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www.login.finazer.com Open in urlscan Pro
43.252.88.182  Public Scan

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URL: https://www.login.finazer.com/
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

#

<form id="frmCentre" action="#">
  <div class="row register-form">
    <input type="text" name="CompanyGroupID" id="CompanyGroupID" value="151" hidden="">
    <input type="text" name="Amount" id="Amount" value="1100" hidden="">
    <div class="col-md-6">
      <div class="form-group">
        <h5 class="register-heading" style="color: #3931af">PERSONAL DETAILS APPLICANT -</h5>
      </div>
    </div>
    <div class="col-md-6">
    </div>
    <div class="col-md-6">
      <label>Full Name</label>
      <div class="form-group">
        <input type="text" class="form-control" placeholder="Full Name *" name="OwnerName" id="OwnerName" required="">
        <span id="reqTxtOwnerName" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <label>Date Of Birth</label>
      <div class="form-group">
        <input type="text" class="form-control hasDatepicker" placeholder="Date Of Birth*" name="DateOfBirth" id="DateOfBirth" required="">
        <span id="reqTxtDateOfBirth" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="Father Name*" name="FatherName" id="FatherName" required="">
        <span id="reqTxtFatherName" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="Aadhaar Card No.*" name="AadhaarCardNo" id="AadhaarCardNo" required="" maxlength="12" minlength="12">
        <span id="reqTxtAadhaarCardNo" class="reqError"></span><br>
        <span id="AadharNoValidate" class="OtpSent"></span>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="maxl">
          <label class="radio inline">
            <input type="radio" name="gender" id="gender" value="M" checked="">
            <span> Male </span>
          </label>
          <label class="radio inline">
            <input type="radio" name="gender" value="F" id="gender">
            <span>Female </span>
          </label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <h5 class="register-heading" style="color: #3931af">Shop Details -</h5>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="Shop Name*" name="BranchName" id="BranchName" required="">
        <span id="reqTxtBranchName" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="email" class="form-control" placeholder="Email *" value="" name="Email" id="Email" required="">
        <span id="reqTxtEmail" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-12" id="NumberUsed" style="display:none">
      <span id="reqTxtNumberUsed" class="reqError"></span><br>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" minlength="10" maxlength="10" id="PhoneNo" name="PhoneNo" class="form-control" placeholder="Your Mobile no *" required="">
        <span id="reqTxtMobile" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="PinCode *" value="" name="PinCode" id="PinCode" required="" minlength="6" maxlength="6">
        <span id="reqTxtPinCode" class="reqError"></span><br>
      </div>
    </div>
    <input type="text" id="GetOtp" name="GetOtp" placeholder="GetOtp" style="display:none">
    <div class="col-md-4" id="LoaderBtn" style="display:none">
      <span id="OtpSent" class="OtpSent"></span><br>
    </div>
    <div class="col-md-2" id="EnterOtp" style="display:none">
      <div class="form-group">
        <input type="text" minlength="6" maxlength="6" id="otp" name="otp" class="form-control" placeholder="Your otp *" required="">
        <span id="WrongOtp" class="reqError"></span><br>
        <span id="VerifyOtp" style="color:green"></span><br>
      </div>
    </div>
    <div class="col-md-3" id="ApproveBtn" style="display:none">
      <input type="button" id="ApproveOtp" class="btnRegister" value="Verify">
    </div>
    <div class="col-md-3" id="ReSendBtn" style="display:none">
      <input type="button" id="ReSendOtp" class="btnRegister" value="ReSend">
    </div>
    <div class="col-md-4">
      <div class="tab-pane fade show" id="profile" role="tabpanel" aria-labelledby="profile-tab">
        <div class="form-group">
          <select class="form-control" id="StateName" name="StateName">
            <option class="hidden" selected="" disabled="">Select State</option>
            <option value="1">Assam</option>
