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Submission: On July 30 via api from US — Scanned from DE
Submission: On July 30 via api from US — Scanned from DE
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1 forms found in the DOM<form class="bg-white p-4 rounded-xl">
<h3 class="text-tundora text-base font-semibold mb-4">Isi data di bawah ini untuk melihat simulasi patunganmu</h3>
<div class="mb-4"><span class="block text-tundora text-sm mb-1 font-semibold">Tanggal lahir</span> <span class="block text-onyx text-xs mb-1">Pastikan sesuai dengan data di kartu identitas</span>
<div class="px-4 py-2 rounded-md min-h-[48px] flex justify-start items-center w-full border relative border-mercury bg-white text-tundora">
<div class="mr-2"><svg width="20px" height="20px" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg" role="img">
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<path fill-rule="evenodd" clip-rule="evenodd"
d="M18 5.577V5a3 3 0 0 1 3 3v10a3 3 0 0 1-3 3H6a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3v.577a2 2 0 1 0 4 0V5h4v.577a2 2 0 1 0 4 0ZM6.5 10a1 1 0 0 0-1 1v1a1 1 0 0 0 1 1h1a1 1 0 0 0 1-1v-1a1 1 0 0 0-1-1h-1Zm5 0a1 1 0 0 0-1 1v1a1 1 0 0 0 1 1h1a1 1 0 0 0 1-1v-1a1 1 0 0 0-1-1h-1Zm4 1a1 1 0 0 1 1-1h1a1 1 0 0 1 1 1v1a1 1 0 0 1-1 1h-1a1 1 0 0 1-1-1v-1Zm-9 4a1 1 0 0 0-1 1v1a1 1 0 0 0 1 1h1a1 1 0 0 0 1-1v-1a1 1 0 0 0-1-1h-1Zm4 1a1 1 0 0 1 1-1h1a1 1 0 0 1 1 1v1a1 1 0 0 1-1 1h-1a1 1 0 0 1-1-1v-1Zm6-1a1 1 0 0 0-1 1v1a1 1 0 0 0 1 1h1a1 1 0 0 0 1-1v-1a1 1 0 0 0-1-1h-1Z"
fill="#10A8E5"></path>
</svg></div><input name="dob" id="dob_ID" type="date" placeholder="Contoh: 31/01/1998" class="bg-transparent first-letter:hover:border-0 hover:outline-none min-h-[30px] focus:outline-none focus:border-0 text-sm w-full my-date"><img
src="data:image/svg+xml;base64,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"
class="w-[14px] h-auto absolute right-[10px]">
</div>
</div>
<div class="mb-4"><span class="text-tundora font-semibold text-sm mb-2 block">Jenis kelamin</span>
<div class="w-full flex justify-between flex-wrap"><label class="flex items-center w-full max-w-[49%] py-1 px-3 border text-sm rounded-lg h-[48px] bg-white text-onyx border-mercury cursor-pointer" for="Laki-laki_ID_gender_0"><span
class="flex"><svg width="20" height="20" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg" class="mr-1">
<path
d="M20 4V10H18V7.425L14.025 11.375C14.3417 11.8417 14.5833 12.3375 14.75 12.8625C14.9167 13.3875 15 13.9333 15 14.5C15 16.0333 14.4667 17.3333 13.4 18.4C12.3333 19.4667 11.0333 20 9.5 20C7.96667 20 6.66667 19.4667 5.6 18.4C4.53333 17.3333 4 16.0333 4 14.5C4 12.9667 4.53333 11.6667 5.6 10.6C6.66667 9.53333 7.96667 9 9.5 9C10.05 9 10.5917 9.07917 11.125 9.2375C11.6583 9.39583 12.15 9.64167 12.6 9.975L16.575 6H14V4H20ZM9.5 11C8.53333 11 7.70833 11.3417 7.025 12.025C6.34167 12.7083 6 13.5333 6 14.5C6 15.4667 6.34167 16.2917 7.025 16.975C7.70833 17.6583 8.53333 18 9.5 18C10.4667 18 11.2917 17.6583 11.975 16.975C12.6583 16.2917 13 15.4667 13 14.5C13 13.5333 12.6583 12.7083 11.975 12.025C11.2917 11.3417 10.4667 11 9.5 11Z"
