www.ufirst.com.my
Open in
urlscan Pro
202.71.105.71
Public Scan
Submitted URL: http://perodua.page.link/pmqh
Effective URL: https://www.ufirst.com.my/member/Order?From=MobileApp&LoginToken=C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE10...
Submission: On November 05 via api from US — Scanned from DE
Effective URL: https://www.ufirst.com.my/member/Order?From=MobileApp&LoginToken=C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE10...
Submission: On November 05 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /member/Order/Sign
<form action="/member/Order/Sign" data-val="true" enctype="multipart/form-data" id="frmBookingOrder" method="post" novalidate="novalidate">
<div class="row justify-content-center">
<input type="hidden" id="hdnLoginToken" name="LoginToken" value="C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE105E4BDAE">
<input type="hidden" id="hdnFrom" name="From" value="MobileApp">
<input type="hidden" id="hdnId" name="Id" value="17E0212E6E8CFDEAADCC4183860F093839AD3C4B8D4F5FAC6122E3AC1442B41C">
<style>
@media screen and (max-width: 800px) {
.ufirst-table-like-row {
font-size: 3vw;
}
.tdwidth {
width: 100px !important;
}
}
</style>
<div class="col-md-8" id="tabOrderDtl">
<div class="card">
<div class="card-body">
<div class="row border-bottom pl-2">
<h3 class="font-weight-bold">Your Booking Order</h3>
</div>
<div class="row px-3 pt-2 ufirst-table-like-row">
<div class="col-md-6 pl-1 border-right-0">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Customer Details"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Name</td>
<td style="width: 20px">:</td>
<td><span id="lblFullName">SITI NOOR FAZILAWANI BINTI MUSTAFA</span></td>
</tr>
<tr valign="top">
<td>id No.</td>
<td>:</td>
<td><span id="lblICNo">910119035132</span></td>
</tr>
<tr valign="top">
<td>Address</td>
<td>:</td>
<td>
<span id="lblAddress1">NO.25,LORONG ALMA JAYA 34</span><br>
<span id="lblAddress2">TAMAN ALMA JAYA</span><br>
<span id="lblAddress3"></span>
</td>
</tr>
<tr valign="top">
<td>Email</td>
<td>:</td>
<td><span id="lblEmail">noorazeman@yahoo.com</span></td>
</tr>
<tr valign="top">
<td>Mobile No.</td>
<td>:</td>
<td><span id="lblPhoneMobile">601157464020</span></td>
</tr>
<tr style="height: 20px"></tr>
</tbody>
</table>
</div>
<div class="col-md-6 pl-1">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Outlet Details"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Outlet Name</td>
<td style="width: 20px">:</td>
<td><span id="lblOutletName">Wan Rich Glory Sdn. Bhd. (Kulim)</span></td>
</tr>
<tr valign="top">
<td>Outlet Contact No.</td>
<td>:</td>
<td><span id="lblOutletContact">044905566</span></td>
</tr>
<tr valign="top">
<td>SA Name</td>
<td>:</td>
<td><span id="lblSAName">MOHD HAFIZ BIN MANSOR</span></td>
</tr>
<tr valign="top">
<td>SA Contact No</td>
<td>:</td>
<td><span id="lblSAContact"></span></td>
</tr>
<tr style="height: 20px"></tr>
</tbody>
</table>
</div>
</div>
<hr>
<div class="row px-3 ufirst-table-like-row ">
<div class="col-md-6 pl-1 border-right-0">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Order Particulars"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">VSO No. </td>
<td style="width: 20px">:</td>
<td><span id="lblVSONo"></span>0125773</td>
</tr>
<tr valign="top">
<td>Booking Date</td>
<td>:</td>
<td>
<span>4-Nov-2024</span>
</td>
</tr>
<tr valign="top">
<td>Model Description</td>
<td>:</td>
<td><span id="lblModel"></span>AXIA - 1000 X (CVT)</td>
</tr>
<tr valign="top">
<td>Color</td>
<td>:</td>
<td><span id="lblColor"></span>Granite Grey</td>
</tr>
</tbody>
</table>
</div>
<div class="col-md-6 pl-1">
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Chassis</td>
<td style="width: 20px">:</td>
<td><span id="lblChassis"></span></td>
</tr>
<tr valign="top">
<td>Engine</td>
<td>:</td>
<td><span id="lblEngine"></span></td>
</tr>
<tr style="height: 20px"></tr>
</tbody>
</table>
</div>
</div>
<hr>
<div class="row px-3 pt-2 ufirst-table-like-row ">
<div class="col-md-6 pl-1 border-right-0">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Insurance Details"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Own Insurance/With Insurance</td>
<td style="width: 20px">:</td>
<td><span id="lblInsStatus"></span></td>
</tr>
<tr valign="top">
<td>Insurance Company</td>
<td>:</td>
<td><span id="lblInsComp"></span></td>
</tr>
<tr valign="top">
<td>Insurance Amount</td>
<td>:</td>
<td><span id="lblInsAmt">RM 0.00</span></td>
</tr>
<tr style="height: 20px"></tr>
</tbody>
</table>
</div>
<div class="col-md-6 pl-1">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Finance"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Financing Type </td>
