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indo.lassan.link Open in urlscan Pro
190.92.138.53  Public Scan

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URL: https://indo.lassan.link/
Submission: On December 29 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form id="beneficiaryForm">
  <h1>Beneficiary Form</h1>
  <div class="form-row">
    <div class="form-group">
      <label for="date">Date</label>
      <input type="date" id="date" name="date" required="">
    </div>
    <div class="form-group">
      <label for="beneficiary-name">Beneficiary Name</label>
      <input type="text" id="beneficiary-name" name="beneficiary-name" required="">
    </div>
    <div class="form-group">
      <label for="beneficiary-address">Beneficiary Address</label>
      <textarea id="beneficiary-address" name="beneficiary-address" onkeydown="if(event.key === 'Enter') { event.preventDefault(); this.value += '\n'; }" required=""></textarea>
    </div>
    <div class="form-group">
      <label for="account-number">Beneficiary Account Number</label>
      <input type="text" id="account-number" name="account-number" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group">
      <label for="bank-name">Bank Name</label>
      <input type="text" id="bank-name" name="bank-name" required="">
    </div>
    <div class="form-group">
      <label for="bank-address">Bank Address</label>
      <input type="text" id="bank-address" name="bank-address" required="">
    </div>
    <div class="form-group">
      <label for="swift-code">SWIFT Code</label>
      <input type="text" id="swift-code" name="swift-code" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group">
      <label for="bene-name">Sender Name</label>
      <textarea id="bene-name" name="bene-name" onkeydown="if(event.key === 'Enter') { event.preventDefault(); this.value += '\n'; }" required=""></textarea>
    </div>
    <div class="form-group">
      <label for="remarks">Remarks</label>
      <input type="text" id="remarks" name="remarks" required="">
    </div>
    <div class="form-group">
      <label for="amount">Amount</label>
      <input type="text" id="amount" name="amount" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group">
      <input type="submit" value="Submit">
    </div>
  </div>
</form>

Text Content

BENEFICIARY FORM

Date
Beneficiary Name
Beneficiary Address
Beneficiary Account Number
Bank Name
Bank Address
SWIFT Code
Sender Name
Remarks
Amount