fill="#989898"></path>
</svg> Laki-laki</span><input name="gender" type="radio" id="Laki-laki_ID_gender_0" class="w-[18px] h-[18px] hidden" value="Laki-laki"></label><label
class="flex items-center w-full max-w-[49%] py-1 px-3 border text-sm rounded-lg h-[48px] bg-white text-onyx border-mercury cursor-pointer" for="Perempuan_ID_gender_1"><span class="flex"><svg width="20" height="20" viewBox="0 0 24 24"
fill="none" xmlns="http://www.w3.org/2000/svg" class="mr-1">
<path
d="M11 21V19H9V17H11V14.9C9.68333 14.6667 8.60417 14.0375 7.7625 13.0125C6.92083 11.9875 6.5 10.8 6.5 9.45C6.5 7.93333 7.0375 6.64583 8.1125 5.5875C9.1875 4.52917 10.4833 4 12 4C13.5167 4 14.8125 4.52917 15.8875 5.5875C16.9625 6.64583 17.5 7.93333 17.5 9.45C17.5 10.8 17.0792 11.9875 16.2375 13.0125C15.3958 14.0375 14.3167 14.6667 13 14.9V17H15V19H13V21H11ZM12 13C12.9667 13 13.7917 12.6583 14.475 11.975C15.1583 11.2917 15.5 10.4667 15.5 9.5C15.5 8.53333 15.1583 7.70833 14.475 7.025C13.7917 6.34167 12.9667 6 12 6C11.0333 6 10.2083 6.34167 9.525 7.025C8.84167 7.70833 8.5 8.53333 8.5 9.5C8.5 10.4667 8.84167 11.2917 9.525 11.975C10.2083 12.6583 11.0333 13 12 13Z"
fill="#989898"></path>
</svg> Perempuan</span><input name="gender" type="radio" id="Perempuan_ID_gender_1" class="w-[18px] h-[18px] hidden" value="Perempuan"></label></div>
</div>
<div class="mb-4"><span class="text-tundora font-semibold text-sm mb-1 block">Apakah kamu merokok?</span><span class="text-onyx text-xs mb-1 block">Termasuk rokok elektrik, vape, dan sejenisnya.</span>
<div class="w-full flex justify-between flex-wrap"><label class="flex items-center w-full max-w-[49%] py-1 px-3 border text-sm rounded-lg h-[48px] bg-white text-onyx border-mercury cursor-pointer" for="smoker_ID_smoker_0"><span class="flex"><svg
width="20" height="20" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg" class="mr-1">
<path
d="M2 19V16H17V19H2ZM18 19V16H19.5V19H18ZM20.5 19V16H22V19H20.5ZM18 15V13.7C18 13.05 17.8083 12.5542 17.425 12.2125C17.0417 11.8708 16.5833 11.7 16.05 11.7H14.5C13.5667 11.7 12.775 11.375 12.125 10.725C11.475 10.075 11.15 9.28333 11.15 8.35C11.15 7.41667 11.475 6.625 12.125 5.975C12.775 5.325 13.5667 5 14.5 5V6.5C14 6.5 13.5667 6.675 13.2 7.025C12.8333 7.375 12.65 7.81667 12.65 8.35C12.65 8.88333 12.8333 9.325 13.2 9.675C13.5667 10.025 14 10.2 14.5 10.2H16.05C16.9833 10.2 17.7917 10.5 18.475 11.1C19.1583 11.7 19.5 12.45 19.5 13.35V15H18ZM20.5 15V12.75C20.5 11.65 20.1167 10.7 19.35 9.9C18.5833 9.1 17.6333 8.7 16.5 8.7V7.2C17 7.2 17.4333 7.01667 17.8 6.65C18.1667 6.28333 18.35 5.85 18.35 5.35C18.35 4.85 18.1667 4.41667 17.8 4.05C17.4333 3.68333 17 3.5 16.5 3.5V2C17.4333 2 18.225 2.325 18.875 2.975C19.525 3.625 19.85 4.41667 19.85 5.35C19.85 5.83333 19.7583 6.27083 19.575 6.6625C19.3917 7.05417 19.15 7.41667 18.85 7.75C19.7833 8.18333 20.5417 8.85 21.125 9.75C21.7083 10.65 22 11.65 22 12.75V15H20.5Z"