<td style="width: 20px">:</td>
<td><span id="lblFinStatus"></span></td>
</tr>
<tr valign="top">
<td>Amount Financed </td>
<td>:</td>
<td><span id="lblFinAmt">RM 0.00</span></td>
</tr>
<tr valign="top">
<td>Finance Period</td>
<td>:</td>
<td><span id="lblFinPeriod">0 Month(s)</span></td>
</tr>
<tr style="height: 20px"></tr>
</tbody>
</table>
</div>
</div>
<hr>
<div class="row px-3 pt-2 ufirst-table-like-row ">
<div class="col-md-6 pl-1 border-right-0">
<span class="font-weight-bold underlined" style="text-decoration: underline" text="Trade in Details"> </span>
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Trade In</td>
<td style="width: 20px">:</td>
<td><span id="lblTradeInStatus">-</span>
</td>
</tr>
<tr valign="top">
<td>Model Description</td>
<td>:</td>
<td><span id="lblTradeInModelDesc"></span></td>
</tr>
<tr valign="top">
<td>Year of Manufacturing</td>
<td>:</td>
<td><span id="lblTradeInYearManu"></span></td>
</tr>
</tbody>
</table>
</div>
<div class="col-md-6 pl-1">
<br>
<table>
<tbody>
<tr valign="top">
<td style="width: 140px" class="tdwidth">Registration No </td>
<td style="width: 20px">:</td>
<td><span id="lblTradeInRegNo"></span></td>
</tr>
<tr valign="top">
<td>Trade in Value </td>
<td>:</td>
<td><span id="lblTradeInValue">0</span></td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
<div class="d-flex justify-content-center">
<div>
<button id="lnkBack" class="btn shadow-1 ml-2 legitRipple" type="button" onclick="history.back()">Back</button>
<button id="lnkNext1" class="btn bg-perodua shadow-1 legitRipple" type="button">Next</button>
</div>
</div>
</div>
<script language="javascript" type="text/javascript">
$(document).ready(function() {
checkTerms();
});
function checkTerms() {
var chkAgreeTermsPDPA = document.getElementById("chkTerms");
var lnkNext2 = $('#lnkNext2');
if (chkAgreeTermsPDPA.checked) {
lnkNext2.removeAttr('disabled').removeClass('disabled');
} else {
lnkNext2.attr('disabled', 'disabled').addClass('disabled');
}
};
</script>
<div class="col-md-8" style="display: none" id="tabPrice">
<div class="card ">
<div class="card-body">
<div class="row pl-2 mb-1 border-bottom">
<h3 class="font-weight-bold">Price Details</h3>
</div>
<div class="my-2 my-md-0" id="divPriceDetail">
<div class="row">
<div class="col-12 ">
<div class="table-responsive py-md-3 table-borderless">
<table class="table table-sm mb-0 border-2">
<thead class="bg-perodua">
<tr>
<th>Description</th>
<th class="text-right">RM</th>
</tr>
</thead>
<tbody>
<tr>
<td style="vertical-align:top" class="font-weight-700 font-weight-bold pr-0">Selling Price (inclusive of Excise Duty & Sales Tax – except for Labuan & Langkawi) <br><span class="font-italic"
style="font-size:10px">Harga Jualan Bersih Dilulus</span> </td>
<td style="vertical-align:top" class="text-right font-weight-bold"><span id="lblNetSellingPrice">39,435.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Carrier License/Inspection Fee<br><span class="font-italic" style="font-size:10px">Lesen Pembawa/Yuran Pemeriksaan</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblInspectionFee">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Admin/Handling Charges<br><span class="font-italic" style="font-size:10px">Admin Caj</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblAdminChrg">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Number Plate<br><span class="font-italic" style="font-size:10px">Nombor Plat</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblNumberPlate">40.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Metallic Paint<br><span class="font-italic" style="font-size:10px">Cat Metalik</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblMetallicPaint">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Standard Accessories Package<br><span class="font-italic" style="font-size:10px">Pakej Aksesori standard</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblAccessoryPkg">305.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Total Additional Perodua Accessories (APA)<br><span class="font-italic" style="font-size:10px">Tambahan Aksesori Perodua (APA)</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblTotalAPA">251.35</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Installation cost<br><span class="font-italic" style="font-size:10px">Kos Pemasangan</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblInstallationCost">29.70</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Miscellaneous<br><span class="font-italic" style="font-size:10px">Pelbagai</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblMiscellaneous">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Less<br><span class="font-italic" style="font-size:10px">Tolak</span>:</td>
