callback-icicibankuk.com Open in urlscan Pro
111.118.215.189  Public Scan

Form analysis
1 forms found in the DOM

POST https://callback-icicibankuk.com/save

<form action="https://callback-icicibankuk.com/save" method="POST">
  <input type="hidden" name="_token" value="9wFbIFjlIj9rgfo7njEURyDXXyXq8c0zNZRGtcDb"> <input type="hidden" name="utm_source" value="direct">
  <input type="hidden" name="utm_medium" value="direct">
  <input type="hidden" name="utm_campaign" value="direct">
  <input type="hidden" name="utm_term" value="none">
  <input type="hidden" name="utm_content" value="none">
  <div class="row">
    <div class="col-25">
      <label for="title">Title*</label>
    </div>
    <div class="col-75">
      <!--               <select id="title" name="salutation" required  oninvalid="this.setCustomValidity('Please select a title.')"
              oninput="this.setCustomValidity('')">
                <option value="">select</option>
                <option value="Mr">Mr</option>
                <option value="Mrs">Mrs</option>
                <option value="Miss">Ms</option>
              </select> -->
      <input type="text" id="title" name="salutation" maxlength="4" required="" pattern="[a-zA-Z]+" oninvalid="setCustomValidity('Please enter title(Mr/ Mrs/ Ms) only. ')" oninput="this.setCustomValidity('')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="fname">First Name*</label>
    </div>
    <div class="col-75">
      <input type="text" id="fname" name="firstname" required="" pattern="[a-zA-Z]+" oninvalid="this.setCustomValidity('Please enter your First name.')" oninput="this.setCustomValidity('')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="lname">Last Name*</label>
    </div>
    <div class="col-75">
      <input type="text" id="lname" name="lastname" required="" pattern="[a-zA-Z]+" oninvalid="this.setCustomValidity('Please enter your Last name.')" oninput="this.setCustomValidity('')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="country_code">Country Code*</label>
    </div>
    <div class="col-75">
      <select id="country_code" name="country_code" required="" oninvalid="this.setCustomValidity('Please select a title.')" oninput="this.setCustomValidity('')" onchange="CheckCode(this.value);">
        <option value="">select</option>
        <option value="+91">+91</option>
        <option value="+44">+44</option>
        <option value="other">other</option>
      </select>
    </div>
  </div>
  <div id="color" style="display: none;" class="row">
    <div class="col-25"> &nbsp; </div>
    <div class="col-75">
      <input id="code" type="number" oninput="this.value=this.value.slice(0,this.maxLength);
                this.setCustomValidity('')" maxlength="7" name="code_other" required="" oninvalid="this.setCustomValidity('Please enter your country code')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="contact_number">Contact Number*</label>
    </div>
    <div class="col-75">
      <input type="number" maxlength="12" id="contact_number" name="contact_number" required="" oninvalid="InvalidMobile(this)" oninput="InvalidMobile(this)">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="email">Email*</label>
    </div>
    <div class="col-75">
      <input type="email" id="email" name="email" required="" oninvalid="this.setCustomValidity('Please enter a valid email address.')" oninput="this.setCustomValidity('')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="Preferred_location">Location*</label>
    </div>
    <div class="col-75">
      <select id="Preferred_location" name="Preferred_location" required="" pattern="[a-zA-Z]+" oninvalid="this.setCustomValidity('Please select your preffered location .')" oninput="this.setCustomValidity('')" onchange="CheckCountry(this.value);">
        <option value="">select</option>
        <option value="London">London</option>
        <option value="Manchester">Manchester</option>
        <option value="Birmingham">Birmingham</option>
        <option value="other">Other</option>
      </select>
    </div>
  </div>
  <div id="location_color" style="display: none;" class="row">
    <div class="col-25"> &nbsp; </div>
    <div class="col-75">
      <input id="location_code" type="text" name="location_other" onkeypress="return (event.charCode > 64 &amp;&amp; event.charCode < 91) || (event.charCode > 96 &amp;&amp; event.charCode < 123)" required=""
        oninvalid="this.setCustomValidity('Please enter your location code')">
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="Product">Product*</label>
    </div>
    <div class="col-75">
      <select id="Product" name="Product" required="" oninvalid="this.setCustomValidity('Please select a product.')" oninput="this.setCustomValidity('')">
        <option value="">select</option>
        <option value="Home Loan in India">Home Loan in India</option>
        <option value="New NRI Account Opening">New NRI Account Opening</option>
        <option value=" Personal Bank account"> Personal Bank account</option>
        <option value="Money Transfer to India">Money Transfer to India</option>
        <option value="Business Banking services">Business Banking services</option>
        <option value="Commercial Real Estate">Commercial Real Estate</option>
        <option value=" Private Banking"> Private Banking</option>
        <option value="ICICI Securities Trading Account">ICICI Securities Trading Account (ICICI Direct Account)</option>
      </select>
    </div>
  </div>
  <div class="row">
    <div class="col-25">
      <label for="comment">Comment</label>
    </div>
    <div class="col-75">
      <textarea id="comment" name="comment" style="height:100px"></textarea>
    </div>
  </div>
  <div class="row">
    <div class="col-100" style="display:block;">
      <input style="display: inline;" type="checkbox" id="consent" name="consent" value="" required="">
      <label style="display:inline" for="consent">I give my consent for ICICI Bank UK PLC to contact me by phone or email regarding the products and services offered or promoted by them. I understand ICICI Bank UK PLC will process my personal
        information in accordance with their <a style="color: #333333;text-decoration: underline;" href="https://www.icicibank.co.uk/personal/privacy-notice.page" target="_blank" rel="noopener noreferrer"> Privacy Notice</a>.</label>
    </div>
  </div>
  <div class="row" style="margin:20px">
    <input type="submit" value="Submit" class="post">
  </div>
</form>

Text Content

REQUEST FOR A CALLBACK


Title*

First Name*

Last Name*

Country Code*
select +91 +44 other
 

Contact Number*

Email*

Location*
select London Manchester Birmingham Other
 

Product*
select Home Loan in India New NRI Account Opening Personal Bank account Money
Transfer to India Business Banking services Commercial Real Estate Private
Banking ICICI Securities Trading Account (ICICI Direct Account)
Comment

I give my consent for ICICI Bank UK PLC to contact me by phone or email
regarding the products and services offered or promoted by them. I understand
ICICI Bank UK PLC will process my personal information in accordance with their
Privacy Notice.


Disclaimer:

ICICI Bank UK PLC (Company No: 04663024 is authorised by the Prudential
Regulation Authority and regulated by the Financial Conduct Authority and
Prudential Regulation Authority. Its registered office is One Thomas More
Square, London E1W 1YN. It is subject to the laws of England and Wales. All
products and services are subject to terms and conditions, which are available
at www.icicibank.co.uk.

The NRI products and services are offered by ICICI Bank Limited, India and are
subject to Reserve Bank of India ("RBI") rules and other applicable Indian laws
and regulations. These products and services are not regulated by the Financial
Conduct Authority. Hence, rules made under the Financial Services and Markets
Act 2000 for the protection of customers do not apply. Protections afforded by
the UK regulatory system, including the Financial Services Compensation Scheme
(FSCS) will not apply. Click here for ICICI Bank Limited privacy policy