apps.ucoonline.in
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Submitted URL: https://rb.gy/fdfmda
Effective URL: https://apps.ucoonline.in/cust_feedback/Home_Page.jsp
Submission: On January 05 via manual from IN — Scanned from DE
Effective URL: https://apps.ucoonline.in/cust_feedback/Home_Page.jsp
Submission: On January 05 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: acid_mobno — POST
<form id="acid_mobno" name="acid_mobno" class="appnitro" target="_blank" method="post">
<!-- <center><img src="images/grs.png" alt="Grievence Redressal" width="200px" height="199px"/></center> -->
<input type="hidden" name="param" id="param"> <input type="hidden" name="param2" id="param2"> <input type="hidden" name="param3" id="param3"> <input type="hidden" name="param4" id="param4">
<input type="hidden" name="paramcomp" id="paramcomp">
<h4>
<b><u><center>Customer FeedBack Form</center></u></b>
</h4>
<div id="customer_identification">
<table>
<tbody>
<tr>
<td colspan="6">Existing Customer : <input class="existcustomer" type="radio" name="existcustomer" value="1" onclick="valuechange()">
</td>
<td colspan="6"> Non Customer <input class="existcustomer" type="radio" name="existcustomer" value="1" onclick="valueChangenonexist()">
</td>
</tr>
</tbody>
</table>
</div>
<!-- For Customers -->
<div id="main" style="width: 565px; height: 550px; display: none;">
<table width="100%" height="10%" cellspacing="0" style="font-family: Verdana, Arial, Helvetica, Geneva, sans-serif; font-weight: normal; font-size: 11px; color: #000000">
<tbody>
<tr>
<td><label>1. Account Number:</label></td>
<td><input id="acId" name="acId" class="element text medium" type="text" value="" style="background-color: #f5f5f5;" onkeypress="return numbersonly(event);"></td>
</tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>2. Mobile Number:</label></td>
<td><input id="mobId" name="mobId" class="element text medium" type="text" value="" style="background-color: #f5f5f5;" onkeypress="return numbersonly(event);"></td>
</tr>
<tr></tr>
<tr>
<td colspan="2" style="font-family: century gothic; text-align: left;" width="100%">
</td>
</tr>
<tr></tr>
<tr>
<td colspan="2" style="font-family: century gothic; text-align: left;">
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
</tbody>
</table>
<table id="feedbacktable" name="feedbacktable">
<tbody>
<tr>
<td><b> How Satisfied you are with overall experience</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt1" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide1" name="slide1" type="range" min="1" max="10" value="10" onchange="valueAssign(1);">
</td>
</tr>
<tr>
<td><b> Ease of finding the offers/features/Services offered by Bank</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt2" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide2" name="slide2" type="range" min="1" max="10" value="10" onchange="valueAssign(2);">
</td>
</tr>
<tr>
<td><b> Ease of features/Services/infrastructure in Website</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt3" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide3" name="slide3" type="range" min="1" max="10" value="10" onchange="valueAssign(3);">
</td>
</tr>
<tr>
<td><b> Mobile Banking Experience</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt4" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide4" name="slide4" type="range" min="1" max="10" value="10" onchange="valueAssign(4);">
</td>
</tr>
<tr>
<td><b> E-Banking Experience</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt5" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide5" name="slide5" type="range" min="1" max="10" value="10" onchange="valueAssign(5);">
</td>
</tr>
<tr>
<td><b> Customer Service Support</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt6" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide6" name="slide6" type="range" min="1" max="10" value="10" onchange="valueAssign(6);">
</td>
</tr>
<tr>
