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view.securdocs.com.au Open in urlscan Pro
202.124.206.235  Public Scan

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Submitted URL: https://click.super-retirement.com.au/?qs=4b6667e3e74ab57e24c25cac010a471e203c932d6ff8e2e870de4c37d4228f645605dbdd5b7924525af640e163eb...
Effective URL: https://view.securdocs.com.au/?code=MFM&key=202302208S02MASTAMT216ACCUM_101110_MSTBTSEN2023_20230221_101110101110
Submission: On February 28 via manual from AU — Scanned from AU

Form analysis 1 forms found in the DOM

Name: dynamicform — POST /Home/Retrieve?Length=4

<form action="/Home/Retrieve?Length=4" class="form-horizontal" data-ajax="true" data-ajax-begin="HideComponents();" data-ajax-mode="replace" data-ajax-success="ShowComponents();" data-ajax-update="#RetrieveResults" id="dynamicform" method="post"
  name="dynamicform" role="form" style="" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="fTrvrkSJbvwF_6ss-mnWflANBZPytFnjgrhhe_5O6CkGoT81pixMyF_6i73HbhAk8DgMM_OaWJIZ_FH1oz-nQJNuRs6YnOWDo-KFCUSuvHQ1">
  <div align="center" class="form-group">
    <div class="col-md-2 md3spacer">&nbsp;</div><label class="col-md-4 control-label"></label>
    <div class="col-md-3" align="center" style=""><img id="dualbrandlogo" src="https://view.securdocs.com.au/Content/Images/ClientLogos/Mercer/Mercer.png" width="220" height="63" style="display: none;"></div>
    <div class="col-md-3 md3spacer">&nbsp;</div>
  </div>
  <div align="center" class="form-group">
    <div class="col-md-2 md3spacer">&nbsp;</div><label class="col-md-4 control-label"><label class="MvcDynamicFieldPrompt" for="MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ">Date of Birth (ddmmyyyy)</label></label>
    <div class="col-md-3" align="center" style=""><input style="max-width: 145px; font-weight: normal; border: 2px solid rgb(153, 153, 153); background-color: rgb(242, 242, 242); border-radius: 3px;" data-val="true"
        data-val-regex="Please input the date as DDMMYYYY" data-val-regex-pattern="^([0-2][0-9]|(3)[0-1])(((0)[0-9])|((1)[0-2]))\d{4}$" data-val-required="This field is mandatory" id="MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ" maxlength="8"
        name="MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ" rows="1" type="text" value=""><label class="text-danger hideme" data-valmsg-for="MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ" data-valmsg-replace="true"
        for="MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ" id="lblval_MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ"></label>
      <div id="valspacer_MvcDynamicField_VLP_DTP_SUMM_DATE_OF_BIRTH_EQ" style="height: 0px;"></div>
    </div>
    <div class="col-md-3 md3spacer">&nbsp;</div>
  </div>
  <div class="form-group" style="padding-bottom:30px;">
    <div id="QuestionSubmit" class="col-sm-12" style="text-align:center;padding-top:20px">
      <input id="submit" type="submit" value="Submit" style="font-size: 20px; padding-left: 30px; padding-right: 30px; background-color: rgb(0, 143, 200);" name="submitButton" class="btn btn-primary nobuttonborder defaultfont">&nbsp;
    </div>
  </div>
  <input id="captcha" type="hidden" name="captcha"
    value="03AFY_a8Vps0DOoZsDx3wohQOby88gFJJE-wMI75C4J5s5utqcCqt4pph1vM2xFA4w243sLtfJ_XkEltGS6VjFdlDBznYWvqfRJ8_wCwNAvN0cYJBtJPUn0ST42cx_EsJGYXDRIH-jbCZW-Mhc5iTmwAW04ADnaySupUfmOJ3A4Q6-a-GzlVnsWIoPHl_m7hxMqdHrycWQhvJzV_nz6dlhSR2cAn3m-iojXSLqiR-aaCZiOMsQ2CsMgdSLoqVKxhMWJ9K0Y3XK42rzF_U-4cakSWg2pYvVi6Bt_0rUlUFov14a13bd3pPT3LqWMwcWQ2KDextXf5CqSdW6SXX3zOPsd-S4IxjvZzVA2T_P7iobm-N_j3FRgd-uQYgSWZT0Sfb4SxJS6Lj6V9VrXH2PJbL7p13hP010usKI01erDnKBuKxuxotwMEAaEg7_P1F_NUW-oamHyphgy-yp-69dZWMr2KHtokxBEg3HXiNHoUH504uNhc4xL2AMV8eAxcmtuFzjEiVB2penc1CB5K8MMxN55Ufm1RLmxOeMzQ">
  <input type="hidden" id="pinclientflag" name="pinclientflag" value="N">
  <input type="hidden" id="sessionguid" name="sessionguid" value="750a0e03-239a-4188-975e-94dcff1334d8">
</form>

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Date of Birth (ddmmyyyy)

 
 

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