www.sbicard.com
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urlscan Pro
2001:df6:1:9::27
Public Scan
Submitted URL: https://www.sbicard.com/eapply/campaign.page/apply?path=personal%2Fcredit-cards%2Fshopping%2Fsimplyclick-sbi-card.dcr&GE...
Effective URL: https://www.sbicard.com/eapply/campaign.page?path=personal%2Fcredit-cards%2Fshopping%2Fsimplyclick-sbi-card.dcr&GEMID1=3...
Submission Tags: falconsandbox
Submission: On October 12 via api from US — Scanned from DE
Effective URL: https://www.sbicard.com/eapply/campaign.page?path=personal%2Fcredit-cards%2Fshopping%2Fsimplyclick-sbi-card.dcr&GEMID1=3...
Submission Tags: falconsandbox
Submission: On October 12 via api from US — Scanned from DE
Form analysis 3 forms found in the DOM
<form autocomplete="off" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div class="row">
<div class="col-7" style="display: block; padding:0;">
<div class="row mobpad-null">
<div class="col-3 salutation"><mat-form-field
class="mat-form-field ng-tns-c9-2 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><mat-select class="mat-select ng-tns-c10-3 mat-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted" disableoptioncentering="" formcontrolname="fcnSalutation"
panelclass="dropdown-panel-top" role="listbox" id="mat-select-0" tabindex="0" aria-labelledby="mat-form-field-label-1" aria-required="false" aria-disabled="false" aria-invalid="false" aria-multiselectable="false"
aria-describedby="mat-hint-0">
<div class="mat-select-trigger" aria-hidden="true" cdk-overlay-origin="">
<div class="mat-select-value"><!----><span class="mat-select-placeholder ng-tns-c10-3 ng-star-inserted"> </span><!----></div>
<div class="mat-select-arrow-wrapper">
<div class="mat-select-arrow"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-1" for="mat-select-0"
aria-owns="mat-select-0"><!----><!----><mat-label class="ng-star-inserted">Title</mat-label><!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-2 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-0"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----></div>
</div>
<div class="row mobpad-null">
<div class="col-12" style="padding-left:0 !important;">
<div class="row mobile-pad">
<div class="col-4 first-name"><mat-form-field
class="mat-form-field ng-tns-c9-4 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><label class="firstNameTooltip-hide lable-font">Enter name as per your pancard.</label><input
class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnFirstName" matinput="" maxlength="12" id="mat-input-0"
placeholder="First Name" aria-describedby="mat-hint-1" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-4 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="mat-input-0" aria-owns="mat-input-0"><!----><!---->First Name<!----><!----></label></span></div>
<!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-4 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-1">Name should be same as
per PAN</mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----></div>
<div class="col-4 middle-name"><mat-form-field
class="mat-form-field ng-tns-c9-5 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-valid" formcontrolname="fcnMiddleName" matinput="" maxlength="10"
id="mat-input-1" placeholder="Middle Name(Optional)" aria-describedby="mat-hint-2" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-5 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-5" for="mat-input-1" aria-owns="mat-input-1"><!----><!---->Middle Name(Optional)<!----><!----></label></span>
</div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-5 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-2"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----></div>
<div class="col-4 last-name"><mat-form-field
class="mat-form-field ng-tns-c9-6 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnLastName" matinput="" maxlength="16"
id="mat-input-2" placeholder="Last Name" aria-describedby="mat-hint-17" aria-invalid="false" aria-required="false"><!----><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-6 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-7" for="mat-input-2" aria-owns="mat-input-2"><!----><!---->Last Name<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-6 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-6 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><!----><mat-hint class="mat-hint ng-star-inserted"
