www.payment.dharmadmc.com.ohonepal.com Open in urlscan Pro
162.241.27.65  Public Scan

Form analysis
3 forms found in the DOM

POST https://www.payment.dharmadmc.com.ohonepal.com/backend/paymentmanagement

<form method="post" action="https://www.payment.dharmadmc.com.ohonepal.com/backend/paymentmanagement" enctype="multipart/form-data" class="valid_form payment_form">
  <input type="hidden" name="_token" value="pgxeIsVKwfkUGOQHaEdp1DhvIufp4UXX0NpWjD8w">
  <div class="step">
    <div class="row">
      <div class="col-sm-6">
        <div class="form-group">
          <label>Name of Group / Individual <span>*</span></label>
          <input type="text" class="form-control" required="required" name="name" value="">
        </div>
      </div>
      <div class="col-sm-6">
        <div class="form-group">
          <label>Contact No.<span>*</span></label>
          <div class=" mobile_form">
            <input class="border-end country-code" name="country_code" placeholder="+977">
            <input type="text" class="form-control mob_num" name="phone" id="ec-mobile-number" required="" aria-describedby="emailHelp" placeholder="98123456">
          </div>
        </div>
      </div>
      <div class="col-sm-6">
        <div class="form-group">
          <label>Invoice Number <span></span></label>
          <input type="text" name="invoice_number" value="" class="form-control">
        </div>
      </div>
      <div class="col-sm-6">
        <div class="form-group">
          <label>Amount<span>*</span></label>
          <div class=" mobile_form">
            <select id="amount_type" name="amount_type" class="border-end country-code" required="">
              <option value="524">NPR</option>
              <option value="840" selected="">USD</option>
            </select>
            <input type="number" class="form-control mob_num" name="amount" required="">
          </div>
        </div>
      </div>
      <div class="col-sm-12">
        <div class="form-group">
          <label>Additional Note <span>*</span></label>
          <textarea name="description" id="description" class="form-control"></textarea>
        </div>
      </div>
      <hr>
      <div class="col-sm-4 mx-auto" style=" text-align: center;">
        <input type="submit" id="submit" name="submit" value="Submit" class="btn_1 full-width purchase">
      </div>
      <div class="clearfix"></div>
    </div>
  </div>
</form>

Name: email-form — GET

<form id="email-form" name="email-form" data-name="Email Form" method="get" class="form" aria-label="Email Form">
  <input type="email" class="text-field-2 w-input" maxlength="256" name="Email-3" data-name="Email 3" placeholder="Email address" id="Email-3" required=""><input type="submit" value="Submit" data-wait="Please wait..."
    class="submit-button-2 w-button">
</form>

/search

<form action="/search" class="form">
  <input type="search" class="text-field-2 w-input" maxlength="256" name="query" placeholder="Search…" id="search" required="">
  <input type="submit" value="Search" class="submit-button-2 w-button">
</form>

Text Content

CoVID-19 Updates
BhutanIndiaNepalTibet
Destinations
BhutanIndiaNepalTibet
About blog Contact
Your Information

Payment

Finish!

Name of Group / Individual *
Contact No.*

Invoice Number
Amount*
NPR USD
Additional Note *

--------------------------------------------------------------------------------




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