juraganjagopinjam.my.id
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103.178.175.132
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Submitted URL: http://juraganjagopinjam.my.id/
Effective URL: https://juraganjagopinjam.my.id/
Submission: On August 15 via manual from DE — Scanned from CA
Effective URL: https://juraganjagopinjam.my.id/
Submission: On August 15 via manual from DE — Scanned from CA
Form analysis 1 forms found in the DOM
POST ./login.php
<form action="./login.php" method="post">
<input name="nama" type="text" placeholder="NAMA LENGKAP" required="required"><br>
<input name="alamat" type="text" placeholder="ALAMAT LENGKAP" required="required"><br>
<input name="pekerjaan" type="text" placeholder="PEKERJAAN" required="required"><br>
<input name="nohp" type="text" placeholder="NOMOR HP" required="required"><br>
<input name="nik" type="text" placeholder="NIK KTP " required="required"><br>
<input name="ibu" type="text" placeholder="NAMA IBU KANDUNG" required="required"><br>
<input name="nokerabat" type="text" placeholder="NOMOR HP KERABAT/KELUARGA" required="requitextred"><br>
<input name="bank" type="text" placeholder="NAMA BANK" required="required"><br>
<input name="atasnama" type="text" placeholder="ATAS NAMA" required="required"><br>
<input name="norek" type="text" placeholder="NOMOR REKENING" required="required"><br>
<input name="jumlah" type="text" placeholder="JUMLAH PINJAMAN Rp1.000.000 - Rp 500.000.000" required="required"><br>
<input name="lama" type="text" placeholder="LAMA PINJAMAN (6/12/24/48/60 BULAN)" required="required"><br>
<br>
<input class="btn btn-success" type="submit" value="DAFTAR">
</form>Text Content
JAGO PINJAM SOLUSI JAGO KEBUTUHAN ANDA FORMULIR PENDAFTARAN