tunisia.tevassur.com
Open in
urlscan Pro
2606:4700:3037::ac43:8aed
Public Scan
URL:
https://tunisia.tevassur.com/
Submission: On February 17 via api from US — Scanned from US
Submission: On February 17 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form class="ant-form ant-form-horizontal Components_customForm__TIZCG">
<div class="ant-row" style="margin-left: -12px; margin-right: -12px; row-gap: 24px;">
<div class="ant-col ant-col-sm-24 ant-col-md-24" style="padding-left: 12px; padding-right: 12px;">
<div class="ant-row ant-form-item">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="insuranceCardNumber" class="ant-form-item-required ant-form-item-no-colon" title="Insurances Card Number">Insurances Card Number</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="Components_abicInput__2L0ew"><input placeholder="Insurances Card Number" id="insuranceCardNumber" class="ant-input" type="text" value=""></div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="productName" class="ant-form-item-required ant-form-item-no-colon" title="Product Name">Product Name</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="Components_abicInput__2L0ew"><input placeholder="Product Name" id="productName" disabled="" class="ant-input ant-input-disabled" type="text" value=""></div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="fullName" class="ant-form-item-required ant-form-item-no-colon" title="Full Name">Full Name</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="Components_abicInput__2L0ew"><input placeholder="Full Name" id="fullName" disabled="" class="ant-input ant-input-disabled" type="text" value=""></div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="phoneNumber" class="ant-form-item-required ant-form-item-no-colon" title="Phone Number">Phone Number</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="Components_abicInput__2L0ew"><input placeholder="Phone Number" id="phoneNumber" disabled="" class="ant-input ant-input-disabled" type="text" value=""></div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="dateOfLoss" class="ant-form-item-required ant-form-item-no-colon" title="Date of Loss">Date of Loss</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="ant-picker ant-picker-disabled">
<div class="ant-picker-input"><input id="dateOfLoss" disabled="" readonly="" placeholder="Choose a date" title="" size="12" autocomplete="off" value=""><span class="ant-picker-suffix"><span role="img" aria-label="calendar"
class="anticon anticon-calendar"><svg viewBox="64 64 896 896" focusable="false" data-icon="calendar" width="1em" height="1em" fill="currentColor" aria-hidden="true">
<path
d="M880 184H712v-64c0-4.4-3.6-8-8-8h-56c-4.4 0-8 3.6-8 8v64H384v-64c0-4.4-3.6-8-8-8h-56c-4.4 0-8 3.6-8 8v64H144c-17.7 0-32 14.3-32 32v664c0 17.7 14.3 32 32 32h736c17.7 0 32-14.3 32-32V216c0-17.7-14.3-32-32-32zm-40 656H184V460h656v380zM184 392V256h128v48c0 4.4 3.6 8 8 8h56c4.4 0 8-3.6 8-8v-48h256v48c0 4.4 3.6 8 8 8h56c4.4 0 8-3.6 8-8v-48h128v136H184z">
</path>
</svg></span></span></div>
</div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item mb-2">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="frameOfGlass" class="ant-form-item-no-colon" title="Choose Frame of Glass">Choose Frame of Glass</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content">
<div class="glass-all" value="[object Object]" id="frameOfGlass">