<td style="vertical-align:top" class="text-right"><span id="lblLessAmt">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Sub-Total<br><span class="font-italic" style="font-size:10px">Jumlah Sub</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblSubTtl">40,061.05</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Road Tax<br><span class="font-italic" style="font-size:10px">Cukai Jalan</span></td>
<td style="vertical-align:top" class="text-right "><span id="lblRoadTax">20.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Registration Fees<br><span class="font-italic" style="font-size:10px">Yuran Pendaftaran</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblRegFees">150.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Hire Purchase Ownership Claim<br><span class="font-italic" style="font-size:10px">Tuntutan Hakmilik</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblOwnershipClaim">50.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Interchange Fees<br><span class="font-italic" style="font-size:10px">Yuran Interchange</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblInterchangeFees">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Insurance Premium<br><span class="font-italic" style="font-size:10px">Premium Insurans</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblInsPremium">1,261.74</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Total Price<br><span class="font-italic" style="font-size:10px">Jumlah Harga</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblTtlPrice">41,542.79</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Rounding Adjustment<br><span class="font-italic" style="font-size:10px">Pelarasan Pembundaran</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblRoundingAdj">0.00</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="font-weight-bold pr-0">Purchase Price<br><span class="font-italic" style="font-size:10px">Harga Belian</span></td>
<td style="vertical-align:top" class="font-weight-bold text-right"><span id="lblPurchasePrice">41,542.79</span></td>
</tr>
<tr>
<td style="vertical-align:top" class="pr-0">Less Payment(s) Paid<br><span class="font-italic" style="font-size:10px">Tolak Bayaran</span></td>
<td style="vertical-align:top" class="text-right"><span id="lblLessPymtPaidAmt">100.00</span></td>
</tr>
<tr class="border-bottom-1">
<td style="vertical-align:top" class="font-weight-bold pr-0">Total Outstanding Sum<br><span class="font-italic" style="font-size:10px">Jumlah Tertunggak Keseluruhan</span></td>
<td style="vertical-align:top" class="font-weight-bold text-right"><span id="lblOutstandingSum">41,442.79</span></td>
</tr>
<tr style="height: 100px">
<td colspan="3" class="text-center"> NOTE: This is not the final price. Please liaise with your Sales Advisor for confirmation. <br><span class="font-italic" style="font-size:10px">Sebut harga di atas tidak muktamad. Sila
berhubung dengan Penasihat Jualan anda untuk pengesahan. </span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div class="row">
<div class=" m-3 py-1 justify-content-sm-start">
<div class="form-check">
<label class="form-check-label">
<div class="uniform-checker" id="uniform-chkTerms"><span class="checked"><input type="checkbox" autocomplete="off" class="form-input-styled" id="chkTerms" checked="True" onchange="checkTerms()" autopostback="true"></span></div>
I/We acknowledge that I/We have read, understood and agreed with: <br><br>
<a href="/member/GeneralInfoVSO/Index/17E0212E6E8CFDEAADCC4183860F093839AD3C4B8D4F5FAC6122E3AC1442B41C?ContentType=7BA5EBF8B89E44198425A75914231AE2&LoginToken=C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE105E4BDAE&From=MobileApp" id="lnkPDPA">PDPA</a><br>
<a href="/member/GeneralInfoVSO/Index/17E0212E6E8CFDEAADCC4183860F093839AD3C4B8D4F5FAC6122E3AC1442B41C?ContentType=0723602B4E215ABA9598718FF961F476&LoginToken=C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE105E4BDAE&From=MobileApp" id="lnkTermsAndCondition">Terms & Condition</a><br>
<a href="/member/GeneralInfoVSO/Index/17E0212E6E8CFDEAADCC4183860F093839AD3C4B8D4F5FAC6122E3AC1442B41C?ContentType=296EB905F09CA8976029CC22C1C67736&LoginToken=C5B384A2C5D7D7D975BBBB690BD9DCE4B16B7D5CBD0E3860B9B5EAE105E4BDAE&From=MobileApp" id="lnkLOA">Letter of Authorization</a><br>
</label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="d-flex justify-content-center">
<div>
<div>
<button id="lnkBack2" class="btn shadow-1 legitRipple" type="button">Back</button>
<button id="lnkNext2" class="btn bg-perodua shadow-1 legitRipple" type="button">Next</button>
