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1 forms found in the DOM

Name: myForm — POST

<form name="myForm" id="myForm" method="post">
  <span class="bill-name"> Sumbangan KKIP </span>
  <p class="bill-desc"> Sumbangan Untuk Kelab Kasih Ibu Prihatin </p>
  <div class="wrapper-bill-amount">
    <span class="bill-amount-currency"> RM </span>
    <span class="bill-amount-input" style="border-bottom: 1px solid #D4D4D4;">
      <input required="" name="payment_amount" type="text" id="payment_amount" placeholder="0.00" size="10" value="0" autocomplete="off">
    </span>
  </div>
  <div class="wrapper-form">
    <label for="email">Email <span style="color:red">*</span></label>
    <input name="email" class="dom_emailpayor" required="" id="email" type="email" placeholder="Enter email here" value="" autocomplete="off">
    <p class="helper-text">You will receive the transaction receipt here.</p>
  </div>
  <div class="wrapper-more-information">
    <div class="wrapper-info-button">
      <button type="button" class="info-button flex" onclick="appendAdditionalField(event)"> More information <i class="fa fa-caret-down"></i>
      </button>
    </div>
    <div class="wrapper-info-user active">
      <div class="">
        <label for="name">Name <span style="color:red">*</span></label>
        <input name="name" id="name" style="margin-bottom: 16px;" required="" type="text" placeholder="Enter name here" value="" class="dom_namepayor" pattern="[a-zA-Z0-9\s]+" autocomplete="off">
        <label for="phone">Telephone Number <span style="color:red">*</span></label>
        <input name="phone" id="phone" style="margin-bottom: 16px;" type="text" placeholder="Enter phone number here" required="required" onkeypress="phoneFormat(event, this)" value="" class="dom_phonepayor" autocomplete="off" maxlength="15">
      </div>
    </div>
  </div>
  <div class="wrapper-payment-method">
    <label for="payment_method" style="margin-bottom: 8px;">Select payment method</label>
    <div class="tab-container">
      <button class="tab ct-0 active" onclick="changeTab(event,0)">
        <i class="fa fa-vault"></i> Online Banking </button>
    </div>
    <div class="tab-innercontent">
      <div id="online-banking" class="content ct-0 active">
        <input name="bankID" type="hidden" id="bankID" value="">
        <label for="account_type">Select account type</label>
        <select class="account-type" name="account_type" required="">
          <option value="0">Personal Banking</option>
        </select>
        <div class="personal-bank" hidden="" style="display: block;">
          <p class="helper-text">*Minimum Transaction is RM1 and Maximum Transaction is RM30,000 (depends on your Internet banking transaction limit).</p>
          <label for="select-bank">Select Bank</label>
          <div class="wrapper-select-bank">
            <select id="select-bank" class="select-image" name="bank" required="">
              <option value="">Select your bank</option>
              <option value="ABB0233">Affin Bank</option>
              <option value="AGRO01">AGRONet</option>
              <option value="ABMB0212">Alliance Bank (Personal)</option>
              <option value="AMBB0209">AmBank</option>
              <option value="BIMB0340">Bank Islam</option>
              <option value="BMMB0341">Bank Muamalat</option>
              <option value="BOCM01">Bank Of China</option>
              <option value="BKRM0602">Bank Rakyat</option>
              <option value="BSN0601">BSN</option>
              <option value="BCBB0235">CIMB Clicks</option>
              <option value="HLB0224">Hong Leong Bank</option>
              <option value="HSBC0223">HSBC Bank</option>
              <option value="KFH0346">KFH</option>
              <option value="MB2U0227">Maybank2U</option>
              <option value="OCBC0229">OCBC Bank</option>
              <option value="PBB0233">Public Bank</option>
              <option value="RHB0218">RHB Bank</option>
              <option value="SCB0216">Standard Chartered</option>
              <option value="UOB0226">UOB Bank</option>
            </select>
          </div>
        </div>
        <div class="corporate-bank" hidden="" style="display: none;">
          <p class="helper-text">*Minimum Transaction is RM2 and Maximum Transaction is RM1,000,000 (depends on your Internet banking transaction limit).</p>
        </div>
        <div class="wrapper-total-amount-fee">
          <span style="color: #624EC4; margin-bottom: 3px;">Final amount to pay</span>
          <div class="charges" style="margin-bottom: 3px;">
            <span>Bill Amount</span>
            <span> RM <span id="billAmount">0.00</span>
            </span>
          </div>
          <div class="charges admin-fee" style="margin-bottom: 3px; display: none;">
            <span>Admin Fee</span>
            <span> RM <span id="adminFee">0.00</span>
            </span>
          </div>
          <div class="charges">
            <span>Total Amount</span>
            <span> RM <span id="totalAmount">0.00</span>
            </span>
          </div>
        </div>
        <div class="checkbox">
          <label>
            <input type="checkbox" name="agree" id="agree" value="1" required=""> I agree to the <a href="https://www.mepsfpx.com.my/FPXMain/termsAndConditions.jsp" target="_blank">Terms and Conditions</a>
          </label>
        </div>
        <button type="submit" class="form-submit disable" disabled="">
          <span class="form-submit-title"> Proceed </span>
          <svg xmlns="http://www.w3.org/2000/svg" height="1em" viewBox="0 0 320 512">
            <path d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"></path>
          </svg>
        </button>
        <button onclick="submitClick(event, 0)" class="form-submit enable hidden" style="display: none;">
          <span class="form-submit-title" style="display:block"> Proceed to&nbsp;<span id="bankName"></span>
          </span>
          <i class="fa fa-chevron-right" style="color:white"></i>
        </button>
        <div class="footer">
          <img style="width: 65px;height: 30px;object-fit: cover;" src="https://toyyibpay.com/assets/img/icon/fpx-logo.png" alt="fpx-logo">
          <p> Online Banking Payment Channel via DuitNow and FPX provided by TOYYIBPAY SDN BHD. </p>
        </div>
      </div>
    </div>
  </div>
  <div class="wrapper-footer">
    <p style="margin-top: 16px;"> Bill code : Sumbangan-KKIP </p>
    <p> Reference : TP2402011034117253 </p>
  </div>
  <input name="payment_ref_no" type="hidden" id="payment_ref_no" value="TP2402011034117253">
</form>

Text Content

KELAB KASIH IBU PRIHATIN

kkib.web@gmail.com

0133510255

Scroll down and complete all necessary information

Sumbangan KKIP

Sumbangan Untuk Kelab Kasih Ibu Prihatin

RM
Email *

You will receive the transaction receipt here.

More information
Name * Telephone Number *
Select payment method
Online Banking
Select account type Personal Banking

*Minimum Transaction is RM1 and Maximum Transaction is RM30,000 (depends on your
Internet banking transaction limit).

Select Bank
Select your bankAffin BankAGRONetAlliance Bank (Personal)AmBankBank IslamBank
MuamalatBank Of ChinaBank RakyatBSNCIMB ClicksHong Leong BankHSBC
BankKFHMaybank2UOCBC BankPublic BankRHB BankStandard CharteredUOB Bank

*Minimum Transaction is RM2 and Maximum Transaction is RM1,000,000 (depends on
your Internet banking transaction limit).

Final amount to pay
Bill Amount RM 0.00
Admin Fee RM 0.00
Total Amount RM 0.00
I agree to the Terms and Conditions
Proceed Proceed to 

Online Banking Payment Channel via DuitNow and FPX provided by TOYYIBPAY SDN
BHD.

Bill code : Sumbangan-KKIP

Reference : TP2402011034117253

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