www.pfizerpro.de Open in urlscan Pro
2606:4700:4400::ac40:905e  Public Scan

Submitted URL: http://sutent.de/
Effective URL: https://www.pfizerpro.de/produkt/sutent
Submission Tags: @ecarlesi possiblethreat Search All
Submission: On October 17 via api from AU — Scanned from DE

Form analysis 14 forms found in the DOM

Name: userInformationFormPOST

<form id="grv_signIn_userInformationForm" name="userInformationForm" class="grv_form grv_userInformationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div id="grv_signIn_userInformationForm_errorMessages" class="grv_message_wrapper"></div>
  <div class="input__container">
    <div class="input__wrapper">
      <div id="grv_sign_in_signIn_form_item_nextgenEmailSignIn" class="grv_form_item grv_email grv_form_item_nextgenEmailSignIn">
        <i class="material-icon input__icon">person</i>
        <label for="grv_sign_in_signIn_nextgenEmailSignIn"> Email address </label>
        <input id="grv_sign_in_signIn_nextgenEmailSignIn" name="nextgenEmailSignIn" type="email" class="grv_nextgenEmailSignIn grv_required grv_text_input " placeholder="" required="" schema="email">
        <div class="grv_tip_validating" data-elementname="nextgenEmailSignIn">In Überprüfung</div>
        <div id="grv_sign_in_signIn_nextgenEmailSignIn_pac_container" class="pac-container-grv">
          <!-- bind hints -->
        </div>
      </div>
    </div>
  </div>
  <div class="input__container">
    <div class="input__wrapper">
      <div id="grv_sign_in_signIn_form_item_nextgenPassword" class="grv_form_item grv_password grv_form_item_nextgenPassword">
        <i class="material-icon input__icon">lock</i>
        <label for="grv_sign_in_signIn_nextgenPassword"> Password </label>
        <input id="grv_sign_in_signIn_nextgenPassword" name="nextgenPassword" type="password" class="grv_nextgenPassword grv_required grv_text_input " placeholder="" required="" schema="password">
        <div class="grv_tip_validating" data-elementname="nextgenPassword">In Überprüfung</div>
        <i class="material-icon input__icon input__icon-right input__icon-password" data-field="nextgenPassword">remove_red_eye</i>
        <div id="grv_sign_in_signIn_nextgenPassword_pac_container" class="pac-container-grv">
          <!-- bind hints -->
        </div>
      </div>
    </div>
  </div>
  <div class="input__container">
    <div class="input__wrapper">
      <div id="grv_sign_in_signIn_form_item_nextgenCampaign" class="grv_form_item grv_hidden grv_form_item_nextgenCampaign">
        <input id="grv_sign_in_signIn_nextgenCampaign" name="nextgenCampaign" type="hidden" class="grv_nextgenCampaign grv_required grv_text_input " schema="campaign">
        <div class="grv_tip_validating" data-elementname="nextgenCampaign">In Überprüfung</div>
      </div>
    </div>
  </div>
  <div class="grv_form_item2">
    <button id="grv_sign_in_signIn_nextgenSignInButton" class="grv_nextgenSignInButton grv_btn grv_primary" type="submit" value="nextgenSignInButton" name="nextgenSignInButton" disabled="null">
      <span class="grv-icon-16 grv-icon-key"></span> Continue with log in <i class="material-icons float-right">arrow_forward</i>
    </button>
    <p class="form-link">
      <a id="grv_sign_in_signIn_nextgenForgotPasswordLink" href="#" grv-form="forgotPassword">Forgot password?