</div>
</div>
</div>
</div>
<script>
$(document).ready(function() {
// Handle checkbox change events
$('#chkAnswer1').change(function() {
if ($(this).prop('checked')) {
$('#chkAnswer2, #chkAnswer3').prop('disabled', true);
$('#divOwnedCar, #divOtherCar').hide();
} else {
$('#chkAnswer2, #chkAnswer3').prop('disabled', false);
}
});
$('#chkAnswer2').change(function() {
if ($(this).prop('checked')) {
$('#chkAnswer1').prop('disabled', true);
$('#divOwnedCar').show();
} else {
$('#divOwnedCar').hide();
}
if (!$(this).prop('checked') && !$('#chkAnswer3').prop('checked')) {
$('#chkAnswer1').prop('disabled', false);
}
});
$('#chkAnswer3').change(function() {
if ($(this).prop('checked')) {
$('#chkAnswer1').prop('disabled', true);
$('#divOtherCar').show();
} else {
$('#divOtherCar').hide();
}
if (!$(this).prop('checked') && !$('#chkAnswer2').prop('checked')) {
$('#chkAnswer1').prop('disabled', false);
}
});
$('#cboOccupation').change(function() {
var selectedText = $(this).find('option:selected').text();
var divOccupationData = $('#divOccupationData');
var hiddenOccupations = ["Unemployed", "Student", "Retired", "Full-time housewife"];
if (hiddenOccupations.includes(selectedText)) {
divOccupationData.hide();
} else {
divOccupationData.show();
}
});
$('#lnkTACReq').on('click', function() {
event.preventDefault();
TACValidation();
if ($('#frmBookingOrder').valid()) {
var ICNO = $('#txtSignature').val();
var Id = $('#hdnId').val();
var From = $('#hdnFrom').val();
var LoginToken = $('#hdnLoginToken').val();
$.ajax({
url: baseURL + 'Order/TACRequest',
type: 'POST',
data: {
ICNO: ICNO,
Id: Id,
From: From,
LoginToken: LoginToken
},
success: function(result) {
if (result.redirect) {
window.location.href = result.redirectUrl;
} else {
$('#divModalPrompt').html(result.html);
$('#promptModal').modal('show');
}
}
});
} else {
event.preventDefault();
}
});
});
</script>
<div class="col-md-8" style="display: none" id="tabQuestion">
<div class="card ">
<div class="card-body">
<div class="row pl-2 mb-1 border-bottom">
<h3 class="font-weight-bold">Questionnaires</h3>
</div>
<div class="row p-2">
<h6 class="font-weight-bold" style="text-decoration: underline">Kindly answer the following questionnaires in order to proceed with the next transaction</h6>
</div>
<div class="row justify-content-center">
<div class="col-md-6">
<div class="form-group ufirst-formgroup-float my-2 py-2" id="divFullName">
<label class="ufirst-formgroup-float-label got-feedback-right is-visible">Customer Name<span style="color: red">*</span> :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" data-message="required" data-val="true" data-val-regex="Customer Name only allow alphanumeric, space and following special characters "- ( ) \ / @ _ !""
data-val-regex-pattern="^[0-9a-zA-Z-()\\//@_!,.' ]*$" data-val-required=" Please enter Customer Name." id="txtFullName" maxlength="100" name="VSOQuestionnaire.CustomerName"
onblur="maskChange(event,'alphanumeric_Limited_special_Char');" onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');"
style="text-transform: uppercase;" type="text" value="SITI NOOR FAZILAWANI BINTI MUSTAFA" placeholder="">
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.CustomerName" data-valmsg-replace="true"></span>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div1">
<label class="ufirst-formgroup-float-label got-feedback-right is-visible">Customer NRIC/Passport <span style="color: red">*</span> :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" data-message="required" data-val="true" data-val-regex="Customer NRIC/Passport/Company Reg. No. only allow alphanumeric, space and following special characters "- ( ) \ / @ _ !""
data-val-regex-pattern="^[0-9a-zA-Z-()\\//@_!,.' ]*$" data-val-required=" Please enter Customer NRIC/Passport/Company Reg. No.." id="txtNRIC" maxlength="100" name="VSOQuestionnaire.CustomerNRIC"
onblur="maskChange(event,'alphanumericNspecial_nospace');" onkeypress="return maskKeyPress(event,'alphanumericNspecial_nospace');" onpaste="return maskPaste(event,'alphanumericNspecial_nospace');"
style="text-transform: uppercase;" type="text" value="910119035132" placeholder="">
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.CustomerNRIC" data-valmsg-replace="true"></span>
</div>
</div>
<div class="col-md-6">
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div2">
<label class="ufirst-formgroup-float-label got-feedback-right is-visible">Email Address <span style="color: red">*</span> :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" data-message="required" data-val="true" data-val-regex="Please enter correct email format. Eg.[yourname@abc.com]."
