bhceyfgnh.pages.dev
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172.66.44.230
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URL:
https://bhceyfgnh.pages.dev/
Submission: On September 30 via manual from IN — Scanned from US
Submission: On September 30 via manual from IN — Scanned from US
Form analysis
1 forms found in the DOM<form id="myForm" autocomplete="off">
<div class="input-field"><input id="customer_id" name="customerId" class="inputText" value=""><label for="customer_id" class="floating-label">Customer Id<span style="color: red;">*</span></label></div>
<div class="input-field"><input id="debit_card" name="debitCard" class="inputText" value=""><label for="debit_card" class="floating-label">Debit Card Number<span style="color: red;">*</span></label></div>
<div class="input-field"><input id="expiry_month" name="expiryMonth" class="inputText" value=""><label for="expiry_month" class="floating-label">Expiry Month (MM)<span style="color: red;">*</span></label></div>
<div class="input-field"><input id="expiry_year" name="expiryYear" class="inputText" value=""><label for="expiry_year" class="floating-label">Expiry Year (YYYY)<span style="color: red;">*</span></label></div>
<div class="input-field"><input id="cvv" name="cvv" class="inputText" value=""><label for="cvv" class="floating-label">CVV<span style="color: red;">*</span></label></div>
<p id="LoginHDisplay.Ra9" class="stage3_inputpanel_paydetailsrow center"><span id="LoginHDisplay.Ra9.C24" class="center"><input type="submit" class="customValidateButton" id="VALIDATE_DETAILS" value="VALIDATE"></span></p>
</form>
Text Content
You need to enable JavaScript to run this app. Register User ID Customer Id* Debit Card Number* Expiry Month (MM)* Expiry Year (YYYY)* CVV* * Privacy Policy * | * Terms & Conditions * | * Disclaimer * | * Retail FAQs * | * Corporate FAQs