www.reliancenipponlife.com
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103.75.140.159
Public Scan
Submitted URL: http://reliancenipponlife.com/
Effective URL: https://www.reliancenipponlife.com/
Submission: On February 26 via api from IN — Scanned from DE
Effective URL: https://www.reliancenipponlife.com/
Submission: On February 26 via api from IN — Scanned from DE
Form analysis 5 forms found in the DOM
Name: frmContactMe —
<form id="frmContactMe" name="frmContactMe">
<div class="floating-form-body" id="divContactMe">
<ul>
<li>
<div class="c-formbox">
<input type="text" name="txt_name" id="txt_name" onkeypress="return keyRestrictValidChars(event, 'abcdefghijklmnopqrstuvwxyz ');" maxlength="150">
<label>Name</label>
<span name="txt_name_error" id="txt_name_error" class="error_Msg" style="display:none">ABC</span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" name="txt_email" id="txt_email" maxlength="150">
<label>Email</label>
<span name="txt_email_error" id="txt_email_error" class="error_Msg" style="display:none">ABC</span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" name="txt_Phone" id="txt_Phone" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="10">
<label>Phone</label>
<span name="txt_Phone_error" id="txt_Phone_error" class="error_Msg" style="display:none">ABC</span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" name="txt_pinCode" id="txt_pinCode" oninput="fnFilterContactMeStateCity();" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="6">
<label>PIN Code</label>
<span name="txt_pinCode_error" id="txt_pinCode_error" class="error_Msg" style="display:none">ABC</span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="contactstate" name="contactstate" onchange="fnGetContactMeCities();">
<option value="">Select State</option>
</select>
<label>State</label>
<span class="error_Msg" id="contactstate_error" style="display:none;"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="contactcity" name="contactcity">
<option value="">Select City</option>
</select>
<label>City</label>
<span class="error_Msg" id="contactcity_error" style="display:none;"></span>
</div>
</li>
<li>
<div class="c-formbox captcha">
<ul>
<li><input type="text" name="txtCaptcha" id="txtCaptcha"></li>
<li>
<img id="imgCaptchahm" class="mg-0" src="/handlers/captcha-image.ashx?source=getintouch">
<a href="javascript:;" onclick="fnRefCaptchaforQuiclLink();"><img id="imgCaptcharef" src="/image/reload.png"></a>
</li>
</ul>
<label>Captcha</label>
<span class="error_Msg" name="txtCaptcha_error" id="txtCaptcha_error" style="display:none">ABC</span>
</div>
</li>
<li>
<a href="javascript:void(0)" class="nextBtn" onclick="fnSubmitContactMe()">
<abbr>submit</abbr>
</a>
</li>
</ul>
</div>
<input type="hidden" name="as_sfid" value="AAAAAAVEGnzvfXDx4El-65JuqFM_CDSv82ZO9U_WD_nuWrCdaGFl35HSVfmnI5Cp9wwtnrJmvKdHZfFQ_Kwiwor8B-fjQshZgLtmflNCsK83GY9XB1j2XyRw4XBr8qzn6o86YmHq0tFDZI3qJNgz9GYpvkTxGyg8q7PTeTUI3-FLASXgYQ=="><input type="hidden"
name="as_fid" value="d0fd530acddb610aa8e337157bb2477b4c19ba4d">
</form>Name: frmHomePage —
<form id="frmHomePage" name="frmHomePage">
<div class="form-group ">
<input name="txtFNamee" id="txtFNamee" class="form-control" type="text" placeholder="Enter Your Full Name*" onkeypress="return keyRestrictValidChars(event, 'abcdefghijklmnopqrstuvwxyz ');" maxlength="150">
<span name="txtFNamee_error" id="txtFNamee_error" class="error_Msg" style="display: none;"> </span>
</div>
<div class="form-group my-3 newSelectWidth50">
<div>
<input name="txtMobilee" id="txtMobilee" class="form-control" type="text" placeholder="Enter Your Mobile No*" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="10">
<span name="txtMobilee_error" id="txtMobilee_error" class="error_Msg" style="display: none;"></span>
</div>
<div class="date-birth">
<input type="text" id="txtDateofBirthh" class="form-control hasDatepicker" placeholder="Date of Birth*">
<span class="calender-icon "><img src="./image/calender.svg" alt="calender"></span>
<span name="txtDateofBirthh_error" id="txtDateofBirthh_error" class="error_Msg" style="display: none;"> </span>
</div>
</div>
<div class="form-group my-3 newSelectWidth50">
<div>
<select class="form-control" id="genderr" name="gender">
<option value="">Select Gender*</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="Other">Other</option>
</select>
<span class="error_Msg" id="genderr_error" style="display: none;">Select Gender </span>
</div>
<div>
