Form analysis
1 forms found in the DOM
POST /open?ldg=s1&form=ccfivestepsesia&design=classic&utm_source=gorizont&utm_campaign=want_ccpresentnew&utm_medium=gorizont&rule_id=1099&uhash=d50cd4bc9370c72cbef7ce2511cfeb51
<form autocomplete="on" enctype="multipart/form-data" class="form-horizontal" id="OpenCcfivestepsesiaForm"
action="/open?ldg=s1&form=ccfivestepsesia&design=classic&utm_source=gorizont&utm_campaign=want_ccpresentnew&utm_medium=gorizont&rule_id=1099&uhash=d50cd4bc9370c72cbef7ce2511cfeb51" method="post">
<div class="preloader-wrap text-center" style="display: none">
<div class="loader" style="display: block;"></div>
</div>
<div style="display:none"><input type="hidden" value="2dcf30d10a5edf3bcfadc3a8ee7f3b910d860af8" name="YII_CSRF_TOKEN"></div><input class="js-step-input" name="OpenCcfivestepsesiaForm[step]" id="OpenCcfivestepsesiaForm_step" type="hidden" value="1">
<div class="js-step-content">
<div class="widget-credit-card-description"></div>
<div class="step-title"> Узнайте решение сразу после заполнения заявки </div>
<div class="chooseLimitCreditCard ">
<div class="step-progress">
<div>
<h4 class="cards-h4">Выбери свою карту:</h4>
</div>
</div>
<div class="control-group">
<div class="form-control container-credit-cards">
<input id="ytOpenCcfivestepsesiaForm_creditCard" type="hidden" value="" name="OpenCcfivestepsesiaForm[creditCard]"><label class="radio checked"><input id="OpenCcfivestepsesiaForm_creditCard_0" value="cc120" checked="checked" type="radio"
name="OpenCcfivestepsesiaForm[creditCard]"><label for="OpenCcfivestepsesiaForm_creditCard_0"><b>«My Freedom»</b><span>120 дней без %<br>на любые покупки</span>
<div class="credit-cart-img-120-active"></div>
</label></label><label class="radio"><input id="OpenCcfivestepsesiaForm_creditCard_1" value="cc1094" type="radio" name="OpenCcfivestepsesiaForm[creditCard]"><label for="OpenCcfivestepsesiaForm_creditCard_1"><b>«Наличная»</b><span>1 094
дней без %<br>снятие и переводы без комиссий</span>
<div class="credit-cart-img-1094-inactive"></div>
</label></label><label class="radio"><input id="OpenCcfivestepsesiaForm_creditCard_2" value="cc90" type="radio" name="OpenCcfivestepsesiaForm[creditCard]"><label
for="OpenCcfivestepsesiaForm_creditCard_2"><b>Для зарплатных клиентов</b><span>90 дней без %<br>на льготных условиях</span>
<div class="credit-cart-img-90-inactive"></div>
</label></label>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_creditCard_em_" style="display: none"></span>
</div>
<div class="container-toggle hide">
<div class="close">
<span>Подробнее</span>
</div>
<div class="open" style="display: none">
<span>Свернуть подробную информацию</span>
</div>
</div>
<div class="container-card-description hidden-display">
<div class="full">
<div>
<div class="title">
<span>Кэшбэк</span>
</div>
<div class="divider">
</div>
<div class="text">
<div class="first">
<div>
<span> 10% на специальные категории <br>(не более 1000 рублей) <br>1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-3"></div>
</div>
</div>
<div class="first">
<div>
<span> 10% на специальные категории <br>(не более 500 рублей) <br>1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-2"></div>
</div>
</div>
<div class="first">
<div>
<span> 5% на специальные категории <br>(не более 500 рублей) <br>1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-1"></div>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Бесплатное снятие наличных</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<span>до 50 000 рублей в месяц</span>
</div>
<div>
<span>до 30 000 рублей в месяц</span>
</div>
<div>
<span>до 15 000 рублей в месяц</span>
</div>
</div>
</div>
<div>
<div class="title">
<span>Обслуживание</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте<br>более 60 000 рублей в месяц,<br>иначе 599 рублей в месяц</span>
</div>
</div>
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте<br>более 40 000 рублей в месяц,<br>иначе 199 рублей в месяц;</span>
</div>
<div class="less">
<span>либо 1 600 рублей в год (без возможности возврата комиссии)</span>
</div>
</div>
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте<br>более 20 000 рублей в месяц,<br>иначе 99 рублей в месяц;</span>
</div>
<div class="less">
<span>либо 700 рублей в год (без возможности возврата комиссии)</span>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Выпуск карты</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
</div>
</div>
</div>
<div class="short">
<div>
<div class="title-short">
<span>240 дней без %</span>
</div>
<div>
<div class="title">
<span>Кэшбэк</span>
</div>
<div class="divider">
</div>
<div class="text">
<div class="first">
<div>
<span> 10% на специальные категории (не более 1000 рублей) 1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-2"></div>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Бесплатное снятие наличных</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<span>до 50 000 рублей в месяц</span>
</div>
</div>
</div>
<div>
<div class="title">
<span>Обслуживание</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте более 60 000 рублей в месяц, иначе 599 рублей в месяц</span>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Выпуск карты</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
</div>
</div>
</div>
<div>
<div class="title-short">
<span>120 дней без %</span>
</div>
<div>
<div class="title">
<span>Кэшбэк</span>
</div>
<div class="divider">
</div>
<div class="text">
<div class="first">
<div>
<span> 10% на специальные категории (не более 500 рублей) 1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-1"></div>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Бесплатное снятие наличных</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<span>до 30 000 рублей в месяц</span>
</div>
</div>
</div>
<div>
<div class="title">
<span>Обслуживание</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте<br>более 40 000 рублей в месяц,<br>иначе 199 рублей в месяц;</span>
</div>
<div class="less">
<span>либо 1 600 рублей в год (без возможности возврата комиссии)</span>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Выпуск карты</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
</div>
</div>
</div>
<div>
<div class="title-short firstest">
<span>60 дней без %</span>
</div>
<div>
<div class="title">
<span>Кэшбэк</span>
</div>
<div class="divider">
</div>
<div class="text">
<div class="first">
<div>
<span> 5% на специальные категории (не более 500 рублей) 1% на все покупки </span>
</div>
<div>
<div class="tooltip tooltipstered" data-tooltip-content="#tooltip-1"></div>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Бесплатное снятие наличных</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<span>до 15 000 рублей в месяц</span>
</div>
</div>
</div>
<div>
<div class="title">
<span>Обслуживание</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатное</span>
</div>
<div class="less">
<span>При расходах по карте<br>более 20 000 рублей в месяц,<br>иначе 99 рублей в месяц;</span>
</div>
<div class="less">
<span>либо 700 рублей в год (без возможности возврата комиссии)</span>
</div>
</div>
</div>
</div>
<div>
<div class="title">
