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kapendak.bapenda.jabarprov.go.id Open in urlscan Pro
103.11.98.181  Public Scan

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URL: https://kapendak.bapenda.jabarprov.go.id/
Submission: On December 23 via manual — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="auth-register-form mt-2">
  <div class="form-group"><label for="register-name" class="form-label">Nama</label><input id="register-name" placeholder="Nama Lengkap" type="text" class="form-control" aria-invalid="false">
    <div class="invalid-feedback">Nama wajib diisi</div>
  </div>
  <div class="form-group"><label for="register-phone" class="form-label">No HP</label>
    <div class="mb-2 input-group">
      <div class="input-group-prepend"><span class="input-group-text">+62</span></div><input type="text" class="form-control input-group-merge" placeholder="Nomor Handphone" id="register-phone" value="">
      <div class="invalid-feedback">No HP wajib diisi</div>
    </div>
  </div>
  <div class="form-group"><label for="register-email" class="form-label">Email</label><input id="register-email" placeholder="john@example.com" type="email" class="form-control" aria-invalid="false">
    <div class="invalid-feedback">Email wajib diisi</div>
  </div>
  <div class="form-group"><label for="register-password" class="">Kata Sandi Baru</label>
    <div class="input-group"><input placeholder="Minimal 8 karakter" id="register-password" type="password" class="form-control" aria-invalid="false">
      <div class="input-group-append"><span class="cursor-pointer input-group-text"><svg xmlns="http://www.w3.org/2000/svg" width="14" height="14" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round"
            stroke-linejoin="round">
            <path d="M1 12s4-8 11-8 11 8 11 8-4 8-11 8-11-8-11-8z"></path>
            <circle cx="12" cy="12" r="3"></circle>
          </svg></span></div>
    </div>
    <div class="invalid-feedback">Kata Sandi wajib diisi</div>
  </div>
  <div class="my-2 form-group">
    <div class="custom-control-Primary custom-checkbox custom-control"><input type="checkbox" id="remember-me" class="custom-control-input"><label class="custom-control-label" for="remember-me">Saya
        menyetujui<a class="ml-25" href="/">syarat &amp; ketentuan</a></label></div>
  </div>
  <div class="react-ripples d-block" style="position: relative; display: inline-flex; overflow: hidden;"><button type="button" disabled="" class="btn btn-danger btn-block disabled">Daftar</button><s
      style="position: absolute; border-radius: 50%; opacity: 0; width: 35px; height: 35px; transform: translate(-50%, -50%); pointer-events: none;"></s></div>
  <p class="text-center mt-2 mb-1">Punya pertanyaan? Telusuri <a href="/faq">Pusat Bantuan</a> kami.</p>
</form>

Text Content

DAFTAR AKUN BARU

Sudah punya akun pemutakhiran?

Masuk Disini
atau daftar dengan



Nama
Nama wajib diisi
No HP
+62
No HP wajib diisi
Email
Email wajib diisi
Kata Sandi Baru

Kata Sandi wajib diisi
Saya menyetujuisyarat & ketentuan
Daftar

Punya pertanyaan? Telusuri Pusat Bantuan kami.



PERHATIAN

Berikut ini dokumen yang perlu dipersiapkan saat melakukan Pemutakhiran Data :

KTP

Kartu Tanda Penduduk

KK

Kartu Keluarga

STNK ATAS NAMA SENDIRI ATAU YANG DIKUASAI

Surat Tanda Nomor Kendaraan
Tutup