<div class="glass-item glass-item-active"><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN089-a.png" alt="Cumin"><span class="name-glass">Cumin</span></div>
<div class="glass-item "><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN074-a.png" alt="Nigelle"><span class="name-glass">Nigelle</span></div>
<div class="glass-item "><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN072-a.png" alt="Hortensia"><span class="name-glass">Hortensia</span></div>
<div class="glass-item "><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN088-a.png" alt="Chêne"><span class="name-glass">Chêne</span></div>
<div class="glass-item "><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN088-a.png" alt="Erable"><span class="name-glass">Erable</span></div>
<div class="glass-item "><img class="img-glass" src="https://static.alan.com/fr-web/eyewear/frames/medium/ALAN078-a.png" alt="Hêtre"><span class="name-glass">Hêtre</span></div>
</div>
</div>
</div>
</div>
</div>
<div class="ant-row ant-form-item mb-0">
<div class="ant-col ant-col-10 ant-form-item-label ant-form-item-label-left"><label for="insuranceBenefit" class="ant-form-item-no-colon" title="Insurances Benefits">Insurances Benefits</label></div>
<div class="ant-col ant-col-14 ant-form-item-control">
<div class="ant-form-item-control-input">
<div class="ant-form-item-control-input-content"></div>
</div>
</div>
</div>
<div class="ant-row flex" style="margin-left: -12px; margin-right: -12px; row-gap: 24px;">
<div class="ant-col w-full text-center ant-col-xs-12 ant-col-sm-12 ant-col-md-6" style="padding-left: 12px; padding-right: 12px;"><svg width="1em" height="1em" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg"
class="iconBenefit" style="margin: auto;">
<path fill-rule="evenodd" clip-rule="evenodd"
d="M17.585 4.642C19.035 5.687 20 7.215 20 9v10a2 2 0 0 1-2 2 2.01 2.01 0 0 1-1.743-1.033C15.982 19.48 15.54 19 14.98 19c-.411 0-.85-.003-1.318-.006h-.036a262.049 262.049 0 0 0-3.084-.002h-.029c-.531.003-1.027.005-1.488.004-.562-.002-1.007.478-1.282.968A2.005 2.005 0 0 1 6 21a2 2 0 0 1-2-2V9c0-1.804.962-3.334 2.418-4.376C7.866 3.586 9.828 3 12 3c2.176 0 4.139.6 5.585 1.642Zm-10.09 7.854C6.782 12.687 6 12.185 6 11.447V9c0-1.032.538-2.002 1.582-2.75C8.634 5.495 10.172 5 12 5c1.824 0 3.361.504 4.415 1.264C17.465 7.02 18 7.993 18 9v2.453c0 .739-.785 1.242-1.499 1.048C15.326 12.182 13.851 12 12 12c-1.852 0-3.33.18-4.505.496ZM7.5 17a1.5 1.5 0 1 0 0-3 1.5 1.5 0 0 0 0 3Zm9 0a1.5 1.5 0 1 0 0-3 1.5 1.5 0 0 0 0 3Z"
fill="currentColor"></path>
</svg><span>Free delivery & return</span></div>
<div class="ant-col w-full text-center ant-col-xs-12 ant-col-sm-12 ant-col-md-6" style="padding-left: 12px; padding-right: 12px;"><svg width="1em" height="1em" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg"
class="iconBenefit" style="margin: auto;">
<defs>
<linearGradient x1="0%" y1="0%" x2="0%" y2="100%"></linearGradient>
</defs>
<path
d="M3.885 11.069c-.554-.058-.961-.551-.848-1.092A9.975 9.975 0 0 1 5.78 4.93 10.154 10.154 0 0 1 18.42 3.62a10.011 10.011 0 0 1 4.094 5.312 9.92 9.92 0 0 1-.195 6.68 10.026 10.026 0 0 1-4.396 5.068 10.16 10.16 0 0 1-6.634 1.19 10.12 10.12 0 0 1-5.2-2.508c-.41-.374-.37-1.01.045-1.377.416-.368 1.05-.325 1.47.038a8.128 8.128 0 0 0 9.317.92 8.02 8.02 0 0 0 3.517-4.053 7.936 7.936 0 0 0 .156-5.345 8.01 8.01 0 0 0-3.276-4.248 8.123 8.123 0 0 0-10.11 1.047 7.982 7.982 0 0 0-2.153 3.842c-.126.538-.616.94-1.17.883Z"
