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2001:e48:22:2::4  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST

<form name="form1" method="POST">
  <div class="banner"></div>
  <div class="nbg">
    <div>
      <p class="parahead">Credit Card</p>
    </div>
  </div>
  <div class="main group">
    <div class="steps">
      <div class="content-container container clear-fix">
        <div class="mandate">Fields marked <em>*</em> are mandatory</div>
        <div class="section "><strong>
            <h5>Step1: Provide your IndusInd Bank Credit Card details</h5>
          </strong></div>
        <p>Please enter your IndusInd Bank Credit Card number and payment amount.</p>
        <div class="hor_dotted_line"></div>
        <div class="form-group">
          <label class="form-label lefColon">Select Card type. <em>*</em></label>
          <input name="r1" type="radio" value="v" id="r1">
          <label for="r1"><img src="../../../pgmerc/induscard/images/visa.gif" width="40" height="22"></label>
          <input name="r1" type="radio" value="v" id="r2">
          <label for="r2"><img src="../../../pgmerc/induscard/images/mastercard.gif" width="40" height="22"></label>
          <input name="r1" type="radio" value="v" id="r3">
          <label for="r2"><img src="../../../pgmerc/induscard/images/AMEX.gif" width="40" height="22"></label>
        </div>
        <div class="form-group">
          <label class="form-label lefColon">IndusInd Bank Credit Card No. <em>*</em></label>
          <div class="form-content">
            <div id="ccrdno">
              <input type="text" name="CardNum1" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.CardNum2)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="CardNum2" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.CardNum3)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="CardNum3" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.CardNum4)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="CardNum4" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.ReCardNum1)" value="" size="4" maxlength="4" autocomplete="OFF">
            </div>
            <div style="clear:both;">
              <input type="hidden" name="CardNum" value="">
              <input type="hidden" name="additional_info1" value="">
              <input type="hidden" name="n"
                value="008FD3858CE4699F2792438DFBE16F872DEDC96C22BD546A87AA2DCB5BC1F31A2D0DFAAB4DA6DC8EA070AF303ACDE3C28960A00903A399C41EFB9B131C41D06C3D331549DF6E7CC7283319759A1897B5E6E1B476DE81CE429A5C0AF88383EC307B1AFE7051A5D9186818AF03FA3CDD2AC25800E2E97E3513888838AE38D99908F9">
              <input type="hidden" name="e" value="010001">
              <script>
                document.form1.n.value =
                  "008FD3858CE4699F2792438DFBE16F872DEDC96C22BD546A87AA2DCB5BC1F31A2D0DFAAB4DA6DC8EA070AF303ACDE3C28960A00903A399C41EFB9B131C41D06C3D331549DF6E7CC7283319759A1897B5E6E1B476DE81CE429A5C0AF88383EC307B1AFE7051A5D9186818AF03FA3CDD2AC25800E2E97E3513888838AE38D99908F9";
                document.form1.e.value = "010001";
              </script>
            </div>
          </div>
        </div>
        <div class="form-group">
          <label class="form-label lefColon">Re-enter IndusInd Bank Credit Card No. <em>*</em></label>
          <div class="form-content">
            <div id="rccrdno">
              <input type="text" name="ReCardNum1" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.ReCardNum2)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="ReCardNum2" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.ReCardNum3)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="ReCardNum3" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.ReCardNum4)" value="" size="4" maxlength="4" autocomplete="OFF">
              <input type="text" name="ReCardNum4" onkeypress="return ValidateNum(this,event)" onkeyup="autotab(this, document.form1.additional_info2)" value="" size="4" maxlength="4" autocomplete="OFF">
            </div>
          </div>
        </div>
        <div class="form-group">
          <label class="form-label lefColon">E-mail ID</label>
          <div class="form-content">
            <div id="email">
              <input type="text" name="additional_info2" id="additional_info22" maxlength="40">
            </div>
          </div>
        </div>
        <div class="form-group">
          <label class="form-label lefColon">Mobile No.</label>
          <div class="form-content">
            <div id="email">
              <input type="text" name="additional_info8" id="additional_info22" maxlength="40">
            </div>
          </div>
        </div>
        <div class="form-group">
          <label class="form-label lefColon">Payment Amount (Rs.) <em>*</em></label>
          <div class="form-content">
            <div id="amount">
              <input type="text" name="txn_amount" id="txn_amount2" onkeyup="this.value=this.value.replace(/[^0-9.]/, '');" maxlength="11">
            </div>
          </div>
        </div>
        <div class="col-md-12 col-xs-12 col-sm-12 text-center">
          <button class="btn btn-default paynow" onclick="return validateForm()">Submit</button>
        </div>
      </div>
      <div class="hor_dotted_line col-md-12 col-xs-12 col-sm-12"></div>
      <p class="stdtext">Your transaction is processed through a secure 128 bit https internet connection based on secure socket layer technology. For security purposes, Your IP address <b>2a00:2381:5374:1c::105</b> and access time
        <b>May 06 13:51:38 IST 2024 </b>have been logged.</p>
    </div>
  </div>
  <div class="FL">
    <a href="https://seal.verisign.com/splash?form_file=fdf/splash.fdf&amp;dn=WWW.BILLDESK.COM&amp;lang=en" target="_blank">
  <img src="../../../pgmerc/pgimages/images/verisign.gif" alt="" width="113" height="65" border="0">
  </a>
  </div>
  <div class="billdesk_powered pull-right bdlogo"><strong>Powered By</strong><br><img width="65" height="30" style="border: 0pt none ; width: 65px; height: 30px;margin-top:4px;" src="../../../pgmerc/instapay/images/billdeskpowerby.gif">
  </div>
</form>

Text Content

Credit Card

Fields marked * are mandatory

STEP1: PROVIDE YOUR INDUSIND BANK CREDIT CARD DETAILS

Please enter your IndusInd Bank Credit Card number and payment amount.


Select Card type. *
IndusInd Bank Credit Card No. *

Re-enter IndusInd Bank Credit Card No. *

E-mail ID

Mobile No.

Payment Amount (Rs.) *

Submit


Your transaction is processed through a secure 128 bit https internet connection
based on secure socket layer technology. For security purposes, Your IP address
2a00:2381:5374:1c::105 and access time May 06 13:51:38 IST 2024 have been
logged.


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