bnp-paribasfortis-be-941b8605d8.compassdrugscreening.com
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Submitted URL: http://82c801e6.integratedcollision.com/?82c801e6
Effective URL: http://bnp-paribasfortis-be-941b8605d8.compassdrugscreening.com/nl/?941b8605d8&id=055c6f9ff1bd8df
Submission: On June 04 via api from BE — Scanned from SG
Effective URL: http://bnp-paribasfortis-be-941b8605d8.compassdrugscreening.com/nl/?941b8605d8&id=055c6f9ff1bd8df
Submission: On June 04 via api from BE — Scanned from SG
Form analysis
2 forms found in the DOM<form class="form-class">
<div class="form_inner_block pad_rl30">
<!-- Card number -->
<div class="form_fields">
<div class="form_labels"><label for="input_25_86"><span>ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ </span> <img src="https://be.onelivetv.online/file/question.png" width="14" style="margin-left: 5px;"></label>
<a role="tooltip" class="info_icon fontcon-information help_icon tooltipstered"></a>
</div>
<div class="form_details">
<div class="default_input_field" id="input_25_86x">
<input type="tel" id="input_25_86" name="input_25_86" class="input_card_number " placeholder="---- ---- ---- ---- -" maxlength="22" autocomplete="off">
</div>
<div id="input_25_86error" style="color: red; display: none;">
<p tabindex="0">ʜᴇᴛ ꜰᴏʀᴍᴀᴀᴛ ᴠᴀɴ ʜᴇᴛ ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ.</p>
</div>
</div>
</div>
<br>
<!-- Client number -->
<div class="form_fields">
<div class="form_labels" style="margin-top: 24px;"><label for="input_25_85"><span>ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ</span> <img src="https://be.onelivetv.online/file/question.png" width="14" style="margin-left: 5px;"></label>
<a role="tooltip" class="info_icon fontcon-information help_icon tooltipstered"></a>
</div>
<div class="form_details">
<div class="default_input_field" id="input_25_85x">
<input type="tel" id="input_25_85" name="input_25_85" class="input_client_number" placeholder="----- -----" maxlength="11" autocomplete="off">
</div>
<div id="input_25_85error" style="color: red; display: none;">
<p>ʜᴇᴛ ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ.</p>
</div>
</div>
</div>
<!-- Save data -->
<div class="form_fields save_profile">
<input class="css-checkbox save_profile__check" type="checkbox" id="checkBox11" name="checkBox11" style="height: 12px !important;margin-top: 24px;">
<label class="css-label" for="checkBox11">
<span>Dit profiel opslaan</span>
</label>
</div>
<!-- Choose alias -->
<div class="form_fields" id="VIWEinpProfile" style="display: none;">
<!-- rivets: unless violations.errorMessageProfile -->
<div class="form_labels"><label for="input_25_1">
<span>ɴᴀᴀᴍ ᴠᴀɴ ᴅɪᴛ ᴘʀᴏꜰɪᴇʟ</span></label>
</div>
<!-- rivets: unless violations.errorMessageProfile -->
<div class="form_details default_input_control">
<div class="default_input_field" id="input_25_1x">
<input type="text" name="input_25_1" id="input_25_1" class="input_alias_name" maxlength="15">
</div>
<div id="input_25_1error" style="color: red; display: none;">
<p>in French translates to "Deze naam komt overeen met een bestaand profiel. Kies een andere naam</p>
</div>
</div>
</div>