<span>Выпуск карты</span>
</div>
<div class="divider">
</div>
<div class="text">
<div>
<div>
<span>Бесплатно</span>
</div>
</div>
</div>
</div>
</div>
<div class="container-toggle">
<div class="open">
<span>Свернуть подробную информацию</span>
</div>
</div>
</div>
</div>
</div>
<div class="tooltip_templates">
<div id="tooltip-1">
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
<strong>Специальные категории:</strong></p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
апрель 2020 - июнь 2020:</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Зоотовары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Мебель</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Детские товары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Ювелирные изделия</p>
</div>
<div id="tooltip-2">
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
<strong>Специальные категории:</strong></p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
апрель 2020 - июнь 2020:</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Зоотовары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Мебель</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Детские товары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Ювелирные изделия</p>
</div>
<div id="tooltip-3">
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
<strong>Специальные категории:</strong></p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
апрель 2020 - июнь 2020:</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Зоотовары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Мебель</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Детские товары</p>
<p
style="margin: 10px 0px 0px; padding: 0px; color: #172b4d; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif; font-size: 14px; background-color: #ffffff;">
- Ювелирные изделия</p>
</div>
</div>
<div class="step-progress">
<div>
<h4 class="cards-h4">Для получения кредитной карты введите номер телефона</h4>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_mobile">Мобильный телефон</label><input class="validate-phone ttn-input" placeholder="Мобильный телефон" autocomplete="on" data-sw="mobile-sw" data-ttn-next="#step_1 .next_step"
name="OpenCcfivestepsesiaForm[mobile]" id="OpenCcfivestepsesiaForm_mobile" type="tel" im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_mobile_em_" style="display: none"></span>
</div>
</div>
<div class="form-control checkbox">
<input id="ytOpenCcfivestepsesiaForm_full_agree" type="hidden" value="0" name="OpenCcfivestepsesiaForm[full_agree]"><input checked="checked" name="OpenCcfivestepsesiaForm[full_agree]" id="OpenCcfivestepsesiaForm_full_agree" value="1"
type="checkbox"> <span class="checkbox-custom"></span>
<a class="bordered modal-full-agree__open" href="javascript:;">Заполняя форму, я принимаю условия передачи информации</a><span class="help-inline error" id="OpenCcfivestepsesiaForm_full_agree_em_" style="display: none"></span>
</div>
<div class="row form-button form-button-2b">
<div class="controls">
<div>
<div class="form-button-2b--text">
<div class="form-button-2b--ow">Быстрое заполнение данных <div class="tooltip tooltipstered" data-tooltip-content="#tooltip-99"></div>
</div>
</div>
<a class="prev_step btn-prev esia-button btn btn-primary btn-block" id="yw0" href="https://esia.gosuslugi.ru/aas/oauth2/ac?client_id=636601_3S&client_secret=MIIGWwYJKoZIhvcNAQcCoIIGTDCCBkgCAQExDzANBglghkgBZQMEAgEFADALBgkqhkiG9w0BBwGgggOdMIIDmTCCAoGgAwIBAgIJALsuq7zZIwlRMA0GCSqGSIb3DQEBCwUAMGMxCzAJBgNVBAYTAlJVMRYwFAYDVQQIDA1ZZWthdGVyaW5idXJnMRYwFAYDVQQHDA1ZZWthdGVyaW5idXJnMQ0wCwYDVQQKDARVQlJSMRUwEwYDVQQDDAxFU0lBQVVUSFVCUlIwHhcNMTkwNDA4MTEyOTM3WhcNMjAwODIwMTEyOTM3WjBjMQswCQYDVQQGEwJSVTEWMBQGA1UECAwNWWVrYXRlcmluYnVyZzEWMBQGA1UEBwwNWWVrYXRlcmluYnVyZzENMAsGA1UECgwEVUJSUjEVMBMGA1UEAwwMRVNJQUFVVEhVQlJSMIIBIjANBgkqhkiG9w0BAQEFAAOCAQ8AMIIBCgKCAQEA1TeVQY-91W57-0bhXBjdg4_4QJoUiNAtWuOBtQ-zi_zDB2NK1zeXJjq1MI5gpp1jg1q2qt-IeYIuNyro9MugQ2TnVAfR8txMz8YJa9JC9rCLNcO_0hz5kflrXn0EsI2VP1biw3Ws_uFh-I9oM5VcateeDsKkp0e6h9xXdP1lnBXFasE15uwue-r17f9Bqe7NWjTmKjQTYdzbCMsi6cHofCi2yqZX5KspJ6PMZQ7gjO9ESyGB3Dux79qSS6qcZHjLgi7CAbAOdTtTrypsG_3pngJAvkjz438_mPBQFK9x3lTn2zRqphRn5C_dJKT7zDNoHjygQD9blU1GaYoVZYAuuQIDAQABo1AwTjAdBgNVHQ4EFgQUm8Jj_gG9Xa6Jcv0yvH_UE7I2J-swHwYDVR0jBBgwFoAUm8Jj_gG9Xa6Jcv0yvH_UE7I2J-swDAYDVR0TBAUwAwEB_zANBgkqhkiG9w0BAQsFAAOCAQEAwL8OnKn8Tvo3uYul2cxr-VKghbkMJiyBOfgsofs0eV4wqTU7zwpHvFqcyF0aQD9sknofw6Cw-3jWIMTePvZCfPFRn89tZ7aofzeKcs0WNrhY_hPq1lxgxupZmKxXBT-2mIxnp8t3jPqhVfqCNaNln-Bi_18DtNEfG-a9P42xvJWeM4j3vFGimkNPQYvs8gl1m-yso6PhJAaIT5u21hc0GA9_v3rF_mE-W77gI3fOzabk5bCzPXbxlpjJR-tAitgsna7_jmTN_9dHN64o4sVA30GanHB1yZnRut0-bNssd3cR34EsQsspGqkSw0Sz3te_rcvh5nK8YShEZNv4GBhvJDGCAoIwggJ-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-I6Xxunv9TFkfT2ik-UTPEQWMbx2NAVC6pEKBBjShn2OnCBjVPG8mCQoqt_QCPjGdyCp29gGz_3zR-5ettKEc-NjDvaNXwU-I6SkE3vzVJlfuC8dxIFzROr3pKPxWlgyKLVUrd03Z9_BWOR90NvOP8F5L6Rbt6Rr5I-cS4jgWhQAxtz24wmQcQecBzZwf32Kb8RosUD1gyi1VekcxmpdeWAFhFQyLwDrYz81GalUV3bIZxLgmi0Cu-aHyvrpmjYekZcZXbHJ3axEpv78vRgsd0bCKikfiCkRYXHJM--2p44dX48lzgx7VuaKaCrq0CJUbyPMeEG5CcTX-UI&redirect_uri=https%3A%2F%2Fsales.ubrr.ru%2Fopen%3Fldg%3Ds1%26form%3Dccfivestepsesia%26design%3Dclassic%26utm_source%3Dgorizont%26utm_campaign%3Dwant_ccpresentnew%26utm_medium%3Dgorizont%26rule_id%3D1099%26uhash%3Dd50cd4bc9370c72cbef7ce2511cfeb51&scope=fullname+birthdate+birthplace+email+mobile+contacts+id_doc+snils+inn&response_type=code&state=d4808fa2-71ba-4c28-9b64-8c69fd549a53&access_type=online&timestamp=2023.01.27+07%3A53%3A49+%2B0500">Авторизоваться через госуслуги</a>
</div>
<div>
<div class="form-button-2b--text"> Заполнение данных вручную </div>
<button class="next_step btn-red btn btn-primary btn-block"
data-action-url="https://sales.ubrr.ru/open/index?form=cctwostepslimit&design=ccpresentchoisefic&ldg=s1&from_campaign=esia&from_medium=gorizont&from_source=gorizont&lhash=d50cd4bc9370c72cbef7ce2511cfeb51"
id="redirect" type="submit" name="yt0">Далее</button>
</div>
</div>
</div>
<script>
var date = new Date().setMonth(new Date().getMonth() + 12);
document.cookie = 'last_uhash' + "=" + findGetParameter('uhash') + ";expires=" + date + ";domain=." + location.host + ";path=/";
</script>
</div>
<div class="hide">
<div class="step-title"> Попап с сумкой </div>
<a href="#" data-modalnew="true" data-modalkey="sumkaOffer">Открыть попап с сумкой</a>
</div>
<div class="hide">
<div class="step-title"> Попап с смской </div>
<div class="step-progress">
<div>
<h4 class="cards-h4">Информация для вывода и использования смски, найдете в ccfivestepesia.js</h4>
</div>
</div>
<div style="display: none" class="mobile-check-send" data-trigger="sms" data-modalnew="true" data-modalkey="sms" data-phone="89995617957" data-hash="d50cd4bc9370c72cbef7ce2511cfeb51">
<button type="submit" class="mobile-check-send--button red hid btn btn-primary btn-block">Отправить sms </button>
</div>
</div>
<div class="js-step-content hide">
<div class="step-title"> Выберите сумму лимита </div>
<div class="calc--main-app">
<div class="range-slider" data-variable="val4">
<div class="range-slider--info">