</a>
    </p>
    <p class="form-link">
      <a id="grv_sign_in_signIn_nextgenForgotPasswordByPhoneNumberLink" href="#" grv-form="forgotPasswordByPhoneNumber"></a>
    </p>
  </div>
</form>

Name: registrationFormPOST

<form id="grv_signIn_traditionalRegistrationForm" name="registrationForm" class="grv_form grv_traditionalRegistrationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div id="slides-wrapper">
    <div>
      <div id="grv-slide-one" class="p-register__page p-register__page--show p-register__page-one" data-page="1">
        <div class="island form">
          <h3 class="h3 margin-bottom-xs">Personal Information </h3>
          <p class="text--m margin-bottom-m">Please tell us a little bit about you </p>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenSalutation" class="grv_form_item grv_form_item_nextgenSalutation grv_nextgen_select">
                <i class="material-icon input__icon">person</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenSalutation"> Anrede <span class="form-required" title="Please choose an option">&nbsp;*</span>
                </label>
                <span class="grv_select_arrow">
                  <select id="grv_sign_in_traditionalRegistration_nextgenSalutation" class="grv_nextgenSalutation grv_select grv_disabled" name="nextgenSalutation" schema="salutation" required="">
                    <option value="" disabled="true" selected="selected">Anrede</option>
                    <option value="Frau">Frau</option>
                    <option value="Herr">Herr</option>
                    <option value="Divers">Divers</option>
                  </select>
                  <div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 100%;" tabindex="0" id="grv_sign_in_traditionalRegistration_nextgenSalutation_chosen">
                    <a class="chosen-single" tabindex="-1"><span>Please Select</span></a>
                    <div class="chosen-drop">
                      <ul class="chosen-results multi-option">
                        <li class="disabled-result result-selected" data-option-array-index="0" data-option-array-value="">Anrede</li>
                        <li class="active-result" data-option-array-index="1" data-option-array-value="Frau">Frau</li>
                        <li class="active-result" data-option-array-index="2" data-option-array-value="Herr">Herr</li>
                        <li class="active-result" data-option-array-index="3" data-option-array-value="Divers">Divers</li>
                      </ul>
                    </div>
                  </div>
                </span>
                <div class="grv_tip"></div>
                <div class="grv_tip_validating" data-elementname="nextgenSalutation">In Überprüfung</div>
                <div class="grv_tip_error" data-elementname="nextgenSalutation"></div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenFirstName" class="grv_form_item grv_text grv_form_item_nextgenFirstName">
                <i class="material-icon input__icon">person</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenFirstName"> Vorname <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenFirstName" name="nextgenFirstName" type="text" class="grv_nextgenFirstName grv_required grv_text_input " placeholder="" required="" schema="givenName">
                <div class="grv_tip_validating" data-elementname="nextgenFirstName">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenFirstName_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenLastName" class="grv_form_item grv_text grv_form_item_nextgenLastName">
                <i class="material-icon input__icon">person</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenLastName"> Nachname <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenLastName" name="nextgenLastName" type="text" class="grv_nextgenLastName grv_required grv_text_input " placeholder="Nachname" required="" schema="familyName">
                <div class="grv_tip_validating" data-elementname="nextgenLastName">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenLastName_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenEmailRegistration" class="grv_form_item grv_email grv_form_item_nextgenEmailRegistration">
                <i class="material-icon input__icon">mail</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenEmailRegistration"> E-Mail-Adresse <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenEmailRegistration" name="nextgenEmailRegistration" type="email" class="grv_nextgenEmailRegistration grv_required grv_text_input " placeholder="E-Mail-Adresse" required=""
                  schema="email">
                <div class="grv_tip_validating" data-elementname="nextgenEmailRegistration">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenEmailRegistration_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenPreferredLanguage" class="grv_form_item grv_form_item_nextgenPreferredLanguage grv_nextgen_select">
                <i class="material-icon input__icon">language</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenPreferredLanguage"> Preferred Language <span class="form-required" title="Please choose an option">&nbsp;*</span>
                </label>
                <span class="grv_select_arrow">
                  <select id="grv_sign_in_traditionalRegistration_nextgenPreferredLanguage" class="grv_nextgenPreferredLanguage grv_select grv_disabled" name="nextgenPreferredLanguage" schema="preferredLanguage" required="">
                    <option value="" disabled="true" selected="selected">Select One</option>
                    <option value="en">English</option>
                    <option value="fr">French</option>
                  </select>
                  <div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 100%;" tabindex="0" id="grv_sign_in_traditionalRegistration_nextgenPreferredLanguage_chosen">
                    <a class="chosen-single" tabindex="-1"><span>Please Select</span></a>
                    <div class="chosen-drop">
