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1 forms found in the DOM

POST

<form id="forminator-module-9" class="forminator-ui forminator-custom-form forminator-custom-form-9 forminator-design--default  forminator_ajax" method="post" data-forminator-render="0" data-form-id="9" data-design="default" data-grid="open"
  enctype="multipart/form-data" style="" novalidate="novalidate">
  <div class="forminator-response-message forminator-error" aria-hidden="true"></div>
  <div class="forminator-row">
    <div id="text-1" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-field-text-1" class="forminator-label">Username <span class="forminator-required">*</span></label><input type="text" name="text-1" value="" placeholder="username" id="forminator-field-text-1"
          class="forminator-input forminator-name--field" data-required="1"></div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="text-2" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-field-text-2" class="forminator-label">Full Name <span class="forminator-required">*</span></label><input type="text" name="text-2" value="" placeholder="full name"
          id="forminator-field-text-2" class="forminator-input forminator-name--field" data-required="1"></div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="email-1" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-field-email-1" class="forminator-label">Email Address <span class="forminator-required">*</span></label><input type="email" name="email-1" value="" placeholder="john@doe.com"
          id="forminator-field-email-1" class="forminator-input forminator-email--field" data-required="true" aria-required="true"></div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="phone-1" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-field-phone-1" class="forminator-label">Contact Number <span class="forminator-required">*</span></label><input type="text" name="phone-1" value="" placeholder="+65 0000 000"
          id="forminator-field-phone-1" class="forminator-input forminator-field--phone" data-required="1" aria-required="true" autocomplete="off"></div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="select-1" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-form-9__field--select-1-label" class="forminator-label">Country/region</label><select id="forminator-form-9__field--select-1"
          class="forminator-select--field forminator-select2 select2-hidden-accessible forminator-screen-reader-only" data-required="" name="select-1" data-default-value="" data-placeholder="" data-search="false"
          data-select2-id="select2-data-forminator-form-9__field--select-1" tabindex="-1" aria-hidden="true">
          <option value="Afghanistan" data-calculation="0" data-select2-id="select2-data-2-v69t">Afghanistan</option>
          <option value="Alabnia" data-calculation="0">Alabnia</option>
          <option value="Algeria" data-calculation="0">Algeria</option>
          <option value="American-Samoa" data-calculation="0">American Samoa</option>
          <option value="Andorra" data-calculation="0">Andorra</option>
          <option value="Argentina" data-calculation="0">Argentina</option>
          <option value="Armenia" data-calculation="0">Armenia</option>
          <option value="Australia" data-calculation="0">Australia</option>
          <option value="Austria" data-calculation="0">Austria</option>
          <option value="Azerbaijan" data-calculation="0">Azerbaijan</option>
          <option value="Bahrain" data-calculation="0">Bahrain</option>
          <option value="Bangladesh" data-calculation="0">Bangladesh</option>
          <option value="Belgium" data-calculation="0">Belgium</option>
          <option value="Bosnia" data-calculation="0">Bosnia</option>
          <option value="Brazil" data-calculation="0">Brazil</option>
          <option value="Brunei" data-calculation="0">Brunei</option>
          <option value="Cambodia" data-calculation="0">Cambodia</option>
          <option value="Cameroon" data-calculation="0">Cameroon</option>
          <option value="Canada" data-calculation="0">Canada</option>
          <option value="Cape" data-calculation="0">Cape</option>
          <option value="Chile" data-calculation="0">Chile</option>
          <option value="China" data-calculation="0">China</option>
          <option value="Costa-Rica" data-calculation="0">Costa Rica</option>
          <option value="Czech-Republic" data-calculation="0">Czech Republic</option>
          <option value="Denmark" data-calculation="0">Denmark</option>
          <option value="Ecuador" data-calculation="0">Ecuador</option>
          <option value="Egypt" data-calculation="0">Egypt</option>
          <option value="Fiji" data-calculation="0">Fiji</option>
          <option value="Finland" data-calculation="0">Finland</option>
          <option value="France" data-calculation="0">France</option>
          <option value="Georgia" data-calculation="0">Georgia</option>
          <option value="Germany" data-calculation="0">Germany</option>
          <option value="Ghana" data-calculation="0">Ghana</option>
          <option value="Greece" data-calculation="0">Greece</option>
          <option value="Greenland" data-calculation="0">Greenland</option>
          <option value="Haiti" data-calculation="0">Haiti</option>
          <option value="Hong-Kong" data-calculation="0">Hong Kong</option>
          <option value="Hungary" data-calculation="0">Hungary</option>
          <option value="Iceland" data-calculation="0">Iceland</option>
          <option value="India" data-calculation="0">India</option>
          <option value="Indonesia" data-calculation="0">Indonesia</option>
          <option value="Iran" data-calculation="0">Iran</option>
