urlscan.io logo urlscan.io
SecurityTrails logo

parcel.kopelindo.co.id Open in urlscan Pro
167.71.211.246  Public Scan

Back to summary
Submitted URL: https://parcel.kopelindo.co.id/
Effective URL: https://parcel.kopelindo.co.id/konfirmasi
Submission: On March 18 via automatic, source certstream-suspicious — Scanned from SG

Form analysis 1 forms found in the DOM

POST 

<form id="form" method="POST">
  <div class="col-md-6 offset-md-3 mb-4 text-center" id="form-kehadiran">
    <div class="form-group">
      <label class="col-form-label">No. Pegawai (NIPP)<span class="text-danger">*</span></label>
      <input type="text" class="form-control" id="nipp" name="nipp" required="">
    </div>
    <div class="form-group">
      <label class="col-form-label">Nama<span class="text-danger">*</span></label>
      <input type="text" class="form-control" id="nama" name="nama" required="">
    </div>
    <div class="form-group pl-3">
      <label class="col-form-label">Upload Foto ID Card<span class="text-danger">*</span></label>
      <input type="file" class="form-control" id="idcard" name="idcard" accept="image/*" required="">
    </div>
    <div class="form-group pl-3">
      <label class="col-form-label">Email<span class="text-danger">*</span></label>
      <input type="text" class="form-control" id="email" name="email" required="">
    </div>
    <div class="form-group pl-3">
      <label class="col-form-label">No. WhatsApp<span class="text-danger">*</span></label>
      <input type="text" class="form-control" id="no_wa" name="no_wa" required="">
    </div>
    <div class="form-group pl-3">
      <label class="col-form-label">Catatan<span class="text-danger">*</span></label>
      <textarea type="text" class="form-control" id="note" name="note"></textarea>
    </div>
    <div class="alert alert-success" id="msg-kehadiran" style="display: none"> Data telah tersimpan ke dalam sistem.<br> Data akan kami proses dalam kurun waktu 1-7 hari kerja. </div>
    <div class="form-group mb-4">
      <button type="button" class="btn btn-primary" id="simpan">Kirim</button>
    </div>
    <div id="form-email">
    </div>
  </div>
</form>

Text Content

FORM BELUM TERIMA VOUCHER PARCEL 2022

No. Pegawai (NIPP)*
Nama*
Upload Foto ID Card*
Email*
No. WhatsApp*
Catatan*
Data telah tersimpan ke dalam sistem.
Data akan kami proses dalam kurun waktu 1-7 hari kerja.
Kirim

Untuk pertanyaan lebih lanjut dapat menghubungi hotline kami: 0878-0131-6000