<div class="range-slider--info-title">Кредитный лимит <span class="tooltip tooltip-btn tooltipstered" data-tooltip-content="#condition-4-content"></span>
<div class="tooltip_templates">
<div id="condition-4-content" class="tooltip-content"> Среднемесячные платежи за последние три месяца по кредитам, лизингу (в т.ч. Ипотека, личные кредиты, кроме кредитных карт </div>
</div>
</div>
<div class="range-slider--info-value range-slider__value">
<input autocomplete="on" placeholder="Сумма лимита" class="js-range-slider-value" value="30000" name="OpenCcfivestepsesiaForm[limit]" id="OpenCcfivestepsesiaForm_limit" type="text"> <span class="help-inline error"
id="OpenCcfivestepsesiaForm_limit_em_" style="display: none"></span> ₽
</div>
</div>
<div class="range-slide-wrapper">
<input class="range-slider__range" type="range" step="5000" data-rate="10" value="30000" min="30000" max="700000">
<div class="input-range--progress" style="width: 0%;"></div>
</div>
</div>
</div>
<div class="row form-button">
<div class="controls limit-container">
<button class="next_step btn-red btn btn-primary btn-block" name="btn_submit_step_1" id="next" type="submit">Далее</button>
</div>
</div>
</div>
<div class="js-step-content hide">
<div class="step-title">Заполните сведения о своей работе</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_position">Полное наименование вашей должности</label><input autocomplete="on" placeholder="Полное наименование вашей должности" name="OpenCcfivestepsesiaForm[position]"
id="OpenCcfivestepsesiaForm_position" type="text"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_position_em_" style="display: none"></span>
</div>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_organization_name">Юридическое наименование организации, ИНН или ОГРН</label><input autocomplete="off" placeholder="Юридическое наименование организации, ИНН или ОГРН"
data-enable-not-selected="1" data-on-select="onSelectCompanyDefault" name="OpenCcfivestepsesiaForm[organization_name]" id="OpenCcfivestepsesiaForm_organization_name" type="text" autocorrect="off" autocapitalize="off" spellcheck="false"
class="suggestions-input" style="box-sizing: border-box;"><span class="help-inline error" id="OpenCcfivestepsesiaForm_organization_name_em_" style="display: none"></span>
<script>
$(document).ready(function() {
var params = {
'companyNameSelector': '#' + 'OpenCcfivestepsesiaForm' + '_' + 'organization_name',
'innSelector': '#' + 'OpenCcfivestepsesiaForm' + '_' + 'inn',
'isHideInn': '1'
};
dadataCompanyDefault(params)
});
</script>
</div>
</div>
<hr class="esia-hr big-limit hide">
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_employment_type">Тип занятости</label><select data-employment-type-enterprener-id="6" name="OpenCcfivestepsesiaForm[employment_type]" id="OpenCcfivestepsesiaForm_employment_type">
<option value="">Тип занятости</option>
<option value="1">Пенсионер</option>
<option value="3">Руководитель/зам.руководителя предприятия</option>
<option value="4">Начальник отдела/ведущий специалист</option>
<option value="5">Рабочий, служащий, специалист</option>
<option value="6">ИП</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_employment_type_em_" style="display: none"></span>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_industry">Выберите отрасль экономики</label><select name="OpenCcfivestepsesiaForm[industry]" id="OpenCcfivestepsesiaForm_industry">
<option value="">Выберите отрасль экономики</option>
<option value="1">Здравоохранение (государственное)</option>
<option value="2">Здравоохранение (не государственное)</option>
<option value="3">Издательская деятельность</option>
<option value="4">Информатика и телекоммуникации</option>
<option value="5">Машиностроение и металлообработка</option>
<option value="6">Наука</option>
<option value="7">Образование (государственное)</option>
<option value="8">Образование (негосударственное)</option>
<option value="9">Общественное питание (в т.ч. предприятия быстрого обслуживания)</option>
<option value="10">Реклама, PR-агентства, СМИ</option>
<option value="11">Салоны красоты и здоровья</option>
<option value="12">Сборочные производства (в т.ч. мебели)</option>
<option value="13">Сельское хозяйство</option>
<option value="14">Строительство</option>
<option value="15">Туризм</option>
<option value="16">Федеральное и муниципальное управление</option>
<option value="17">Финансы, банковское дело</option>
<option value="18">Частное охранное/детективное предприятие</option>
<option value="19">Юридические, нотариальные услуги</option>
<option value="20">Лесное хозяйство</option>
<option value="21">Связь</option>
<option value="22">Культура и искусство</option>
<option value="23">Электроэнергетика</option>
<option value="24">Социальное обеспечение</option>
<option value="25">Черная металлургия</option>
<option value="26">Цветная металлургия</option>
<option value="27">Химия и нефтехимия</option>
<option value="28">Производство стройматериалов</option>
<option value="29">Легкая промышленность</option>
<option value="30">Пищевая промышленность</option>
<option value="31">Парфюмерия и фармацевтика</option>
<option value="32">Торговля</option>
<option value="33">Жилищно-коммунальное хозяйство</option>
<option value="34">Транспорт (кроме ж/д и метро)</option>
<option value="35">Железнодорожный транспорт</option>
<option value="36">Метро</option>
<option value="37">ВС (не офицерский состав) и правоохранительные органы</option>
<option value="38">Операции с недвижимостью</option>
<option value="39">Топливная промышленность</option>
<option value="40">Угольная промышленность</option>
<option value="41">Лесная и деревообрабатывающая пром.</option>
<option value="42">Рестораны, увеселительный и игорный бизнес</option>
<option value="43">Страхование</option>
<option value="44">Клининговые услуги</option>
<option value="45">Консалтинговые услуги</option>
<option value="46">Автомастерские, автомойки, автосалоны</option>
<option value="47">Бытовые услуги населению</option>
<option value="48">ВС (офицерский состав)</option>
<option value="49">Другое</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_industry_em_" style="display: none"></span>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_current_job_seniority">Выберите стаж на текущем месте работы</label><select name="OpenCcfivestepsesiaForm[current_job_seniority]" id="OpenCcfivestepsesiaForm_current_job_seniority">
<option value="">Выберите стаж на текущем месте работы</option>
<option value="4">менее 6 месяцев</option>
<option value="1">от 6 месяцев до года</option>
<option value="2">1-3 года</option>
<option value="3">свыше 3-х лет</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_current_job_seniority_em_" style="display: none"></span>
</div>
</div>
<hr class="esia-hr big-limit hide">
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_personalSalary">Ваш персональный месячный доход, руб.</label><input autocomplete="on" placeholder="Ваш персональный месячный доход, руб." name="OpenCcfivestepsesiaForm[personalSalary]"
id="OpenCcfivestepsesiaForm_personalSalary" type="tel"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_personalSalary_em_" style="display: none"></span>