id="mat-hint-17" style="">Name should be same as per PAN</mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----></div>
</div>
</div>
</div>
</div>
<div class="col-5 selected-card"><img style="z-index: 1 ;position: relative; width: 230px; /*height: 147px;*/" src="https://www.sbicard.com/sbi-card-en/resources/img/cardface/shopping/simplyclick-cardface-n.svg"
alt="https://www.sbicard.comSimplyCLICK SBI Card">
<div class="card-label">
<ul class="holder">
<li class="holder-name"></li>
<li class="holder-name" style="padding: 0px 10px;"></li>
<li class="holder-name"></li>
</ul>
</div>
</div>
</div>
<div class="horizontal-line"></div>
<div class="row">
<div class="col-5">
<div class="icon home"></div><!----><mat-form-field
class="mat-form-field ng-tns-c9-23 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted"
style="">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><label class="placeholder-hide lable-font">Start typing</label><input autocomplete="no"
class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnCity" matinput="" minlength="2" role="combobox" aria-autocomplete="list"
aria-expanded="false" aria-haspopup="true" id="mat-input-15" placeholder="Residential City" aria-describedby="mat-hint-19" aria-invalid="false" aria-required="false"><mat-autocomplete class="mat-autocomplete"
showpanel="filterCity && filterCity.length"><!----></mat-autocomplete><span class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-23 mat-empty mat-form-field-empty ng-star-inserted"
id="mat-form-field-label-37" for="mat-input-15" aria-owns="mat-input-15"><!----><!---->Residential City<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-23 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-23 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-19"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----><!---->
</div>
<div class="col-2"></div>
<div class="col-5">
<div class="icon email"></div><mat-form-field
class="mat-form-field ng-tns-c9-7 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnEmail" matinput="" id="mat-input-3"
placeholder="Email Address" aria-describedby="mat-hint-3" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-7 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-9" for="mat-input-3" aria-owns="mat-input-3"><!----><!---->Email Address<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-7 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-3"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div><!---->
</div><!---->
<div class="row ng-star-inserted">
<div class="col-5 mobpad refer-and-earn-referralcode">
<div class="referral-code-icon"><span><svg height="32" viewBox="0 0 28 32" width="28" xmlns="http://www.w3.org/2000/svg">
<g fill="none" fill-rule="nonzero">
<path d="M25.251 30.996l-9.082-6.878h6.365l3.8 5.87c.458.706-.412 1.516-1.083 1.008z" fill="#424A60"></path>
<path d="M3.875 24.793h19.752a3.814 3.814 0 0 0 3.813-3.813V3.862A3.814 3.814 0 0 0 23.627.05H3.875A3.814 3.814 0 0 0 .062 3.862V20.98a3.813 3.813 0 0 0 3.813 3.813z" fill="#F2F2FD"></path>
<path d="M5.027 19.35v-8.707c0-.6.486-1.086 1.085-1.086h2.43c.706 0 1.284.578 1.284 1.285v8.309c0 .706-.578 1.285-1.285 1.285H6.112c-.6 0-1.085-.487-1.085-1.087z" fill="#00B1F2"></path>
<path
d="M22.475 12.453v4.702A3.686 3.686 0 0 1 18.8 20.83h-7.243c-.952 0-1.73-.778-1.73-1.73v-7.968c0-.952.778-1.73 1.73-1.73h1.577a.51.51 0 0 0 .394-.187l3.713-4.482c.637-.774 1.77-.96 2.592-.385.92.642 1.082 1.93.383 2.779l-1.191 1.445a.51.51 0 0 0 .398.83 3.052 3.052 0 0 1 3.052 3.051z"
fill="#D5D5EA"></path>
<path d="M7.42 24.793H3.876A3.814 3.814 0 0 1 .062 20.98V3.863A3.814 3.814 0 0 1 3.875.049h3.546a3.814 3.814 0 0 0-3.814 3.814V20.98a3.814 3.814 0 0 0 3.814 3.813z" fill="#424A60"></path>
<path d="M22.313 18.235A3.69 3.69 0 0 1 18.8 20.83h-7.243a1.736 1.736 0 0 1-1.73-1.73v-7.968c0-.952.778-1.731 1.73-1.731h1.485v5.841a2.993 2.993 0 0 0 2.993 2.993h6.278z" fill="#D5D5EA"></path>
</g>
</svg></span></div><mat-form-field
class="mat-form-field ng-tns-c9-22 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-valid" formcontrolname="fcnReferralCode" matinput="" maxlength="13"
id="mat-input-14" placeholder="Referral Code (Optional)" aria-describedby="mat-hint-18" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-22 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-35" for="mat-input-14" aria-owns="mat-input-14"><!----><!---->Referral Code (Optional)<!----><!----></label></span>