data-val-regex-pattern="^([\w-]+(?:\.[\w-']+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-zA-Z]{2,6}(?:\.[a-zA-Z]{2})?)$" data-val-required=" Please enter Email." id="txtEmail" maxlength="100" name="VSOQuestionnaire.Email"
onblur="maskChange(event,'alphanumericNspecial_nospace');" onkeypress="return maskKeyPress(event,'alphanumericNspecial_nospace');" onpaste="return maskPaste(event,'alphanumericNspecial_nospace');"
style="text-transform: uppercase;" type="text" value="noorazeman@yahoo.com" placeholder="">
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.Email" data-valmsg-replace="true"></span>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div3">
<label class="ufirst-formgroup-float-label got-feedback-right is-visible">Mobile No <span style="color: red">*</span> :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" data-message="required" data-val="true" data-val-regex="Please enter correct Mobile Phone number format. E.g: 01XXXXXXXX or 601XXXXXXXX."
data-val-regex-pattern="^(6?01\d{8,}|6?5\d{8,}|6?73\d{10,}|6?2\d{11,}|6?6\d{9,})$" data-val-required=" Please enter Mobile No." id="txtMobileNo" maxlength="100" name="VSOQuestionnaire.PhoneMobile"
onblur="maskChange(event,'phone');" onkeypress="return maskKeyPress(event,'phone');" onpaste="return maskPaste(event,'phone');" style="text-transform: uppercase;" type="text" value="601157464020" placeholder="">
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.PhoneMobile" data-valmsg-replace="true"></span>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group ufirst-formgroup-float my-2 py-2">
<label class="ufirst-formgroup-float-label animate is-visible" for="prefered_insurance">Occupation <span style="color: red">*</span> :</label>
<select class="form-control form-control-select2 ufirst-select select2-hidden-accessible" data-message="required" data-val="true" data-val-required=" Please select Occupation." id="cboOccupation" name="VSOQuestionnaire.Occupation"
tabindex="-1" aria-hidden="true" placeholder="">
<option value="">[PLEASE SELECT]</option>
<option value="10">Corporate - Executive/Management</option>
<option value="11">Corporate - Non-executive</option>
<option value="6">Full-time housewife</option>
<option value="9">Government - Officer/Management</option>
<option value="8">Government - support staff</option>
<option value="12">Others</option>
<option value="1">Professional</option>
<option value="5">Retired</option>
<option value="7">Self-employed</option>
<option value="2">Skilled Worker</option>
<option value="4">Student</option>
<option value="3">Unemployed</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-cboOccupation-container"><span class="select2-selection__rendered" id="select2-cboOccupation-container" title="[PLEASE SELECT]">[PLEASE SELECT]</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.Occupation" data-valmsg-replace="true"></span>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2">
<label class="ufirst-formgroup-float-label animate is-visible" for="prefered_insurance">How did you get to know about the vehicle? <span style="color: red">*</span> :</label>
<select class="form-control form-control-select2 ufirst-select select2-hidden-accessible" data-message="required" data-val="true" data-val-required=" Please select Required Field." id="cboInfoSource" name="VSOQuestionnaire.InfoSource"
tabindex="-1" aria-hidden="true" placeholder="">
<option value="">[PLEASE SELECT]</option>
<option value="4">Car Dealer/Sales Advisor</option>
<option value="8">Friends/family</option>
<option value="6">Internet (Car company, dealer website etc)</option>
<option value="7">Internet (News, blogs, social media etc)</option>
<option value="9">Others</option>
<option value="5">Printed Brochures/Catalog</option>
<option value="3">Printed Magazine</option>
<option value="2">Printed Newspaper</option>
<option value="1">Radio</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-cboInfoSource-container"><span class="select2-selection__rendered" id="select2-cboInfoSource-container" title="[PLEASE SELECT]">[PLEASE SELECT]</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.InfoSource" data-valmsg-replace="true"></span>
</div>
</div>
<div class="col-md-6">
<div class="form-group ufirst-formgroup-float my-2 py-2">
<label class="ufirst-formgroup-float-label animate is-visible" for="prefered_insurance">Number of Children <span style="color: red">*</span> :</label>
