pfhcredit.com
Open in
urlscan Pro
172.67.187.253
Public Scan
URL:
https://pfhcredit.com/
Submission: On December 03 via api from BE — Scanned from US
Submission: On December 03 via api from BE — Scanned from US
Form analysis 1 forms found in the DOM
<form class="space-y-6">
<div><label for="name" class="block text-gray-700 font-medium mb-2">Name<span class="text-red-500">*</span></label><input id="name" placeholder="Name"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="text" value="" name="name"></div>
<div><label for="phone" class="block text-gray-700 font-medium mb-2">Mobile Phone<span class="text-red-500">*</span></label>
<div class="flex items-center space-x-2">
<div class="w-1/3 css-b62m3t-container" id="countryCode"><span id="react-select-2-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" role="log"
class="css-7pg0cj-a11yText"></span>
<div class="css-1evn2uv-control">
<div class="css-hlgwow">
<div class="css-1dimb5e-singleValue">Canada +1</div>
<div class="css-19bb58m" data-value=""><input class="" autocapitalize="none" autocomplete="off" autocorrect="off" id="react-select-2-input" spellcheck="false" tabindex="0" aria-autocomplete="list" aria-expanded="false"
aria-haspopup="true" role="combobox" aria-activedescendant="" type="text" value=""
style="color: inherit; background: 0px center; opacity: 1; width: 100%; grid-area: 1 / 2; font: inherit; min-width: 2px; border: 0px; margin: 0px; outline: 0px; padding: 0px;"></div>
</div>
<div class="css-1wy0on6"><span class="css-1u9des2-indicatorSeparator"></span>
<div class="css-1xc3v61-indicatorContainer" aria-hidden="true"><svg height="20" width="20" viewBox="0 0 20 20" aria-hidden="true" focusable="false" class="css-8mmkcg">
<path
d="M4.516 7.548c0.436-0.446 1.043-0.481 1.576 0l3.908 3.747 3.908-3.747c0.533-0.481 1.141-0.446 1.574 0 0.436 0.445 0.408 1.197 0 1.615-0.406 0.418-4.695 4.502-4.695 4.502-0.217 0.223-0.502 0.335-0.787 0.335s-0.57-0.112-0.789-0.335c0 0-4.287-4.084-4.695-4.502s-0.436-1.17 0-1.615z">
</path>
</svg></div>
</div>
</div>
</div><input id="phone" placeholder="xxxxxxxxx" class="w-2/3 border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="tel" value="" name="phone">
</div>
</div>
<div><label for="email" class="block text-gray-700 font-medium mb-2">Email<span class="text-red-500">*</span></label><input id="email" placeholder="abc@email.com"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="email" value="" name="email"></div>
<div><label for="address" class="block text-gray-700 font-medium mb-2">Residence Address<span class="text-red-500">*</span></label><input id="address" placeholder="Home Address"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" value="" name="address"></div>
<div><label for="idType" class="block text-gray-700 font-medium mb-2">Choose Document Type<span class="text-red-500">*</span></label><select id="idType" name="idType"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="">
<option value="" disabled="">Choose Document Type</option>
<option value="idCard">ID Card</option>
<option value="passport">Passport</option>
</select></div>
<div><label for="passportnumber" class="block text-gray-700 font-medium mb-2">ID/ Passport Number<span class="text-red-500">*</span></label><input id="passportnumber" placeholder="xxxxxxxx"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="text" value="" name="passportnumber"></div>
<div><label for="dob" class="block text-gray-700 font-medium mb-2">Date of Birth<span class="text-red-500">*</span></label><input id="dob"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="date" value="" name="dob"></div>
<div><label for="issueCountry" class="block text-gray-700 font-medium mb-2">ID/ Passport Issue Country<span class="text-red-500">*</span></label><input id="issueCountry" placeholder="Taiwan"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" required="" type="text" value="" name="issueCountry"></div>
<div><label for="picture" class="block text-gray-700 font-medium mb-2">Photo of me holding the document(ID or Passport)<span class="text-red-500">*</span></label><input id="picture"
class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3" required="" type="file" name="picture"></div>
<div>
<div class="flex justify-between"><label for="code" class="flex block text-gray-700 font-medium mb-2 items-center">Invitation Code</label>
<div class="hidden bg-gray-500" style="padding: 5px 10px; color: white; border: none; border-radius: 5px; cursor: pointer; margin-bottom: 8px;">Generate</div>
</div><input id="code" placeholder="" class="w-full border border-gray-300 rounded-lg bg-gray-200 text-gray-800 p-3 focus:outline-none focus:ring-2 focus:ring-blue-400" type="text" value="" name="code">
</div>
<div class="flex items-start"><input id="confirmation" required="" class="mt-1 h-5 w-5 border-gray-300 rounded text-blue-500 focus:ring-2 focus:ring-blue-400" type="checkbox" name="confirmation"><label for="confirmation"
class="ml-3 text-gray-700 text-sm leading-relaxed">I confirm that the aforementioned supporting documents and information are provided by me and are true and accurate in all material respects.</label></div>
<div class="flex items-start"><input id="confirmation" required="" class="mt-1 h-5 w-5 border-gray-300 rounded text-blue-500 focus:ring-2 focus:ring-blue-400" type="checkbox" name="confirmation"><label for="confirmation"
class="ml-3 text-gray-700 text-sm leading-relaxed">I further confirm that my source of wealth and assets originates from legitimate sources and is not related to any criminal activities.</label></div>
<div><button type="submit" class="w-full py-3 rounded-lg font-medium focus:outline-none bg-gray-300 text-gray-500 cursor-not-allowed">Submit</button></div>
</form>Text Content
PFH CARD APPLICATION English Name* Mobile Phone* Canada +1 Email* Residence Address* Choose Document Type*Choose Document TypeID CardPassport ID/ Passport Number* Date of Birth* ID/ Passport Issue Country* Photo of me holding the document(ID or Passport)* Invitation Code Generate I confirm that the aforementioned supporting documents and information are provided by me and are true and accurate in all material respects. I further confirm that my source of wealth and assets originates from legitimate sources and is not related to any criminal activities. Submit