lotus.icorepay.tech
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2a02:4780:b:731:0:3859:f850:3
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URL:
https://lotus.icorepay.tech/
Submission: On November 28 via api from US — Scanned from US
Submission: On November 28 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form id="form">
<img class="mb-4 img-fluid logo" src="../../pages/assets/img/lotus-logo.jpg" alt="" width="200px" height="100%">
<!--<h1 class="h3 mb-4 fw-normal">Pay</h1>-->
<div class="row mt-4 pt-4">
<h4 class="h4 fw-normal text-center">Enter Amount</h4>
<div class="col-md-12 text-center enteramount">
<div class="mb-4">
<input type="text" class="form-control" name="amount" data-type="text" data-required="yes" data-error="Please enter Amount to pay" placeholder="PHP 0.00">
</div>
</div>
</div>
<div class="row mt-4 pt-4">
<div class="col-md-12">
<div class="form-floating mb-2">
<input type="text" class="form-control" name="reference_no" data-type="text" data-required="no" data-error="Please enter your Reference Number" readonly="">
<label for="floatingInput">Reference Number</label>
</div>
</div>
<div class="col-md-12">
<div class="form-floating mb-2">
<input type="text" class="form-control" name="fullname" data-type="text" data-required="yes" data-error="Please enter your Full Name">
<label for="floatingInput">Full Name</label>
</div>
</div>
<div class="col-md-12">
<div class="form-floating mb-2">
<input type="text" class="form-control" name="email" data-type="email" data-required="yes" data-error="Please enter your Email Address" data-type-error="Please enter a valid Email Address.">
<label for="floatingInput">Email</label>
</div>
</div>
<div class="col-md-12">
<div class="form-floating mb-2">
<input type="text" class="form-control" name="address" data-type="text" data-required="yes" data-error="Please enter Address">
<label for="floatingInput">Address</label>
</div>
</div>
<div class="col-md-12">
<div class="form-floating mb-2">
<input type="text" class="form-control" name="remark" data-type="text" data-required="yes" data-error="Please enter Remarks">
<label for="floatingInput">Remarks</label>
</div>
</div>
</div>
<div class="row mt-4 pt-4">
<div class="col-md-12">
<div class="d-flex justify-content-evenly">
<div>
<div class="form-check">
<input type="checkbox" class="form-control form-group form-check-input" value="" data-type="confirm-box" data-required="yes" data-error="Please click on the checkbox.">
<label class="form-check-label text-dark" for="flexCheckDefault">Terms and Conditions. <a href="/terms-and-conditions.html" class="text-dark">Click Here</a></label>
</div>
</div>
<div>
<div class="form-check">
<input type="checkbox" class="form-control form-group form-check-input" value="" data-type="confirm-box" data-required="yes" data-error="Please click on the checkbox.">
<label class="form-check-label text-dark" for="flexCheckDefault2">Privacy Policy. <a href="/privacy-policy.html" class="text-dark">Click Here</a></label>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<div class="d-flex justify-content-evenly">
<div>
<div class="form-check">
<input type="checkbox" class="form-control form-group form-check-input" value="yes" name="enroll_loyalty" data-type="confirm-box" data-required="yes" data-error="Please click on the checkbox.">
<label class="form-check-label text-dark" for="flexCheckDefault2">Participate in the Loyalty Program?</label>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="form-floating mt-4 pb-4">
<button class="w-100 btn btn-lg btn-primary generate-qr" data-value="allbank-qr-hybrid" name="payment_option[]">
<span>Generate QRPH Code</span>
<div class="lds-facebook">
<div></div>
<div></div>
<div></div>
</div>
</button>
</div>
</div>
<!--<div class="row" style="text-align: center;"><h4>OR</h4></div>-->
<div class="row mt-4 pt-4">
<h3>Other Payment Options</h3>
<div class="accordion paymentacc" id="accordionExample">
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button" type="button" data-bs-toggle="collapse" data-bs-target="#collapseOne" aria-expanded="true" aria-controls="collapseOne">
<div class="d-md-flex justify-content-between">
<div>E-wallet</div>
<div class="d-flex flex-wrap small-icon justify-content-between align-items-center">
</div>
</div>
</button>
</h2>
<div id="collapseOne" class="accordion-collapse collapse" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="d-flex justify-content-between">
<div class="form-check">
<input class="form-check-input" type="radio" id="grabpaywallet" value="dp-grpy" name="payment_option[]"> <img src="pages//assets//img/grabpay-icon.png">
</div>
<div class="form-check">
<input class="form-check-input" type="radio" id="paymayaonline" value="dp-pymy" name="payment_option[]"> <img src="pages//assets//img/paymaya-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check">
<input class="form-check-input" type="radio" id="tayocash" value="dp-tayo" name="payment_option[]"> <img src="pages//assets//img/tayocash-icon.png">
</div>
<div class="form-check">
<input class="form-check-input" type="radio" id="gcash" value="xendit-gcash" name="payment_option[]"><img class="img-fluid" src="/pages/assets/img/gcash-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="tayocash" value="xendit-shopeepay" name="payment_option[]"> <img class="img-fluid" src="/pages/assets/img/shopee-pay-icon.png">