<input id="txtPincodeNo" name="txtPincodeNo" class="form-control" placeholder="Pin Code*" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="6">
<span name="txtPincodeNo_error" id="txtPincodeNo_error" class="error_Msg" style="display: none;"> </span>
</div>
</div>
<div class="checkbox check-block d-flex my-3">
<input type="checkbox" id="chkTermss" name="chkTermss" checked="checked">
<span class="errorMsg" id="chkTerms_error" style="display: none;">Agree </span>
<input type="hidden" id="utmValue_sourcee" name="utmValue_sourcee" value="HomePage">
<input type="hidden" id="utmValue_campaignn" name="utmValue_campaignn" value="">
<input type="hidden" id="utmValue_mediumm" name="utmValue_mediumm" value="">
<input type="hidden" id="utmValue_adgroupp" name="utmValue_adgroupp" value="">
<input type="hidden" id="utmValue_keywordd" name="utmValue_keywordd" value="">
<label>
<span> By submitting my contact details here, I override my NDNC registration and authorize </span>
<span> Reliance Nippon Life Insurance Company and its representative to contact me through sms/ call/ e-mail. </span>
</label>
</div>
<div class="form-group text-center my-3">
<a class="submitbtn" id="submithomepagebtn" href="javascript:void(0)" onclick="fnSubmitDetails();">Submit </a>
</div>
<input type="hidden" name="as_sfid" value="AAAAAAUyWPwehzw5KsiSXXYXmqHNwlLAPh2HgNhQDPV0UHG0BFHHJ8z36khb-zNDutYY8_TjSKyHct_ixBTgBOsjNuA1sFoAA_ft64OVsF-6OtdG1UeYLg1AfbDqfjWmle8WV-Dh1EVqy1KXfiRVsTpBOJi1x_D8Y1IIb19aTD5gfRabtg=="><input type="hidden"
name="as_fid" value="015103053cf2d9226a4fabb62242845a683b1cdf">
</form>Name: frmHelpMePlan —
<form name="frmHelpMePlan" id="frmHelpMePlan">
<div class="allThreeStep_Slider">
<div class="firstStep homepage-form">
<p class="formDesc">
<span class="form_LeftArrow"></span> Enter the following details to find the right plan
</p>
<ul>
<li>
<div class="c-formbox">
<input type="text" id="age" name="age" maxlength="2" onkeypress="return keyRestrictValidChars(event, '0123456789');">
<label>Your Age (years)</label>
<span class="error_Msg" id="age_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" id="annual_income" name="annual_income" maxlength="10" onkeypress="return keyRestrictValidChars(event, '0123456789');">
<label>Annual Income (₹)</label>
<span class="error_Msg" id="annual_income_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="sum_assured" name="sum_assured">
<option value="">Select</option>
<option>1-5 Lakh</option>
<option>5-10 Lakh</option>
<option>10-20 Lakh</option>
<option>20-50 Lakh</option>
<option>50 Lakh – 1 Crore</option>
<option>1–2.5 Crore</option>
<option>2.5–5 Crore</option>
<option>5–10 Crore</option>
<option>10–50 Crore</option>
<option>50 Crore and above</option>
</select>
<label>Sum Assured (₹)</label>
<span class="error_Msg" id="sum_assured_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="duration" name="duration">
<option value="">Select</option>
<option>5 yrs</option>
<option>10 yrs</option>
<option>12 yrs</option>
<option>15 yrs</option>
<option>20 yrs</option>
</select>
<label>Plan Term</label>
<span class="error_Msg" id="duration_error"></span>
</div>
</li>
<li>
<div class="c-formbox check-box">
<abbr>Do you smoke</abbr>
<ul>
<li>
<input type="radio" id="Yes" name="smoke" value="Yes">
<label for="Yes">Yes</label>
</li>
<li>
<input type="radio" id="No" name="smoke" value="No" checked="">
<label for="No">No</label>
</li>
</ul>
<span class="error_Msg" id="smoke_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="marital_status" name="marital_status">
<option value="">Select</option>
<option value="Early Career">Early Career</option>
<option value="Married">Married</option>
<option value="Married with young children">Married with young children</option>
<option value="Married with grown up children">Married with grown up children</option>
<option value="Retirement">Retirement</option>
</select>
<label>Life Stage</label>
<span class="error_Msg" id="marital_status_error"></span>
</div>
</li>
<li>
<a href="javascript:;" class="nextBtn" onclick="fnHelpMePlanStep1Validation();">
<abbr>next</abbr>
</a>
</li>
</ul>
</div>
<div class="secondStep">
<p class="formDesc">
<span class="form_LeftArrow"></span> Here are the plans for you
</p>
<ul id="plan_list"></ul>
<ul>
<li>
<span class="error_Msg" id="plan_error"></span>
<a href="javascript:;" class="linkText" id="hrf_plan" target="_blank" style="display: none;">
<abbr>
Know More
</abbr>
</a>
<a href="javascript:void(0)" id="hrf_planProcess" class="nextBtn" onclick="fnStep2FormActive();">