fill="#989898"></path>
</svg> Ya</span><input name="smoker" type="radio" id="smoker_ID_smoker_0" class="w-[18px] h-[18px] hidden" value="smoker"></label><label
class="flex items-center w-full max-w-[49%] py-1 px-3 border text-sm rounded-lg h-[48px] bg-white text-onyx border-mercury cursor-pointer" for="no-smoker_ID_smoker_1"><span class="flex"><svg width="20" height="20" viewBox="0 0 24 24"
fill="none" xmlns="http://www.w3.org/2000/svg" class="mr-1">
<path
d="M19.8 22.6L13.2 16H1.99999V13H10.2L1.39999 4.2L2.79999 2.8L21.2 21.2L19.8 22.6ZM18.85 16L18 15.15V13H19.5V16H18.85ZM20.5 16V13H22V16H20.5ZM17 14.15L15.85 13H17V14.15ZM18 12V10.7C18 10.05 17.8083 9.55417 17.425 9.2125C17.0417 8.87083 16.5833 8.7 16.05 8.7H14.5C13.5667 8.7 12.775 8.375 12.125 7.725C11.475 7.075 11.15 6.28333 11.15 5.35C11.15 4.41667 11.475 3.625 12.125 2.975C12.775 2.325 13.5667 2 14.5 2V3.5C14 3.5 13.5667 3.675 13.2 4.025C12.8333 4.375 12.65 4.81667 12.65 5.35C12.65 5.88333 12.8333 6.325 13.2 6.675C13.5667 7.025 14 7.2 14.5 7.2H16.05C16.9833 7.2 17.7917 7.5 18.475 8.1C19.1583 8.7 19.5 9.45 19.5 10.35V12H18ZM20.5 12V9.75C20.5 8.65 20.1167 7.7 19.35 6.9C18.5833 6.1 17.6333 5.7 16.5 5.7V4.2C17 4.2 17.4333 4.01667 17.8 3.65C18.1667 3.28333 18.35 2.85 18.35 2.35H19.85C19.85 2.83333 19.7583 3.27083 19.575 3.6625C19.3917 4.05417 19.15 4.41667 18.85 4.75C19.7833 5.18333 20.5417 5.85 21.125 6.75C21.7083 7.65 22 8.65 22 9.75V12H20.5Z"
fill="#989898"></path>
</svg> Tidak</span><input name="smoker" type="radio" id="no-smoker_ID_smoker_1" class="w-[18px] h-[18px] hidden" value="no-smoker"></label></div>
</div>
<div class="bg-white rounded-t-lg p-4 border border-mercury"><span class="text-onyx text-sm block">Santunan tutup usia yang saya inginkan</span>
<div class="flex flex-col justify-between w-full mt-2">
<div class="flex mb-1"><span class="text-onyx text-xs mr-1">Rp</span><span class="text-tundora text-lg font-bold"> 1.000.000.000</span></div><input type="range" id="rangeCompensation" class="myInputRange mt-2 mb-2" min="200000000"
max="2000000000" step="50000000" value="1000000000">
</div>
<div class="bg-skull rounded-lg p-4 mt-4"><span class="text-onyx text-xs block">Patungan keanggotaan (per bulan)</span><span class="block text-tundora text-lg font-bold mt-3 mb-2">?</span><button