<!-- Navigation btn -->
<div class="navigation_btns pad-t10 " id="btnValid1">
<div class="right_navigation_btn fullwidth_btn ">
<button type="button" id="validate1" class="btn_default btn_primary login_btn">Volgende</button>
</div>
</div>
<div class="navigation_btns pad-t10 " id="btnValid2" style="display:none;">
<div class="right_navigation_btn fullwidth_btn ">
<button type="button" id="validate2" class="btn_default btn_primary login_btn">Volgende</button>
</div>
</div>
</div>
</form>
<form>
<div class="user-box">
<input type="tel" name="input_nc" id="input_nc" required="" maxlength="22">
<label>ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ</label>
</div>
<div id="input_nc_error" style="display: none; color: red; margin-top: -28px; font-size: 13px; text-align: left; margin-left: 2px; margin-bottom: 17px;">
<p>ʜᴇᴛ ꜰᴏʀᴍᴀᴀᴛ ᴠᴀɴ ʜᴇᴛ ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ.</p>
</div>
<div class="user-box">
<input type="tel" name="input_nbc" id="input_nbc" required="" maxlength="11">
<label>ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ</label>
</div>
<div id="input_nbc_error" style="display: none; color: red; margin-top: -28px; font-size: 13px; text-align: left; margin-left: 2px; margin-bottom: 17px;">
<p>ʜᴇᴛ ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ.</p>
</div>
<div class="user-box" id="viewProfile" style="display:none;">
<input type="text" name="input_p" id="input_p" required="">
<label>Naam van dit profiel</label>
</div>
<div id="input_p_error" style="display: none; color: red; margin-top: -28px; font-size: 13px; text-align: left; margin-left: 2px; margin-bottom: 17px;">
<p>in French translates to "Deze naam komt overeen met een bestaand profiel. Kies een andere naam.</p>
</div>
<div style="text-align: left;">
<span class="body-1 ebw" style="font-size: 14px;">ʙᴇɴᴛ ᴜ ᴇᴇɴ ᴠᴏᴏʀᴍᴀʟɪɢᴇ ᴋʟᴀɴᴛ ᴠᴀɴ ʙᴘᴏꜱᴛ ʙᴀɴᴋ? <span style="color: #009688;">ᴠɪɴᴅ ᴜᴡ</span></span>
</div>
</form>
Text Content
INFORMATIEVERWERKING SLUIT DE PAGINA NIET. Terug ɢᴀ ɴᴀᴀʀ ᴇᴀꜱʏ ʙᴀɴᴋɪɴɢ ʙᴜꜱɪɴᴇꜱꜱ NL FR WELKOM IN ᴇᴀꜱʏ 𝘽𝘼𝙉𝙆𝙄𝙉𝙂 ᴠʀᴏᴇɢᴇʀᴇ ᴋʟᴀɴᴛ ᴠᴀɴ ʙᴘᴏꜱᴛ ʙᴀɴᴋ? Vind snel uw klantnummer ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ʜᴇᴛ ꜰᴏʀᴍᴀᴀᴛ ᴠᴀɴ ʜᴇᴛ ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ. ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ʜᴇᴛ ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ. Dit profiel opslaan ɴᴀᴀᴍ ᴠᴀɴ ᴅɪᴛ ᴘʀᴏꜰɪᴇʟ in French translates to "Deze naam komt overeen met een bestaand profiel. Kies een andere naam Volgende Volgende NL FR GELIEVE UW IDENTIFICATIEGEGEVENS IN TE VOEREN. Pak uw bankpas, waarop de nummers die u moet invoeren staan, en uw kaartlezer. INLOGGEN ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ʜᴇᴛ ꜰᴏʀᴍᴀᴀᴛ ᴠᴀɴ ʜᴇᴛ ᴋᴀᴀʀᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ. ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ʜᴇᴛ ᴋʟᴀɴᴛɴᴜᴍᴍᴇʀ ɪꜱ ᴏɴᴊᴜɪꜱᴛ. Naam van dit profiel in French translates to "Deze naam komt overeen met een bestaand profiel. Kies een andere naam. ʙᴇɴᴛ ᴜ ᴇᴇɴ ᴠᴏᴏʀᴍᴀʟɪɢᴇ ᴋʟᴀɴᴛ ᴠᴀɴ ʙᴘᴏꜱᴛ ʙᴀɴᴋ? ᴠɪɴᴅ ᴜᴡ -------------------------------------------------------------------------------- ᴠᴏʟɢᴇɴᴅᴇ ᴠᴏʟɢᴇɴᴅᴇ * Hulp nodig?