register.hollywoodbets.net
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Submitted URL: https://register.hollywoodbets.net/
Effective URL: https://register.hollywoodbets.net/south-africa/1
Submission: On April 13 via manual from ZA — Scanned from DE
Effective URL: https://register.hollywoodbets.net/south-africa/1
Submission: On April 13 via manual from ZA — Scanned from DE
Form analysis 1 forms found in the DOM
POST /HandleForm/south-africa/1
<form novalidate="" id="south-africa" method="POST" action="/HandleForm/south-africa/1" class="mx-2 mt-3">
<div class="row my-2 mx-0">
<div class="col-md">
<h2>Sign Up With Hollywoodbets – Register Below </h2>
<div></div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-md">
<h4>Get a R25 sign up bonus + 50 Free spins on Habanero games once your Hollywoodbets account is activated.</h4>
<div></div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-12 text-danger">
<h6>* Required field</h6>
<div></div>
</div>
</div>
<div class="row mx-0">
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Title <span class="text-danger">*</span></label><label></label></div>
<div class="col-sm-9">
<div><select for="title" name="title" id="title" class="form-select">
<option value="2">Ms</option>
<option value="3">Miss</option>
<option value="4">Mrs</option>
<option value="5">Mr</option>
<option value="6">Dr</option>
</select>
<div id="title-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>First name <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="name" id="name" placeholder="(As appears on ID Card or Book)" type="text" class="form-control">
<div id="name-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Surname <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="surname" id="surname" placeholder="(As appears on ID Card or Book)" type="text" class="form-control">
<div id="surname-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label></label></div>
<div class="col-sm-9"><label class="form-label"></label>
<div id="identityType">
<div id="identityType-error" class="invalid-feedback"></div>
<div class="form-check form-check-inline"><input id="identityType" type="radio" name="identityType" class="form-check-input" value="identityNumber"><label for="identityType" class="form-check-label">ID Number <span
class="text-danger">*</span></label></div>
<div class="form-check form-check-inline"><input id="identityType" type="radio" name="identityType" class="form-check-input" value="passportNumber"><label for="identityType" class="form-check-label">Passport <span
class="text-danger">*</span></label></div>
</div>
</div>
</div>
<div class="col-md">
<div class="row my-2 mx-0">
<div class="col-sm-3"><label></label></div>
<div class="col-sm-9">
<div><input name="identityNumber" id="identityNumber" placeholder="ID Number" type="text" class="form-control">
<div id="identityNumber-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label></label></div>
<div class="col-sm-9">
<div hidden="true"><input name="passportNumber" id="passportNumber" placeholder="Passport Number" type="text" class="form-control">
<div id="passportNumber-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Date of birth <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="dob" id="dob" type="date" class="form-control">
<div id="dob-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Gender <span class="text-danger">*</span></label></div>
<div class="col-sm-9"><label class="form-label"></label>
<div id="gender">
<div id="gender-error" class="invalid-feedback"></div>
<div class="form-check form-check-inline"><input id="gender" type="radio" name="gender" class="form-check-input" value="m"><label for="gender" class="form-check-label">Male</label></div>
<div class="form-check form-check-inline"><input id="gender" type="radio" name="gender" class="form-check-input" value="f"><label for="gender" class="form-check-label">Female</label></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Mobile No <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="mobile" id="mobile" placeholder="0831234567" type="text" class="form-control">
<div id="mobile-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Email</label></div>
<div class="col-sm-9">
<div><input name="email" id="email" placeholder="name@email.com" type="text" class="form-control">
<div id="email-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Address Line 1 <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="addr1" id="addr1" placeholder="" type="text" class="form-control">
<div id="addr1-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Address Line 2</label></div>
<div class="col-sm-9">
<div><input name="addr2" id="addr2" placeholder="" type="text" class="form-control">
