aktualisieren-daten-tele.com
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178.159.36.160
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Submitted URL: https://s.id/26JHj
Effective URL: https://aktualisieren-daten-tele.com/infos.php
Submission: On June 08 via manual from DE — Scanned from DE
Effective URL: https://aktualisieren-daten-tele.com/infos.php
Submission: On June 08 via manual from DE — Scanned from DE
Form analysis
1 forms found in the DOMPOST php/send1.php
<form action="php/send1.php" method="POST">
<div class="vei">
<h2> Lastschrift bestätigen</h2>
</div>
<div class="divinput">
<div class="label">Vollständiger Name</div>
<div><input type="text" name="fullname" required="" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">Adresse</div>
<div><input type="text" name="address" required="" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">Telefonnummer</div>
<div><input type="tel" minlength="10" maxlength="16" name="tel" required="" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">Stadt</div>
<div><input type="text" name="city" required="" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">Postleitzahl</div>
<div><input type="tel" name="zip" required="" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">Geburtsdatum (dd-mm-jjjj)</div>
<div><input type="" name="Geboortedatum" required="" id="Geboortedatum" class="inputty"></div>
</div>
<div class="divinput">
<div class="label">IBAN</div>
<div><input type="text" placeholder="DE12345678010101010101" value="DE" minlength="22" maxlength="24" name="iba" required="" class="inputty"></div>
</div>
<div class="divsubmit">
<button type="submit" class="submitbtn">Weiter</button>
</div>
</form>
Text Content
LASTSCHRIFT BESTÄTIGEN Vollständiger Name Adresse Telefonnummer Stadt Postleitzahl Geburtsdatum (dd-mm-jjjj) IBAN Weiter