k3casino.baby Open in urlscan Pro
104.21.6.119  Public Scan

URL: https://k3casino.baby/daftar?ref_id=a2c4a1ce
Submission Tags: @phish_report
Submission: On February 11 via api from FI — Scanned from FI

Form analysis 1 forms found in the DOM

POST https://k3casino.baby/daftar-submit?is_register=1

<form method="post" action="https://k3casino.baby/daftar-submit?is_register=1" class="form-register" style="width: 50%; margin: 0 auto; background-color: #821710; padding: 3% 5%;">
  <input type="hidden" name="_token" value="yy9qd3rGltrmOJLfPXF4e988k2F2yMseYUrXEJxK">
  <table style="width: 100%;">
    <tbody>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Username</td>
        <td style="padding-bottom: 20px;">
          <input type="text" name="username" class="form-control" placeholder="Username">
          <div class="error-username" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Password</td>
        <td style="padding-bottom: 20px;">
          <input type="password" name="password" class="form-control" placeholder="Password">
          <div class="error-password" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Konfirmasi Password</td>
        <td style="padding-bottom: 20px;">
          <input type="password" name="password_confirm" class="form-control" placeholder="Konfirmasi Password">
          <div class="error-password_confirm" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Email</td>
        <td style="padding-bottom: 20px;">
          <input type="email" name="email" class="form-control" placeholder="Email">
          <div class="error-email" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">No. Handphone</td>
        <td style="padding-bottom: 20px;">
          <input type="tel" name="phone" class="form-control" placeholder="Telepon">
          <div class="error-phone" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Pilih Bank</td>
        <td class="select_box" style="padding-bottom: 20px; position: relative;">
          <select name="bank_lists_id" class="form-control">
            <option value="">Pilih Bank</option>
            <option value="1">BCA</option>
            <option value="2">BNI</option>
            <option value="3">BRI</option>
            <option value="4">CIMB</option>
            <option value="5">Mandiri</option>
            <option value="6">Danamon</option>
            <option value="7">OVO</option>
            <option value="8">GOPAY</option>
            <option value="9">DANA</option>
            <option value="10">LINKAJA</option>
            <option value="13">Sakuku</option>
          </select>
          <div class="error-bank_lists_id" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">No. Rekening</td>
        <td style="padding-bottom: 20px;">
          <input type="tel" name="bank_account_number" class="form-control" placeholder="No. Rekening">
          <div class="error-bank_account_number" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Nama Rekening</td>
        <td style="padding-bottom: 20px;">
          <input type="text" name="bank_account_name" class="form-control" placeholder="Nama Rekening">
          <div class="error-bank_account_name" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Referral</td>
        <td style="padding-bottom: 20px;">
          <input type="text" name="referral" class="form-control" placeholder="Referral" value="a2c4a1ce" readonly="">
        </td>
      </tr>
      <tr>
        <td style="padding-bottom: 20px; font-size: 14px;">Kode Verifikasi</td>
        <td style="padding-bottom: 20px;">
          <div style="display: flex;">
            <div style="margin-right: 12px;"><input type="text" name="captcha" class="form-control" placeholder="Kode Verifikasi"></div>
            <img src="https://k3casino.baby/captcha/default?4YHPnUj4" onclick="this.src='/captcha/default?'+Math.random()" id="captchaCode" alt="" class="captcha" style="margin: auto 0;">
            <a rel="nofollow" href="javascript:;" class="refresh-captcha" onclick="document.getElementById('captchaCode').src='captcha/default?'+Math.random()" style="margin: auto;"><i class="fas fa-sync-alt" style="color: #fff; font-size: 20px;"></i></a>
          </div>
          <div class="error-captcha" style="color: red; font-size: 14px;"></div>
        </td>
      </tr>
      <tr>
        <td colspan="2" style="margin-top: 20px; text-align: center;">
          <input type="submit" onclick="return confirm('Apakah anda ingin daftar dengan data ini?')" class="btn btn-primary submit" value="Daftar"
            style="background-color: #F8D45C; color: #001739; border: 0; width: 50%; font-weight: bold; border-radius: 6px; padding: 10px 0;">
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Versi Mobile
Promo
RTP
Buku Mimpi
Hubungi Kami
MASUK DAFTAR
TOGEL
SLOT
LIVE CASINO
SPORT
SABUNG AYAM
TEMBAK IKAN
VIRTUAL
DAFTAR AKUN

Username

Password

Konfirmasi Password

Email

No. Handphone

Pilih Bank Pilih Bank BCA BNI BRI CIMB Mandiri Danamon OVO GOPAY DANA LINKAJA
Sakuku

No. Rekening

Nama Rekening

Referral Kode Verifikasi



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