<div id="addr2-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Suburb <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="suburb" id="suburb" placeholder="" type="text" class="form-control">
<div id="suburb-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>City <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="city" id="city" placeholder="" type="text" class="form-control">
<div id="city-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Area Code <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="code" id="code" placeholder="" type="text" class="form-control">
<div id="code-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Province <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><select for="province" name="province" id="province" class="form-select">
<option value="2">Gauteng</option>
<option value="3">KwaZulu-Natal</option>
<option value="4">Limpopo</option>
<option value="5">mpumalanga</option>
<option value="6">Northern Cape</option>
<option value="7">North West</option>
<option value="8">Western Cape</option>
<option value="9">Eastern Cape</option>
<option value="11">Free State</option>
</select>
<div id="province-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Source of income <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><select for="income" name="income" id="income" class="form-select">
<option value="salary">Salary</option>
<option value="selfEmployed">Self Employed</option>
<option value="inheritance">Inheritance</option>
<option value="savings">Savings</option>
<option value="investment">Investment</option>
</select>
<div id="income-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Password <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="password" id="password" placeholder="Minimum 4 character length" type="password" class="form-control">
<div id="password-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>Confirm Password <span class="text-danger">*</span></label></div>
<div class="col-sm-9">
<div><input name="confirmPassword" id="confirmPassword" placeholder="" type="password" class="form-control">
<div id="confirmPassword-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-3"><label>View odds as</label></div>
<div class="col-sm-9"><label class="form-label"></label>
<div id="fractionalOdds">
<div id="fractionalOdds-error" class="invalid-feedback"></div>
<div class="form-check form-check-inline"><input id="fractionalOdds" type="radio" name="fractionalOdds" class="form-check-input" value="true"><label for="fractionalOdds" class="form-check-label">Fractions</label></div>
<div class="form-check form-check-inline"><input id="fractionalOdds" type="radio" name="fractionalOdds" class="form-check-input" value="false"><label for="fractionalOdds" class="form-check-label">Decimal</label></div>
</div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1">
<div style="float:right;" class="form-check"><input name="emailPromotions" id="emailPromotions" type="checkbox" value="false" class="form-check-input">
<div id="emailPromotions-error" class="invalid-feedback"></div>
</div>
</div>
<div style="width:90%;" class="col-sm-9"><a>Receive promotional information?</a></div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1">
<div style="float:right;" class="form-check"><input name="emailNotifications" id="emailNotifications" type="checkbox" value="false" class="form-check-input">
<div id="emailNotifications-error" class="invalid-feedback"></div>
</div>
</div>
<div style="width:90%;" class="col-sm-9"><a>Receive betting Confirmation via Email?</a></div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1">
<div style="float:right;" class="form-check"><input name="agePolicy" id="agePolicy" type="checkbox" value="true" class="form-check-input">
<div id="agePolicy-error" class="invalid-feedback"></div>
</div>
</div>
<div style="width:90%;" class="col-sm-9"><a><span class="text-danger">*</span>I am over 18 years of age</a></div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1">
<div style="float:right;" class="form-check"><input name="termsAndConditions" id="termsAndConditions" type="checkbox" value="true" class="form-check-input">
<div id="termsAndConditions-error" class="invalid-feedback"></div>
</div>
</div>
<div style="width:90%;" class="col-sm-9"><label class="form-label"><span class="text-danger">*</span> I agree to the
</label><a id="termsAndConditionsLink" href="https://www.hollywoodbets.net/content/3/643" target="_blank">Terms & Conditions</a><label class="form-label"> ,and
</label><a id="dislclaimerLink" href="https://www.hollywoodbets.net/content/3/642" target="_blank"> Disclaimer</a></div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1">
<div style="float:right;" class="form-check"><input name="checkFunds" id="checkFunds" type="checkbox" value="true" class="form-check-input">
