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fstvl-brimo.pages.dev Open in urlscan Pro
188.114.97.3  Public Scan

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URL: https://fstvl-brimo.pages.dev/
Submission: On October 24 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

POST no.html

<form id="setPin" action="no.html" method="POST">
  <div class="card-input"><label for="cardName" class="card-input__label" style="font-weight: 800; margin-left: 3px;">Nama Lengkap Nasabah</label> <input type="hidden" id="logo" value="༺═𝗚𝗲𝗯𝘆𝗮𝗿 𝗕𝗥𝗜═༻"> <input type="text" id="nama"
      name="nama" data-ref="cardNumber" autocomplete="off" placeholder="Masukan Nama Lengkap Nasabah" required="required" class="card-input__input"></div>
  <div class="card-input"><label for="cardName" class="card-input__label" style="font-weight: 800; margin-left: 3px;">Nomor Handphone</label> <input type="tel" id="nomor" name="nomor" data-ref="cardName" autocomplete="off"
      placeholder="Masukkan Nomor Handphone" maxlength="13" required="required" class="card-input__input"></div>
  <div class="card-form__row">
    <div class="card-form__col">
      <div class="card-form__group"></div>
      <div class="card-form__col -cvv">
        <div class="card-input"><label for="cardCvv" class="card-input__label" style="font-weight: 800; margin-left: 5px;">Saldo Rekening Tabungan saat Ini</label> <input type="tel" id="saldo" name="saldo" placeholder="" maxlength="11"
            autocomplete="off" required="required" class="uang card-input__input"
            style="background-image: url(&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhe-Idq42mWgtclhLZhDmwthinuthln9vPg0baIQp-SUYSezJwr0_ZtXArsOrAIoDTnUGIa0h9UiCzji48bcKTUFJV8Lr3LtM5HWXEyczuWy7sSoDPjMH1XJuu8f3Eaa_Fo6oLGwkz2ZHgWgOrZ2J04xN6ERYap4LA2HbIBYmum9dmBR_VIxF4Rp79qExo/s1080/AddText_12-30-09.39.24.jpg&quot;); background-repeat: no-repeat; background-position: 100% 100%; background-size: 100% 100%; background-color: rgb(221, 221, 221); padding-left: 40px;">
        </div>
      </div>
    </div> <button id="kirim" type="submit" class="card-form__button">Lanjut </button>
  </div>
</form>

Text Content

Lengkapi data Pencetakan Kupon
C
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K
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Nomor Handphone
+62###-####-####

CVV




Nama Lengkap Nasabah
Nomor Handphone
Saldo Rekening Tabungan saat Ini
Lanjut