h5.novella-iqm.com Open in urlscan Pro
2606:4700:20::681a:d55  Public Scan

URL: https://h5.novella-iqm.com/?register=29089
Submission Tags: @phish_report
Submission: On April 05 via api from FI — Scanned from FI

Form analysis 1 forms found in the DOM

<form>
  <div class="grid lg:grid-cols-2 ml-5">
    <div class="m-5"><span>E-mail</span><input autocomplete="email" class="block  p-5 rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  sm:text-sm sm:leading-6" type="text" name="email"
        style="width: 300px;"></div>
    <div class="m-5"><span>Password</span><input autocomplete="email" class="block  p-5 rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  sm:text-sm sm:leading-6" type="password"
        name="password" style="width: 300px;"></div>
    <div class="m-5"><span>Confirm Password</span><input autocomplete="email" class="block  p-5 rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  sm:text-sm sm:leading-6" type="password"
        name="password" style="width: 300px;"></div>
    <div class="m-5 "><span>Phone Number</span>
      <div class=" react-tel-input ">
        <div class="special-label">Phone</div><input class="form-control " placeholder="1 (702) 123-4567" type="tel" value="+1" style="width: 300px;">
        <div class="flag-dropdown ">
          <div class="selected-flag" title="United States: + 1" tabindex="0" role="button" aria-haspopup="listbox">
            <div class="flag us">
              <div class="arrow"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="m-5"><span>Ref Code(Otherwise leave it blank)</span><input autocomplete="email" class="block  p-5 rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  sm:text-sm sm:leading-6"
        type="number" value="29089" name="text" style="width: 300px;"></div>
    <div class="m-5 rounded-md relative lg:col-span-2"><img src="https://img.freepik.com/free-vector/secure-technology-abstract-background_23-2148331625.jpg?size=626&amp;ext=jpg&amp;ga=GA1.1.1412446893.1705104000&amp;semt=ais"
        class="w-full rounded-md h-52">
      <div class="absolute top-1 left-3 lg:left-52"><span class="text-white">Payment Password</span>
        <div class="grid grid-cols-4"><input autocomplete="off" class="m-1 block w-10  rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  text-center" type="number" name="payment1"><input
            autocomplete="off" class="m-1 block w-10  rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  text-center" type="number" name="payment2"><input autocomplete="off"
            class="m-1 block w-10  rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  text-center" type="number" name="payment3"><input autocomplete="off"
            class="m-1 block w-10  rounded-md border-1 py-1.5 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400  text-center" type="number" name="payment4"></div>
      </div>
      <div class="absolute bottom-0 h-32   lg:text-center  p-2 rounded-md " style="background-color: rgba(241, 42, 35, 0.15);"><span><input class="accent-pink-500 m-2" type="checkbox"></span><span style="font-size: 12px; color: white;">I confirm that
          I have memorized the payment password and stored it in a secure place. I understand that disclosing this code to third parties or entering it on another website puts my funds at risk</span></div>
      <div class="absolute top-36 h-32   lg:text-center  p-2 rounded-md "></div>
    </div>
  </div>
  <div class="mt-10 m-5"><button type="submit" class="uppercase transition ease-in-out delay-150 hover:-translate-y-1 hover:scale-110 bg-cyan-800 hover:bg-black w-full lg:w-96 h-10 rounded-md text-white lg:ml-32">REGISTRATION</button></div>
</form>

Text Content

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CREATE ACCOUNT


E-mail
Password
Confirm Password
Phone Number
Phone

Ref Code(Otherwise leave it blank)
Payment Password

I confirm that I have memorized the payment password and stored it in a secure
place. I understand that disclosing this code to third parties or entering it on
another website puts my funds at risk

REGISTRATION

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