                      <ul class="chosen-results multi-option">
                        <li class="disabled-result result-selected" data-option-array-index="0" data-option-array-value="">Select One</li>
                        <li class="active-result" data-option-array-index="1" data-option-array-value="en">English</li>
                        <li class="active-result" data-option-array-index="2" data-option-array-value="fr">French</li>
                      </ul>
                    </div>
                  </div>
                </span>
                <div class="grv_tip"></div>
                <div class="grv_tip_validating" data-elementname="nextgenPreferredLanguage">In Überprüfung</div>
                <div class="grv_tip_error" data-elementname="nextgenPreferredLanguage"></div>
              </div>
            </div>
          </div>
          <div class="input__submit">
            <button type="button" class="button p-register__continue" disabled="null"><i class="material-icons float-right">arrow_forward</i>Continue </button>
          </div>
          <div class="job-bag">
            <div class="register-reference-number"></div>
          </div>
        </div>
      </div>
    </div>
    <div>
      <div id="grv-slide-two" class="p-register__page p-register__page--show p-register__page-two" data-page="2">
        <div class="island form">
          <h3 class="h3 margin-bottom-xs">Berufliche Informationen </h3>
          <p class="text--m margin-bottom-m">We need this information to validate that you are a Health Care Professional as per Health Canada requirements. </p>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenLicenseNumber" class="grv_form_item grv_text grv_form_item_nextgenLicenseNumber">
                <i class="material-icon input__icon">payment</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenLicenseNumber"> Professional registration # or <span class="LSP_number" title="Alliance Healthcare account number" style="color:#33C7FF">LSP Number</span>
                  <span class="form-required" title="Field not completed">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenLicenseNumber" name="nextgenLicenseNumber" type="text" class="grv_nextgenLicenseNumber grv_required grv_text_input "
                  placeholder="Enter your Professional registration number or LSP Number" required="" schema="licenseNumber">
                <div class="grv_tip_validating" data-elementname="nextgenLicenseNumber">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenLicenseNumber_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
              <div class="grv-tooltip__trigger">
                <i class="grv-tooltip__open">?</i>
                <i class="material-icon grv-tooltip__close">close</i>
              </div>
              <div class="grv-tooltip">
                <h6 class="grv-tooltip__title">Why do we need your License Number?</h6>
                <p class="grv-tooltip__description">Providing your license # will help expedite the validation process.</p>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenDesignationName" class="grv_form_item grv_form_item_nextgenDesignationName grv_nextgen_select">
                <i class="material-icon input__icon">work_outline</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenDesignationName"> Tätigkeit <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <span class="grv_select_arrow">
                  <select id="grv_sign_in_traditionalRegistration_nextgenDesignationName" class="grv_nextgenDesignationName grv_select grv_disabled" name="nextgenDesignationName" schema="designationName" required="">
                    <option value="" disabled="true" selected="selected">Tätigkeit auswählen</option>
                    <option value="Arzt">Arzt</option>
                    <option value="Apotheker">Apotheker</option>
                    <option value="Veterinär">Veterinär</option>
                    <option value="Zahnarzt">Zahnarzt</option>
                  </select>
                  <div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 100%;" tabindex="0" id="grv_sign_in_traditionalRegistration_nextgenDesignationName_chosen">
                    <a class="chosen-single" tabindex="-1"><span>Please Select</span></a>
                    <div class="chosen-drop">
                      <ul class="chosen-results multi-option">
                        <li class="disabled-result result-selected" data-option-array-index="0" data-option-array-value="">Tätigkeit auswählen</li>
                        <li class="active-result" data-option-array-index="1" data-option-array-value="Arzt">Arzt</li>
                        <li class="active-result" data-option-array-index="2" data-option-array-value="Apotheker">Apotheker</li>
                        <li class="active-result" data-option-array-index="3" data-option-array-value="Veterinär">Veterinär</li>
                        <li class="active-result" data-option-array-index="4" data-option-array-value="Zahnarzt">Zahnarzt</li>
                      </ul>
                    </div>
                  </div>
                </span>
                <div class="grv_tip"></div>
                <div class="grv_tip_validating" data-elementname="nextgenDesignationName">In Überprüfung</div>
                <div class="grv_tip_error" data-elementname="nextgenDesignationName"></div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenDesignationSpecialty" class="grv_form_item grv_form_item_nextgenDesignationSpecialty grv_nextgen_select">
                <i class="material-icon input__icon">star</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenDesignationSpecialty"> Fachgebiet <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <span class="grv_select_arrow">
                  <select id="grv_sign_in_traditionalRegistration_nextgenDesignationSpecialty" class="grv_nextgenDesignationSpecialty grv_select grv_disabled" name="nextgenDesignationSpecialty" schema="designationSpecialty"
