kyc.triplereasonltd.com
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76.76.21.22
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URL:
https://kyc.triplereasonltd.com/
Submission: On March 28 via api from US — Scanned from US
Submission: On March 28 via api from US — Scanned from US
Form analysis
1 forms found in the DOM<form id="UserForm_msform__5_XKS">
<ul id="UserForm_progressbar__LflLy">
<li class="UserForm_active__JtiCv">Personalia</li>
<li class="">Address</li>
<li class="">Wallet</li>
</ul>
<fieldset style="display:block">
<div>
<div><label>First Name:</label><input type="text" name="personalia.firstname" value=""></div>
<div><label>Last Name:</label><input type="text" name="personalia.lastname" value=""></div>
</div>
<div><label>Email:</label><input type="email" name="personalia.email" value=""></div>
<div><label>Phone Number:</label><input type="text" name="personalia.number" value="" inputmode="numeric"></div>
<div><label>Date of Birth:</label><input type="date" name="personalia.dateOfBirth" value=""></div>
<div><label>Country of Residence:</label>
<div class="ReactFlagsSelect-module_flagsSelect__2pfa2" data-testid="rfs"><button id="rfs-btn" type="button" class="ReactFlagsSelect-module_selectBtn__19wW7" style="font-size:16px" aria-labelledby="rfs-btn" aria-haspopup="listbox"
aria-expanded="false" data-testid="rfs-btn"><span class="ReactFlagsSelect-module_selectValue__152eS">Select a country</span></button></div>
</div>
<div><label>Identification Type:</label><select name="static.identification" style="margin-top:8px">
<option selected="" value="">Select Identification</option>
<option value="passport">Passport</option>
<option value="idCard">ID Card</option>
<option value="driversLicense">Driver's License</option>
<option value="other">Other</option>
</select></div>
<div>
<div><label>Proof of ID (front):</label><input type="file" name="frontFile" accept=".png, .jpg, .jpeg, .pdf"><small>Accepted formats: .png, .jpg, .jpeg, .pdf (Max: 10MB)</small></div>
<div><label>Proof of ID (back):</label><input type="file" name="backFile" accept=".png, .jpg, .jpeg, .pdf"><small>Accepted formats: .png, .jpg, .jpeg, .pdf (Max: 10MB)</small></div>
</div><button style="width:auto;padding:10px 15px;font-size:14px;background:grey;color:white;border:none;border-radius:1px;cursor:pointer;margin:10px 5px;text-decoration:none;text-shadow:none" type="button" name="next" value="Next"
disabled="">Next</button>
</fieldset>
<fieldset style="display:none">
<div><label>Street:</label><input type="text" name="address.street" value=""></div>
<div><label>Zip:</label><input type="text" name="address.zip" value=""></div>
<div><label>State:</label><input type="text" name="address.state" value=""></div>
<div><label>Country:</label>
<div class="ReactFlagsSelect-module_flagsSelect__2pfa2" data-testid="rfs"><button id="rfs-btn" type="button" class="ReactFlagsSelect-module_selectBtn__19wW7" style="font-size:16px" aria-labelledby="rfs-btn" aria-haspopup="listbox"
aria-expanded="false" data-testid="rfs-btn"><span class="ReactFlagsSelect-module_selectValue__152eS">Select a country</span></button></div>
</div>
<div><label>Proof of Address Document:</label><small>Accepted documents: Bank statement or utility bill from the last three months.</small><input type="file" name="addressFile" accept=".png, .jpg, .jpeg, .pdf"><small>Accepted formats: .png, .jpg,
.jpeg, .pdf (Max: 10MB)</small></div><button style="width:auto;padding:10px 15px;font-size:14px;background:#27AE60;color:white;border:none;border-radius:1px;cursor:pointer;margin:10px 5px;text-decoration:none;text-shadow:none" type="button"
name="previous" value="Previous"> previous </button><button style="width:auto;padding:10px 15px;font-size:14px;background:grey;color:white;border:none;border-radius:1px;cursor:pointer;margin:10px 5px;text-decoration:none;text-shadow:none"
type="button" name="next" value="Next" disabled="">Next</button>
</fieldset>
<fieldset style="display:none">
<div>
<div style="justify-content:center;display:flex"></div>
<div style="margin-top:10px"><label style="font-weight:700">Wallet Address & ChainID:</label><input type="text" style="text-align:center" name="personalia.walletAddress" value="" disabled="" class="undefined undefined"></div><button
style="width:auto;padding:10px 15px;font-size:14px;background:#27AE60;color:white;border:none;border-radius:1px;cursor:pointer;margin:10px 5px;text-decoration:none;text-shadow:none" type="button" name="previous">Previous</button><button
class="sc-kpDqfm ksNWPW sc-fUnMCh isZynT" type="button" color="lightBlue">
<div class="sc-dhKdcB gEpYCn"></div>
<div class="sc-jXbUNg TpltO"></div>Verify
</button><button style="width:auto;padding:10px 15px;font-size:14px;background:grey;color:white;border:none;border-radius:1px;cursor:pointer;margin:10px 5px;text-decoration:none;text-shadow:none" type="submit" name="submit"
class="undefined undefined" value="Submit" disabled="">Submit</button>
</div>
</fieldset>
<fieldset style="display:none">
<div>
<h2>Thank you for your submission</h2>
<p>Your data has been successfully submitted. Our KYC compliance team will review the documents, this may take up to 48 hours.</p>
</div>
</fieldset>
</form>
Text Content
* Personalia * Address * Wallet First Name: Last Name: Email: Phone Number: Date of Birth: Country of Residence: Select a country Identification Type:Select IdentificationPassportID CardDriver's LicenseOther Proof of ID (front):Accepted formats: .png, .jpg, .jpeg, .pdf (Max: 10MB) Proof of ID (back):Accepted formats: .png, .jpg, .jpeg, .pdf (Max: 10MB) Next Street: Zip: State: Country: Select a country Proof of Address Document:Accepted documents: Bank statement or utility bill from the last three months.Accepted formats: .png, .jpg, .jpeg, .pdf (Max: 10MB) previous Next Wallet Address & ChainID: Previous VerifySubmit THANK YOU FOR YOUR SUBMISSION Your data has been successfully submitted. Our KYC compliance team will review the documents, this may take up to 48 hours.