www.cruzverde.cl Open in urlscan Pro
2600:9000:2250:800:11:10c:4000:93a1  Public Scan

Form analysis
3 forms found in the DOM

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    _ngcontent-serverapp-c102="" type="text" autocomplete="false" class="rounded-full py-5 px-15 focus:outline-none truncate pr-32 w-full" placeholder="Buscar..."></form>

<form _ngcontent-serverapp-c102="" novalidate="" class="ng-untouched ng-pristine ng-invalid ng-star-inserted">
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          <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-main ng-star-inserted" for="rut">RUT </label><!----></div><!---->
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          name="rut" placeholder="Ingresa tu RUT" type="doc" maxlength="12"><!----><!----><!----><!----><!----><!----><!---->
        <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
      </div><!----><!----><!----><!----><!----><!---->
    </ml-form-field></div><!---->
</form>

<form _ngcontent-serverapp-c143="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
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            <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted" for="name">Nombre </label><!----></div><!---->
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            name="name" placeholder="Ingresa tu nombre" type="text"><!----><!----><!----><!----><!----><!----><!---->
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
        </div><!----><!----><!----><!----><!----><!---->
      </ml-form-field></div>
    <div _ngcontent-serverapp-c143="" class="mb-15 lg:mb-0 ng-star-inserted"><ml-form-field _ngcontent-serverapp-c143="" _nghost-serverapp-c55="" class="ng-untouched ng-pristine ng-invalid">
        <div _ngcontent-serverapp-c55="" class="flex flex-col relative ng-star-inserted">
          <div _ngcontent-serverapp-c55="" class="flex items-center">
            <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted" for="apelido">Apellido </label><!----></div><!---->
          </div><!----><input _ngcontent-serverapp-c55="" autocomplete="off"
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            name="apelido" placeholder="Ingresa tu Apellido" type="text"><!----><!----><!----><!----><!----><!----><!---->
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
        </div><!----><!----><!----><!----><!----><!---->
      </ml-form-field></div>
    <div _ngcontent-serverapp-c143="" class="mb-15 lg:mb-0 ng-star-inserted"><ml-form-field _ngcontent-serverapp-c143="" _nghost-serverapp-c55="" class="ng-untouched ng-pristine ng-invalid"><!---->
        <div _ngcontent-serverapp-c55="" class="flex flex-col relative ng-star-inserted"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted">Tipo de documento
          </label><!----><at-select _ngcontent-serverapp-c55="" _nghost-serverapp-c38="" class="ng-untouched ng-pristine ng-invalid">
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                <!---->
                <div _ngcontent-serverapp-c38="" class="ng-star-inserted"><!---->
                  <h2 _ngcontent-serverapp-c38="" class="text-gray truncate pr-5 ng-star-inserted">Seleccione una opción</h2><!----><!---->
                </div><!---->
              </div><!----><!---->
              <div _ngcontent-serverapp-c38="" class="absolute z-40 w-full border rounded-sm border-gray font-open text-16 appearance-none cursor-default select-none select-option-container hidden"
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                <div _ngcontent-serverapp-c38="" class="bg-gray-dark border-b border-gray cursor-none px-14 py-9 text-white truncate ng-star-inserted"> Seleccione una opción </div><!---->
                <div _ngcontent-serverapp-c38="" class="px-14 py-9 bg-white hover:bg-gray-lightest truncate border-b border-gray ng-star-inserted"> Cédula de ciudadanía </div>
                <div _ngcontent-serverapp-c38="" class="px-14 py-9 bg-white hover:bg-gray-lightest truncate border-b border-gray ng-star-inserted"> Cédula de extranjería </div>
                <div _ngcontent-serverapp-c38="" class="px-14 py-9 bg-white hover:bg-gray-lightest truncate ng-star-inserted"> Pasaporte </div><!---->
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            </div>
          </at-select>
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!---->
        </div><!----><!----><!----><!----><!---->
      </ml-form-field></div>
    <div _ngcontent-serverapp-c143="" class="mb-15 lg:mb-0 ng-star-inserted"><ml-form-field _ngcontent-serverapp-c143="" _nghost-serverapp-c55="" class="ng-untouched ng-pristine ng-invalid">
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          <div _ngcontent-serverapp-c55="" class="flex items-center">
            <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted" for="identification">N° de identificación </label><!----></div>
            <!---->
          </div><!----><input _ngcontent-serverapp-c55="" autocomplete="off"
            class="pl-15 text-gray-darkest overflow-ellipsis pr-30 border focus:outline-none rounded-md border-gray pt-5 pb-7 font-open text-16 bg-white placeholder-gray disabled:text-gray-dark disabled:bg-gray-light appearance-none lg:mb-16 ng-untouched ng-pristine ng-invalid ng-star-inserted"
            name="identification" placeholder="Número de identificación" type="doc" maxlength="10"><!----><!----><!----><!----><!----><!----><!---->
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
        </div><!----><!----><!----><!----><!----><!---->
      </ml-form-field></div>
    <div _ngcontent-serverapp-c143="" class="mb-15 lg:mb-0 ng-star-inserted"><ml-form-field _ngcontent-serverapp-c143="" _nghost-serverapp-c55="" class="ng-untouched ng-pristine ng-invalid">
        <div _ngcontent-serverapp-c55="" class="flex flex-col relative ng-star-inserted">
          <div _ngcontent-serverapp-c55="" class="flex items-center">
            <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted" for="email">Correo electrónico </label><!----></div><!---->
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            name="email" placeholder="Ingresa tu correo" type="email"><!----><!----><!----><!----><!----><!----><!---->
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
        </div><!----><!----><!----><!----><!----><!---->
      </ml-form-field></div>
    <div _ngcontent-serverapp-c143="" class="mb-15 lg:mb-0 ng-star-inserted"><ml-form-field _ngcontent-serverapp-c143="" _nghost-serverapp-c55="" class="ng-untouched ng-pristine ng-invalid">
        <div _ngcontent-serverapp-c55="" class="flex flex-col relative ng-star-inserted">
          <div _ngcontent-serverapp-c55="" class="flex items-center">
            <div _ngcontent-serverapp-c55="" class="flex-1"><label _ngcontent-serverapp-c55="" class="ml-15 mb-5 font-open text-14 font-semibold block text-accent ng-star-inserted" for="phone">Celular </label><!----></div><!---->
          </div><span _ngcontent-serverapp-c55="" class="flex ng-star-inserted"><span _ngcontent-serverapp-c55="" class="px-10 min-w-max text-gray-dark border rounded-l-md border-gray pt-5 pb-8 font-open text-16 bg-white lg:mb-16"> +57 </span><input
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              name="phone" placeholder="Ingresa tu celular" type="tel" maxlength="10"></span><!----><!----><!----><!----><!----><!----><!----><!---->
          <h5 _ngcontent-serverapp-c55="" class="ml-15 mt-5 font-open text-12 text-danger hidden ng-star-inserted"> Este campo es requerido. </h5><!----><!---->
        </div><!----><!----><!----><!----><!----><!---->
      </ml-form-field></div><!---->
  </div>
</form>

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