            <option value="2">Jammu and Kashmir</option>
            <option value="3">Maharashtra</option>
            <option value="4">Uttar Pradesh</option>
            <option value="5">Gujrat</option>
            <option value="6">Andhra Pradesh</option>
            <option value="7">Karnataka</option>
            <option value="8">Kerala</option>
            <option value="9">West Bengal</option>
            <option value="10">Tripura</option>
            <option value="11">Chhattisgarh</option>
            <option value="12">Punjab</option>
            <option value="13">Mizoram</option>
            <option value="14">Rajasthan</option>
            <option value="15">Goa</option>
            <option value="16">Uttarakhand</option>
            <option value="17">Arunachal Pradesh</option>
            <option value="18">Bihar</option>
            <option value="19">Lakshadweep</option>
            <option value="20"></option>
            <option value="21">Dadra and Nagar Haveli</option>
            <option value="22">Orissa</option>
            <option value="23">Tamil Nadu</option>
            <option value="24">Himachal Pradesh</option>
            <option value="25">Haryana</option>
            <option value="26">Madhya Pradesh</option>
            <option value="27">Delhi</option>
            <option value="28">Daman and Diu</option>
            <option value="29">Nagaland</option>
            <option value="30">Sikkim</option>
            <option value="31">Manipur</option>
            <option value="32">Meghalaya</option>
            <option value="33">Pondicherry</option>
            <option value="34">Andaman and Nicobar</option>
            <option value="35">Nepal</option>
            <option value="36">Chandigarh</option>
            <option value="37"></option>
          </select>
          <span id="reqTxtStateName" class="reqError"></span><br>
        </div>
      </div>
    </div>
    <div class="col-md-4">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="District Name *" value="" name="DistrictName" id="DistrictName" required="">
        <span id="reqTxtDistrictName" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-4">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="City Name*" value="" name="CityName" id="CityName" required="">
        <span id="reqTxtCityName" class="reqError"></span><br>
      </div>
    </div>
    <input type="text" id="_EnterReffral" name="_EnterReffral" style="display:none" value="101">
    <div class="col-md-6">
      <div class="form-group">
        <textarea class="form-control" name="address" id="address" placeholder="address" required=""></textarea>
        <span id="reqTxtaddress" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <input type="text" class="form-control" placeholder="REFFERAL CODE*" value="" name="EnterReffral" id="EnterReffral" required="" minlength="10" maxlength="10">
        <span id="reqTxtAadharNo" class="reqError"></span><br>
      </div>
    </div>
    <div class="col-md-6">
      <input type="submit" id="btnSubmit" class="btnRegister" value="Register">
    </div>
    <div class="col-md-6">
      <div class="alert alert-success" role="alert" id="myElem" style="display: none"> your request sending to server. </div>
      <div class="alert alert-danger" role="alert" id="Error" style="display: none"> your request sending to server. </div>
      <div class="alert alert-warning" role="alert" id="Processing" style="display: none"> your request sending to server. </div>
    </div>
  </div>
</form>

Text Content

WELCOME

ASD NIDHI LIMITED




CUSTOMER CARE NO.

95893 13275

RETAILER CSP REGISTRATION CHARGE 1100/- ONLY


CSP CENTER

PERSONAL DETAILS APPLICANT -


Full Name


Date Of Birth






Male Female

SHOP DETAILS -


















Select State Assam Jammu and Kashmir Maharashtra Uttar Pradesh Gujrat Andhra
Pradesh Karnataka Kerala West Bengal Tripura Chhattisgarh Punjab Mizoram
Rajasthan Goa Uttarakhand Arunachal Pradesh Bihar Lakshadweep Dadra and Nagar
Haveli Orissa Tamil Nadu Himachal Pradesh Haryana Madhya Pradesh Delhi Daman and
Diu Nagaland Sikkim Manipur Meghalaya Pondicherry Andaman and Nicobar Nepal
Chandigarh










your request sending to server.
your request sending to server.
your request sending to server.
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