apply.idofocus.co.id
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112.78.137.46
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URL:
https://apply.idofocus.co.id:25443/form-kendaraan-dummy?scoring=true
Submission: On February 10 via manual — Scanned from DE
Submission: On February 10 via manual — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-serverapp-c37="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-serverapp-c37="">
<h3 _ngcontent-serverapp-c37="" class="title-info">Data Konsumen (optional)</h3>
</div>
<div _ngcontent-serverapp-c37="" class="container">
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputNIK" class="form-label">NIK</label><input _ngcontent-serverapp-c37="" type="tel" id="inputNIK" name="nik" formcontrolname="nik" maxlength="16"
minlength="16" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputNama" class="form-label">Nama Lengkap</label><input _ngcontent-serverapp-c37="" type="text" id="inputNama" formcontrolname="nama" name="nama"
maxlength="255" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputTglLahir" class="form-label">Tanggal Lahir</label><input _ngcontent-serverapp-c37="" type="date" id="inputTglLahir" name="tglLahir"
formcontrolname="tglLahir" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputNoHp" class="form-label">No. Handphone</label><input _ngcontent-serverapp-c37="" type="tel" id="inputNoHp" name="noHp" formcontrolname="noHp"
maxlength="13" minlength="9" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputEmail" class="form-label">Email</label><input _ngcontent-serverapp-c37="" type="email" id="inputEmail" name="email" formcontrolname="email" maxlength="100"
autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputRekening" class="form-label">No. Rekening BCA</label><input _ngcontent-serverapp-c37="" type="tel" id="inputRekening" name="noRekening"
formcontrolname="noRek" maxlength="16" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid"><!----></div>
<div _ngcontent-serverapp-c37="" class="mb-2"><label _ngcontent-serverapp-c37="" for="inputKodePromo" class="form-label">Kode Promo/Referral (jika ada)</label>
<div _ngcontent-serverapp-c37="" class="input-group"><input _ngcontent-serverapp-c37="" type="text" id="inputKodePromo" autocomplete="off" formcontrolname="kodePromo" class="form-control ng-untouched ng-pristine ng-valid" maxlength="15">
<div _ngcontent-serverapp-c37="" class="input-group-prepend"><span _ngcontent-serverapp-c37="" class="input-group-text input-group-prepend-right"><i _ngcontent-serverapp-c37="" class="fa fa-ticket fa-2x icon-promo"></i></span></div>
</div>
</div><label _ngcontent-serverapp-c37="" for="inputStatus" class="form-label">Status Perkawinan*</label>
<div _ngcontent-serverapp-c37="" class="mb-2">
<div _ngcontent-serverapp-c37="" class="form-check form-check-inline"><input _ngcontent-serverapp-c37="" formcontrolname="statusPerkawinan" type="radio" name="statusPerkawinan" value="0"
class="form-check-input ng-untouched ng-pristine ng-valid"><label _ngcontent-serverapp-c37="" for="inlineRadio1" class="form-check-label">Single</label></div> <div _ngcontent-serverapp-c37="" class="form-check form-check-inline">
<input _ngcontent-serverapp-c37="" formcontrolname="statusPerkawinan" type="radio" name="statusPerkawinan" value="1" class="form-check-input ng-untouched ng-pristine ng-valid"><label _ngcontent-serverapp-c37="" for="inlineRadio2"
class="form-check-label">Menikah</label></div>
</div>
</div><!---->
<div _ngcontent-serverapp-c37="">
<h3 _ngcontent-serverapp-c37="" class="title-info">Data Kendaraan</h3>
</div><app-vehicle-form _ngcontent-serverapp-c37="" _nghost-serverapp-c36=""><label _ngcontent-serverapp-c36="" for="inputKondisi" class="form-label">Kondisi Kendaraan* </label>
<div _ngcontent-serverapp-c36="" class="mb-2">
<div _ngcontent-serverapp-c36="" class="form-check form-check-inline"><input _ngcontent-serverapp-c36="" id="inlineRadio1" type="radio" name="statusVehicle" value="1" formcontrolname="statusVehicle"
class="form-check-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-serverapp-c36="" for="inlineRadio1" class="form-check-label">Baru</label></div> <div _ngcontent-serverapp-c36="" class="form-check form-check-inline">
<input _ngcontent-serverapp-c36="" id="inlineRadio2" type="radio" name="statusVehicle" value="0" formcontrolname="statusVehicle" class="form-check-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-serverapp-c36=""
for="inlineRadio2" class="form-check-label">Bekas</label></div>
</div>
<div _ngcontent-serverapp-c36="" class="form-group mb-2"><label _ngcontent-serverapp-c36="" for="select1" class="form-label">Tahun Kendaraan*</label><select _ngcontent-serverapp-c36="" formcontrolname="productionYear" id="select1" name="tahun"
