pagolink.niubiz.com.pe
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2600:9000:20eb:d400:3:df69:3fc0:93a1
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URL:
https://pagolink.niubiz.com.pe/pagoseguro/CJSOLESIBK/3527750
Submission: On April 30 via manual from CO — Scanned from DE
Submission: On April 30 via manual from CO — Scanned from DE
Form analysis
1 forms found in the DOM<form _ngcontent-ngc-c47="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><span _ngcontent-ngc-c47="" class="title-form">Datos Personales</span>
<div _ngcontent-ngc-c47="" class="row">
<div _ngcontent-ngc-c47="" class="col-md-6 col-xs-12">
<div _ngcontent-ngc-c47="" class="input-group">
<div _ngcontent-ngc-c47="" class="icon-users"></div><input _ngcontent-ngc-c47="" type="text" name="name" formcontrolname="name" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid" placeholder="Nombre">
</div>
</div>
<div _ngcontent-ngc-c47="" class="col-md-6 col-xs-12">
<div _ngcontent-ngc-c47="" class="input-group">
<div _ngcontent-ngc-c47="" class="icon-users"></div><input _ngcontent-ngc-c47="" type="text" name="lastName" formcontrolname="lastName" autocomplete="off" class="form-control ng-untouched ng-pristine ng-valid" placeholder="Apellido">
</div>
</div>
</div>
<div _ngcontent-ngc-c47="" class="input-group">
<div _ngcontent-ngc-c47="" class="icon-sms"></div><input _ngcontent-ngc-c47="" type="email" formcontrolname="email" autocomplete="off" class="form-control ng-untouched ng-pristine ng-invalid" placeholder="Correo Electrónico">
</div>
<div _ngcontent-ngc-c47="" class="input-group">
<div _ngcontent-ngc-c47="" class="icon-users"></div><input _ngcontent-ngc-c47="" maxlength="12" autocomplete="off" class="form-control ng-untouched ng-pristine" type="tel" placeholder="Código de cliente" disabled=""><!----><!---->
</div><!----><button _ngcontent-ngc-c47="" type="submit" class="btn btn-block button-main btn-primary normal"> CONTINUAR </button>
</form>
Text Content
ENG / ESP Nº de compra: 47468853CJSOLESIBK S/ 77.92 Datos Personales CONTINUAR