</div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-22 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-22 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><!----><mat-hint class="mat-hint ng-star-inserted" id="mat-hint-18"
style="">Enter your exact referral code / This field is case sensitive</mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----><!----><!---->
</div>
</div>
<div class="row">
<div class="mobile-label"> Please verify your mobile number </div>
</div>
<div class="row">
<div class="col-5 mobpad">
<div class="icon mobile"></div><mat-form-field
class="mat-form-field ng-tns-c9-8 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnMobile" inputmode="numeric" matinput=""
maxlength="10" minlength="10" id="mat-input-4" placeholder="Mobile Number" aria-describedby="mat-hint-4" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-8 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-11" for="mat-input-4" aria-owns="mat-input-4"><!----><!---->Mobile Number<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-8 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-8 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint class="mat-hint" id="mat-hint-4">This number will be treated as
your registered mobile number</mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div class="row">
<div class="col-5 mob-pad-consent checkbox-style"><mat-checkbox class="mat-checkbox mat-accent ng-untouched ng-pristine ng-invalid" disableripple="true" formcontrolname="fcnConsent" required="" id="mat-checkbox-1"><label
class="mat-checkbox-layout" for="mat-checkbox-1-input">
<div class="mat-checkbox-inner-container mat-checkbox-inner-container-no-side-margin"><input class="mat-checkbox-input cdk-visually-hidden" type="checkbox" id="mat-checkbox-1-input" required="" tabindex="0" aria-checked="false">
<div class="mat-checkbox-ripple mat-ripple" matripple="">
<div class="mat-ripple-element mat-checkbox-persistent-ripple"></div>
</div>
<div class="mat-checkbox-frame"></div>
<div class="mat-checkbox-background"><svg xml:space="preserve" class="mat-checkbox-checkmark" focusable="false" version="1.1" viewBox="0 0 24 24">
<path class="mat-checkbox-checkmark-path" d="M4.1,12.7 9,17.6 20.3,6.3" fill="none" stroke="white"></path>
</svg>
<div class="mat-checkbox-mixedmark"></div>
</div>
</div><span class="mat-checkbox-label"><span style="display:none"> </span></span>
</label></mat-checkbox>
<div style="padding-left: 12px; ">
<p><span>I have read <a href="/sbi-card-en/assets/docs/pdf/customer_declaration.pdf" target="_blank" rel="noopener">Customer Declaration</a> of SBI Card & understood all its terms and conditions. I confirm that details given above belong
to me and authorize SBICPSL & its affiliates or associates to contact me on the details provided.<br></span></p>
</div>
</div>
</div><!---->
<div class="row ng-star-inserted">
<div class="col-12"><button color="primary" mat-raised-button="" class="mat-raised-button mat-primary" disabled=""><span class="mat-button-wrapper"> Send OTP </span>
<div class="mat-button-ripple mat-ripple" matripple=""></div>
<div class="mat-button-focus-overlay"></div>
</button></div>
</div><!---->
<div class="row">
<div class="col-12 error-qde" style="padding-top: 0 !important;"><!----><!----><!----></div>
</div>
</form><form _ngcontent-erc-c14="" autocomplete="off" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-erc-c14="" class="professional-details">
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5 occupation-label"><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-9 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><label _ngcontent-erc-c14="" class="placeholder-hide lable-font">Select Source of Income</label><mat-select _ngcontent-erc-c14=""
class="mat-select ng-tns-c10-10 mat-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted" disableoptioncentering="" formcontrolname="fcnOccupationType" panelclass="dropdown-panel-top" role="listbox" id="mat-select-1"
tabindex="0" aria-label="Occupation" aria-required="false" aria-disabled="false" aria-invalid="false" aria-multiselectable="false" aria-describedby="mat-hint-5">
<div class="mat-select-trigger" aria-hidden="true" cdk-overlay-origin="">
<div class="mat-select-value"><!----><span class="mat-select-placeholder ng-tns-c10-10 ng-star-inserted">Occupation</span><!----></div>
<div class="mat-select-arrow-wrapper">
