payments.billdesk.com Open in urlscan Pro
2001:e48:22:2::5  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST" onsubmit="return submitForm();">
  <div class="bisleri-frm">
    <div class="b-n-f">
      <label class="b-l">Customer Code* :</label>
      <input type="text" class="b-inp" name="cust_code" data-mandatory="1" data-validatefor="alfanumeric" data-errtext="Invalid Customer Code">
    </div>
    <div class="b-n-f">
      <label class="b-l">Location Code* : </label>
      <!-- <input type="text" class="b-inp" name="loc_code" data-mandatory="1" data-validatefor="alfanumeric" data-errtext="Invalid Location Code" />-->
      <select class="b-inp b-select" data-mandatory="1" name="loc_code" data-errtext="Must select Location Code">
        <option value="">Select Location</option>
        <option value="GUJ">GUJ</option>
        <option value="KAM">KAM</option>
        <option selected="" value="MUM">MUM</option>
        <option value="ROM">ROM (Rest Of Maharashtra)</option>
        <option value="BHOPAL">BHOPAL</option>
        <option value="INDORE">INDORE</option>
        <option value="JBL">JBL</option>
        <option value="RAISEN">RAISEN</option>
        <option value="SHIVPURI">SHIVPURI</option>
        <option value="DEL">DEL</option>
        <option value="SAHIB">SAHIB</option>
        <option value="HYD">HYD</option>
        <option value="CHE">CHE</option>
        <option value="BLR">BLR</option>
      </select>
    </div>
    <div class="b-n-f">
      <label class="b-l">Invoice Number : </label>
      <input type="text" class="b-inp" name="inv_no" data-validatefor="string" data-errtext="Invalid charcters used">
    </div>
    <div class="b-n-f">
      <label class="b-l">Amount* :</label>
      <input type="text" class="b-inp" name="amount" data-mandatory="1" data-beforevalidate="amount" data-validatefor="amount" data-errtext="Invalid Amount">
    </div>
    <div class="b-n-f">
      <label class="b-l">Customer Mobile Number :</label>
      <input type="text" class="b-inp" name="mobile" data-beforevalidate="mobile" data-validatefor="mobile" data-errtext="Invalid Mobile" maxlength="10">
    </div>
    <input type="hidden" name="reqtoken" value="GnNADA7r1us0dlomizcS">
    <input type="hidden" name="reqid" value="confirm">
    <button class="b-frm-sub">Submit</button>
    <!--a href="readonly.html" class="b-frm-sub">Submit</a-->
  </div>
</form>

Text Content

BISLERI ONLINE PAYMENT


Customer Code* :
Location Code* : Select Location GUJ KAM MUM ROM (Rest Of Maharashtra) BHOPAL
INDORE JBL RAISEN SHIVPURI DEL SAHIB HYD CHE BLR
Invoice Number :
Amount* :
Customer Mobile Number :
Submit