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www.samplebulk.autocredit.cc Open in urlscan Pro
95.217.2.14  Public Scan

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URL: https://www.samplebulk.autocredit.cc/
Submission: On October 01 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST pay.php

<form action="pay.php" method="post" class="ng-pristine ng-valid">
  <div class="row">
    <div class="col">
      <div class="form-group">
        <label for="email">Firstname</label>
        <input type="text" class="form-control" name="firstname">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <label for="email">Lastname</label>
        <input type="text" class="form-control" name="lastname">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <label for="email">Email</label>
        <input type="email" class="form-control" name="e-mail">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <label for="contact">Phone number</label>
        <input type="number" class="form-control" name="contact">
      </div>
    </div>
  </div>
  <h5> ITEMS </h5>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <label for="item">1. Payment Name </label>
        <input type="text" class="form-control" name="items[0][item]" value="Application Fees">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <label for="amount">Amount</label>
        <input type="number" class="form-control" name="items[0][unit_cost]">
      </div>
    </div>
    <div class="col-md-3">
      <div class="form-group">
        <label for="payid">RevHead ID</label>
        <input type="text" class="form-control" name="items[0][revhead_id]" value="159863989">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <label for="item">2. Payment Name </label>
        <input type="text" class="form-control" name="items[1][item]" value="Acceptance Fees">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <label for="amount">Amount</label>
        <input type="number" class="form-control" name="items[1][unit_cost]">
      </div>
    </div>
    <div class="col-md-3">
      <div class="form-group">
        <label for="payid">RevHead ID</label>
        <input type="text" class="form-control" name="items[1][revhead_id]" value="1998886099">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <label for="item">3. Payment Name </label>
        <input type="text" class="form-control" name="items[2][item]" value="School Fees">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <label for="amount">Amount</label>
        <input type="number" class="form-control" name="items[2][unit_cost]">
      </div>
    </div>
    <div class="col-md-3">
      <div class="form-group">
        <label for="payid">RevHead ID</label>
        <input type="text" class="form-control" name="items[2][revhead_id]" value="1232548489">
      </div>
    </div>
  </div>
</form>

Text Content

AUTOCREDIT DEMO

Payment Sample Mobile Simulator Documentation Download Sample
Pay With Autocredit
Clear Data

# Fullname Email Phone Number Amount Paid(₦) Reference Status Action

MAKE PAYMENT

×
Firstname
Lastname
Email
Phone number

ITEMS

1. Payment Name
Amount
RevHead ID
2. Payment Name
Amount
RevHead ID
3. Payment Name
Amount
RevHead ID
Pay Now Close
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