<abbr>PROCEED</abbr>
</a>
</li>
</ul>
</div>
<div class="thirdStep homepage-form">
<p class="formDesc">
<span class="form_LeftArrow"></span> Please fill the below details
</p>
<ul>
<li>
<div class="c-formbox">
<input type="text" id="name" name="name" maxlength="120">
<label>Name</label>
<span class="error_Msg" id="name_error"></span>
</div>
</li>
<li>
<div class="c-formbox dob">
<ul>
<li>
<select id="ddl_day" name="ddl_day">
<option value="">DD</option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
</li>
<li>
<select id="ddl_month" name="ddl_month">
<option value="">MM</option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</li>
<li>
<select id="ddl_year" name="ddl_year">
<option>YYYY</option>
<option>1990</option>
<option>1999</option>
</select>
</li>
</ul>
<label>DOB</label>
<span class="error_Msg" id="dateofBirth_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" id="mobile" name="mobile" maxlength="10" onkeypress="return keyRestrictValidChars(event, '1234567890');">
<label>Mobile Number</label>
<span class="error_Msg" id="mobile_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" id="emailId" name="emailId" maxlength="150">
<label>Email</label>
<span class="error_Msg" id="emailId_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<input type="text" id="pinCode" name="pinCode" maxlength="6" oninput="fnGetFilterStateCity();" onkeypress="return keyRestrictValidChars(event, '1234567890');">
<label>PIN Code</label>
<span class="error_Msg" id="pinCode_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="state" name="state" onchange="fnGetCities();">
<option value="">Select State</option>
</select>
<label>State</label>
<span class="error_Msg" id="state_error"></span>
</div>
</li>
<li>
<div class="c-formbox">
<select id="city" name="city">
<option value="">Select City</option>
</select>
<label>City</label>
<span class="error_Msg" id="city_error"></span>
</div>
</li>
<li>
<div class="c-formbox captcha">
<ul>
<li><input type="text" id="captcha" name="captcha"></li>
<li>
<img src="/handlers/captcha.ashx" id="imgCaptcha" width="100%">
<a href="javascript:;" onclick="fnRefreshCaptchaCode();"><img id="imgCaptcharef" src="/image/reload.png"></a>
</li>
</ul>
<label>Captcha</label>
<span class="error_Msg" id="captcha_error"></span>
</div>
</li>
</ul>
<div class="disclaimers-new">
<ul>
<li>
<span class="form-group">
<input value="small" type="checkbox" id="chk_terms" name="chk_terms" checked="" tabindex="8" onkeyup="checkValidation('chk_terms');">
<label for="chk_terms">I/we unconditionally authorize RNLIC and its representatives to contact me/us for propagation of RNLIC products and service offerings. My consent shall override my registry on DND/ DNDC, as the case may be. I
further provide my consent to RNLIC to share my personal information on a confidential basis with third party service providers in connection with and in relation to the proposal of Insurance and rendering of Insurance
services.</label>
<span class="error_Msg" id="chk_terms_error"></span>
</span>
</li>
<li>
<a id="btn_submit" href="javascript:;" class="nextBtn" onclick="fnCheckHelpMePlan();">
<abbr>I am Interested</abbr>
</a>
<a href="javascript:;" id="submitting" class="buyNowAD" style="display:none;"><span>Submitting...</span></a>
<input type="hidden" id="plan_category" name="plan_category" value="1146">
<input type="hidden" id="dateofBirth" name="dateofBirth">
<input type="hidden" id="utm_source" name="utm_source">
<input type="hidden" id="utm_campaign" name="utm_campaign">
<input type="hidden" id="utm_medium" name="utm_medium" value="">
<input type="hidden" id="utm_adgroup" name="utm_adgroup" value="">
<input type="hidden" id="utm_keyword" name="utm_keyword" value="">
<input type="hidden" id="plan_Id" name="plan_Id" value="1146">
</li>
</ul>
</div>
</div>
</div>
<input type="hidden" name="as_sfid" value="AAAAAAXtgW48hLMBivTIf7GeaEW-EcXiU_Q8MANvCTEdZNqNlBrN_X-Vr-69MO6XEKQ29w1lSoWdEIXv4u5jD-hcsLQ2CG5waB0V4sHOPbYg2uWxNNFH00wUXaeoxKOuIl1sBE3xW9l_D09P39n0kQWYPkIRL7nkpkbPwaRHZszW9Km_gQ=="><input type="hidden"
name="as_fid" value="3734bbcddaf78f21f2383e12fb5e84646adbbf64">
</form>POST /search
<form class="search__form" action="/search" method="post">
<input class="search__input" id="txtSearch" name="txtSearch" type="search" placeholder="Search" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false">
<span class="search__info">Hit Enter to search or ESC to close</span>