<td><b> How easy was it for the customer to resolve a problem</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt7" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide7" name="slide7" type="range" min="1" max="10" value="10" onchange="valueAssign(7);">
</td>
</tr>
<tr>
<td><b> How likely it is that the customer would recommend the Bank</b></td>
<td><input type="text" style="background-color: #a1fa4f;align:center;" id="Txt8" size="2" name="scoroll" value="10" readonly=""></td>
</tr>
<tr>
<td><input id="slide8" name="slide8" type="range" min="1" max="10" value="10" onchange="valueAssign(8);">
</td>
</tr>
</tbody>
<!--<tr>
<td><b>Suggestion/FeedBack:<br>(400 Characters):
</b> <textarea id="comp_details" name="comp_details" rows="3"
cols="60" style="width:400px;height:150px;"></textarea></td>
</tr>
-->
</table>
</div>
<div id="noncust" name="noncust" style="display: none;">
<table width="100%" height="10%" cellspacing="0" style="font-family: Verdana, Arial, Helvetica, Geneva, sans-serif; font-weight: normal; font-size: 11px; color: #000000">
<tbody>
<tr>
<td><label>1. Name of Customer:</label>
<input id="acct_name" name="acct_name" class="element text large" type="text" value="" style="background-color: #f5f5f5;">
</td>
</tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>2. Address:</label>
<input id="non_cust_address" name="non_cust_address" class="element text large" type="text" value="" style="background-color: #f5f5f5;">
</td>
</tr>
<tr></tr>
<tr>
<td><label>3. Email Id:</label>
<input id="cust_email" name="cust_email" class="element text large" type="text" value="" style="background-color: #f5f5f5;">
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>4. Mobile Number:</label>
<input id="mob_no" name="mob_no" type="text" value="" style="background-color: #f5f5f5;" onkeypress="return numbersonly(event);">
</td>
</tr>
<tr></tr>
<tr>
<td><label>5. Customer Age group: </label>
<select id="age" name="age">
<option value="30"><30 </option>
<option value="45">30-60 </option>
<option value="60">60</option>
</select>
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>6. Gender: </label>
<select id="gender" name="gender">
<option value="M">Male </option>
<option value="F">Female </option>
<option value="O">Other</option>
</select>
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>7. Area: </label>
<select id="area" name="area">
<option value="M">Metro </option>
<option value="U">Urban </option>
<option value="S">Semi-urban</option>
<option value="R">Rural</option>
</select>
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td><label>8. State: </label>
<select id="state" name="state">
<option>---Select---</option>
<option value="AN">ANDAMAN NICOBAR</option>
<option value="AP">ANDHRA PRADESH</option>
<option value="AR">ARUNACHAL PRADESH</option>
<option value="AS">ASSAM</option>
<option value="BH">BIHAR</option>
<option value="CH">CHANDIGARH</option>
<option value="CG">CHHATISGARH</option>
<option value="DN">DADRA - NAGAR HAVELI</option>
<option value="DD">DAMAN - DIU</option>
<option value="GO">GOA</option>
<option value="GJ">GUJARAT</option>
<option value="HR">HARYANA</option>
<option value="HP">HIMACHAL PRADESH</option>
<option value="JK">JAMMU - KASHMIR</option>
<option value="JD">JHARKHAND</option>
<option value="KA">KARNATAKA</option>
<option value="KL">KERALA</option>
<option value="LK">LAKSHADWEEP</option>
<option value="MP">MADHYA PRADESH</option>
<option value="MH">MAHARASHTRA</option>
<option value="MN">MANIPUR</option>
<option value="ML">MEGHALAYA</option>
<option value="MZ">MIZORAM</option>
<option value="NL">NAGALAND</option>
<option value="DL">NEW DELHI</option>
<option value="OR">ODISHA</option>
<option value="OS">OVERSEAS</option>
<option value="PN">PONDICHERRY</option>
<option value="PB">PUNJAB</option>
<option value="RJ">RAJASTHAN</option>
<option value="SK">SIKKIM</option>
<option value="TN">TAMIL NADU</option>
<option value="TS">TELANGANA</option>
<option value="TR">TRIPURA</option>
<option value="UP">UTTAR PRADESH</option>
<option value="UL">UTTARANCHAL</option>
<option value="WB">WEST BENGAL</option>
</select>
</td>
</tr>
<tr>