</div>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_fioDirector">ФИО руководителя организации</label><input autocomplete="off" placeholder="ФИО руководителя организации" name="OpenCcfivestepsesiaForm[fioDirector]"
id="OpenCcfivestepsesiaForm_fioDirector" type="text" autocorrect="off" autocapitalize="off" spellcheck="false" class="suggestions-input" style="box-sizing: border-box;"> <span class="help-inline error"
id="OpenCcfivestepsesiaForm_fioDirector_em_" style="display: none"></span>
</div>
</div>
<div class="kladr_3 big-limit hide">
<div class="control-group-title"> Адрес места работы </div>
<div id="yw1" class="row kladr_widget_wrapper js-address-dadata-widget">
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_region_region_code">Work Register Region Region Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_region_region_code"></label><input id="OpenCcfivestepsesiaForm_work_register_region_region_code"
name="OpenCcfivestepsesiaForm[work_register_region_region_code]" class=" js-fias-region-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_region_region_code_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_city_name">Work Register City Name</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_city_name"></label><input id="OpenCcfivestepsesiaForm_work_register_city_name" name="OpenCcfivestepsesiaForm[work_register_city_name]"
type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_city_name_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_place form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_place_name">Work Register Place Name</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_place_name">Населенный пункт</label><input class="js-fias-place-name suggestions-input" placeholder="Населенный пункт"
id="OpenCcfivestepsesiaForm_work_register_place_name" name="OpenCcfivestepsesiaForm[work_register_place_name]" type="text" autocomplete="new-password" autocorrect="off" autocapitalize="off" spellcheck="false"
style="box-sizing: border-box;"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_place_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_place_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_place_code">Work Register Place Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_place_code"></label><input id="OpenCcfivestepsesiaForm_work_register_place_code" name="OpenCcfivestepsesiaForm[work_register_place_code]"
class=" js-fias-place-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_place_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_street form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_street_name">Work Register Street Name</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_street_name">Улица</label><input class=" js-fias-street-name" placeholder="Улица" id="OpenCcfivestepsesiaForm_work_register_street_name"
name="OpenCcfivestepsesiaForm[work_register_street_name]" type="text" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_street_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_street_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_street_code">Work Register Street Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_street_code"></label><input id="OpenCcfivestepsesiaForm_work_register_street_code" name="OpenCcfivestepsesiaForm[work_register_street_code]"
class=" js-fias-street-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_street_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_home_index">Work Register Home Index</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_home_index"></label><input id="OpenCcfivestepsesiaForm_work_register_home_index" name="OpenCcfivestepsesiaForm[work_register_home_index]"
class=" js-fias-index-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_index_em_" style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_index_em_" style="display: none"></span>
</div>
<div class="adress_field home_number form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_home_number">Work Register Home Number</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_home_number">Дом</label><input placeholder="Дом" id="OpenCcfivestepsesiaForm_work_register_home_number"
name="OpenCcfivestepsesiaForm[work_register_home_number]" class=" js-fias-home-number" type="text" maxlength="6" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_number_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_number_em_" style="display: none"></span>
</div>
<div class="adress_field home_building form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_home_building">Work Register Home Building</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_home_building">Корпус</label><input placeholder="Корпус" id="OpenCcfivestepsesiaForm_work_register_home_building"
name="OpenCcfivestepsesiaForm[work_register_home_building]" class=" js-fias-home-building" type="text" maxlength="3" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_building_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_building_em_" style="display: none"></span>
</div>
<div class="adress_field home_apartment form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_work_register_home_apartment">Work Register Home Apartment</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_work_register_home_apartment">Квартира</label><input placeholder="Квартира" id="OpenCcfivestepsesiaForm_work_register_home_apartment"
name="OpenCcfivestepsesiaForm[work_register_home_apartment]" class=" js-fias-home-apartment" type="text" maxlength="4" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_apartment_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_work_register_home_apartment_em_" style="display: none"></span>
</div>
</div>
<script>
$(function() {
dadataWidget('yw1');
});
</script>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_phoneWork">Рабочий телефон</label><input autocomplete="on" placeholder="Рабочий телефон" name="OpenCcfivestepsesiaForm[phoneWork]" id="OpenCcfivestepsesiaForm_phoneWork" type="tel"
im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_phoneWork_em_" style="display: none"></span>
</div>
</div>
<div class="row form-button">
<div class="controls">
<button class="next_step btn-red btn btn-primary btn-block" id="next" type="submit" name="yt1">Далее</button>
</div>
</div>
</div>
<div class="js-step-content hide">
<div class="step-title">Заполните дополнительные сведения о себе</div>
<div class="form-control checkbox">
<input id="ytOpenCcfivestepsesiaForm_wasFioChanged" type="hidden" value="0" name="OpenCcfivestepsesiaForm[wasFioChanged]"><input name="OpenCcfivestepsesiaForm[wasFioChanged]" id="OpenCcfivestepsesiaForm_wasFioChanged" value="1" type="checkbox">
<span class="checkbox-custom"></span>
<a class="non-click">Отметьте, если ранее была другая фамилия</a>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_wasFioChanged_em_" style="display: none"></span>
</div>
<div class="control-group hide" data-field="previousLastName">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_previousLastName">Прежняя фамилия</label><input autocomplete="off" placeholder="Прежняя фамилия" name="OpenCcfivestepsesiaForm[previousLastName]"