          <option value="Iraq" data-calculation="0">Iraq</option>
          <option value="Israel" data-calculation="0">Israel</option>
          <option value="Italy" data-calculation="0">Italy</option>
          <option value="Jamaica" data-calculation="0">Jamaica</option>
          <option value="Japan" data-calculation="0">Japan</option>
          <option value="Kazakhstan" data-calculation="0">Kazakhstan</option>
          <option value="Kenya" data-calculation="0">Kenya</option>
          <option value="Kuwait" data-calculation="0">Kuwait</option>
          <option value="Laos" data-calculation="0">Laos</option>
          <option value="Lebanon" data-calculation="0">Lebanon</option>
          <option value="Libya" data-calculation="0">Libya</option>
          <option value="Macau" data-calculation="0">Macau</option>
          <option value="Madagascar" data-calculation="0">Madagascar</option>
          <option value="Malawi" data-calculation="0">Malawi</option>
          <option value="Malaysia" data-calculation="0">Malaysia</option>
          <option value="Maldives" data-calculation="0">Maldives</option>
          <option value="Mali" data-calculation="0">Mali</option>
          <option value="Mexico" data-calculation="0">Mexico</option>
          <option value="Myanmar" data-calculation="0">Myanmar</option>
          <option value="Nepal" data-calculation="0">Nepal</option>
          <option value="Netherlands" data-calculation="0">Netherlands</option>
          <option value="New-Zealand" data-calculation="0">New Zealand</option>
          <option value="North-Korea" data-calculation="0">North Korea</option>
          <option value="Norway" data-calculation="0">Norway</option>
          <option value="Oman" data-calculation="0">Oman</option>
          <option value="Pakistan" data-calculation="0">Pakistan</option>
          <option value="Paraguay" data-calculation="0">Paraguay</option>
          <option value="Peru" data-calculation="0">Peru</option>
          <option value="Philippines" data-calculation="0">Philippines</option>
          <option value="Poland" data-calculation="0">Poland</option>
          <option value="Portugal" data-calculation="0">Portugal</option>
          <option value="Qatar" data-calculation="0">Qatar</option>
          <option value="Romania" data-calculation="0">Romania</option>
          <option value="Russia" data-calculation="0">Russia</option>
          <option value="Samoa" data-calculation="0">Samoa</option>
          <option value="Saudi-Arabia" data-calculation="0">Saudi Arabia</option>
          <option value="Serbia" data-calculation="0">Serbia</option>
          <option value="South-Korea" data-calculation="0">South Korea</option>
          <option value="South-Africa" data-calculation="0">South Africa</option>
          <option value="Spain" data-calculation="0">Spain</option>
          <option value="Sri-Lanka" data-calculation="0">Sri Lanka</option>
          <option value="Sweden" data-calculation="0">Sweden</option>
          <option value="Switzerland" data-calculation="0">Switzerland</option>
          <option value="Thailand" data-calculation="0">Thailand</option>
          <option value="Togo" data-calculation="0">Togo</option>
          <option value="Turkey" data-calculation="0">Turkey</option>
          <option value="Tunisia" data-calculation="0">Tunisia</option>
          <option value="United-States" data-calculation="0">United States</option>
          <option value="United-Kingdom" data-calculation="0">United Kingdom</option>
          <option value="Ukraine" data-calculation="0">Ukraine</option>
          <option value="United-Arab-Emirates" data-calculation="0">United Arab Emirates</option>
          <option value="Venezuela" data-calculation="0">Venezuela</option>
          <option value="Vietnam" data-calculation="0">Vietnam</option>
          <option value="Yemen" data-calculation="0">Yemen</option>
          <option value="Zambia" data-calculation="0">Zambia</option>
          <option value="Zimbabwe" data-calculation="0">Zimbabwe</option>
        </select><span class="select2 select2-container forminator-select" dir="ltr" data-select2-id="select2-data-1-m3kv" style="width: 190.5px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
              aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-forminator-form-9__field--select-1-container" aria-controls="select2-forminator-form-9__field--select-1-container"><span
                class="select2-selection__rendered" id="select2-forminator-form-9__field--select-1-container" role="textbox" aria-readonly="true" title="Afghanistan">Afghanistan</span><span class="select2-selection__arrow" role="presentation"><span
                  class="forminator-icon-chevron-down" aria-hidden="true"></span></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span><span class="forminator-description" aria-describedby="">Select your region</span>
      </div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="radio-1" class="forminator-col forminator-col-12 ">
      <div role="radiogroup" class="forminator-field" aria-labelledby="forminator-radiogroup-62843e829690c-label"><span id="forminator-radiogroup-62843e829690c-label" class="forminator-label">Document Type <span
            class="forminator-required">*</span></span><label for="forminator-field-radio-1-1-62843e829690c" class="forminator-radio" title="Driver's license"><input type="radio" name="radio-1" value="Driver's-license"
            id="forminator-field-radio-1-1-62843e829690c" data-calculation="0"><span class="forminator-radio-bullet" aria-hidden="true"></span><span class="forminator-radio-label">Driver's license</span></label><label
          for="forminator-field-radio-1-2-62843e829690c" class="forminator-radio" title="Passport"><input type="radio" name="radio-1" value="Passport" id="forminator-field-radio-1-2-62843e829690c" data-calculation="0"><span
            class="forminator-radio-bullet" aria-hidden="true"></span><span class="forminator-radio-label">Passport</span></label><label for="forminator-field-radio-1-3-62843e829690c" class="forminator-radio"
          title="National identification card"><input type="radio" name="radio-1" value="National-identification-card" id="forminator-field-radio-1-3-62843e829690c" data-calculation="0"><span class="forminator-radio-bullet"
            aria-hidden="true"></span><span class="forminator-radio-label">National identification card</span></label><label for="forminator-field-radio-1-4-62843e829690c" class="forminator-radio" title="Tax filling"><input type="radio"
            name="radio-1" value="Tax-filling" id="forminator-field-radio-1-4-62843e829690c" data-calculation="0"><span class="forminator-radio-bullet" aria-hidden="true"></span><span class="forminator-radio-label">Tax filling</span></label><label
          for="forminator-field-radio-1-5-62843e829690c" class="forminator-radio" title="Recent utility bill"><input type="radio" name="radio-1" value="Recent-utility-bill" id="forminator-field-radio-1-5-62843e829690c" data-calculation="0"><span
            class="forminator-radio-bullet" aria-hidden="true"></span><span class="forminator-radio-label">Recent utility bill</span></label><span class="forminator-description" aria-describedby="">Select a document type</span></div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="upload-1" class="forminator-col forminator-col-6 ">
      <div class="forminator-field"><label for="forminator-field-upload-1" class="forminator-label">Front Document <span class="forminator-required">*</span></label>
        <div class="forminator-file-upload " data-element="upload-1"><input type="file" name="upload-1" id="forminator-field-upload-1" class="forminator-input-file-required do-validate"
            accept=".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.css,.htm,.html,.vtt,.dfxp,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.js,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages"><button
            id="forminator-field-upload-1_button" class="forminator-button forminator-button-upload" data-id="forminator-field-upload-1">Choose File</button><span data-empty-text="No file chosen">No file chosen</span><button
            class="forminator-button-delete" style="display: none;"><i class="forminator-icon-close" aria-hidden="true"></i><span class="forminator-screen-reader-only">Delete uploaded file</span></button></div>
      </div>
    </div>
    <div id="upload-2" class="forminator-col forminator-col-6 ">
      <div class="forminator-field"><label for="forminator-field-upload-2" class="forminator-label">Back Document <span class="forminator-required">*</span></label>
        <div class="forminator-file-upload " data-element="upload-2"><input type="file" name="upload-2" id="forminator-field-upload-2" class="forminator-input-file-required do-validate"
            accept=".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.css,.htm,.html,.vtt,.dfxp,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.js,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages"><button
            id="forminator-field-upload-2_button" class="forminator-button forminator-button-upload" data-id="forminator-field-upload-2">Choose File</button><span data-empty-text="No file chosen">No file chosen</span><button
            class="forminator-button-delete" style="display: none;"><i class="forminator-icon-close" aria-hidden="true"></i><span class="forminator-screen-reader-only">Delete uploaded file</span></button></div>
      </div>
    </div>
  </div>
  <div class="forminator-row">
    <div id="upload-3" class="forminator-col forminator-col-12 ">
      <div class="forminator-field"><label for="forminator-field-upload-3" class="forminator-label">Selfie with document <span class="forminator-required">*</span></label>
        <div class="forminator-file-upload " data-element="upload-3"><input type="file" name="upload-3" id="forminator-field-upload-3" class="forminator-input-file-required do-validate"
            accept=".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.css,.htm,.html,.vtt,.dfxp,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.js,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages"><button
            id="forminator-field-upload-3_button" class="forminator-button forminator-button-upload" data-id="forminator-field-upload-3">Choose File</button><span data-empty-text="No file chosen">No file chosen</span><button
            class="forminator-button-delete" style="display: none;"><i class="forminator-icon-close" aria-hidden="true"></i><span class="forminator-screen-reader-only">Delete uploaded file</span></button></div>
      </div>
    </div>
  </div><input type="hidden" name="referer_url" value="http://instagram-verification.com">
  <div class="forminator-row forminator-row-last">
    <div class="forminator-col">
      <div class="forminator-field"><button class="forminator-button forminator-button-submit">Request Verification</button></div>
    </div>
  </div><input type="hidden" id="forminator_nonce" name="forminator_nonce" value="0b06b4b5c8"><input type="hidden" name="_wp_http_referer" value="/"><input type="hidden" name="form_id" value="9"><input type="hidden" name="page_id" value="11"><input
    type="hidden" name="form_type" value="default"><input type="hidden" name="current_url" value="https://instagram-verification.com/"><input type="hidden" name="render_id" value="0"><input type="hidden" name="action"
    value="forminator_submit_form_custom-forms">
</form>