<td><b>9. Suggestion/FeedBack:<br>(400 Characters):
</b> <textarea id="noncust_comp_details" name="noncust_comp_details" rows="3" cols="60" style="width:400px;height:150px;"></textarea></td>
</tr>
</tbody>
</table>
</div>
<br><br><br>
<div name="captcha" id="captcha" style="display: none;">
<label class="description" for="id" style="font-family: century gothic; text-align: center; font-size: 120%"> Validation And Submit</label>
<table>
<tbody>
<tr>
<td><input id="captchaRefno" name="captchaRefno" type="hidden" value="312432"> <a href="#" id="captchaRefBtn" onclick="captchRefresh()"> <img id="captchaRefImg" src="themes/icons/reload.png" style="width: 16px; height: 16px; vertical-align: middle;">
</a> <a href="#" id="captchaRefAudio" onclick="showVoiceCaptcha()"> <img id="captchaRefAudioImg" src="themes/icons/audio.png" style="width: 16px; height: 16px; vertical-align: middle;">
</a> <img id="captchaImg" src="CaptchaSrv?requestedImage=312432&nocache=1704449964690" style="width: 180px; height: 25px; vertical-align: middle;">
<input name="captchaResult" id="captchaResult" class="element text medium" style="width: 50px;" onkeypress="return numbersonly(event); "> <!-- <input type="button"
value="Generate OTP" onclick="generate_otp()" /> -->
</td>
<td>
<div id="customerfS">
<!-- <input type="button" name="Submit" value="Submit" onclick="SendtoHoF();"> -->
<input type="button" value="Generate OTP" onclick="generate_otp()">
</div>
<div id="noncustfS">
<input type="button" name="Submit" value="Submit" onclick="SendtononCust();">
</div>
</td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td></td>
</tr>
<tr>
</tr>
</tbody>
</table>
</div>
<div id="otp_generation" align="center" style="display: none;">
<label class="description" for="id" style="font-family: century gothic; text-align: center; font-size: 120%"> OTP Details</label>
<table width="100%" height="10%" cellspacing="0" style="font-family: Verdana, Arial, Helvetica, Geneva, sans-serif; font-weight: normal; font-size: 11px; color: #000000">
<tbody>
<tr>
<td colspan="2" style="font-family: century gothic;" align="center"><b>OTP has been sent to your mobile
number having reffernce number below mentioned </b></td>
</tr>
<tr></tr>
<tr></tr>
<tr>
<td style="font-family: century gothic;" align="center"><b>Reference
No:</b> <input type="text" id="otp_ref_no" name="otp_ref_no" value="" readonly=""></td>
</tr>
<tr>
</tr>
<tr>
<td style="font-family: century gothic;" align="center"><b> OTP
No:</b> <input type="password" id="otp_n_digit_no" name="otp_n_digit_no"></td>
</tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr></tr>
<tr>
<td style="font-family: century gothic;" colspan="2" align="center"><input id="otpBtn" type="button" value="Validate and Submit" onclick="validate_otp();"> </td>
</tr>
</tbody>
</table>
</div>
<br>
<br>
<br>
<br>
</form>Text Content
CUSTOMER FEEDBACK FORM Existing Customer : Non Customer 1. Account Number: 2. Mobile Number: How Satisfied you are with overall experience Ease of finding the offers/features/Services offered by Bank Ease of features/Services/infrastructure in Website Mobile Banking Experience E-Banking Experience Customer Service Support How easy was it for the customer to resolve a problem How likely it is that the customer would recommend the Bank 1. Name of Customer: 2. Address: 3. Email Id: 4. Mobile Number: 5. Customer Age group: <30 30-60 60 6. Gender: Male Female Other 7. Area: Metro Urban Semi-urban Rural 8. State: ---Select--- ANDAMAN NICOBAR ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATISGARH DADRA - NAGAR HAVELI DAMAN - DIU GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU - KASHMIR JHARKHAND KARNATAKA KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND NEW DELHI ODISHA OVERSEAS PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TELANGANA TRIPURA UTTAR PRADESH UTTARANCHAL WEST BENGAL 9. Suggestion/FeedBack: (400 Characters): Validation And Submit OTP Details OTP has been sent to your mobile number having reffernce number below mentioned Reference No: OTP No: