barklafutsal.my.id.sskp.my.id
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103.120.204.47
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URL:
https://barklafutsal.my.id.sskp.my.id/
Submission: On May 15 via api from US — Scanned from DE
Submission: On May 15 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST simpan.php
<form role="form" method="post" action="simpan.php" enctype="multipart/form-data">
<div class="modal-body">
<input type="hidden" name="type" value="registrasi">
<input type="hidden" name="cmd" value="tambah">
<div class="form-group">
<label>Username</label>
<input type="text" class="form-control" name="user" placeholder="Username" required="">
</div>
<div class="form-group">
<label>Password</label>
<input type="password" class="form-control" name="password" placeholder="password" required="" maxlength="30">
</div>
<div class="form-group">
<label>Nama Customer</label>
<input type="text" class="form-control" name="nama" placeholder="Nama Customer" required="">
</div>
<div class="form-group">
<label>Email</label>
<input type="email" class="form-control" name="email" placeholder="Email" required="">
</div>
<div class="form-group">
<label>No. Telepon</label>
<input type="number" class="form-control" name="telepon" placeholder="No. Telepon" required="">
</div>
<div class="form-group">
<label>Alamat</label>
<textarea class="form-control" name="alamat" placeholder="Alamat" required=""></textarea>
</div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
<button type="submit" id="tambah" class="btn btn-primary">Simpan</button>
</div>
</form>Text Content
* Home * Lapangan * Registrasi * Login Barkla Futsal Call : Barkla Futsal * * * * Barkla Futsal * Home * Lapangan * Registrasi * Login × REGISTRASI CUSTOMER Username Password Nama Customer Email No. Telepon Alamat Close Simpan * < BARKLA FUTSAL * BARKLA FUTSAL * BARKLA FUTSAL * BARKLA FUTSAL 1. 1 2. 2 3. 3 4. 4 * Previous * Next BARKLA FUTSAL LAPANGAN D Rp. 1.200 / Detail Lapangan LAPANGAN E Rp. 145.000 / Detail Lapangan LAPANGAN F Rp. 35.000 / Detail Lapangan LAPANGAN A Rp. 1.500 / Detail Lapangan LAPANGAN B Rp. 2.500 / Detail Lapangan LAPANGAN C Rp. 2.600 / Detail Lapangan LAPANGAN D Rp. 1.200 / Detail Lapangan LAPANGAN E Rp. 145.000 / Detail Lapangan LAPANGAN F Rp. 35.000 / Detail Lapangan LAPANGAN A Rp. 1.500 / Detail Lapangan LAPANGAN B Rp. 2.500 / Detail Lapangan LAPANGAN C Rp. 2.600 / Detail Lapangan View all Lapangan BARKLA FUTSAL LAPANGAN A Rp. 1.500 Detail Lapangan LAPANGAN B Rp. 2.500 Detail Lapangan LAPANGAN C Rp. 2.600 Detail Lapangan LAPANGAN D Rp. 1.200 Detail Lapangan LAPANGAN E Rp. 145.000 Detail Lapangan LAPANGAN F Rp. 35.000 Detail Lapangan BARKLA FUTSAL Temukan Lebih Banyak Lapangan BARKLA FUTSAL Barkla Futsal. * * * * LINKS TERKAIT * Home * Lapangan CONTACT INFORMATION * Surabaya, Jawa Timur * 081291235618 * Barkla Futsal@gmail.com * Lapangan : Barkla Futsal Copyright ©2024 All rights reserved | by Barkla Futsal Lapangan: Barkla Futsal