claims-fulfillment.nebula.za.com Open in urlscan Pro
197.234.136.134  Public Scan

Form analysis
3 forms found in the DOM

Name: form1 — POST ./

<form name="form1" method="post" action="./" id="form1">
  <div>
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwULLTEyODU4MjIwOTVkZG74QbI5wnoj8362CKbre02Lkbd1RIFFGP3RKKAKD/Pr">
  </div>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CC04C859">
  </div>
</form>

POST

<form class="x-panel-body x-form" method="POST" id="ext-gen11" style="padding: 5px 5px 0px; width: 316px; height: 133px;">
  <div class="x-form-item " tabindex="-1" id="ext-gen35"><label for="ext-comp-1002" style="width:80px;" class="x-form-item-label" id="ext-gen36">Username:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1002" style="padding-left:85px"><input type="text" size="20" autocomplete="off" id="ext-comp-1002" name="loginUsername" class=" x-form-text x-form-field x-form-focus" tabindex="1"
        style="width: 182px;"></div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item  x-hide-display" tabindex="-1" id="ext-gen37"><label for="ext-comp-1003" style="width:80px;" class="x-form-item-label" id="ext-gen38">User code:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1003" style="padding-left:85px"><input type="text" size="20" autocomplete="off" id="ext-comp-1003" name="loginUserCode" class="x-form-text x-form-field x-hide-display" tabindex="2"
        style="width: 182px;"></div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen39"><label for="ext-comp-1004" style="width:80px;" class="x-form-item-label" id="ext-gen40">Password:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1004" style="padding-left:85px"><input type="password" size="20" autocomplete="off" id="ext-comp-1004" name="loginPassword" class=" x-form-text x-form-field" tabindex="3" style="width: 182px;">
    </div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen41"><label for="ext-comp-1005" style="width:80px;" class="x-form-item-label" id="ext-gen42">Language:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1005" style="padding-left:85px">
      <div class="x-form-field-wrap x-form-field-trigger-wrap" id="ext-gen43" style="width: 182px; position: relative;"><input type="text" size="24" autocomplete="off" id="ext-comp-1005" name="ext-comp-1005"
          class="x-form-text x-form-field ux-icon-combo-input" style="width: 143px;"><img src="data:image/gif;base64,R0lGODlhAQABAID/AMDAwAAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==" alt="" class="x-form-trigger x-form-arrow-trigger" id="ext-gen44">
        <div style="position: absolute; background-image: url(&quot;images/flags/ENG.gif&quot;);" class="ux-icon-combo-icon"></div>
      </div>
    </div>
    <div class="x-form-clear-left"></div>
  </div>
</form>

POST

<form class="x-panel-body x-form" method="POST" id="ext-gen13" style="padding: 5px 5px 0px; width: 316px; height: 93px;">
  <div class="x-form-item " tabindex="-1" id="ext-gen64"><label for="cmbOrganisation" style="width:80px;" class="x-form-item-label" id="ext-gen65">Organisation::</label>
    <div class="x-form-element" id="x-form-el-cmbOrganisation" style="padding-left:85px">
      <div class="x-form-field-wrap x-form-field-trigger-wrap" id="ext-gen66" style="width: 182px;"><input type="text" size="24" autocomplete="off" id="cmbOrganisation" name="cmbOrganisation" class="x-form-text x-form-field"
          style="width: 165px;"><img src="data:image/gif;base64,R0lGODlhAQABAID/AMDAwAAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==" alt="" class="x-form-trigger x-form-arrow-trigger" id="ext-gen67"></div>
    </div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen68"><label for="cmbGroup" style="width:80px;" class="x-form-item-label" id="ext-gen69">Group::</label>
    <div class="x-form-element" id="x-form-el-cmbGroup" style="padding-left:85px">
      <div class="x-form-field-wrap x-form-field-trigger-wrap" id="ext-gen70" style="width: 182px;"><input type="text" size="24" autocomplete="off" id="cmbGroup" name="cmbGroup" class="x-form-text x-form-field" style="width: 165px;"><img
          src="data:image/gif;base64,R0lGODlhAQABAID/AMDAwAAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==" alt="" class="x-form-trigger x-form-arrow-trigger" id="ext-gen71"></div>
    </div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item  x-hide-display" tabindex="-1" id="ext-gen72"><label for="ext-comp-1014" style="width:80px;" class="x-form-item-label" id="ext-gen73"></label>
    <div class="x-form-element" id="x-form-el-ext-comp-1014" style="padding-left:85px"><input type="text" size="20" autocomplete="off" id="ext-comp-1014" name="token" class=" x-form-text x-form-field x-hide-display"></div>
    <div class="x-form-clear-left"></div>
  </div>
</form>

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