quote.elephant.co.uk
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156.154.120.63
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URL:
https://quote.elephant.co.uk/Elephant/
Submission: On June 22 via manual from GB — Scanned from GB
Submission: On June 22 via manual from GB — Scanned from GB
Form analysis 1 forms found in the DOM
<form novalidate="" class="ng-untouched ng-pristine ng-invalid"><adm-card _nghost-cge-c127="" class="ng-tns-c127-2 adm-card adm-card--focus ng-star-inserted">
<div _ngcontent-cge-c127="" class="adm-card__inner ng-tns-c127-2 ng-trigger ng-trigger-grow"><adm-card-header _nghost-cge-c128="" class="ng-tns-c127-2 adm-card__header">
<div _ngcontent-cge-c128="" class="adm-card__header-wrap">
<div _ngcontent-cge-c128="" class="adm-card__header-icon">
<div _ngcontent-cge-c128="" class="adm-card__header-icon-inner"><adm-icon type="person" _nghost-cge-c18="" aria-hidden="true" class="adm-icon adm-icon--baseline"><svg-icon _ngcontent-cge-c18="" svgclass="adm-icon__svg"
class="adm-icon__inner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="32" height="32" viewBox="0 0 32 32" _ngcontent-cge-c18="" class="adm-icon__svg" aria-hidden="true">
<path d="M16 16c2.947 0 5.333-2.387 5.333-5.333s-2.387-5.333-5.333-5.333c-2.947 0-5.333 2.387-5.333 5.333s2.387 5.333 5.333 5.333zM16 18.667c-3.56 0-10.667 1.787-10.667 5.333v2.667h21.333v-2.667c0-3.547-7.107-5.333-10.667-5.333z"
_ngcontent-cge-c18=""></path>
</svg></svg-icon></adm-icon></div>
</div>
<div _ngcontent-cge-c128="" class="adm-card__header-content"><adm-card-header-title _nghost-cge-c129="" class="adm-card__header-title"><strong id="policyholder-details-title">Policyholder Details</strong></adm-card-header-title></div>
</div>
</adm-card-header><!----><adm-card-section _nghost-cge-c132="" class="ng-tns-c127-2 adm-card__section adm-card__section--flush ng-untouched ng-pristine ng-invalid"><adm-form-group _nghost-cge-c217="" class="adm-form-group">
<div _ngcontent-cge-c217="" class="adm-form-group__content"><label adm-control-label="" for="surname" _nghost-cge-c215="" class="adm-control-label"> Surname </label><adm-control-input _nghost-cge-c155=""
class="adm-control-input"><adm-input-size _ngcontent-cge-c155="" _nghost-cge-c153="" class="adm-input-size">
<div _ngcontent-cge-c155="" class="adm-control-input__wrap"><input type="text" name="surname" formcontrolname="surname" id="surname" class="ng-untouched ng-pristine ng-invalid"><!----><!----></div>
</adm-input-size></adm-control-input><adm-control-error id="surname-validation" size="xs" _nghost-cge-c213="" class="adm-control-error adm-control-error--size-xs">
<div _ngcontent-cge-c213="" class="adm-control-error__message ng-star-inserted" style=""><adm-alert _ngcontent-cge-c213="" type="error" _nghost-cge-c71="" class="adm-alert adm-alert--error adm-alert--xs">
<div _ngcontent-cge-c71="" class="adm-alert__icon ng-star-inserted"><adm-icon _ngcontent-cge-c71="" _nghost-cge-c18="" aria-hidden="true" class="adm-icon adm-icon--baseline"><svg-icon _ngcontent-cge-c18="" svgclass="adm-icon__svg"
class="adm-icon__inner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="32" height="32" viewBox="0 0 32 32" _ngcontent-cge-c18="" class="adm-icon__svg" aria-label="undefined">
<path d="M1.333 28h29.333l-14.667-25.333-14.667 25.333zM17.333 24h-2.667v-2.667h2.667v2.667zM17.333 18.667h-2.667v-5.333h2.667v5.333z" _ngcontent-cge-c18=""></path>
</svg></svg-icon></adm-icon></div><!----><!---->
<div _ngcontent-cge-c71="" class="adm-alert__inner"><!---->
<div _ngcontent-cge-c71="" class="adm-alert__content"> Please enter a surname </div>
</div>
</adm-alert></div><!---->
</adm-control-error></div>
</adm-form-group><adm-form-group _nghost-cge-c217="" class="adm-form-group">
<div _ngcontent-cge-c217="" class="adm-form-group__content"><label adm-control-label="" for="dob" _nghost-cge-c215="" class="adm-control-label"> Date of birth </label><adm-control-input size="sm" _nghost-cge-c155=""