class="form-control ng-untouched ng-pristine ng-invalid">
<option _ngcontent-serverapp-c36="" value="2000" class="ng-star-inserted">2000</option>
<option _ngcontent-serverapp-c36="" value="2001" class="ng-star-inserted">2001</option>
<option _ngcontent-serverapp-c36="" value="2002" class="ng-star-inserted">2002</option>
<option _ngcontent-serverapp-c36="" value="2003" class="ng-star-inserted">2003</option>
<option _ngcontent-serverapp-c36="" value="2004" class="ng-star-inserted">2004</option>
<option _ngcontent-serverapp-c36="" value="2005" class="ng-star-inserted">2005</option>
<option _ngcontent-serverapp-c36="" value="2006" class="ng-star-inserted">2006</option>
<option _ngcontent-serverapp-c36="" value="2007" class="ng-star-inserted">2007</option>
<option _ngcontent-serverapp-c36="" value="2008" class="ng-star-inserted">2008</option>
<option _ngcontent-serverapp-c36="" value="2009" class="ng-star-inserted">2009</option>
<option _ngcontent-serverapp-c36="" value="2010" class="ng-star-inserted">2010</option>
<option _ngcontent-serverapp-c36="" value="2011" class="ng-star-inserted">2011</option>
<option _ngcontent-serverapp-c36="" value="2012" class="ng-star-inserted">2012</option>
<option _ngcontent-serverapp-c36="" value="2013" class="ng-star-inserted">2013</option>
<option _ngcontent-serverapp-c36="" value="2014" class="ng-star-inserted">2014</option>
<option _ngcontent-serverapp-c36="" value="2015" class="ng-star-inserted">2015</option>
<option _ngcontent-serverapp-c36="" value="2016" class="ng-star-inserted">2016</option>
<option _ngcontent-serverapp-c36="" value="2017" class="ng-star-inserted">2017</option>
<option _ngcontent-serverapp-c36="" value="2018" class="ng-star-inserted">2018</option>
<option _ngcontent-serverapp-c36="" value="2019" class="ng-star-inserted">2019</option>
<option _ngcontent-serverapp-c36="" value="2020" class="ng-star-inserted">2020</option>
<option _ngcontent-serverapp-c36="" value="2021" class="ng-star-inserted">2021</option>
<option _ngcontent-serverapp-c36="" value="2022" class="ng-star-inserted">2022</option>
<option _ngcontent-serverapp-c36="" value="2023" class="ng-star-inserted">2023</option><!---->
</select></div>
<div _ngcontent-serverapp-c36="" class="mb-2"><label _ngcontent-serverapp-c36="" for="inputOTR" class="form-label">Harga Kendaraan (OTR)*</label>
<div _ngcontent-serverapp-c36="" class="input-group">
<div _ngcontent-serverapp-c36="" class="input-group-prepend"><span _ngcontent-serverapp-c36="" class="input-group-text input-group-prepend-left">Rp</span></div><input _ngcontent-serverapp-c36="" formcontrolname="priceOtr" type="tel"
id="input-otr" name="otr" autocomplete="off" currencymask="" class="form-control ng-untouched ng-pristine ng-invalid" style="text-align: left;">
</div>
</div>
<div _ngcontent-serverapp-c36="" class="mb-2">
<div _ngcontent-serverapp-c36="" class="col-12">
<div _ngcontent-serverapp-c36="" class="row"><label _ngcontent-serverapp-c36="" for="inputDP" class="form-label">DP*</label>
<div _ngcontent-serverapp-c36="" class="col-7">
<div _ngcontent-serverapp-c36="" class="input-group">
<div _ngcontent-serverapp-c36="" class="input-group-prepend"><span _ngcontent-serverapp-c36="" class="input-group-text input-group-prepend-left">Rp</span></div><input _ngcontent-serverapp-c36="" formcontrolname="downpayment" type="tel"
id="input-dp" name="input-dp" autocomplete="off" currencymask="" class="form-control ng-untouched ng-pristine ng-invalid" style="text-align: left;">
</div>
</div>
<div _ngcontent-serverapp-c36="" class="col-1" style="padding: 0; text-align: center;">atau</div>
<div _ngcontent-serverapp-c36="" class="col-4">
<div _ngcontent-serverapp-c36="" class="input-group"><input _ngcontent-serverapp-c36="" formcontrolname="downpaymentPercent" type="tel" id="input-persen" name="input-persen" autocomplete="off" currencymask=""
class="form-control ng-untouched ng-pristine ng-invalid" style="text-align: left;">
<div _ngcontent-serverapp-c36="" class="input-group-prepend"><span _ngcontent-serverapp-c36="" class="input-group-text input-group-prepend-right">%</span></div>
</div>
</div>
</div>
</div>
</div><!---->
</app-vehicle-form><br _ngcontent-serverapp-c37=""><button _ngcontent-serverapp-c37="" type="submit" aria-pressed="true" class="btn btn-custom mt-3" style="width: 100%; display: block;" disabled=""><span
_ngcontent-serverapp-c37="">SUBMIT</span></button>
</form>Text Content
FORM DUMMY DATA KONSUMEN (OPTIONAL) NIK Nama Lengkap Tanggal Lahir No. Handphone Email No. Rekening BCA Kode Promo/Referral (jika ada) Status Perkawinan* Single Menikah DATA KENDARAAN Kondisi Kendaraan* Baru Bekas Tahun Kendaraan*200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Harga Kendaraan (OTR)* Rp DP* Rp atau % SUBMIT Please enable JavaScript to continue using this application.