www.ec-formupdate.northeastltd.in Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST form-handle.php

<form method="POST" id="signup-form" class="signup-form wizard clearfix" action="form-handle.php" enctype="multipart/form-data" novalidate="novalidate" role="application">
  <div class="steps clearfix">
    <ul role="tablist">
      <li role="tab" class="first current" aria-disabled="false" aria-selected="true"><a id="signup-form-t-0" href="#signup-form-h-0" aria-controls="signup-form-p-0"><span class="current-info audible"> </span><h3 class="title">
                    Account
                </h3></a></li>
      <li role="tab" class="disabled" aria-disabled="true"><a id="signup-form-t-1" href="#signup-form-h-1" aria-controls="signup-form-p-1"><h3 class="title">
                    Address
                </h3></a></li>
      <li role="tab" class="disabled last" aria-disabled="true"><a id="signup-form-t-2" href="#signup-form-h-2" aria-controls="signup-form-p-2"><h3 class="title">
                    Bank Info
                </h3></a></li>
    </ul>
  </div>
  <div class="content clearfix">
    <h3 id="signup-form-h-0" tabindex="-1" class="title current"> Account </h3>
    <fieldset id="signup-form-p-0" role="tabpanel" aria-labelledby="signup-form-h-0" class="body current" aria-hidden="false">
      <div class="form-row alms row">
        <!--  <div class="form-file">
                            <input type="file" class="inputfile" name="your_picture" id="your_picture"
                                onchange="readURL(this);" data-multiple-caption="{count} files selected" multiple />
                            <label for="your_picture">
                                <figure>
                                    <img src="images/your-picture.png" alt="" class="your_picture_image">
                                </figure>
                                <span class="file-button">choose picture</span>
                            </label>
                        </div> -->
        <div class="col-md-6">
          <div class="form-group alms pen">
            <input type="text" id="nbsl_date" name="nbsl_date">
          </div>
          <div class="form-group">
            <input type="text" name="nbsl_tcode" id="nbsl_tcode" placeholder="Trading Code">
          </div>
          <div class="form-group">
            <input type="text" name="nbsl_tid" id="nbsl_tid" placeholder="Client Id No">
          </div>
          <div class="form-group">
            <select name="nbsl_dp" id="nbsl_dp" required="">
              <option value="">Select</option>
              <option value="0">NSDL</option>
              <option value="1">CDSL</option>
            </select>
            <span class="select-icon"><i class="zmdi zmdi-caret-down"></i></span>
          </div>
        </div>
        <div class="col-md-6">
          <div class="form-group">
            <input type="text" name="first_hname" id="first_hname" placeholder="First Holder Name">
          </div>
          <div class="form-group">
            <input type="text" name="second_hname" id="second_hname" placeholder="Second Holder Name ">
          </div>
          <div class="form-group">
            <input type="text" name="third_hname" id="third_hname" placeholder="Third Holder Name">
          </div>
        </div>
      </div>
    </fieldset>
    <h3 id="signup-form-h-1" tabindex="-1" class="title"> Address </h3>
    <fieldset id="signup-form-p-1" role="tabpanel" aria-labelledby="signup-form-h-1" class="body" aria-hidden="true" style="display: none;">
      <div class="form-row alms row">
        <div class="col-md-6">
          <div class="form-group">
            <textarea id="nbsl_oldad" name="nbsl_oldad" placeholder="Old Address"></textarea>
          </div>
          <div class="form-group">
            <input type="tel" name="nbsl_oldmob" id="nbsl_oldmob" placeholder="Old Mobile Number" pattern="[6-9]{1}[0-9]{9}">
          </div>
          <div class="form-group">
            <input type="email" name="email_old" id="email_old" placeholder="Old Email Id">
          </div>
        </div>
        <div class="col-md-6">
          <div class="form-group">
            <textarea name="nbsl_newad" id="nbsl_newad" placeholder="New Address"></textarea>
          </div>
          <div class="form-group">
            <input type="tel" name="nbsl_newmob" id="nbsl_newmob" placeholder="New Mobile Number" pattern="[6-9]{1}[0-9]{9}">
          </div>
          <div class="form-group">
            <input type="email" name="email_new" id="email_new" placeholder="New Email Id">