class="adm-control-input"><adm-input-size _ngcontent-cge-c155="" _nghost-cge-c153="" class="adm-input-size adm-input-size--sm">
<div _ngcontent-cge-c155="" class="adm-control-input__wrap"><input type="text" name="dob" formcontrolname="dob" id="dob" placeholder="DD/MM/YYYY" class="ng-untouched ng-pristine ng-invalid"><!----><!----></div>
</adm-input-size></adm-control-input><adm-control-error id="dob-validation" size="xs" _nghost-cge-c213="" class="adm-control-error adm-control-error--size-xs">
<div _ngcontent-cge-c213="" class="adm-control-error__message ng-star-inserted" style=""><adm-alert _ngcontent-cge-c213="" type="error" _nghost-cge-c71="" class="adm-alert adm-alert--error adm-alert--xs">
<div _ngcontent-cge-c71="" class="adm-alert__icon ng-star-inserted"><adm-icon _ngcontent-cge-c71="" _nghost-cge-c18="" aria-hidden="true" class="adm-icon adm-icon--baseline"><svg-icon _ngcontent-cge-c18="" svgclass="adm-icon__svg"
class="adm-icon__inner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="32" height="32" viewBox="0 0 32 32" _ngcontent-cge-c18="" class="adm-icon__svg" aria-label="undefined">
<path d="M1.333 28h29.333l-14.667-25.333-14.667 25.333zM17.333 24h-2.667v-2.667h2.667v2.667zM17.333 18.667h-2.667v-5.333h2.667v5.333z" _ngcontent-cge-c18=""></path>
</svg></svg-icon></adm-icon></div><!----><!---->
<div _ngcontent-cge-c71="" class="adm-alert__inner"><!---->
<div _ngcontent-cge-c71="" class="adm-alert__content"> This is required </div>
</div>
</adm-alert></div><!---->
</adm-control-error></div>
</adm-form-group><adm-form-group _nghost-cge-c217="" class="adm-form-group">
<div _ngcontent-cge-c217="" class="adm-form-group__content"><label adm-control-label="" for="postcode" _nghost-cge-c215="" class="adm-control-label"> Postcode </label><adm-control-input size="sm" _nghost-cge-c155=""
class="adm-control-input adm-control-input--uppercase"><adm-input-size _ngcontent-cge-c155="" _nghost-cge-c153="" class="adm-input-size adm-input-size--sm">
<div _ngcontent-cge-c155="" class="adm-control-input__wrap"><input type="text" name="postcode" formcontrolname="postcode" id="postcode" class="ng-untouched ng-pristine ng-invalid"><!----><!----></div>
</adm-input-size></adm-control-input><adm-control-error id="postcode-validation" size="xs" _nghost-cge-c213="" class="adm-control-error adm-control-error--size-xs">
<div _ngcontent-cge-c213="" class="adm-control-error__message ng-star-inserted" style=""><adm-alert _ngcontent-cge-c213="" type="error" _nghost-cge-c71="" class="adm-alert adm-alert--error adm-alert--xs">
<div _ngcontent-cge-c71="" class="adm-alert__icon ng-star-inserted"><adm-icon _ngcontent-cge-c71="" _nghost-cge-c18="" aria-hidden="true" class="adm-icon adm-icon--baseline"><svg-icon _ngcontent-cge-c18="" svgclass="adm-icon__svg"
class="adm-icon__inner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="32" height="32" viewBox="0 0 32 32" _ngcontent-cge-c18="" class="adm-icon__svg" aria-label="undefined">
<path d="M1.333 28h29.333l-14.667-25.333-14.667 25.333zM17.333 24h-2.667v-2.667h2.667v2.667zM17.333 18.667h-2.667v-5.333h2.667v5.333z" _ngcontent-cge-c18=""></path>
</svg></svg-icon></adm-icon></div><!----><!---->
<div _ngcontent-cge-c71="" class="adm-alert__inner"><!---->
<div _ngcontent-cge-c71="" class="adm-alert__content"> Please enter a postcode </div>
</div>
</adm-alert></div><!---->
</adm-control-error></div>
</adm-form-group><adm-form-group _nghost-cge-c217="" class="adm-form-group">
<div _ngcontent-cge-c217="" class="adm-form-group__content"><button id="continue" adm-btn="" type="submit" btntype="secondary" _nghost-cge-c15="" class="adm-btn adm-btn--block adm-btn--rendered adm-btn--secondary"><!----> Continue </button>
</div>
</adm-form-group></adm-card-section></div>
</adm-card></form>Text Content
Contact Us RETRIEVE QUOTE Enter the following details Policyholder Details Surname Please enter a surname Date of birth This is required Postcode Please enter a postcode Continue