</div>
</div>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseOTC" aria-expanded="false" aria-controls="collapseTwo">
<div class="d-flex justify-content-between">
<div>OTC</div>
<div class="d-flex small-icon justify-content-between">
</div>
</div>
</button>
</h2>
<div id="collapseOTC" class="accordion-collapse collapse" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="d-flex justify-content-between">
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="bpionline" value="xendit-svn" name="payment_option[]"> <img class="img-fluid" src="/pages/assets/img/7-eleven-icon.png">
</div>
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="unionbankonline" value="xendit-cebuana" name="payment_option[]"> <img class="img-fluid" src="/pages/assets/img/cebuana-lhuillier-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="rcbconline" value="xendit-mlhuiller" name="payment_option[]"> <img class="img-fluid" src="/pages/assets/img/mlhuillier-icon.png">
</div>
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="gcash" value="xendit-palawan" name="payment_option[]"> <img class="img-fluid" src="/pages/assets/img/palawan-pawnshop-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="gcash" value="xendit-ecpay" name="payment_option[]"> Dragon Pay ECPAY LOAN
</div>
</div>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseCrypto" aria-expanded="false" aria-controls="collapseTwo">
<div class="d-flex justify-content-between">
<div>Cyrpto</div>
<div class="d-flex small-icon justify-content-between">
</div>
</div>
</button>
</h2>
<div id="collapseCrypto" class="accordion-collapse collapse" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="d-flex justify-content-between">
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="bpionline" value="dp-aaa" name="payment_option[]" data-min="500"> Dragonpay Triple A
</div>
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="unionbankonline" value="dp-bitc" name="payment_option[]" data-min="500"> Dragonpay CoinsPH
</div>
</div>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseTwo" aria-expanded="false" aria-controls="collapseTwo">
<div class="d-flex justify-content-between">
<div>Direct Debit</div>
<div class="d-flex small-icon justify-content-between">
</div>
</div>
</button>
</h2>
<div id="collapseTwo" class="accordion-collapse collapse" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="d-flex justify-content-between">
<div class="form-check">
<input class="form-check-input" type="radio" id="bpionline" value="dp-bpia" name="payment_option[]"> <img src="pages//assets//img/bpi-icon.png">
</div>
<div class="form-check">
<input class="form-check-input" type="radio" id="unionbankonline" value="dp-ubpb" name="payment_option[]"> <img src="pages//assets//img/unionbank-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check">
<input class="form-check-input" type="radio" id="rcbconline" value="dp-rcdd" name="payment_option[]"> <img src="pages//assets//img/rcbc-icon.png">
</div>
<div class="form-check">
<input class="form-check-input" type="radio" id="gcash" value="gcash-qr" name="payment_option[]"><img class="img-fluid" src="/pages/assets/img/cebuana-icon.png">
</div>
</div>
<div class="d-flex justify-content-between">
<div class="form-check">
<input class="form-check-input" type="radio" id="gcash" value="gcash-qr" name="payment_option[]"><img class="img-fluid" style="height:30px; width:auto" src="/pages/assets/img/landbank-icon.png">
</div>
<div class="form-check" style="color: black;">
<input class="form-check-input" type="radio" id="allbank" value="allbank-qr-hybrid" name="payment_option[]"> Allbank
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="form-floating mt-4 pb-4">
<button class="w-100 btn btn-lg btn-primary pay">
<span>Pay With Alternative Payment Options</span>
<div class="lds-facebook">
<div></div>
<div></div>
<div></div>
</div>
</button>
</div>
</div>
<div class="row mb-4 pt-4">
<div class="col-md-12">
<img src="pages//assets//img/mobileapp.jpg" class="img-fluid" style="width:75%; margin:auto; display:block">
</div>
</div>
<div class="row mb-4 pb-4">
<div class="col-md-12">
<p class="text-center text-dark">Powered by:</p>
</div>
<div class="col-md-12 mb-4">
<div class="d-flex justify-content-center align-items-center">
<img style="height:40px; width:auto; margin-left:10px; margin-right:10px" src="/pages/assets/img/icorepay-logo-green.png"> <img style="height:30px; width:auto; margin-left:10px; margin-right:10px" src="/pages/assets/img/allbank-icon.png">
</div>
</div>
<div class="col-md-12">
<p class="text-center text-dark">In partnership with:</p>
</div>
<div class="col-md-12">
<div class="d-flex justify-content-evenly align-items-center">
<img style="height:25px; width:auto" src="/pages/assets/img/qrph-logo.png"> <img style="height:25px; width:auto" src="/pages/assets/img/xendit-icon.png"> <img style="height:35px; width:auto" src="/pages/assets/img/dragonpay-icon.png">
</div>
</div>
</div>
</form>Text Content
ENTER AMOUNT Reference Number Full Name Email Address Remarks Terms and Conditions. Click Here Privacy Policy. Click Here Participate in the Loyalty Program? Generate QRPH Code OTHER PAYMENT OPTIONS E-WALLET OTC Dragon Pay ECPAY LOAN CYRPTO Dragonpay Triple A Dragonpay CoinsPH DIRECT DEBIT Allbank Pay With Alternative Payment Options Powered by: In partnership with: