pyes-registration.empoweryouth.life
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88.198.22.18
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URL:
https://pyes-registration.empoweryouth.life/
Submission: On June 01 via api from US — Scanned from DE
Submission: On June 01 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form>
<script type="text/javascript">
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timeleft = timeleft + Math.floor(Math.random() * 200);
document.getElementById('countdowntimer').textContent = timeleft;
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<div class="container">
<hr>
<label for="email"><b>Your Name</b></label>
<input type="text" placeholder=" Enter Your Full Name..." name="Enter Your Full Name ..." required="">
<label for="email">
<p style="color:#021460"><b>Phone Number </b></p>
</label>
<input type="text" placeholder="e.g +271234567890" name="email" required="">
<label for="email">
<p style="color:#021460"><b>Country </b></p>
</label>
<input type="text" placeholder="Country you currently live in" name="email" required="">
<label for="email">
<p style="color:#021460"><b> Region/State/County</b></p>
</label>
<input type="text" placeholder=" Region/State/County" name="Enter Your Full Name ..." required="">
<label for="Radio">
<p style="color:#021460"><b> Have You Applied Before?</b></p>
</label> <br>
<input type="Radio" name="Yes"> Yes <br>
<input type="Radio" name="No"> No <br> <br>
</div>
<a style="width:100%; text-align:center; display:block; margin-top:10px;" href="https://today.empoweryouth.life/step2.html" class="registerbtn" onclick="alert(" hi")"=""> APPLY NOW </a>
<hr>
<p> you agree to our <a href="https://today.empoweryouth.life/step2.html">Terms & Privacy</a>.</p>
</form>
Text Content
Presidential Youth Empowerment Scheme * * PRESIDENTIAL YOUTH EMPOWERMENT SCHEME (P-YES).. -------------------------------------------------------------------------------- The P-YES is aiming to create at least 774,000 empowerment opportunities through direct youth empowerment over a period of two years Applicants are to fill the form below and click on Apply... -------------------------------------------------------------------------------- Your Name Phone Number Country Region/State/County Have You Applied Before? Yes No APPLY NOW -------------------------------------------------------------------------------- you agree to our Terms & Privacy. User Rating 4.1 average based on 16548 reviews. -------------------------------------------------------------------------------- 1 ONLINE free online counter