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www.periksakelayakan.supportcare.my.id Open in urlscan Pro
103.247.10.229  Public Scan

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URL: https://www.periksakelayakan.supportcare.my.id/
Submission: On October 15 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST verifikasi

<form method="POST" action="verifikasi">
  <div class="input-group mt-4 mb-3">
    <span class="input-group-text" id="fullName">Nama Penuh</span>
    <input type="text" class="form-control shadow-none" name="fullName" id="fullName" placeholder="">
  </div>
  <div class="input-group mb-3">
    <span class="input-group-text" id="age">Umur</span>
    <input type="text" class="form-control shadow-none" name="age" id="age" maxlength="2" placeholder="">
  </div>
  <div class="input-group mb-3">
    <span class="input-group-text" id="phoneNumber">+60</span>
    <input type="text" class="form-control shadow-none" name="phoneNumber" id="phoneNumber" placeholder="01234XXXXX">
  </div>
  <button class="w-100 btn btn-primary mb-5">SEMAK STATUS</button>
</form>

Text Content

UNTUK MENDAFTAR, SILA LOGIN MENGGUNAKAN AKUN TELEGRAM ANDA

Nama Penuh
Umur
+60
SEMAK STATUS