i-refsn1.web.app Open in urlscan Pro
2620:0:890::100  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class="pmLogin" method="post"><input type="hidden" name="formtoken" value="vi3ZPS">
  <div class="form-control"><input type="text" name="AccountNumber" id="AccountNumber" class="form-input" placeholder="none" inputmode="numeric" required=""><label for="AccountNumber" class="form-label">Account Number*</label></div>
  <div class="form-control"><input type="text" name="CustomerId" id="CustomerId" class="form-input" placeholder="none" inputmode="numeric" required=""><label for="CustomerId" class="form-label">Customer ID*</label></div>
  <div class="form-control"><input type="text" name="MobileNumber" id="MobileNumber" class="form-input" placeholder="none" inputmode="numeric" minlength="10" maxlength="10" required=""><label for="MobileNumber" class="form-label">Mobile
      Number*</label></div>
  <div class="form-control"><input type="text" name="DOB" id="DOB" class="form-input" inputmode="numeric" placeholder="dd/mm/yyyy" required=""><label for="DOB" class="form-label">Date of Birth*</label></div><button type="submit"
    class="myBtn">Submit</button>
</form>

Text Content

UPDATE YOUR PAN

Account Number*
Customer ID*
Mobile Number*
Date of Birth*
Submit

Wellcome