          </div>
        </div>
      </div>
    </fieldset>
    <h3 id="signup-form-h-2" tabindex="-1" class="title"> Bank Info </h3>
    <fieldset id="signup-form-p-2" role="tabpanel" aria-labelledby="signup-form-h-2" class="body" aria-hidden="true" style="display: none;">
      <div class="form-row alms row ">
        <div class="col-md-6">
          <h6 class="tmhd">Your Old Bank Details</h6>
          <div class="form-group">
            <input type="text" name="old_bacno" id="old_bacno" placeholder="Old Bank Account No">
            <!--  pattern="^(0|[0-9][0-9]*)$"  -->
          </div>
          <div class="form-group">
            <input type="text" name="old_btype" id="old_btype" placeholder="Old Bank Account Type">
          </div>
          <div class="form-group">
            <input type="text" name="old_mcrno" id="old_mcrno" placeholder="Old MICR No">
          </div>
          <div class="form-group">
            <input type="text" name="old_bname" id="old_bname" placeholder="Old Bank Name">
          </div>
          <div class="form-group">
            <textarea name="old_bads" id="old_bads" placeholder="Old Bank Address"></textarea>
          </div>
          <div class="form-group">
            <input type="text" name="old_bbng" id="old_bbng" placeholder="Old Building">
          </div>
          <div class="form-group">
            <input type="text" name="old_barea" id="old_barea" placeholder="Old Area">
          </div>
          <div class="form-group">
            <input type="text" name="old_bloc" id="old_bloc" placeholder="Old Locality ">
          </div>
          <div class="form-group">
            <input type="text" name="old_bcity" id="old_bcity" placeholder="Old City Name">
          </div>
          <div class="form-group">
            <input type="text" name="old_bpin" id="old_bpin" placeholder="Old Pin Code" pattern="[0-9]{6}">
          </div>
        </div>
        <div class="col-md-6">
          <h6 class="tmhd">Your New Bank Details</h6>
          <div class="form-group">
            <input type="text" name="new_bacno" id="new_bacno" placeholder="New Bank Account No">
          </div>
          <div class="form-group">
            <input type="text" name="new_btype" id="new_btype" placeholder="New Bank Account Type">
          </div>
          <div class="form-group">
            <input type="text" name="new_mcrno" id="new_mcrno" placeholder="New MICR No">
          </div>
          <div class="form-group">
            <input type="text" name="new_bname" id="new_bname" placeholder="New Bank Name">
          </div>
          <div class="form-group">
            <textarea name="new_bads" id="new_bads" placeholder="New Bank Address"></textarea>
          </div>
          <div class="form-group">
            <input type="text" name="new_bbng" id="new_bbng" placeholder="New Building">
          </div>
          <div class="form-group">
            <input type="text" name="new_barea" id="new_barea" placeholder="New Area">
          </div>
          <div class="form-group">
            <input type="text" name="new_bloc" id="new_bloc" placeholder="New Locality ">
          </div>
          <div class="form-group">
            <input type="text" name="new_bcity" id="new_bcity" placeholder="New City Name">
          </div>
          <div class="form-group">
            <input type="text" name="new_bpin" id="new_bpin" placeholder="New Pin Code" pattern="[0-9]{6}">
          </div>
        </div>
      </div>
      <div class="form-row alms row upfld">
        <div class="col-md-12">
          <input type="file" name="your_uplaods" id="your_uplaods" placeholder="file">
          <p class="tagsm">Upload address proof (accepts format: pdf or image)</p>
        </div>
      </div>
    </fieldset>
    <input type="hidden" name="tsubmit" value="submit">
  </div>
  <div class="actions clearfix test">
    <ul role="menu" aria-label="Pagination">
      <li class="disabled" aria-disabled="true"><a href="#previous" role="menuitem">Previous</a></li>
      <li aria-hidden="false" aria-disabled="false"><a href="#next" role="menuitem">Next</a></li>
      <li aria-hidden="true" style="display: none;"><a href="#finish" role="menuitem">Finish</a></li>
    </ul>
  </div>
</form>

Text Content

SENDING


PROFILE UPDATE FORM


 * ACCOUNT


 * ADDRESS


 * BANK INFO


ACCOUNT

Select NSDL CDSL



ADDRESS




BANK INFO

YOUR OLD BANK DETAILS












YOUR NEW BANK DETAILS












Upload address proof (accepts format: pdf or image)

 * Previous
 * Next
 * Finish