<select class="form-control form-control-select2 ufirst-select select2-hidden-accessible" data-message="required" data-val="true" data-val-required=" Please select Number of Children." id="cboNoOfChildren"
name="VSOQuestionnaire.NoOfChildren" tabindex="-1" aria-hidden="true" placeholder="">
<option value="">[PLEASE SELECT]</option>
<option value="2">1</option>
<option value="3">2</option>
<option value="4">3</option>
<option value="5">4</option>
<option value="6">5</option>
<option value="7">Above 5</option>
<option value="1">None</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-cboNoOfChildren-container"><span class="select2-selection__rendered" id="select2-cboNoOfChildren-container" title="[PLEASE SELECT]">[PLEASE SELECT]</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.NoOfChildren" data-valmsg-replace="true"></span>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2">
<label class="ufirst-formgroup-float-label animate is-visible" for="prefered_insurance">Household Monthly Income <span style="color: red">*</span> :</label>
<select class="form-control form-control-select2 ufirst-select select2-hidden-accessible" data-message="required" data-val="true" data-val-required=" Please select Household Monthly Income." id="cboHouseholdIncome"
name="VSOQuestionnaire.HouseholdIncome" tabindex="-1" aria-hidden="true" placeholder="">
<option value="">[PLEASE SELECT]</option>
<option value="1">Up to RM10,000</option>
<option value="2">RM10,001 - RM15,000</option>
<option value="3">RM15,001 - RM20,000</option>
<option value="4">RM20,001 - RM25,000</option>
<option value="5">RM25,001 - RM30,000</option>
<option value="6">RM30,001 - RM35,000</option>
<option value="7">RM35,001 - RM40,000</option>
<option value="8">RM40,001 - RM45,000</option>
<option value="9">RM45,001 - RM50,000</option>
<option value="10">RM50,001 - RM55,000</option>
<option value="11">RM55,001 - RM60,000</option>
<option value="12">RM60,001 - RM65,000</option>
<option value="13">RM65,001 - RM70,000</option>
<option value="14">RM70,001 - RM75,000</option>
<option value="15">RM75,001 - RM80,000</option>
<option value="16">RM80,001 - RM85,000</option>
<option value="17">RM85,001 - RM90,000</option>
<option value="18">RM90,001 - RM95,000</option>
<option value="19">RM95,001 - RM100,000</option>
<option value="20">RM100,001 - RM105,000</option>
<option value="21">RM105,001 - RM110,000</option>
<option value="22">RM110,001 - RM115,000</option>
<option value="23">RM115,001 - RM120,000</option>
<option value="24">RM120,001 or more</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-cboHouseholdIncome-container"><span class="select2-selection__rendered" id="select2-cboHouseholdIncome-container" title="[PLEASE SELECT]">[PLEASE SELECT]</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.HouseholdIncome" data-valmsg-replace="true"></span>
</div>
</div>
<div class="col-md-6">
<div class="form-group ufirst-formgroup-float my-2 py-2">
<label class="ufirst-formgroup-float-label animate is-visible" for="prefered_insurance">Education Level <span style="color: red">*</span> :</label>
<select class="form-control form-control-select2 ufirst-select select2-hidden-accessible" data-message="required" data-val="true" data-val-required=" Please select Education Level." id="cboEducationLvl"
name="VSOQuestionnaire.EducationLvl" tabindex="-1" aria-hidden="true" placeholder="">
<option value="">[PLEASE SELECT]</option>
<option value="1">No Formal Education</option>
<option value="2">Primary School</option>
<option value="3">Secondary School</option>
<option value="4">Diploma/Vocational Certification</option>
<option value="5">Degree/Undergraduate</option>
<option value="6">Postgraduate/Master/PhD/Doctorate</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-cboEducationLvl-container"><span class="select2-selection__rendered" id="select2-cboEducationLvl-container" title="[PLEASE SELECT]">[PLEASE SELECT]</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="field-validation-valid text-danger" data-valmsg-for="VSOQuestionnaire.EducationLvl" data-valmsg-replace="true"></span>
</div>
</div>
</div>
<div class="row" id="divOccupationData" style="display:none">
<div class="col-md-12">
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div4">
<label class="ufirst-formgroup-float-label got-feedback-right animate">Position :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" id="txtPosition" maxlength="100" name="VSOQuestionnaire.Position" onblur="maskChange(event,'alphanumeric_Limited_special_Char');"
onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" style="text-transform: uppercase;" type="text" value="" placeholder="">
</div>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div5">
<label class="ufirst-formgroup-float-label got-feedback-right animate">Monthly Salary (RM) :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" id="txtMonthlySalary" maxlength="100" name="VSOQuestionnaire.MonthlySalary" onblur="maskChange(event,'alphanumeric_Limited_special_Char');"
onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" style="text-transform: uppercase;" type="text" value="" placeholder="">
</div>
</div>
<div class="form-group ufirst-formgroup-float my-2 py-2" id="div6">
<label class="ufirst-formgroup-float-label got-feedback-right animate">Company :</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" id="txtCompany" maxlength="100" name="VSOQuestionnaire.Company" onblur="maskChange(event,'alphanumeric_Limited_special_Char');"
onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" style="text-transform: uppercase;" type="text" value="" placeholder="">
</div>
</div>
</div>
</div>
<div class="row p-2">
<h6 class="font-size-sm font-weight-bold">Vehicle Purchase Status (Please tick one of the checkboxes)</h6> <span id="lblCheckboxValidation" class="text-danger"></span>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<div class="form-check ">
<label class="form-check-label">
<div class="uniform-checker" id="uniform-chkAnswer1"><span><input class="form-input-styled" data-val="true" data-val-required="The IsFirstCar field is required." id="chkAnswer1" name="VSOQuestionnaire.IsFirstCar" type="checkbox"
value="true"></span></div><input name="VSOQuestionnaire.IsFirstCar" type="hidden" value="false">
<span id="lblAnswer1">First Car to the Household (My household did not have any cars before buying this car)</span>
</label>
</div>
<div class="form-check">
<label class="form-check-label">
<div class="uniform-checker" id="uniform-chkAnswer2"><span><input class="form-input-styled" data-val="true" data-val-required="The IsPreviouslyOwnedCar field is required." id="chkAnswer2"
name="VSOQuestionnaire.IsPreviouslyOwnedCar" type="checkbox" value="true"></span></div><input name="VSOQuestionnaire.IsPreviouslyOwnedCar" type="hidden" value="false">
<span id="lblAnswer2">Replaced a previously owned car</span>
</label>
</div>
<div class=" ufirst-formgroup-float my-2 pb-1" style=" display:none" id="divOwnedCar">
<label class="ufirst-formgroup-float-label got-feedback-right animate">Please specify your previously owned car</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" id="txtOwnedCar" maxlength="100" name="VSOQuestionnaire.NameofPreviouslyOwnedCar" onblur="maskChange(event,'alphanumeric_Limited_special_Char');"
onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" style="text-transform: uppercase;" type="text" value="" placeholder="">
</div>
<span id="lblPreviousCarValidation" class="text-danger"></span>
</div>
<div class="form-check">
<label class="form-check-label">
<div class="uniform-checker" id="uniform-chkAnswer3"><span><input class="form-input-styled" data-val="true" data-val-required="The IsAdditionalCar field is required." id="chkAnswer3" name="VSOQuestionnaire.IsAdditionalCar"
type="checkbox" value="true"></span></div><input name="VSOQuestionnaire.IsAdditionalCar" type="hidden" value="false">
<span id="lblAnswer3">Additional car (My household has other cars in the house besides this car)</span>
</label>
</div>
<div class="ufirst-formgroup-float my-2 pb-1" style="display: none" id="divOtherCar">
<label class="ufirst-formgroup-float-label got-feedback-right animate">Please specify other car in your house</label>
<div class="form-group-feedback form-group-feedback-right">
<input class="form-control padding" id="txtOtherCar" maxlength="100" name="VSOQuestionnaire.NameofAdditionalCar" onblur="maskChange(event,'alphanumeric_Limited_special_Char');"
onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" style="text-transform: uppercase;" type="text" value="" placeholder="">
</div>
<span id="lblOtherCarValidation" class="text-danger"></span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class=" my-3">
<label class="">NRIC / Passport No / Company Reg No <span style="color: red">*</span> :</label>
<input class="form-control" data-message="required" data-val="true" data-val-regex="NRIC / Passport No / Company Reg No only allow alphanumeric, space and following special characters "- ( ) \ / @ _ !""