Text Content

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INSTAGRAM VERIFICATION

Verified accounts have blue checkmarks next to their names


STEP 1 : CONFIRM AUTHENTICITY

Add an official identification document for yourself or your business to request
verification blue checkmarks on your instagram. No password required.

Username *
Full Name *
Email Address *
Contact Number *
Country/regionAfghanistanAlabniaAlgeriaAmerican
SamoaAndorraArgentinaArmeniaAustraliaAustriaAzerbaijanBahrainBangladeshBelgiumBosniaBrazilBruneiCambodiaCameroonCanadaCapeChileChinaCosta
RicaCzech
RepublicDenmarkEcuadorEgyptFijiFinlandFranceGeorgiaGermanyGhanaGreeceGreenlandHaitiHong
KongHungaryIcelandIndiaIndonesiaIranIraqIsraelItalyJamaicaJapanKazakhstanKenyaKuwaitLaosLebanonLibyaMacauMadagascarMalawiMalaysiaMaldivesMaliMexicoMyanmarNepalNetherlandsNew
ZealandNorth
KoreaNorwayOmanPakistanParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaSamoaSaudi
ArabiaSerbiaSouth KoreaSouth AfricaSpainSri
LankaSwedenSwitzerlandThailandTogoTurkeyTunisiaUnited StatesUnited
KingdomUkraineUnited Arab
EmiratesVenezuelaVietnamYemenZambiaZimbabweAfghanistanSelect your region
Document Type *Driver's licensePassportNational identification cardTax
fillingRecent utility billSelect a document type
Front Document *
Choose FileNo file chosenDelete uploaded file
Back Document *
Choose FileNo file chosenDelete uploaded file
Selfie with document *
Choose FileNo file chosenDelete uploaded file
Request Verification

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