiddenfield-hiddenfield-1590488562279" defaultvalue="Agency_Code" value="">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Agency_Code').attr('value', 'Agency_Code');
});
</script>
<input type="hidden" class="txtfield" id="Creative" name="hiddenfield-hiddenfield-1590488557304" defaultvalue="Creative" value="">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Creative').attr('value', 'Creative');
});
</script>
<input type="hidden" class="txtfield" id="Product_Code" name="hiddenfield-hiddenfield-1590488566727" defaultvalue="Product_Code" value="">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Product_Code').attr('value', 'Product_Code');
});
</script>
<input type="hidden" class="txtfield" id="Site" name="hiddenfield-hiddenfield-1590488554978" defaultvalue="Site" value="DANGLEMEDIASMSECPL_148__">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Site').attr('value', 'Site');
});
</script>
<input type="hidden" class="txtfield" id="Source_Id" name="hiddenfield-hiddenfield-1590488568918" defaultvalue="Internet" value="Internet">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Source_Id').attr('value', 'Internet');
});
</script>
<input type="hidden" class="txtfield" id="Country_Id" name="hiddenfield-hiddenfield-1590488570758" defaultvalue="IN" value="IN">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Country_Id').attr('value', 'IN');
});
</script>
<input type="hidden" class="txtfield" id="externalOfferCode" name="hiddenfield-hiddenfield-1590488544674" defaultvalue="externalOfferCode" value="SL16DINCCAENALLCARDSECPLSMS">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#externalOfferCode').attr('value', 'externalOfferCode');
});
</script>
<input type="hidden" class="txtfield" id="Section" name="hiddenfield-hiddenfield-1590488559782" defaultvalue="Section" value="">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Section').attr('value', 'Section');
});
</script>
<input type="hidden" class="txtfield" id="Status" name="hiddenfield-hiddenfield-1592290471400" defaultvalue="stppopupsuccess" value="stppopupsuccess">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#Status').attr('value', 'stppopupsuccess');
});
</script>
<input type="hidden" class="txtfield" id="timestamp" name="hiddenfield-hiddenfield-1590489298666" defaultvalue="timestamp" value="11-09-2021-05-20-48">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#timestamp').attr('value', 'timestamp');
});
</script>
<div id="responseMsg" style="color: red;font-family: interstate,arial,sans-serif;font-size: 18px;text-align:center;"></div>
</form>
Name: formphonon — POST https://c4c.Phonon.in/c2c/C2CRequest
<form name="formphonon" id="formphonon" action="https://c4c.Phonon.in/c2c/C2CRequest" method="POST">
<input type="hidden" class="txtfield" id="visitor" name="hiddenfield-hiddenfield-1590489305124" defaultvalue="visitor" value="visitor">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#visitor').attr('value', 'visitor');
});
</script>
<input type="hidden" class="txtfield" id="custToken" name="hiddenfield-hiddenfield-1590489312895" defaultvalue="df23ghf4" value="df23ghf4">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#custToken').attr('value', 'df23ghf4');
});
</script>
<input type="hidden" class="txtfield" id="duration" name="hiddenfield-hiddenfield-1590489296321" defaultvalue="900" value="900">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#duration').attr('value', '900');
});
</script>
<input type="hidden" class="txtfield" id="uniqueID" name="hiddenfield-hiddenfield-1590489435165" defaultvalue="uniqueID" value="gnrb4752">
<script type="text/javascript">
function randomString() {
var chars = "0123456789";
var chars1 = "abcdefghiklmnopqrstuvwxyz";
var string_length = 4;
var randomstring = '';
for (var i = 0; i < string_length; i++) {
var rnum = Math.floor(Math.random() * chars1.length);
randomstring += chars1.substring(rnum, rnum + 1);
}
for (var i = 0; i < string_length; i++) {
var rnum = Math.floor(Math.random() * chars.length);
randomstring += chars.substring(rnum, rnum + 1);
}
return randomstring;
}
$(function() {
//console.log("Set a default value");
var x = randomString()
$('#uniqueID').attr('value', x);
});
</script>
<input type="hidden" class="txtfield" id="udf4" name="hiddenfield-hiddenfield-1590489424317" defaultvalue="advFirst" value="advFirst">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
$('#udf4').attr('value', 'advFirst');
});
</script>
<input type="hidden" class="txtfield" id="udf5" name="hiddenfield-hiddenfield-1590489428174" defaultvalue="merchantalliances">
<script type="text/javascript">
$(function() {
//console.log("Set a default value");
// $('#udf5').attr('value', 'merchantalliances');
});
</script>
<div id="responseMsg" style="color: red;font-family: interstate,arial,sans-serif;font-size: 18px;text-align:center;"></div>
</form>
Text Content
CITI INDIA * APPLY FOR A CITI CREDIT CARD * Spend ₹5000 within 60 days of card issuance * & * Get cash back worth ₹1000.T&Cs Apply A Citibank representative will call you to take your application. A Citibank representative will call you to take your application. Age Range Less than 21 years More than 21 years Profession Salaried Self-employed Others Gross Annual Income Below 3 lacs 3 lacs to 6 lacs More than 6 lacs Having trouble receiving the OTP? You can alternately give a missed call from your mobile number on 08068806202 to receive a call back from our tele calling executive * I have read & fully accepted the Authorization Statement, Know Your Credit Card, Card Member Terms and conditions and Most Important Terms and conditions and consent to receiving information from Central KYC Registry through SMS/Email. I authorize Citibank and/or its associates/subsidiaries/affiliates to contact me for offers/products. This will override any registration for DNC/NDNC. Click to Receive OTP SUBMIT Submit 4 Call × Currently we do not source a Citi Credit Card at your location CLICK HERE TO KNOW MORE ABOUT THE BENEFITS OF CITI CREDIT CARDS *Click here to know the offers on various brands with Citi Credit Cards. A Citibank representative will call you back to take your application for a Citi Credit Card. Please note that the 'Submit 4 Call' service is available only between 9 AM to 7 PM on Monday to Saturday (Sunday Closed). Post these hours, you can fill in the form and click on 'Submit'. We will call you back within 72 hours. Citibank India does not market any product or service to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey, Jersey, Monaco, San Marino, Vatican, The Isle of Man or the UK This form is not, and should not be construed as, an offer, invitation or solicitation to buy or sell any of the products and services mentioned herein to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey, Jersey, Monaco, San Marino, Vatican, The Isle of Man or the UK **You are eligible to apply for a Citi Credit Card if you reside in one of the following cities: Ahmedabad, Baroda, Bengaluru, Chandigarh, Coimbatore, Chennai, Delhi, Gurgaon, Hyderabad, Kolkata, Mumbai, Noida, Pune, Secunderabad, Ghaziabad, Faridabad. For city names filled in outside the given list, we will not be in a position to call you, since those are non-serviceable locations for us with respect to credit cards. * Privacy * Security * Sitemap * Citigroup.com Citigroup.com is the global source of information about and access to financial services provided by the Citigroup family of companies. Copyright © 2021 Citigroup Inc.