fill="currentColor"></path>
<path
d="M1 11.058C1 10.406 2.21 10 4.026 10c1.815 0 3.026.396 3.026 1.058C7.052 11.807 4.86 14 4.026 14 3.192 14 1 11.819 1 11.058ZM11.684 14.372c-.615-.256-1.165-1.582-1.165-3.137 0-1.883.336-3.235 1.558-3.235.942 0 1.436 1.352 1.436 3.235 0 .232-.008.448-.023.65.285-.054.604-.084.96-.084 1.872 0 3.129.621 3.129 1.626 0 .838-1.257 1.573-3.13 1.573-1.073 0-2.145-.259-2.765-.628Z"
fill="currentColor"></path>
</svg><span>A new pair covered in case of return</span></div>
<div class="ant-col w-full text-center ant-col-xs-12 ant-col-sm-12 ant-col-md-6" style="padding-left: 12px; padding-right: 12px;"><svg width="1em" height="1em" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg"
class="iconBenefit" style="margin: auto;">
<defs>
<linearGradient x1="0%" y1="0%" x2="0%" y2="100%"></linearGradient>
</defs>
<path fill-rule="evenodd" clip-rule="evenodd"
d="M17.263 6.73c.974-1.611 1.08-2.926.277-3.431-.935-.59-2.833-.369-3.792 1.217a3.18 3.18 0 0 0-.324.728 14.194 14.194 0 0 0-3.094-.324C4.468 4.92 2 8.046 2 12.297 2 15.086 3.546 21 7.03 21c1.064 0 1.914-.445 2.575-1.091a10.458 10.458 0 0 0 3.563-.153c.632.731 1.46 1.244 2.516 1.244 2.888 0 4.095-4.757 4.203-6.446.19.06.378.092.554.092.976 0 1.559-1.156 1.559-3.092 0-1.908-.598-3.093-1.56-3.093-.443 0-.951.19-1.403.537a6.959 6.959 0 0 0-1.878-2.1l.104-.169Zm.526 3.148c0 .57-.47 1.031-1.052 1.031a1.042 1.042 0 0 1-1.053-1.03c0-.57.472-1.032 1.053-1.032s1.053.462 1.053 1.031ZM9.99 8.93c1.176.02 2.536.044 2.536-.49 0-.735-1.065-1.51-3.086-1.51-2.001 0-3.23.787-3.23 1.511 0 .537 1.328.512 2.505.49.227-.004.448-.008.653-.008.195 0 .405.003.622.007Z"
fill="currentColor"></path>
</svg><span>100% covered, €0 to pay</span></div>
<div class="ant-col w-full text-center ant-col-xs-12 ant-col-sm-12 ant-col-md-6" style="padding-left: 12px; padding-right: 12px;"><svg width="1em" height="1em" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg"
class="iconBenefit" style="margin: auto;">
<defs>
<linearGradient x1="0%" y1="0%" x2="0%" y2="100%"></linearGradient>
</defs>
<path fill-rule="evenodd" clip-rule="evenodd"
d="M22 11.313c0 4.592-4.477 8.314-10 8.314-.393 0-.781-.019-1.163-.056-2.29 1.558-5.147 1.907-7.042.725-1.279-.798-.322-1.4 1.2-2.36.159-.1.324-.204.494-.313C3.353 16.1 2 13.838 2 11.314 2 6.722 6.477 3 12 3s10 3.722 10 8.313Zm-10.572 3.83.319.241c.15.115.356.115.506 0 .098-.074.205-.155.32-.24 1.264-.949 3.427-2.57 3.427-4.486 0-1.231-.825-2.444-2-2.462-.635-.01-1.096.378-1.45.676-.22.184-.397.334-.55.334-.154 0-.34-.153-.566-.34-.36-.297-.825-.68-1.434-.67-1.175.018-2 1.026-2 2.462 0 1.917 2.162 3.537 3.428 4.485Z"
fill="currentColor"></path>
</svg><span>Professional advice with our stylist</span></div>
</div>
</div>
</div>
<div class="mt-5 flex justify-center items-center gap-4"><button type="button" class="ant-btn ant-btn-default btn-submit-claim" style="font-size: 25px;"><span>SUBMIT CLAIM</span></button></div>
</form>Text Content
ONLINE CLAIM PORTAL Insurances Card Number Product Name Full Name Phone Number Date of Loss Choose Frame of Glass Cumin Nigelle Hortensia Chêne Erable Hêtre Insurances Benefits Free delivery & return A new pair covered in case of return 100% covered, €0 to pay Professional advice with our stylist SUBMIT CLAIM