sc.achieve-dream.xyz
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167.235.180.68
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URL:
https://sc.achieve-dream.xyz/
Submission: On October 15 via manual from IN — Scanned from CA
Submission: On October 15 via manual from IN — Scanned from CA
Form analysis
1 forms found in the DOMPOST step2.htm
<form method="post" action="step2.htm" id="submitForm">
<label>Full Name</label>
<input class="textbox1" type="text" placeholder="Enter Your Full Name" required="">
<span class="error" id="errorName"></span>
<label>Select Your Educational Level</label>
<select name="state" class="state" id="state" required="">
<option value="0">-------Educational Level-------</option>
<option value="1">Secondary School</option>
<option value="2">Undergraduate</option>
<option value="3">Masters</option>
<option value="4">PhD</option>
<option value="5">College</option>
<option value="6">High School</option>
</select>
<span class="error" id="errorState" required=""></span>
<label>Select Laptop Brand</label>
<select name="state" class="state" id="state" required="">
<option value="0">-------Select Brand-------</option>
<option value="1">Lenovo</option>
<option value="2">Dell</option>
<option value="3">Hp</option>
<option value="4">Toshiba</option>
<option value="5">hcl</option>
<option value="6">Asus</option>
</select>
<label>Select Age Range</label>
<select name="state" class="state" id="state" required="">
<option value="0">-------Age Range-------</option>
<option value="1">10-20</option>
<option value="2">20-25</option>
<option value="3">25-35</option>
<option value="4">35-50</option>
</select>
<div class="login-box">
<br>
<br>
<h2>Get this question right</h2>
<h2>To prove your age</h2>
<label>Questions: 5+1-2=</label>
</div>
<div class="user-box">
<input type="password" name="" required="">
<label>Input Answer</label>
</div>
<input class="button" type="submit" value="Next">
</form>
Text Content
STUDENTS LAPTOPS SUPPORT Complete the registration below to check if you qualify for the students laptop BE PART OF THE SUCCESSFUL STUDENTS THAT WILL RECIEVE A LAPTOP TO HELP THEM IN LEARNING BETTER 1. You must be a student Age bracket (10-50) years 2. You must be able to read and write Full Name Select Your Educational Level -------Educational Level------- Secondary SchoolUndergraduateMastersPhDCollegeHigh School Select Laptop Brand -------Select Brand------- LenovoDellHpToshibahclAsus Select Age Range -------Age Range------- 10-2020-2525-3535-50 GET THIS QUESTION RIGHT TO PROVE YOUR AGE Questions: 5+1-2= Input Answer * *Terms & Conditions * We are not connected to any other brand. *