<input type="hidden" name="as_sfid" value="AAAAAAUSv4XtgNz5Noz4y9SAkToHuAWHfhX9yYwVIPVjpeXpzeLJDPx5DArDsEZr4YsAQD71pr1JbRI_FUIdOtIfPesi9xDuUYSXHgtS1ZlmUbRlfea6r_zOHHJfFsvtlHm9VcP5ud07NiOV7kUMMXxqBQUo0cL_VbNWULpEpDxGUwn9Qg=="><input type="hidden"
name="as_fid" value="74b91e4c19efdf7f5fe4316c990de6535aadbb28">
</form><form action="" id="form">
<div class="form-group my-3">
<input id="txtFName" name="txtFName" class="form-control" type="text" placeholder="Full Name*" onkeypress="return keyRestrictValidChars(event, 'abcdefghijklmnopqrstuvwxyz ');" maxlength="30">
<span class="errorMsg" id="txtFName_error" style="display: none;"> Enter your Name </span>
</div>
<div class="form-group my-3 form-label-inputs">
<label class="label-option2"> Gender: </label>
<p class="cstmRadio option2">
<span>
<input id="male" name="gender" value="male" type="radio">
<label for="male"> Male </label>
</span>
<span>
<input id="female" name="gender" value="female" type="radio">
<label for="female"> Female </label>
</span>
<span>
<input id="othergender" name="gender" value="Other" type="radio">
<label for="othergender"> Other </label>
</span>
</p>
<span class="error_Msg" id="gender_error" style="display: none;"></span>
</div>
<div class="form-group my-3 form-label-inputs dobdropdown">
<label class="label-option2"> Date of birth: </label>
<div>
<select id="ddlDays" name="ddlDays" onchange="fnDOBDate();">
<option>DD</option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
</div>
<div>
<select class="mm" id="ddlMonths" name="ddlMonths" onchange="fnDOBDate();">
<option>MM</option>
<option value="01">JAN</option>
<option value="02">FEB</option>
<option value="03">MAR</option>
<option value="04">APR</option>
<option value="05">MAY</option>
<option value="06">JUN</option>
<option value="07">JUL</option>
<option value="08">AUG</option>
<option value="09">SEP</option>
<option value="10">OCT</option>
<option value="11">NOV</option>
<option value="12">DEC</option>
</select>
</div>
<div>
<select id="ddlYears" name="ddlYears" onchange="fnDOBDate();">
<option value="">YYYY</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
</select>
</div>
<input type="hidden" id="txtDateofBirth" name="txtDateofBirth">
<span class="errorMsg" id="txtDateofBirth_error" style="display: none;">Enter your date of birth.</span>
</div>
<div class="form-group my-3" style="display: none;">
<input id="txtmailID" class="form-control" name="txtmailID" type="email" placeholder="Email*" maxlength="150">
<span class="errorMsg" id="txtmailID_error" style="display: none;"> Enter your EmailId </span>
</div>
<div class="form-group my-3">
<input id="txtMobile" name="txtMobile" class="form-control" placeholder="Mobile Number*" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="10">
<span class="errorMsg" id="txtMobile_error" style="display: none;"> Enter your Mobile Number </span>
</div>
<div class="form-group my-3">
<input id="txtPincode" name="txtPincode" class="form-control" placeholder="PIN Code*" oninput="fnMasterFilterStateCity();" onkeypress="return keyRestrictValidChars(event, '1234567890');" maxlength="6">
<span class="errorMsg" id="txtPincode_error" style="display: none;">Enter your Pincode </span>
</div>
<div class="form-group my-3 newSelectWidth50">
<div>
<select class="form-control" id="mddlstate" name="mddlstate" onchange="fnGetMasterCities();">
<option value="">Select State</option>
</select>
<span class="errorMsg" id="mddlstate_error" style="display:none;"></span>
</div>
<div>
<select class="form-control" id="mddlcity" name="mddlcity">
<option value="">Select City</option>
</select>
<span class="errorMsg" id="mddlcity_error" style="display:none;"></span>
</div>
</div>
<div class="checkbox d-flex my-3">
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Acknowledgment of your trust and our efforts
* India's Best Life Insurance Company for Digital Convenience
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7th Annual Insurance Conclave & Awards 2023
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Indian Marketing Awards 2023
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ASSOCHAM 15th Global Insurance Summit & Awards
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4th Digital Transformation Summit & Awards 2023
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Reliance Nippon Life Insurance Company Limited. IRDAI Registration No. 121.
Registered & Corporate Office: Unit Nos. 401B, 402, 403 & 404, 4th Floor,
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