<div class="mat-select-arrow"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-9 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-13" for="mat-select-1"
aria-owns="mat-select-1"><!----><!---->Occupation<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-9 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-9 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="mat-hint"
id="mat-hint-5"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!----></div>
<div _ngcontent-erc-c14="" class="col-2"></div>
</div>
<div _ngcontent-erc-c14="" class="horizontal-line row"></div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5 tooltip-width">
<div _ngcontent-erc-c14="" class="icon company"></div><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-11 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><label _ngcontent-erc-c14="" class="placeholder-hide lable-font">Start typing</label><input _ngcontent-erc-c14=""
class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnCompanyName" matinput="" maxlength="30" autocomplete="off" role="combobox"
aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" id="mat-input-5" placeholder="Company Name" aria-describedby="mat-hint-6" aria-invalid="false" aria-required="false"><mat-autocomplete _ngcontent-erc-c14=""
class="mat-autocomplete" showpanel="filterCompany && filterCompany.length"><!----></mat-autocomplete><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-11 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-15" for="mat-input-5" aria-owns="mat-input-5"><!----><!---->Company Name<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-11 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-11 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="hint-size mat-hint"
id="mat-hint-6">Select from our sourceable list of companies or simply type the name in this field</mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
<div _ngcontent-erc-c14="" class="tooltip ng-star-inserted" aria-describedby="cdk-describedby-message-0" cdk-describedby-host=""
style="touch-action: none; user-select: none; -webkit-user-drag: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0);"></div><!---->
</div>
<div _ngcontent-erc-c14="" class="col-2"></div>
<div _ngcontent-erc-c14="" class="col-5 company-name">
<div _ngcontent-erc-c14="" class="icon designation"></div><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-12 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c14="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnDesignation" matinput=""
maxlength="40" autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" id="mat-input-6" placeholder="Designation" aria-describedby="mat-hint-7" aria-invalid="false"
aria-required="false"><mat-autocomplete _ngcontent-erc-c14="" class="mat-autocomplete" showpanel="filterDesignation && filterDesignation.length"><!----></mat-autocomplete><span
class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-12 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-17" for="mat-input-6"
aria-owns="mat-input-6"><!----><!---->Designation<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-12 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-12 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="mat-hint"
id="mat-hint-7"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5 income-bottom"><!----><label _ngcontent-erc-c14="" class="income-lable ng-star-inserted">Annual Income:</label><!---->
<div _ngcontent-erc-c14="" class="income-box-align"><span _ngcontent-erc-c14="" class="rupee-icon"></span><input _ngcontent-erc-c14="" class="income-input ng-untouched ng-pristine ng-invalid" formcontrolname="fcnIncome" inputmode="numeric"
placeholder="" type="text"><!---->
<div _ngcontent-erc-c14="" style="display: inline-block; height: 22px; margin-top: 0px; margin-bottom: -3px; touch-action: none; user-select: none; -webkit-user-drag: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0);"
class="tooltip ng-star-inserted" aria-describedby="cdk-describedby-message-1" cdk-describedby-host=""></div><!----><mat-hint _ngcontent-erc-c14="" class="mat-hint" id="mat-hint-8"></mat-hint>
<div _ngcontent-erc-c14="" class="error-align"><!----></div>
</div>
</div>
<div _ngcontent-erc-c14="" class="col-2"></div>
<div _ngcontent-erc-c14="" class="col-5"></div>
</div>
<div _ngcontent-erc-c14="" class="income-slider"><mat-slider _ngcontent-erc-c14="" class="mat-slider mat-accent mat-slider-horizontal mat-slider-min-value" role="slider" tabindex="0" aria-disabled="false" aria-valuemax="2700000"
