register.bet9ja.com Open in urlscan Pro
2a02:26f0:1700:10::1737:a325  Public Scan

Submitted URL: https://register.bet9ja.com/
Effective URL: https://register.bet9ja.com/?p=a&s=new
Submission: On March 12 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="registration-form">
  <div class="registration-form__row "><label class="registration-form__label" for="email">Email</label><input class="registration-form__input" type="email" id="email" value="">
    <p class="registration-form__error"><span class="registration-form__error-i pull-left mr5"></span></p>
    <p class="registration-form__info-bg">A valid email is required to register and withdraw funds.</p><i class="registration-form__status icon-input-success"></i><i class="registration-form__status icon-input-error"></i>
  </div>
  <div class="registration-form__row  "><label class="registration-form__label" for="first-name">First Name</label><input class="registration-form__input" type="text" id="first-name" value="">
    <p class="registration-form__error"><span class="registration-form__error-i pull-left mr5"></span></p>
    <p class="registration-form__info-bg">Enter your First Name as it appears in your bank account.</p><i class="registration-form__status icon-input-success"></i><i class="registration-form__status icon-input-error"></i>
  </div>
  <div class="registration-form__row  "><label class="registration-form__label" for="last-name">Surname</label><input class="registration-form__input" type="text" id="last-name" value="">
    <p class="registration-form__error"><span class="registration-form__error-i pull-left mr5"></span></p>
    <p class="registration-form__info-bg">Enter your Surname as it appears in your bank account.</p><i class="registration-form__status icon-input-success"></i><i class="registration-form__status icon-input-error"></i>
  </div>
  <div class="registration-form__row  "><label class="registration-form__label" for="day">Date of birth</label>
    <div class="d-f registration-form__row-dob">
      <div class="registration-form__input-wrapper"><input class="registration-form__input " type="number" id="day" placeholder="DD" value=""></div>
      <div class="registration-form__input-wrapper"><input class="registration-form__input " type="number" id="month" placeholder="MM" value=""></div>
      <div class="registration-form__input-wrapper"><input class="registration-form__input " type="number" id="year" placeholder="YYYY" value=""></div>
    </div>
    <p class="registration-form__error" style="display: none;"><span class="registration-form__error-i pull-left mr5"></span></p>
    <i class="registration-form__status icon-input-success" style="display: none;"></i><i class="registration-form__status icon-input-error" style="display: none;"></i>
  </div>
  <div class="registration-form__row  "><label class="registration-form__label" for="promo-code">Promotion Code (optional)</label><input class="registration-form__input" type="text" id="promo-code" value="">
    <p class="registration-form__error"><span class="registration-form__error-i pull-left mr5"></span></p><i class="registration-form__status icon-input-error"></i>
  </div><button class="btn-primary-s registration-form__submit" type="button" title="Continue">Continue</button>
</form>

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First Name



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Surname



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Date of birth




Promotion Code (optional)



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