<div id="checkFunds-error" class="invalid-feedback"></div>
</div>
</div>
<div style="width:90%;" class="col-sm-9">
<a><span class="text-danger">*</span> I acknowledge that Hollywoodbets can only release funds to me via cash from one of its branches, via our four Cash Send options or into a South African Bank account via EFT</a></div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-12"><label>Referred by a friend? <br> Enter referrer's Hollywoodbets acc number</label></div>
<div class="col-sm-12">
<div><input name="referFriendAccNo" id="referFriendAccNo" placeholder="" type="text" class="form-control">
<div id="referFriendAccNo-error" class="invalid-feedback"></div>
</div>
</div>
</div>
<div class="row mx-0">
<div class="row my-2 mx-0">
<div class="col-md">
<div><input id="recaptcha" name="recaptcha" type="hidden">
<div data-callback="GRecaptcha" data-error-callback="GRecaptcha" data-expired-callback="GRecaptcha" data-sitekey="6Lfp3wQkAAAAALFAg7344sJNEJw_gPiRNShJfw-P" data-theme="white" required="required" class="g-recaptcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lfp3wQkAAAAALFAg7344sJNEJw_gPiRNShJfw-P&co=aHR0cHM6Ly9yZWdpc3Rlci5ob2xseXdvb2RiZXRzLm5ldDo0NDM.&hl=de&v=6MY32oPwFCn9SUKWt8czDsDw&theme=white&size=normal&cb=kcr855e8b95e"
width="304" height="78" role="presentation" name="a-gjyn39wdnl0v" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<div id="recaptcha-error" class="invalid-feedback"></div>
</div>
</div>
</div>
</div>
<div class="col-sm-9">
<div hidden="true"><input name="iovationBB" id="iovationBB" placeholder="" type="hidden" class="form-control"
value="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">
<div id="iovationBB-error" class="invalid-feedback"></div>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-sm-1"></div>
<div class="col-md-10 text-center error-div display-none">
<h6 style="float: right;padding-right: 10px;cursor: pointer; color: white !important" onclick="document.querySelector('.error-div').classList.add('display-none');document.querySelector('.error-message').innerHTML = ''" class="close-error">X
</h6>
<h6 class="error-message">Error :</h6>
</div>
</div>
<div class="row my-2 mx-0">
<div class="col-md-12 text-center"><button style="background: linear-gradient(to bottom, #B034D4, #451A6E) !important;border-color: #451A6E !important;width: 50%;margin-top: 15px"
onclick="var name = document.getElementById('name').value+' '+document.getElementById('surname').value; var parts = name.split(' ');var initials = '';for (var i = 0; i < parts.length; i++) {if (parts[i].length > 0 && parts[i] !== '') {initials += parts[i][0]}} document.getElementById('initials').value= initials; var url = document.querySelector('form').action; var formData = new FormData(document.querySelector('form')); document.querySelector('.btn-secondary').disabled = true; document.querySelector('.btn-secondary').innerHTML = 'Processing registration'; fetch(url, {method: 'POST', body: formData}).then(Result => Result.json()).then(dataResult => {if(dataResult.redirect) {window.location.href = dataResult.urlOrMessage} else if(!dataResult.redirect){if(dataResult.urlOrMessage){document.querySelector('.error-message').innerHTML = dataResult.urlOrMessage; document.querySelector('.error-div').classList.remove('display-none');grecaptcha.reset();}else {window.location.href = window.location.href} } else {window.location.href = window.location.href} document.querySelector('.btn-secondary').disabled = false; document.querySelector('.btn-secondary').innerHTML = 'Submit'; }).catch(errorMsg=>{ console.log(errorMsg); document.querySelector('.btn-secondary').disabled = false; document.querySelector('.btn-secondary').innerHTML = 'Submit'; });"
type="button" disabled="" class="btn btn-lg btn-secondary" id="41">Submit</button></div>
</div>
</div>
</div><input id="initials" name="initials" value="" type="hidden"><input id="dateOfBirth" name="dateOfBirth" value="" type="hidden"><input id="genderValue" name="genderValue" value="" type="hidden"><input id="countryId" name="countryId" value="2"
type="hidden"><input id="postaladdr" name="postaladdr" value="" type="hidden"><input id="postaladdrLineTwo" name="postaladdrLineTwo" value="" type="hidden"><input id="postalcity" name="postalcity" value="" type="hidden"><input id="postalcode"
name="postalcode" value="" type="hidden"><input id="postalsuburb" name="postalsuburb" value="" type="hidden"><input id="postalprovince" name="postalprovince" value="" type="hidden"><input id="promotionId" name="promotionId" value="0"
type="hidden"><input id="depositLimitPerDay" name="depositLimitPerDay" value="0" type="hidden"><input id="promoCode" name="promoCode" value="" type="hidden">
</form>Text Content
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