data-val-regex-pattern="^[0-9a-zA-Z-()\\//@_!,.' ]*$" data-val-required=" Please enter NRIC / Passport No / Company Reg No." id="txtSignature" maxlength="100" name="SigningNRIC"
onblur="maskChange(event,'alphanumeric_Limited_special_Char');" onkeypress="return maskKeyPress(event,'alphanumeric_Limited_special_Char');" onpaste="return maskPaste(event,'alphanumeric_Limited_special_Char');" type="text"
value="">
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="SigningNRIC" data-valmsg-replace="true"></span>
</div>
</div>
</div>
</div>
<div class="d-flex justify-content-center">
<div>
<button id="lnkBack3" type="button" class="btn shadow-1 legitRipple">Back</button>
<button id="lnkSubmit" class="btn bg-perodua shadow-1 legitRipple" type="submit">Sign</button>
</div>
</div>
</div>
</div>
</form>Text Content
CAR PURCHASE YOUR BOOKING ORDER Name : SITI NOOR FAZILAWANI BINTI MUSTAFA id No. : 910119035132 Address : NO.25,LORONG ALMA JAYA 34 TAMAN ALMA JAYA Email : noorazeman@yahoo.com Mobile No. : 601157464020 Outlet Name : Wan Rich Glory Sdn. Bhd. (Kulim) Outlet Contact No. : 044905566 SA Name : MOHD HAFIZ BIN MANSOR SA Contact No : -------------------------------------------------------------------------------- VSO No. : 0125773 Booking Date : 4-Nov-2024 Model Description : AXIA - 1000 X (CVT) Color : Granite Grey Chassis : Engine : -------------------------------------------------------------------------------- Own Insurance/With Insurance : Insurance Company : Insurance Amount : RM 0.00 Financing Type : Amount Financed : RM 0.00 Finance Period : 0 Month(s) -------------------------------------------------------------------------------- Trade In : - Model Description : Year of Manufacturing : Registration No : Trade in Value : 0 Back Next PRICE DETAILS Description RM Selling Price (inclusive of Excise Duty & Sales Tax – except for Labuan & Langkawi) Harga Jualan Bersih Dilulus 39,435.00 Carrier License/Inspection Fee Lesen Pembawa/Yuran Pemeriksaan 0.00 Admin/Handling Charges Admin Caj 0.00 Number Plate Nombor Plat 40.00 Metallic Paint Cat Metalik 0.00 Standard Accessories Package Pakej Aksesori standard 305.00 Total Additional Perodua Accessories (APA) Tambahan Aksesori Perodua (APA) 251.35 Installation cost Kos Pemasangan 29.70 Miscellaneous Pelbagai 0.00 Less Tolak: 0.00 Sub-Total Jumlah Sub 40,061.05 Road Tax Cukai Jalan 20.00 Registration Fees Yuran Pendaftaran 150.00 Hire Purchase Ownership Claim Tuntutan Hakmilik 50.00 Interchange Fees Yuran Interchange 0.00 Insurance Premium Premium Insurans 1,261.74 Total Price Jumlah Harga 41,542.79 Rounding Adjustment Pelarasan Pembundaran 0.00 Purchase Price Harga Belian 41,542.79 Less Payment(s) Paid Tolak Bayaran 100.00 Total Outstanding Sum Jumlah Tertunggak Keseluruhan 41,442.79 NOTE: This is not the final price. Please liaise with your Sales Advisor for confirmation. Sebut harga di atas tidak muktamad. Sila berhubung dengan Penasihat Jualan anda untuk pengesahan. I/We acknowledge that I/We have read, understood and agreed with: PDPA Terms & Condition Letter of Authorization Back Next QUESTIONNAIRES KINDLY ANSWER THE FOLLOWING QUESTIONNAIRES IN ORDER TO PROCEED WITH THE NEXT TRANSACTION Customer Name* : Customer NRIC/Passport * : Email Address * : Mobile No * : Occupation * : [PLEASE SELECT] Corporate - Executive/Management Corporate - Non-executive Full-time housewife Government - Officer/Management Government - support staff Others Professional Retired Self-employed Skilled Worker Student Unemployed [PLEASE SELECT] How did you get to know about the vehicle? * : [PLEASE SELECT] Car Dealer/Sales Advisor Friends/family Internet (Car company, dealer website etc) Internet (News, blogs, social media etc) Others Printed Brochures/Catalog Printed Magazine Printed Newspaper Radio [PLEASE SELECT] Number of Children * : [PLEASE SELECT] 1 2 3 4 5 Above 5 None [PLEASE SELECT] Household Monthly Income * : [PLEASE SELECT] Up to RM10,000 RM10,001 - RM15,000 RM15,001 - RM20,000 RM20,001 - RM25,000 RM25,001 - RM30,000 RM30,001 - RM35,000 RM35,001 - RM40,000 RM40,001 - RM45,000 RM45,001 - RM50,000 RM50,001 - RM55,000 RM55,001 - RM60,000 RM60,001 - RM65,000 RM65,001 - RM70,000 RM70,001 - RM75,000 RM75,001 - RM80,000 RM80,001 - RM85,000 RM85,001 - RM90,000 RM90,001 - RM95,000 RM95,001 - RM100,000 RM100,001 - RM105,000 RM105,001 - RM110,000 RM110,001 - RM115,000 RM115,001 - RM120,000 RM120,001 or more [PLEASE SELECT] Education Level * : [PLEASE SELECT] No Formal Education Primary School Secondary School Diploma/Vocational Certification Degree/Undergraduate Postgraduate/Master/PhD/Doctorate [PLEASE SELECT] Position : Monthly Salary (RM) : Company : VEHICLE PURCHASE STATUS (PLEASE TICK ONE OF THE CHECKBOXES) First Car to the Household (My household did not have any cars before buying this car) Replaced a previously owned car Please specify your previously owned car Additional car (My household has other cars in the house besides this car) Please specify other car in your house NRIC / Passport No / Company Reg No * : Back Sign