centerlife.w3spaces.com
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urlscan Pro
2600:9000:2156:9e00:b:df74:43c0:93a1
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URL:
https://centerlife.w3spaces.com/index.html
Submission: On January 08 via manual from ZA — Scanned from DE
Submission: On January 08 via manual from ZA — Scanned from DE
Form analysis
1 forms found in the DOM<form>
<div class="w3-small">
<input type="radio" id="refund" name="option" value="refund">
<label for="refund">Refund: Upgrading</label>
</div>
<div class="w3-small">
<input type="radio" id="deceased" name="option" value="deceased">
<label for="deceased">Refund: Deceased</label>
</div>
<div class="w3-small">
<input type="radio" id="addme" name="option" value="addme">
<label for="addme">Adding Member</label>
</div>
<div class="w3-small">
<input type="radio" id="debitdate" name="option" value="debitdate">
<label for="debitdate">Changing debit date</label>
</div>
<div class="w3-small">
<input type="radio" id="debitacc" name="option" value="debitacc">
<label for="debitacc">Changing debit acc</label>
</div>
<div class="w3-small">
<input type="radio" id="ben" name="option" value="ben">
<label for="ben">Changing beneficary</label>
</div>
<div class="w3-small">
<input type="radio" id="remomember" name="option" value="remomember">
<label for="remomember">Removing Member</label>
</div>
<div class="w3-small">
<input type="radio" id="sum" name="option" value="sum">
<label for="sum">Increasing Sum</label>
</div>
<div class="w3-small">
<input type="radio" id="cancel" name="option" value="cancel">
<label for="cancel">Cancelation</label>
</div>
<div class="w3-small">
<input type="radio" id="cancelfollow" name="option" value="cancelfollow">
<label for="cancelfollow">Cancelation Follow Up</label>
</div>
<div class="w3-small">
<input type="radio" id="adhoc" name="option" value="adhoc">
<label for="adhoc">Adhoc</label>
</div>
<div class="w3-small">
<input type="radio" id="Reinstatement" name="option" value="Reinstatement">
<label for="Reinstatement">Reinstatement</label>
</div>
<div class="w3-small">
<input type="radio" id="prem" name="option" value="prem">
<label for="prem">ALVS adhoc</label>
</div>
<div class="w3-small">
<input type="radio" id="docs" name="option" value="docs">
<label for="docs">Policy Documents</label>
</div>
<div class="w3-small">
<input type="radio" id="3days" name="option" value="3days">
<label for="3days">3 Days rule</label>
</div>
<div class="w3-small">
<input type="radio" id="conpolde" name="option" value="conpolde">
<label for="conpolde">Confirmed policy details</label>
</div>
<div class="w3-small">
<input type="radio" id="upmede" name="option" value="upmede">
<label for="upmede">Updated member details</label>
</div>
<div class="w3-small">
<input type="radio" id="status" name="option" value="status">
<label for="status">Policy Status</label>
</div>
<div class="w3-small">
<input type="radio" id="claims" name="option" value="claims">
<label for="claims">claims Notes</label>
</div>
<div class="w3-small">
<input type="radio" id="Follow" name="option" value="Follow">
<label for="Follow">Claims Follow up</label>
</div>
<div class="w3-small">
<input type="radio" id="Retentions" name="option" value="Retentions">
<label for="Retentions">Retentions note</label>
</div>
<div class="w3-small">
<input type="radio" id="Language" name="option" value="Language">
<label for="Language">Language Transferre</label>
</div>
<div class="w3-small">
<input type="radio" id="Transfired" name="option" value="Transfired">
<label for="Transfired">Transferred note</label>
</div>
<div class="w3-small">
<input type="radio" id="cannot" name="option" value="cannot">
<label for="cannot">Can Not Reinstate</label>
</div>
</form>
Text Content
TERM CALCULATOR Refund: Upgrading Refund: Deceased Adding Member Changing debit date Changing debit acc Changing beneficary Removing Member Increasing Sum Cancelation Cancelation Follow Up Adhoc Reinstatement ALVS adhoc Policy Documents 3 Days rule Confirmed policy details Updated member details Policy Status claims Notes Claims Follow up Retentions note Language Transferre Transferred note Can Not Reinstate