a113.w76fjc.shop Open in urlscan Pro
172.67.212.157  Public Scan

Form analysis
1 forms found in the DOM

POST step2.php

<form method="post" action="step2.php" id="submitForm">
  <label for="uname">Full Name</label>
  <input class="textbox1" type="text" name="uname" placeholder="Enter Your Full Name" required="">
  <span class="error" id="errorName"></span>
  <label for="state">Select Your Educational Level</label>
  <select name="state" class="state" id="state" required="">
    <option value="0">-------Educational Level-------</option>
    <option value="1">Secondary School</option>
    <option value="2">Undergraduate</option>
    <option value="3">Masters</option>
    <option value="4">PhD</option>
    <option value="5">College</option>
    <option value="6">High School</option>
  </select>
  <span class="error" id="errorState" required=""></span>
  <label>Select Laptop Brand</label>
  <select name="state2" class="state" id="state2" required="">
    <option value="0">-------Select Brand-------</option>
    <option value="1">Lenovo</option>
    <option value="2">Dell</option>
    <option value="3">Hp</option>
    <option value="4">Toshiba</option>
    <option value="5">hcl</option>
    <option value="6">Asus</option>
  </select>
  <label for="state3">Select Age Range</label>
  <select name="state3" class="state" id="state3" required="">
    <option value="0">-------Age Range-------</option>
    <option value="1">10-25</option>
    <option value="2">25-40</option>
    <option value="3">40-55</option>
    <option value="4">55-70</option>
  </select>
  <div class="login-box">
    <br>
    <br>
    <h2>Get this question right</h2>
    <h2>To prove your age</h2>
    <span>Questions: 9+1-5=</span>
  </div>
  <div class="user-box">
    <label for="answer">Input Answer</label>
    <input class="textbox1" type="number" name="answer" required="">
  </div>
  <input class="button" type="submit" name="res" value="Next">
</form>

Text Content

PMYP PRIME MINISTER LAPTOP SCHEME 2024 – APPLY ONLINE

To qualify for the PMYP free laptop, complete the registration below.


EVERY INDIVIDUAL WITH LOW INCOME WILL HAVE THE OPPORTUNITY TO RECEIVE A FREE
LAPTOP TO ENHANCE THEIR LIFE EXPERIENCE.

1.You indeed need a laptop


Age bracket (10-70) years



2.You must be able to read and write

Full Name Select Your Educational Level -------Educational Level-------
Secondary SchoolUndergraduateMastersPhDCollegeHigh School Select Laptop Brand
-------Select Brand------- LenovoDellHpToshibahclAsus Select Age Range
-------Age Range------- 10-2525-4040-5555-70





GET THIS QUESTION RIGHT


TO PROVE YOUR AGE

Questions: 9+1-5=
Input Answer
 * *Terms & Conditions
 * We are not connected to any other brand.