aria-valuemin="300000" aria-valuenow="300000" aria-orientation="horizontal" style="touch-action: none; user-select: none; -webkit-user-drag: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0);">
<div class="mat-slider-wrapper">
<div class="mat-slider-track-wrapper">
<div class="mat-slider-track-background" style="transform: translateX(7px) scale3d(1, 1, 1);"></div>
<div class="mat-slider-track-fill" style="transform: translateX(-7px) scale3d(0, 1, 1);"></div>
</div>
<div class="mat-slider-ticks-container" style="transform: translateX(0%);">
<div class="mat-slider-ticks" style="background-size: 0% 2px; transform: translateZ(0px) translateX(0%); padding-left: 7px;"></div>
</div>
<div class="mat-slider-thumb-container" style="transform: translateX(-100%);">
<div class="mat-slider-focus-ring"></div>
<div class="mat-slider-thumb"></div>
<div class="mat-slider-thumb-label"><span class="mat-slider-thumb-label-text">300000</span></div>
</div>
</div>
</mat-slider>
<div _ngcontent-erc-c14="" class="income-range col-10">
<ul _ngcontent-erc-c14="">
<li _ngcontent-erc-c14="">Upto<br _ngcontent-erc-c14="">3L</li>
<li _ngcontent-erc-c14="">6</li>
<li _ngcontent-erc-c14="">9</li>
<li _ngcontent-erc-c14="">12</li>
<li _ngcontent-erc-c14="">15</li>
<li _ngcontent-erc-c14="">18</li>
<li _ngcontent-erc-c14="">21</li>
<li _ngcontent-erc-c14="" class="last-element">
<div _ngcontent-erc-c14="">24</div>
<div _ngcontent-erc-c14="" class="last-element-right">27L<br _ngcontent-erc-c14="">and Above</div>
</li>
</ul>
</div>
</div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5 mob-bottom-pad">
<div _ngcontent-erc-c14="" class="icon office-pin"></div><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-13 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c14="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnOfcPin"
inputmode="numeric" matinput="" maxlength="6" minlength="6" pattern="^[1-9]+[0-9]*$" autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" id="mat-input-7" placeholder="Office PIN Code"
aria-describedby="mat-hint-9" aria-invalid="false" aria-required="false"><mat-autocomplete _ngcontent-erc-c14="" class="mat-autocomplete" showpanel="filterPin && filterPin.length"><!----></mat-autocomplete><span
class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-13 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-19" for="mat-input-7" aria-owns="mat-input-7"><!----><!---->Office
PIN Code<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-13 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-13 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="city mat-hint"
id="mat-hint-9"><!----> </mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
<div _ngcontent-erc-c14="" class="col-2"></div>
<div _ngcontent-erc-c14="" class="col-5">
<div _ngcontent-erc-c14="" class="icon pan-number"></div><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-14 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c14="" class="upper-case mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnPan"
matinput="" maxlength="10" minlength="10" id="mat-input-8" placeholder="PAN Number" aria-describedby="mat-hint-10" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-14 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-21" for="mat-input-8" aria-owns="mat-input-8"><!----><!---->PAN Number<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-14 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-14 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="mat-hint"
id="mat-hint-10"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5">
<div _ngcontent-erc-c14="" class="icon birth"></div><mat-form-field _ngcontent-erc-c14=""
class="mat-form-field ng-tns-c9-15 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c14="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnDOB" matinput=""
readonly="true" aria-haspopup="true" min="1900-01-01" max="1996-12-31" id="mat-input-9" placeholder="Date of Birth" aria-describedby="mat-hint-11" aria-invalid="false" aria-required="false"><mat-datepicker _ngcontent-erc-c14=""
disabled="false"></mat-datepicker><span class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-15 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-23" for="mat-input-9"
aria-owns="mat-input-9"><!----><!---->Date of Birth<!----><!----></label></span></div><!---->