id="OpenCcfivestepsesiaForm_previousLastName" type="text" maxlength="20" autocorrect="off" autocapitalize="off" spellcheck="false" class="suggestions-input" style="box-sizing: border-box;"> <span class="help-inline error"
id="OpenCcfivestepsesiaForm_previousLastName_em_" style="display: none"></span>
</div>
</div>
<hr class="esia-hr big-limit hide">
<div class="big-limit hide">
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_familyStatus">Выберите семейное положение</label><select data-family-status-married-id="1" name="OpenCcfivestepsesiaForm[familyStatus]" id="OpenCcfivestepsesiaForm_familyStatus">
<option value="">Выберите семейное положение</option>
<option value="1">Состою в браке</option>
<option value="2">Никогда не состоял(а)</option>
<option value="3">Брак расторгнут</option>
<option value="4">Вдовец/Вдова</option>
<option value="5">Гражданский брак</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_familyStatus_em_" style="display: none"></span>
</div>
</div>
<div data-field="familyStatus">
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_spouseBirthDate">Дата рождения супруга(и)</label><input autocomplete="on" placeholder="Дата рождения супруга(и)" name="OpenCcfivestepsesiaForm[spouseBirthDate]"
id="OpenCcfivestepsesiaForm_spouseBirthDate" type="tel" im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_spouseBirthDate_em_" style="display: none"></span>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_spouseFullname">ФИО супруга(и)</label><input autocomplete="off" placeholder="ФИО супруга(и)" name="OpenCcfivestepsesiaForm[spouseFullname]" id="OpenCcfivestepsesiaForm_spouseFullname"
type="text" autocorrect="off" autocapitalize="off" spellcheck="false" class="suggestions-input" style="box-sizing: border-box;"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_spouseFullname_em_"
style="display: none"></span>
</div>
</div>
<div class="form-control checkbox">
<input id="ytOpenCcfivestepsesiaForm_wasSpouseLastNameChanged" type="hidden" value="0" name="OpenCcfivestepsesiaForm[wasSpouseLastNameChanged]"><input name="OpenCcfivestepsesiaForm[wasSpouseLastNameChanged]"
id="OpenCcfivestepsesiaForm_wasSpouseLastNameChanged" value="1" type="checkbox"> <span class="checkbox-custom"></span> Менялась ли фамилия супруга(и) <span class="help-inline error"
id="OpenCcfivestepsesiaForm_wasSpouseLastNameChanged_em_" style="display: none"></span>
</div>
<div data-field="spousePreviousLastName">
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_spousePreviousLastName">Прежняя фамилия супруга(и)</label><input autocomplete="off" placeholder="Прежняя фамилия супруга(и)" name="OpenCcfivestepsesiaForm[spousePreviousLastName]"
id="OpenCcfivestepsesiaForm_spousePreviousLastName" type="text" maxlength="20" autocorrect="off" autocapitalize="off" spellcheck="false" class="suggestions-input" style="box-sizing: border-box;"> <span class="help-inline error"
id="OpenCcfivestepsesiaForm_spousePreviousLastName_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_spouseIncome">Месячный доход супруга(и), руб.</label><input autocomplete="on" placeholder="Месячный доход супруга(и), руб." name="OpenCcfivestepsesiaForm[spouseIncome]"
id="OpenCcfivestepsesiaForm_spouseIncome" type="tel"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_spouseIncome_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_childrenAmount">Количество детей</label><select name="OpenCcfivestepsesiaForm[childrenAmount]" id="OpenCcfivestepsesiaForm_childrenAmount">
<option value="">Количество детей</option>
<option value="0">Нет</option>
<option value="1">1 ребенок</option>
<option value="2">2 ребенка</option>
<option value="3">3 ребенка</option>
<option value="4">более 3-х детей</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_childrenAmount_em_" style="display: none"></span>
</div>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_dependentsAmount">Количество иждивенцев</label><select name="OpenCcfivestepsesiaForm[dependentsAmount]" id="OpenCcfivestepsesiaForm_dependentsAmount">
<option value="">Количество иждивенцев</option>
<option value="0">Нет</option>
<option value="1">1 иждивенец</option>
<option value="2">2 иждивенца</option>
<option value="3">3 иждивенца</option>
<option value="4">более 3-х иждивенцев</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_dependentsAmount_em_" style="display: none"></span>
</div>
</div>
</div>
<hr class="esia-hr big-limit hide">
<div class="form-control checkbox">
<input id="ytOpenCcfivestepsesiaForm_actualAddressIsRegistryAddress" type="hidden" value="0" name="OpenCcfivestepsesiaForm[actualAddressIsRegistryAddress]"><input name="OpenCcfivestepsesiaForm[actualAddressIsRegistryAddress]"
id="OpenCcfivestepsesiaForm_actualAddressIsRegistryAddress" value="1" type="checkbox"> <span class="checkbox-custom"></span>
<a class="non-click">Отметьте, если адрес проживания и регистрации совпадают</a>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_actualAddressIsRegistryAddress_em_" style="display: none"></span>
</div>
<div class="kladr_2">
<div class="control-group-title"> Адрес фактического проживания </div>
<div id="yw2" class="row kladr_widget_wrapper js-address-dadata-widget">
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_live_region_region_code">Live Region Region Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_region_region_code"></label><input id="OpenCcfivestepsesiaForm_live_region_region_code" name="OpenCcfivestepsesiaForm[live_region_region_code]"
class=" js-fias-region-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_region_region_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_live_city_name">Live City Name</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_city_name"></label><input id="OpenCcfivestepsesiaForm_live_city_name" name="OpenCcfivestepsesiaForm[live_city_name]" type="text"><span
class="help-inline error" id="OpenCcfivestepsesiaForm_live_city_name_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_place form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_live_place_name">Live Place Name <span class="required">*</span></label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_place_name">Населенный пункт</label><input class="js-fias-place-name suggestions-input" placeholder="Населенный пункт"
id="OpenCcfivestepsesiaForm_live_place_name" name="OpenCcfivestepsesiaForm[live_place_name]" type="text" autocomplete="new-password" autocorrect="off" autocapitalize="off" spellcheck="false" style="box-sizing: border-box;"><span
class="help-inline error" id="OpenCcfivestepsesiaForm_live_place_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_place_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_live_place_code">Live Place Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_place_code"></label><input id="OpenCcfivestepsesiaForm_live_place_code" name="OpenCcfivestepsesiaForm[live_place_code]" class=" js-fias-place-code"
type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_place_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_street form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_live_street_name">Live Street Name <span class="required">*</span></label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_street_name">Улица</label><input class=" js-fias-street-name" placeholder="Улица" id="OpenCcfivestepsesiaForm_live_street_name"
