terminal4dmaxbet.click
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92.243.74.3
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URL:
https://terminal4dmaxbet.click/register?referral_code=regis01
Submission Tags: @phish_report
Submission: On January 02 via api from FI — Scanned from SG
Submission Tags: @phish_report
Submission: On January 02 via api from FI — Scanned from SG
Form analysis
2 forms found in the DOM<form onsubmit="md5nohash(entered_password, vb_login_md5password, vb_login_md5password_utf, 0)">
<script type="text/javascript" src="/js/vbulletin_md5.js"></script>
<div class="form-group col-sm-2 skrollable skrollable-between" data-0="margin-top: 24px;" data-300="margin-top: 7px;" style="margin-top: 24px;">
<input type="text" class="form-control" placeholder="Username" id="navbar_username" name="entered_login" tabindex="1" autocomplete="off">
</div>
<div class="form-group col-sm-2 skrollable skrollable-between" data-0="margin-top: 24px;" data-300="margin-top: 7px;" style="margin-top: 24px;">
<input type="password" class="form-control" placeholder="Password" id="navbar_password" tabindex="2" name="entered_password" autocomplete="off">
</div>
<button type="submit" class="btn btn-theme login" id="submitlogin" name="submitlogin" value="1">LOGIN</button>
<input name="vb_login_md5password" id="vb_login_md5password" type="hidden">
<input name="vb_login_md5password_utf" type="hidden">
<input type="hidden" name="submitlogin" value="1">
</form>
POST
<form class="form-horizontal" id="register-form" role="form" method="POST">
<input type="hidden" name="times" value="1735799995">
<div class="form-group user d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="user">Username <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="text" class="contactField requiredField min-w-full form-control" name="user" id="user" placeholder="Username" maxlength="12" data-checking="true" autocomplete="off" required="">
</div>
</div>
<div class="form-group password d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="password">Password <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="password" class="contactField requiredField min-w-full form-control" name="password" id="password" placeholder="Password" maxlength="128" data-checking="true" autocomplete="off" required="">
</div>
</div>
<div class="form-group confirm-password d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="confirm-password">Konfirmasi Password <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="password" class="contactField requiredField min-w-full form-control" name="confirm-password" id="confirm-password" placeholder="Konfirmasi Password" maxlength="128" data-checking="true" autocomplete="off" required="">
</div>
</div>
<div class="form-group email d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="email">Email <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="email" class="contactField requiredField min-w-full form-control" name="email" id="email" placeholder="Alamat email anda" maxlength="40" data-checking="true" autocomplete="off" required="">
</div>
</div>
<div class="form-group phone-number d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="phone-number">No. Telp/HP <span class="required">*</span></label>
</div>
<div class="formInput">
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text" id="inputGroupPrepend21">+62</span>
</div>
<input type="tel" class="contactField requiredField min-w-full form-control form-control" name="phone-number" id="phone-number" placeholder="Nomor telepon anda" maxlength="15" data-checking="true" autocomplete="off" required="">
</div>
</div>
</div>
<div class="form-group d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="">Referral</label>
</div>
<div class="formLabel wf-label">
<label id="referral_text" class="field-title" for="">regis01 </label>
<input id="referral-code" type="hidden" name="referral-code" value="regis01">
</div>
</div>
<div class="section-title-form">
<div class="decoration"></div>
<h3 class="color-grey">Pengaturan Bank</h3>
<div class="decoration margin-t-10"></div>
<h5>Pengaturan rekening bank anda</h5>
</div>
<div class="form-group bank-name d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="bank-name">Nama Bank <span class="required">*</span></label>
</div>
<div class="formInput">
<select name="bank-name" id="bank-name" class="contactField contactOption form-control" required="">
<option value="BCA">BCA</option>
<option value="MANDIRI">MANDIRI</option>
<option value="BRI">BRI</option>
<option value="BNI">BNI</option>
<option value="Danamon">Danamon</option>
<option value="OVO">OVO</option>
<option value="GOPAY">GOPAY</option>
<option value="DANA">DANA</option>
<option value="LINKAJA">LINKAJA</option>
<option value="BSI">BSI</option>
<option value="SEABANK">SEABANK</option>
</select>
</div>
</div>
<div class="form-group bank-account-name d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="bank-account-name">Nama Rekening <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="text" class="contactField requiredField min-w-full form-control" name="bank-account-name" id="bank-account-name" placeholder="Nama rekening anda" maxlength="128" data-checking="true" autocomplete="off" required="">
<div class="separator"></div>
</div>
</div>
<div class="form-group -margin-t-10 d-flex">
<div class="formLabel wf-label"></div>
<div class="formInput">
</div>
</div>
<div class="form-group bank-account-number d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="bank-account-number">Nomor Rekening <span class="required">*</span></label>
</div>
<div class="formInput">
<input type="tel" class="contactField requiredField min-w-full form-control" name="bank-account-number" id="bank-account-number" maxlength="30" placeholder="Nomor rekening" data-checking="true" autocomplete="off" required="">
</div>
</div>
<div class="form-group captcha d-flex">
<div class="formLabel wf-label">
<label class="field-title" for="">Captcha <span class="required">*</span></label>
</div>
<div class="formInput">
<div class="wrapper-captcha">
<p class="refreshrecaptcha"> <img
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alt="captcha" width="140" height="46"></p>
<div class="btn-captcha-refresh">
<i class="fa fa-refresh" aria-hidden="true"></i>
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<input type="text" class="contactField requiredField min-w-full form-control form-control captcha-input" data-checking="true" id="captcha" placeholder="Captcha" name="captcha" autocomplete="off" required="">
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<div class="agree font-white">
<input type="checkbox" name="agree1" value="" checked=""><span>Saya bersedia menerima email promosi terminal4dmaxbet.click</span>
<input type="checkbox" name="agree2" value="" checked=""><span>Saya setuju dengan peraturan yang berlaku</span>
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<div class="formSubmitButtonErrorsWrap">
<button type="submit" class="buttonWrap button button-reds contactSubmitButton btn btn-theme" value="DAFTAR" data-formid="contactForm" name="sendform" id="sendform">Daftar</button>
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