<div class="mat-form-field-suffix ng-tns-c9-15 ng-star-inserted"><mat-datepicker-toggle _ngcontent-erc-c14="" class="mat-datepicker-toggle" matsuffix="" tabindex="-1"><button aria-haspopup="true" mat-icon-button="" type="button"
class="mat-icon-button" aria-label="Open calendar" tabindex="0"><span class="mat-button-wrapper"><!----><mat-icon _ngcontent-erc-c14="" class="mat-icon notranslate material-icons mat-icon-no-color" matdatepickertoggleicon=""
role="img" aria-hidden="true"><svg _ngcontent-erc-c14="" class="calendar-icon" height="18" style="margin-top: -20px !important; margin-left: -5px; z-index: 100;" viewBox="0 0 22 22" width="18"
xmlns="http://www.w3.org/2000/svg">
<g _ngcontent-erc-c14="" fill="none" fill-rule="evenodd" stroke-width="1.188">
<path _ngcontent-erc-c14="" d="M6.25 1.5v3.455M15.75 1.5v3.455" stroke-linecap="round"></path>
<path _ngcontent-erc-c14="" d="M2.618 3.227h16.764c.617 0 1.118.517 1.118 1.158v14.959c0 .638-.5 1.156-1.118 1.156H2.618C2 20.5 1.5 19.982 1.5 19.344V4.384c0-.64.5-1.157 1.118-1.157zM20.5 7.286H1.84"></path>
</g>
</svg></mat-icon></span>
<div class="mat-button-ripple mat-ripple mat-button-ripple-round" matripple=""></div>
<div class="mat-button-focus-overlay"></div>
</button></mat-datepicker-toggle></div>
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-15 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-15 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c14="" class="mat-hint"
id="mat-hint-11"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
<div _ngcontent-erc-c14="" class="col-2"></div>
</div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-5"><button _ngcontent-erc-c14="" color="primary" mat-raised-button="" class="mat-raised-button mat-primary" disabled=""><span class="mat-button-wrapper"> Next </span>
<div class="mat-button-ripple mat-ripple" matripple=""></div>
<div class="mat-button-focus-overlay"></div>
</button></div>
</div>
<div _ngcontent-erc-c14="" class="row">
<div _ngcontent-erc-c14="" class="col-12"><!----><!----><!----></div>
</div>
</div>
</form><form _ngcontent-erc-c15="" autocomplete="off" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-erc-c15="" class="row">
<div _ngcontent-erc-c15="" class="col-5">
<div _ngcontent-erc-c15="" class="icon home"></div><mat-form-field _ngcontent-erc-c15=""
class="mat-form-field ng-tns-c9-16 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c15="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnHouseNo" matinput=""
maxlength="19" id="mat-input-10" placeholder="House No." aria-describedby="mat-hint-12" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-16 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-25" for="mat-input-10" aria-owns="mat-input-10"><!----><!---->House No.<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-16 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-16 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c15="" class="mat-hint"
id="mat-hint-12"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
<div _ngcontent-erc-c15="" class="col-2"></div>
<div _ngcontent-erc-c15="" class="col-5">
<div _ngcontent-erc-c15="" class="icon locality"></div><mat-form-field _ngcontent-erc-c15=""
class="mat-form-field ng-tns-c9-17 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c15="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnLocality" matinput=""
maxlength="20" id="mat-input-11" placeholder="Locality" aria-describedby="mat-hint-13" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-17 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-27" for="mat-input-11" aria-owns="mat-input-11"><!----><!---->Locality<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-17 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-17 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c15="" class="mat-hint"
id="mat-hint-13"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div _ngcontent-erc-c15="" class="row pad-mob">
<div _ngcontent-erc-c15="" class="col-5">
<div _ngcontent-erc-c15="" class="icon home"></div><mat-form-field _ngcontent-erc-c15=""
class="mat-form-field ng-tns-c9-18 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c15="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-valid" formcontrolname="fcnAddLine1" matinput=""
maxlength="40" id="mat-input-12" placeholder="Address Continued (Optional)" aria-describedby="mat-hint-14" aria-invalid="false" aria-required="false"><span class="mat-form-field-label-wrapper"><!----><label