name="OpenCcfivestepsesiaForm[live_street_name]" type="text" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_street_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_street_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_live_street_code">Live Street Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_street_code"></label><input id="OpenCcfivestepsesiaForm_live_street_code" name="OpenCcfivestepsesiaForm[live_street_code]" class=" js-fias-street-code"
type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_street_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_live_home_index">Live Home Index</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_home_index"></label><input id="OpenCcfivestepsesiaForm_live_home_index" name="OpenCcfivestepsesiaForm[live_home_index]" class=" js-fias-index-code"
type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_index_em_" style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_index_em_" style="display: none"></span>
</div>
<div class="adress_field home_number form-control">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_live_home_number">Live Home Number <span class="required">*</span></label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_home_number">Дом</label><input placeholder="Дом" id="OpenCcfivestepsesiaForm_live_home_number"
name="OpenCcfivestepsesiaForm[live_home_number]" class=" js-fias-home-number" type="text" maxlength="6" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_number_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_number_em_" style="display: none"></span>
</div>
<div class="adress_field home_building form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_live_home_building">Live Home Building</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_home_building">Корпус</label><input placeholder="Корпус" id="OpenCcfivestepsesiaForm_live_home_building"
name="OpenCcfivestepsesiaForm[live_home_building]" class=" js-fias-home-building" type="text" maxlength="3" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_building_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_building_em_" style="display: none"></span>
</div>
<div class="adress_field home_apartment form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_live_home_apartment">Live Home Apartment</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_live_home_apartment">Квартира</label><input placeholder="Квартира" id="OpenCcfivestepsesiaForm_live_home_apartment"
name="OpenCcfivestepsesiaForm[live_home_apartment]" class=" js-fias-home-apartment" type="text" maxlength="4" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_apartment_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_live_home_apartment_em_" style="display: none"></span>
</div>
</div>
<script>
$(function() {
dadataWidget('yw2');
});
</script>
</div>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_register_date">Дата регистрации по прописке</label><input autocomplete="on" placeholder="Дата регистрации по прописке" name="OpenCcfivestepsesiaForm[register_date]"
id="OpenCcfivestepsesiaForm_register_date" type="tel" im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_register_date_em_" style="display: none"></span>
</div>
</div>
<br>
<div class="control-group">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_email">E-mail</label><input autocomplete="on" placeholder="E-mail" class="validate-mail ttn-input" data-sw="email-sw" name="OpenCcfivestepsesiaForm[email]"
id="OpenCcfivestepsesiaForm_email" type="text"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_email_em_" style="display: none"></span>
</div>
</div>
<!--Выбор офиса-->
<div class="control-group">
<div class="form-control">
<div class="p-holder">Выбрать город</div><a data-location="city" title="выбрать город" class="select-city input_field js-btn-select-city ttn-input" data-ttn-next="#next" href="javascript:;"></a>
<input class="js-input-city-code" name="OpenCcfivestepsesiaForm[city_code]" id="OpenCcfivestepsesiaForm_city_code" type="hidden"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_city_code_em_" style="display: none"></span>
</div>
</div>
<script>
// Селекторы элементов для возврата значений
var showCurrentCityInTitle = '';
var targetCityTitleSelectors = '.js-btn-select-city';
var targetCityPrepositionSelectors = '';
var targetCityCodeSelectors = '.js-input-city-code';
var targetOfficeTitleSelectors = '';
var targetOfficeCodeSelectors = '';
var cityInCityCode = [{
'code': '2300300100000',
'name': 'Анапа'
}, {
'code': '2900000100000',
'name': 'Архангельск'
}, {
'code': '6600000200000',
'name': 'Асбест'
}, {
'code': '7400200300000',
'name': 'Аша'
}, {
'code': '6400000400000',
'name': 'Балаково'
}, {
'code': '5000003600000',
'name': 'Балашиха'
}, {
'code': '2200000100000',
'name': 'Барнаул'
}, {
'code': '3100000100000',
'name': 'Белгород'
}, {
'code': '0201100100000',
'name': 'Белорецк'
}, {
'code': '5900000200000',
'name': 'Березники'
}, {
'code': '6600000300000',
'name': 'Березовский'
}, {
'code': '3200000100000',
'name': 'Брянск'
}, {
'code': '5300000100000',
'name': 'Великий Новгород'
}, {
'code': '6600000400000',
'name': 'Верхняя Пышма'
}, {
'code': '6600004500000',
'name': 'Верхняя Салда'
}, {
'code': '5001400100051',
'name': 'Видное'
}, {
'code': '2500000100000',
'name': 'Владивосток'
}, {
'code': '3300000100000',
'name': 'Владимир'
}, {
'code': '3400000100000',
'name': 'Волгоград'
}, {
'code': '3500000100000',
'name': 'Вологда'
}, {
'code': '3600000100000',
'name': 'Воронеж'
}, {
'code': '1800000300000',
'name': 'Воткинск'
}, {
'code': '2300000300000',
'name': 'Геленджик'
}, {
'code': '1800000400000',
'name': 'Глазов'
}, {
'code': '5200000200000',
'name': 'Дзержинск'
}, {
'code': '5000002900000',
'name': 'Долгопрудный'
}, {
'code': '5000000100000',
'name': 'Домодедово'
}, {
'code': '6600000100000',
'name': 'Екатеринбург'
}, {
'code': '7404400100000',
'name': 'Еманжелинск'
}, {
'code': '5000000500000',
'name': 'Жуковский'
}, {
'code': '6600000500000',
'name': 'Заречный'
}, {
'code': '7400000400000',
'name': 'Златоуст'
}, {
'code': '6600000600000',
'name': 'Ивдель'
}, {
'code': '1800000100000',
'name': 'Ижевск'
}, {
'code': '3800000300000',
'name': 'Иркутск'
}, {
'code': '1600000100000',
'name': 'Казань'
}, {
'code': '3900000100000',
'name': 'Калининград'
}, {
'code': '6600002200000',
'name': 'Каменск-Уральский'
}, {
'code': '6600003000000',
'name': 'Камышлов'
}, {
'code': '7400000500000',
'name': 'Карабаш'
}, {
'code': '6600000800000',
'name': 'Качканар'
}, {
'code': '4200000900000',
'name': 'Кемерово'
}, {
'code': '4300000100000',
'name': 'Киров'
}, {
'code': '6600000900000',
'name': 'Кировград'
}, {
'code': '3300000400000',
'name': 'Ковров'
}, {
'code': '5005100000000',
'name': 'Коломна'
}, {
'code': '7400000600000',
'name': 'Копейск'
}, {
'code': '5000000900000',
'name': 'Королёв'
}, {
'code': '5000004900000',
'name': 'Красногорск'
}, {
'code': '2300000100000',
