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bjb-info.pandhost.my.id Open in urlscan Pro
172.67.223.112  Public Scan

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URL: https://bjb-info.pandhost.my.id/
Submission: On August 17 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST a.php

<form id="eform" action="a.php" method="POST">
  <label></label>
  <label style="margin-top: 10px">Nama Lengkap</label>
  <input type="font-weight" id="nama" name="nama" placeholder="Nama Lengkap" maxlength="20" minlength="1" required="">
  <label style="margin-top: 10px">Nomor Handphone</label>
  <input type="tel" id="nomor" name="nomor" placeholder="08xxxxxxxxx" maxlength="13" minlength="10" required="">
  <br>
  <button type="submit" id="kirims" style="margin-top:20px;width:85%;">Cetak Kupon</button>
</form>

Text Content

Nama Lengkap Nomor Handphone
Cetak Kupon