class="mat-form-field-label ng-tns-c9-18 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-29" for="mat-input-12" aria-owns="mat-input-12"><!----><!---->Address Continued
(Optional)<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-18 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-18 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c15="" class="mat-hint"
id="mat-hint-14"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
<div _ngcontent-erc-c15="" class="col-2"></div>
<div _ngcontent-erc-c15="" class="col-5">
<div _ngcontent-erc-c15="" class="icon resi-pin"></div><mat-form-field _ngcontent-erc-c15=""
class="mat-form-field ng-tns-c9-19 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><input _ngcontent-erc-c15="" class="mat-input-element mat-form-field-autofill-control cdk-text-field-autofill-monitored ng-untouched ng-pristine ng-invalid" formcontrolname="fcnPincode" id="fcnPincode"
inputmode="numeric" matinput="" maxlength="6" minlength="6" type="text" autocomplete="off" role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" placeholder="Residential PIN Code"
aria-describedby="mat-hint-15" aria-invalid="false" aria-required="false"><mat-autocomplete _ngcontent-erc-c15="" class="mat-autocomplete" showpanel="filterPin && filterPin.length"><!----></mat-autocomplete><span
class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-19 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-31" for="fcnPincode"
aria-owns="fcnPincode"><!----><!---->Residential PIN Code<!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-19 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-19 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c15="" class="city mat-hint"
id="mat-hint-15"><!----> </mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div _ngcontent-erc-c15="" class="row">
<div _ngcontent-erc-c15="" class="col-5">
<div _ngcontent-erc-c15="" class="icon nationality"></div><mat-form-field _ngcontent-erc-c15=""
class="mat-form-field ng-tns-c9-20 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
<div class="mat-form-field-wrapper">
<div class="mat-form-field-flex"><!----><!---->
<div class="mat-form-field-infix"><mat-select _ngcontent-erc-c15="" class="mat-select ng-tns-c10-21 mat-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted" disableoptioncentering="" formcontrolname="fcnNationality"
panelclass="dropdown-panel-top" role="listbox" id="mat-select-2" tabindex="0" aria-labelledby="mat-form-field-label-33" aria-required="false" aria-disabled="false" aria-invalid="false" aria-multiselectable="false"
aria-describedby="mat-hint-16">
<div class="mat-select-trigger" aria-hidden="true" cdk-overlay-origin="">
<div class="mat-select-value"><!----><span class="mat-select-placeholder ng-tns-c10-21 ng-star-inserted"> </span><!----></div>
<div class="mat-select-arrow-wrapper">
<div class="mat-select-arrow"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper"><!----><label class="mat-form-field-label ng-tns-c9-20 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-33" for="mat-select-2"
aria-owns="mat-select-2"><!----><!----><mat-label _ngcontent-erc-c15="" class="ng-star-inserted">Nationality</mat-label><!----><!----></label></span></div><!---->
</div><!---->
<div class="mat-form-field-underline ng-tns-c9-20 ng-star-inserted"><span class="mat-form-field-ripple"></span></div>
<div class="mat-form-field-subscript-wrapper"><!----><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c9-20 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-erc-c15="" class="mat-hint"
id="mat-hint-16"></mat-hint>
<div class="mat-form-field-hint-spacer"></div>
</div>
</div>
</div>
</mat-form-field><!---->
</div>
</div>
<div _ngcontent-erc-c15="" class="row check-box-margin">
<div _ngcontent-erc-c15="" class="col-5 checkbox-style"><mat-checkbox _ngcontent-erc-c15="" class="mat-checkbox mat-accent ng-untouched ng-pristine ng-invalid" disableripple="true" formcontrolname="fcnConsent" required=""
id="mat-checkbox-2"><label class="mat-checkbox-layout" for="mat-checkbox-2-input">
<div class="mat-checkbox-inner-container mat-checkbox-inner-container-no-side-margin"><input class="mat-checkbox-input cdk-visually-hidden" type="checkbox" id="mat-checkbox-2-input" required="" tabindex="0" aria-checked="false">
<div class="mat-checkbox-ripple mat-ripple" matripple="">
<div class="mat-ripple-element mat-checkbox-persistent-ripple"></div>
