{"id":234,"date":"2024-11-07T12:27:06","date_gmt":"2024-11-07T12:27:06","guid":{"rendered":"https:\/\/hrtgroup.com.my\/motorsport\/?page_id=234"},"modified":"2024-11-17T03:57:54","modified_gmt":"2024-11-17T03:57:54","slug":"insforms","status":"publish","type":"page","link":"https:\/\/hrtgroup.com.my\/motorsport\/insforms\/","title":{"rendered":"Insurance Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"234\" class=\"elementor elementor-234\">\n\t\t\t\t<div class=\"elementor-element elementor-element-42c0326 e-flex e-con-boxed e-con e-parent\" data-id=\"42c0326\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6b408d6 elementor-widget elementor-widget-heading\" data-id=\"6b408d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Maklumat Kenderaan dan Pemilik<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69df0fb e-flex e-con-boxed e-con e-parent\" data-id=\"69df0fb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27e1ca3 elementor-widget elementor-widget-shortcode\" data-id=\"27e1ca3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">InsuranceForm<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"62\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='234' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"fb68bc0006\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/motorsport\/wp-json\/wp\/v2\/pages\/234\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Apakah Pilihan Insurance Anda?\">Apakah Pilihan Insurance Anda?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_ecc615c77dc7aa0fb4db393099c02f58'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Etiqa Insurance\"  id='checkbox_ecc615c77dc7aa0fb4db393099c02f58' aria-label='Etiqa Insurance' aria-invalid='false' aria-required=true> <span>Etiqa Insurance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_fbea748a055fc19ec7f0c8ccae9e3d77'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Etiqa Takaful\"  id='checkbox_fbea748a055fc19ec7f0c8ccae9e3d77' aria-label='Etiqa Takaful' aria-invalid='false' aria-required=true> <span>Etiqa Takaful<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5ce91579a8fae6354619867009ee5969'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Allianz\"  id='checkbox_5ce91579a8fae6354619867009ee5969' aria-label='Allianz' aria-invalid='false' aria-required=true> <span>Allianz<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f972da04d4580933c55dbd7a3eb537be'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Zurich\"  id='checkbox_f972da04d4580933c55dbd7a3eb537be' aria-label='Zurich' aria-invalid='false' aria-required=true> <span>Zurich<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text' aria-label=\"Nombor Pendaftaran Kenderaan\">Nombor Pendaftaran Kenderaan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown_1' id='label_ff_3_dropdown_1' aria-label=\"Jenis No Pengenalan\">Jenis No Pengenalan<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_3_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_dropdown_1\"><option value=\"\">- Select -<\/option><option value=\"No Kad Pengenalan Awam\"  >No Kad Pengenalan Awam<\/option><option value=\"No Pasport\"  >No Pasport<\/option><option value=\"Id Polis\"  >Id Polis<\/option><option value=\"Id Tentera\"  >Id Tentera<\/option><option value=\"Nompor Pendaftaran Perniagaan\"  >Nompor Pendaftaran Perniagaan<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_1' id='label_ff_3_input_text_1' aria-label=\"Nombor Pengenalan\">Nombor Pengenalan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_3_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" 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for='ff_3_input_text_3' id='label_ff_3_input_text_3' aria-label=\"Cc Kenderaan\">Cc Kenderaan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_3_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Perlindungan Tambahan\">Perlindungan Tambahan<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_40b195a7875e9296579539a4a6f50ebb'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Perlindungan Cermin\"  id='checkbox_1_40b195a7875e9296579539a4a6f50ebb' aria-label='Perlindungan Cermin' aria-invalid='false' aria-required=false> <span>Perlindungan Cermin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_a88c3779287e0b4820ea530f56837b8a'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Perlindungan Bencana\"  id='checkbox_1_a88c3779287e0b4820ea530f56837b8a' aria-label='Perlindungan Bencana' aria-invalid='false' aria-required=false> <span>Perlindungan Bencana<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_d678baf393ac3482a3fee9023768764c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"PA (Unlimited Towing)\"  id='checkbox_1_d678baf393ac3482a3fee9023768764c' aria-label='PA (Unlimited Towing)' aria-invalid='false' aria-required=false> <span>PA (Unlimited Towing)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_dae7352f04fa36f56d3b79c2b636cd1e'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lain Yang DiSyorkan\"  id='checkbox_1_dae7352f04fa36f56d3b79c2b636cd1e' aria-label='Lain Yang DiSyorkan' aria-invalid='false' aria-required=false> <span>Lain Yang DiSyorkan<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_4' id='label_ff_3_input_text_4' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_3_input_text_4\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_numeric_field' 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