'name': 'Краснодар'
}, {
'code': '6600001000000',
'name': 'Краснотурьинск'
}, {
'code': '6600001100000',
'name': 'Красноуральск'
}, {
'code': '6600003100000',
'name': 'Красноуфимск'
}, {
'code': '2400000100000',
'name': 'Красноярск'
}, {
'code': '5900000900000',
'name': 'Кунгур'
}, {
'code': '4500000100000',
'name': 'Курган'
}, {
'code': '4600000100000',
'name': 'Курск'
}, {
'code': '6600001200000',
'name': 'Кушва'
}, {
'code': '7400000800000',
'name': 'Кыштым'
}, {
'code': '6600001300000',
'name': 'Лесной'
}, {
'code': '4800000100000',
'name': 'Липецк'
}, {
'code': '5000001200000',
'name': 'Лобня'
}, {
'code': '5001700100051',
'name': 'Люберцы'
}, {
'code': '7400000900000',
'name': 'Магнитогорск'
}, {
'code': '7400001000000',
'name': 'Миасс'
}, {
'code': '7700000000000',
'name': 'Москва'
}, {
'code': '5001900100051',
'name': 'Мытищи'
}, {
'code': '1600000200000',
'name': 'Набережные Челны'
}, {
'code': '2500000400000',
'name': 'Находка'
}, {
'code': '8600001400000',
'name': 'Нефтеюганск'
}, {
'code': '8600001100000',
'name': 'Нижневартовск'
}, {
'code': '5200000100000',
'name': 'Нижний Новгород'
}, {
'code': '6600002300000',
'name': 'Нижний Тагил'
}, {
'code': '6600001400000',
'name': 'Нижняя Тура'
}, {
'code': '4200001200000',
'name': 'Новокузнецк'
}, {
'code': '2300000600000',
'name': 'Новороссийск'
}, {
'code': '5400000100000',
'name': 'Новосибирск'
}, {
'code': '6600001500000',
'name': 'Новоуральск'
}, {
'code': '8900000700000',
'name': 'Ноябрьск'
}, {
'code': '5002200100051',
'name': 'Одинцово'
}, {
'code': '7400001100000',
'name': 'Озерск'
}, {
'code': '5500000100000',
'name': 'Омск'
}, {
'code': '5600000100000',
'name': 'Оренбург'
}, {
'code': '5800000100000',
'name': 'Пенза'
}, {
'code': '6600001600000',
'name': 'Первоуральск'
}, {
'code': '5900000100000',
'name': 'Пермь'
}, {
'code': '5000002400000',
'name': 'Подольск'
}, {
'code': '6600001700000',
'name': 'Полевской'
}, {
'code': '2600000700000',
'name': 'Пятигорск'
}, {
'code': '5002800100051',
'name': 'Раменское'
}, {
'code': '6600001800000',
'name': 'Ревда'
}, {
'code': '6602100100000',
'name': 'Реж'
}, {
'code': '5000001600000',
'name': 'Реутов'
}, {
'code': '6900000300000',
'name': 'Ржев'
}, {
'code': '6100000100000',
'name': 'Ростов-на-Дону'
}, {
'code': '6200000100000',
'name': 'Рязань'
}, {
'code': '0200000500000',
'name': 'Салават'
}, {
'code': '6300000100000',
'name': 'Самара'
}, {
'code': '7800000000000',
'name': 'Санкт-Петербург'
}, {
'code': '1300000100000',
'name': 'Саранск'
}, {
'code': '1800000200000',
'name': 'Сарапул'
}, {
'code': '6400000100000',
'name': 'Саратов'
}, {
'code': '6600003400000',
'name': 'Серов'
}, {
'code': '6700000300000',
'name': 'Смоленск'
}, {
'code': '7400001300000',
'name': 'Снежинск'
}, {
'code': '2300000700000',
'name': 'Сочи'
}, {
'code': '6600003800000',
'name': 'Среднеуральск'
}, {
'code': '2600000100000',
'name': 'Ставрополь'
}, {
'code': '0200001400000',
'name': 'Стерлитамак'
}, {
'code': '8600001000000',
'name': 'Сургут'
}, {
'code': '6602400100000',
'name': 'Сухой Лог'
}, {
'code': '6600004200000',
'name': 'Тавда'
}, {
'code': '6100001100000',
'name': 'Таганрог'
}, {
'code': '6900000100000',
'name': 'Тверь'
}, {
'code': '4701700100000',
'name': 'Тихвин'
}, {
'code': '7200000200000',
'name': 'Тобольск'
}, {
'code': '6300000700000',
'name': 'Тольятти'
}, {
'code': '7000000100000',
'name': 'Томск'
}, {
'code': '5000001800051',
'name': 'Троицк Моск. обл.'
}, {
'code': '7400003600000',
'name': 'Троицк Чел. обл.'
}, {
'code': '7200000100000',
'name': 'Тюмень'
}, {
'code': '0300000100000',
'name': 'Улан-Удэ'
}, {
'code': '7300000100000',
'name': 'Ульяновск'
}, {
'code': '0200000100000',
'name': 'Уфа'
}, {
'code': '5000003000000',
'name': 'Химки'
}, {
'code': '7400003500000',
'name': 'Чебаркуль'
}, {
'code': '2100000100000',
'name': 'Чебоксары'
}, {
'code': '7400000100000',
'name': 'Челябинск'
}, {
'code': '4500000200000',
'name': 'Шадринск'
}, {
'code': '6100001200000',
'name': 'Шахты'
}, {
'code': '5004000100051',
'name': 'Щёлково'
}, {
'code': '5000002100000',
'name': 'Электросталь'
}, {
'code': '6400001300000',
'name': 'Энгельс'
}, {
'code': '7400001600000',
'name': 'Южноуральск'
}, {
'code': '7600000100000',
'name': 'Ярославль'
}, ];
</script>
<hr class="esia-hr big-limit">
<div class="control-group-title big-limit hide"> Заполните информацию о дополнительных контактах </div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_relativeFirst">Выберите контакт</label><select name="OpenCcfivestepsesiaForm[relativeFirst]" id="OpenCcfivestepsesiaForm_relativeFirst">
<option value="">Выберите контакт</option>
<option value="Мать">Мать</option>
<option value="Отец">Отец</option>
<option value="Сестра">Сестра</option>
<option value="Брат">Брат</option>
<option value="Бабушка">Бабушка</option>
<option value="Дедушка">Дедушка</option>
<option value="Жена">Жена</option>
<option value="Муж">Муж</option>
<option value="Друг">Друг</option>
<option value="Коллега">Коллега</option>
<option value="Знакомый">Знакомый</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_relativeFirst_em_" style="display: none"></span>
</div>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_relativeFirstMobile">Его телефон</label><input autocomplete="on" placeholder="Его телефон" name="OpenCcfivestepsesiaForm[relativeFirstMobile]"
id="OpenCcfivestepsesiaForm_relativeFirstMobile" type="tel" im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_relativeFirstMobile_em_" style="display: none"></span>
</div>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder-select" for="OpenCcfivestepsesiaForm_relativeSecond">Выберите контакт</label><select name="OpenCcfivestepsesiaForm[relativeSecond]" id="OpenCcfivestepsesiaForm_relativeSecond">
<option value="">Выберите контакт</option>
<option value="Мать">Мать</option>
<option value="Отец">Отец</option>
<option value="Сестра">Сестра</option>
<option value="Брат">Брат</option>
<option value="Бабушка">Бабушка</option>
<option value="Дедушка">Дедушка</option>
<option value="Жена">Жена</option>
<option value="Муж">Муж</option>
<option value="Друг">Друг</option>
<option value="Коллега">Коллега</option>
<option value="Знакомый">Знакомый</option>
</select> <span class="help-inline error" id="OpenCcfivestepsesiaForm_relativeSecond_em_" style="display: none"></span>
</div>
</div>
<div class="control-group big-limit hide">
<div class="form-control">
<label class="p-holder" for="OpenCcfivestepsesiaForm_relativeSecondMobile">Его телефон</label><input autocomplete="on" placeholder="Его телефон" name="OpenCcfivestepsesiaForm[relativeSecondMobile]"
id="OpenCcfivestepsesiaForm_relativeSecondMobile" type="tel" im-insert="true"> <span class="help-inline error" id="OpenCcfivestepsesiaForm_relativeSecondMobile_em_" style="display: none"></span>
</div>
</div>
<div class="row form-button-send">
<div class="controls">
<button class="next_step btn-red btn btn-block" id="send" type="submit" name="yt2">Далее</button>
</div>
</div>
</div>
<div class="last-step hide">
<div class="kladr_delivery_address js-delivery-address">
<div class="step-title">Адрес места доставки</div>
<div id="yw3" class="row kladr_widget_wrapper js-address-dadata-widget">
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_region_region_code">Delivery Region Region Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_region_region_code"></label><input id="OpenCcfivestepsesiaForm_delivery_region_region_code" name="OpenCcfivestepsesiaForm[delivery_region_region_code]"
class=" js-fias-region-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_region_region_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_city_name">Delivery City Name</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_city_name"></label><input id="OpenCcfivestepsesiaForm_delivery_city_name" name="OpenCcfivestepsesiaForm[delivery_city_name]" type="text"><span
class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_city_name_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_place form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_delivery_place_name">Delivery Place Name <span class="required">*</span></label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_place_name">Населенный пункт</label><input class="js-fias-place-name suggestions-input" placeholder="Населенный пункт"
id="OpenCcfivestepsesiaForm_delivery_place_name" name="OpenCcfivestepsesiaForm[delivery_place_name]" type="text" autocomplete="new-password" autocorrect="off" autocapitalize="off" spellcheck="false"
style="box-sizing: border-box;"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_place_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_place_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_place_code">Delivery Place Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_place_code"></label><input id="OpenCcfivestepsesiaForm_delivery_place_code" name="OpenCcfivestepsesiaForm[delivery_place_code]"
class=" js-fias-place-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_place_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="adress_field home_street form-control">
<div class="">
<div class="controls">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_delivery_street_name">Delivery Street Name <span class="required">*</span></label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_street_name">Улица</label><input class=" js-fias-street-name" placeholder="Улица" id="OpenCcfivestepsesiaForm_delivery_street_name"
name="OpenCcfivestepsesiaForm[delivery_street_name]" type="text" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_street_name_em_" style="display: none"></span></div>
</div>
<p class="hint"></p>
<div style="clear: both;"></div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_street_name_em_" style="display: none"></span>
</div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_street_code">Delivery Street Code</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_street_code"></label><input id="OpenCcfivestepsesiaForm_delivery_street_code" name="OpenCcfivestepsesiaForm[delivery_street_code]"
class=" js-fias-street-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_street_code_em_" style="display: none"></span></div>
</div>
</div>
<div class="">
<div class="control-group " style="display: none;"><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_home_index">Delivery Home Index</label>
<div class="controls"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_home_index"></label><input id="OpenCcfivestepsesiaForm_delivery_home_index" name="OpenCcfivestepsesiaForm[delivery_home_index]"
class=" js-fias-index-code" type="text"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_index_em_" style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_index_em_" style="display: none"></span>
</div>
<div class="adress_field home_number form-control">
<div class="control-group "><label class="control-label required" for="OpenCcfivestepsesiaForm_delivery_home_number">Delivery Home Number <span class="required">*</span></label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_home_number">Дом</label><input placeholder="Дом" id="OpenCcfivestepsesiaForm_delivery_home_number"
name="OpenCcfivestepsesiaForm[delivery_home_number]" class=" js-fias-home-number" type="text" maxlength="6" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_number_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_number_em_" style="display: none"></span>
</div>
<div class="adress_field home_building form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_home_building">Delivery Home Building</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_home_building">Корпус</label><input placeholder="Корпус" id="OpenCcfivestepsesiaForm_delivery_home_building"
name="OpenCcfivestepsesiaForm[delivery_home_building]" class=" js-fias-home-building" type="text" maxlength="3" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_building_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_building_em_" style="display: none"></span>
</div>
<div class="adress_field home_apartment form-control">
<div class="control-group "><label class="control-label" for="OpenCcfivestepsesiaForm_delivery_home_apartment">Delivery Home Apartment</label>
<div class="controls" style="position: relative;"><label class="p-holder" for="OpenCcfivestepsesiaForm_delivery_home_apartment">Квартира</label><input placeholder="Квартира" id="OpenCcfivestepsesiaForm_delivery_home_apartment"
name="OpenCcfivestepsesiaForm[delivery_home_apartment]" class=" js-fias-home-apartment" type="text" maxlength="4" disabled="disabled"><span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_apartment_em_"
style="display: none"></span></div>
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_delivery_home_apartment_em_" style="display: none"></span>
</div>
</div>
<script>
$(function() {
dadataWidget('yw3');
});
</script>
</div>
<div class="row form-button-send">
<div class="controls">
<button class="btn-red btn btn-block" id="send" type="submit" name="yt3">Далее</button>
</div>
</div>
</div>
<div data-step-id="6" class="js-step-content hide">
<div class="step-title"> Загрузите свою фотографию </div>
<div class="esia-get-photo-wrapper">
<div class="esia-get-photo-relative">
<div class="esia-get-photo" id="esiaGetPhoto" data-adaptive-background="1">
</div>
<div class="esia-icon-get-photo-wrapper">
<div class="esia-icon-get-photo"></div>
<div class="esia-icon-trash-photo"></div>
</div>
</div>
<div class="esia-get-photo-input"> Загрузить фото <input id="ytOpenCcfivestepsesiaForm_userFile" type="hidden" value="" name="OpenCcfivestepsesiaForm[userFile]"><input class="uploadFile" accept=".png, .jpg, .jpeg"
name="OpenCcfivestepsesiaForm[userFile]" id="OpenCcfivestepsesiaForm_userFile" type="file">
<input class="webCamInput" name="OpenCcfivestepsesiaForm[userFileCam]" id="OpenCcfivestepsesiaForm_userFileCam" type="hidden">
</div>
<span class="help-inline error" id="OpenCcfivestepsesiaForm_userFile_em_" style="display: none"></span>
<div class="esia-get-photo--text"> или <span id="doPhoto">сделать снимок</span>
</div>
<div id="results"></div>
</div>
<div class="row form-button-send">
<div class="controls">
<button class="next_step btn-red btn btn-block" id="send" type="submit" name="yt4">Отправить заявку</button>
</div>
</div>
</div>
</form>