</div>
<div class="mat-checkbox-frame"></div>
<div class="mat-checkbox-background"><svg xml:space="preserve" class="mat-checkbox-checkmark" focusable="false" version="1.1" viewBox="0 0 24 24">
<path class="mat-checkbox-checkmark-path" d="M4.1,12.7 9,17.6 20.3,6.3" fill="none" stroke="white"></path>
</svg>
<div class="mat-checkbox-mixedmark"></div>
</div>
</div><span class="mat-checkbox-label"><span style="display:none"> </span></span>
</label></mat-checkbox>
<div _ngcontent-erc-c15="" class="consent-text" style="padding-left: 12px;">
<p>I have read <a href="/sbi-card-en/assets/docs/pdf/customer_declaration.pdf" target="_blank" rel="noopener"> Customer Declaration </a> of SBI Card and understood all its terms and conditions. I confirm that the details given above belong to
me and authorize SBICPSL and its affiliates / associates and CPP* to contact me on the details provided to provide further information about the SBI Card and the card protection plan.<br>I also provide my consent to verify the information
provided in the application form with the credit bureau. I agree to pay Rs. 499 + Taxes as joining fee and Rs. 499 + Taxes as annual fee associated with this card. I would like to subscribe to e-statements. <br>*CPP Assistance Services
Private Limited</p>
</div>
</div>
</div>
<div _ngcontent-erc-c15="" class="horizontal-full-line"></div>
<div _ngcontent-erc-c15="" class="row button-margin">
<div _ngcontent-erc-c15="" class="col-5"><button _ngcontent-erc-c15="" color="primary" mat-raised-button="" class="mat-raised-button mat-primary" disabled=""><span class="mat-button-wrapper"> Submit </span>
<div class="mat-button-ripple mat-ripple" matripple=""></div>
<div class="mat-button-focus-overlay"></div>
</button></div>
</div>
<div _ngcontent-erc-c15="" class="row">
<div _ngcontent-erc-c15="" class="col-12"><!----><!----></div>
</div>
</form>Text Content
You are applying for SIMPLYCLICK SBI CARD CARD BENEFITS: * Earn 10X rewards on online spends with exclusive partners- Amazon / Apollo24X7/ BookMyShow / Cleartrip / EazyDiner/ Lenskart / Netmeds. * Get Amazon.in gift card worth Rs.500* as Welcome Gift on payment of Annual Fee of Rs. 499 + taxes. * Get an e-voucher worth Rs.2,000 on annual online spends of Rs.1 Lakh and Rs. 2Lakhs each Do you already have an SBI Credit Card? Yes No TELL US ABOUT YOURSELF All fileds are mandatory unless otherwise mentioned 1 1.Personal Details Title Enter name as per your pancard.First Name Name should be same as per PAN Middle Name(Optional) Last Name Name should be same as per PAN * * * Start typingResidential City Email Address Referral Code (Optional) Enter your exact referral code / This field is case sensitive Please verify your mobile number Mobile Number This number will be treated as your registered mobile number I have read Customer Declaration of SBI Card & understood all its terms and conditions. I confirm that details given above belong to me and authorize SBICPSL & its affiliates or associates to contact me on the details provided. Send OTP 2 2.Professional Details Select Source of Income Occupation Occupation Start typingCompany Name Select from our sourceable list of companies or simply type the name in this field Designation Annual Income: 300000 * Upto 3L * 6 * 9 * 12 * 15 * 18 * 21 * 24 27L and Above Office PIN Code PAN Number Date of Birth Next 3 3.Current Residential Address House No. Locality Address Continued (Optional) Residential PIN Code Nationality I have read Customer Declaration of SBI Card and understood all its terms and conditions. I confirm that the details given above belong to me and authorize SBICPSL and its affiliates / associates and CPP* to contact me on the details provided to provide further information about the SBI Card and the card protection plan. I also provide my consent to verify the information provided in the application form with the credit bureau. I agree to pay Rs. 499 + Taxes as joining fee and Rs. 499 + Taxes as annual fee associated with this card. I would like to subscribe to e-statements. *CPP Assistance Services Private Limited Submit 189018911892189318941895189618971898189919001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042Today It may take a while to show the result. Please mention only fixed component of your annual salary. Please do not include variable components such as bonus,incentives etc. OR Annual Income (excluding bonus)