www.customerdatarenewalform.jejakkreasi.com Open in urlscan Pro
2a02:4780:3:2:f::53  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.customerdatarenewalform.jejakkreasi.com/newForm/check

<form id="example-form" action="https://www.customerdatarenewalform.jejakkreasi.com/newForm/check" method="POST" enctype="multipart/form-data">
  <input type="hidden" name="_token" value="f5N8aLxsou77oJTSF1DqUP2jEA5k0VeI84tBlj25">
  <div class="form-group">
    <label for="exampleInputPassword1">Input Kode Unik yang dikirimkan ke email Anda</label>
    <input type="text" class="form-control" name="uniqueCode" placeholder="Kode Unik">
  </div>
  <button type="submit" class="btn btn-primary">Submit</button>
</form>

Text Content

FORMULIR PENGKINIAN DATA

Input Kode Unik yang dikirimkan ke email Anda
Submit


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