class="text-xs text-cerulean50 flex w-fullmitems-center cursor-pointer" type="button">Lihat dasar perhitungan simulasi <span class="text-center w-[16px] h-[16px] block rounded-[100%] bg-cerulean50 text-white ml-1">?</span></button></div>
</div><button type="button" disabled="" class="py-3 px-5 rounded-lg w-full font-bold flex items-center text-sm bg-mercury text-dustygrey justify-center mt-5">Aktifkan keanggotaan</button>
</form>
Text Content
TOLONG MENOLONG LINDUNGI KELUARGA TERSAYANG Siapkan santunan tutup usia untuk orang tersayang dengan patungan bersama pejuang keluarga lainnya se-Indonesia. NAMA KAMU SJK0000XXX Belum Aktif Aktifkan keanggotaan Coba simulasi patungan LAYANAN GRATIS BAGI KELUARGA SAAT KAMU TUTUP USIA PELAYANAN JENAZAH Siap membantu proses pengurusan jenazah, pelayanan pemakaman, dan pendampingan sampai penguburan/kremasi tersedia di JABODETABEK dan Bandung. ASISTEN PENGURUSAN KLAIM Siap mendampingi ahli waris/keluarga untuk klaim cepat via WhatsApp. BANTUAN PENGURUSAN ADMINISTRASI Siap mendampingi keperluan administrasi seperti pengurusan surat kematian, mengakses santunan di rekening bank, dll. FINANCIAL PLANNER Siap membantu merencanakan penggunaan dana santunan secara strategis sesuai kebutuhan keluarga. CARA KITA SALING JAGA PATUNGAN SESUAI NOMINAL YANG KAMU PILIH Jaga keanggotaanmu tetap aktif dengan perpanjang patungan. PATUNGAN DIKUMPULKAN DI DANA BERSAMA UNTUK SALING JAGA Siap disalurkan untuk membantu keluarga anggota yang tutup usia. AHLI WARIS MENGAJUKAN BANTUAN BAGI ANGGOTA YANG TUTUP USIA Pengajuan mudah via WhatsApp Saling Jaga (0811 1230 0735). SANTUNAN DISALURKAN UNTUK KELUARGA YANG DITINGGALKAN Tim Saling Jaga siap membantu pelayanan gratis bagi keluarga saat anggota tutup usia. PANTAU SIAPA SAJA YANG TERBANTU Kamu akan menerima laporan bulanan berisi penyaluran bantuan dan jumlah dana terkumpul. SIMULASI PATUNGAN Dari hasil patungan sesama anggota, kamu bisa mendapatkan santunan hingga maksimal Rp2 miliar ISI DATA DI BAWAH INI UNTUK MELIHAT SIMULASI PATUNGANMU Tanggal lahir Pastikan sesuai dengan data di kartu identitas Jenis kelamin Laki-laki Perempuan Apakah kamu merokok?Termasuk rokok elektrik, vape, dan sejenisnya. Ya Tidak Santunan tutup usia yang saya inginkan Rp 1.000.000.000 Patungan keanggotaan (per bulan)?Lihat dasar perhitungan simulasi ? Aktifkan keanggotaan Tolong Menolong Lindungi Keluarga TersayangBaca lebih lanjut atau download Ringkasan Informasi Produk dan Layanan (Riplay) UmumDownload Riplay UmumDownload Brosur SalingJaga KeluargaLaporan keuangan -------------------------------------------------------------------------------- PT Asuransi Jiwa Syariah Kitabisa berizin dan diawasi oleh Otoritas Jasa Keuangan (OJK). Layanan Pelanggan 0811 1230 0735Senin s/d Jumat 08.00 - 17.00 WIB © Copyright 2024 PT Asuransi Jiwa Syariah Kitabisa. All Rights Reserved. Powered by Kitabisa Beranda Dampak Manfaat Referral