hollardlife.datafree.co Open in urlscan Pro
13.244.165.24  Public Scan

Form analysis
1 forms found in the DOM

POST /c/sr5g/verify

<form action="/c/sr5g/verify" method="post"><input type="hidden" name="redeem_method" value="" id="id_redeem_method" class="form-control">
  <p style="text-align:left"><b> For security, please enter the first 6 digits of the Policy Holder's ID Number. </b></p><b> First 6 digits of your ID Number. </b> (required) <br><em>Please enter the first 6 digits of your South African ID.</em><br>
  <div class="form-group"><input type="text" name="verify_id_number" value="" id="id_verify_id_number" class="form-control" inputmode="numeric" maxlength="13"></div><br>
  <div class="form-group"><button type="submit" class="btn btn-primary" value="OK">OK</button></div>
</form>

Text Content

For security, please enter the first 6 digits of the Policy Holder's ID Number.

First 6 digits of your ID Number. (required)
Please enter the first 6 digits of your South African ID.



OK