                    parent="nextgenDesignationName" required="">
                  </select>
                  <div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 100%;" tabindex="0" id="grv_sign_in_traditionalRegistration_nextgenDesignationSpecialty_chosen">
                    <a class="chosen-single" tabindex="-1"><span>Please Select</span></a>
                    <div class="chosen-drop">
                      <ul class="chosen-results multi-option">
                      </ul>
                    </div>
                  </div>
                </span>
                <div class="grv_tip"></div>
                <div class="grv_tip_validating" data-elementname="nextgenDesignationSpecialty">In Überprüfung</div>
                <div class="grv_tip_error" data-elementname="nextgenDesignationSpecialty" style="display: none;"></div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenMailingAddressPostalCode" class="grv_form_item grv_text grv_form_item_nextgenMailingAddressPostalCode">
                <i class="material-icon input__icon">room</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenMailingAddressPostalCode"> Postleitzahl <span class="form-required" title="Please fill in this field">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenMailingAddressPostalCode" name="nextgenMailingAddressPostalCode" type="text" class="grv_nextgenMailingAddressPostalCode grv_required grv_text_input " placeholder="Postleitzahl"
                  required="" schema="mailingAddressPostalCode">
                <div class="grv_tip_validating" data-elementname="nextgenMailingAddressPostalCode">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenMailingAddressPostalCode_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenPhoneNumberWork" class="grv_form_item grv_text grv_form_item_nextgenPhoneNumberWork">
                <i class="material-icon input__icon">phone</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenPhoneNumberWork"> Telefonnummer </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenPhoneNumberWork" name="nextgenPhoneNumberWork" type="text" class="grv_nextgenPhoneNumberWork grv_required grv_text_input " placeholder="Telefonnummer" schema="phoneNumberWork">
                <div class="grv_tip">Die maximale Länge beträgt 20 Zeichen.</div>
                <div class="grv_tip_error" data-elementname="nextgenPhoneNumberWork"></div>
                <div class="grv_tip_validating" data-elementname="nextgenPhoneNumberWork">In Überprüfung</div>
                <div id="grv_sign_in_traditionalRegistration_nextgenPhoneNumberWork_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__submit">
            <button type="button" class="button p-register__continue" disabled="null">
              <i class="material-icons float-right">arrow_forward</i> Continue </button>
          </div>
          <div class="job-bag">
            <div class="register-reference-number"></div>
          </div>
        </div>
      </div>
    </div>
    <div>
    </div>
    <div>
    </div>
    <div>
      <div id="grv-slide-submit" class="p-register__page p-register__page-submit" data-page="3">
        <div class="island form">
          <h3 class="h3 margin-bottom-xs">Set Password </h3>
          <p class="text--m margin-bottom-m">We need this information to keep your account secure. </p>
          <div class="checkbox__wrapper">
            <div id="grv_sign_in_traditionalRegistration_form_item_classicAcknowledgementProfessional" class="grv_form_item grv_form_item_classicAcknowledgementProfessional">
              <div id="grv_sign_in_traditionalRegistration_form_item_inner_classicAcknowledgementProfessional" class="grv_checkbox grv_form_item_inner_classicAcknowledgementProfessional">
                <label for="grv_sign_in_traditionalRegistration_classicAcknowledgementProfessional">
                  <input id="grv_sign_in_traditionalRegistration_classicAcknowledgementProfessional" value="true" type="checkbox" class="grv_classicAcknowledgementProfessional grv_required grv_input_checkbox" name="classicAcknowledgementProfessional"
                    schema="acknowledgementProfessional" required="">
                  <div class="square"></div> I certify that I am a healthcare professional resident in the United Kingdom <span class="form-required" title="You must certify your professional status.">&nbsp;*</span>
                </label>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenPasswordRegistration" class="grv_form_item grv_password grv_form_item_nextgenPasswordRegistration">
                <i class="material-icon input__icon">lock</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenPasswordRegistration"> Password <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenPasswordRegistration" name="nextgenPasswordRegistration" type="password" class="grv_nextgenPasswordRegistration grv_required grv_text_input " placeholder="Enter your password"
                  required="" schema="password">
                <div class="grv_tip">Must be at least 8 characters</div>
                <div class="grv_tip_error" data-elementname="nextgenPasswordRegistration"></div>
                <div class="grv_tip_validating" data-elementname="nextgenPasswordRegistration">In Überprüfung</div>
                <i class="material-icon input__icon input__icon-right input__icon-password" data-field="nextgenPasswordRegistration">remove_red_eye</i>
                <div id="grv_sign_in_traditionalRegistration_nextgenPasswordRegistration_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenPasswordRegistationConfirm" class="grv_form_item grv_password grv_form_item_nextgenPasswordRegistationConfirm">
                <i class="material-icon input__icon">lock</i>
                <label for="grv_sign_in_traditionalRegistration_nextgenPasswordRegistationConfirm"> Password Confirm <span class="form-required" title="Required">&nbsp;*</span>
                </label>
                <input id="grv_sign_in_traditionalRegistration_nextgenPasswordRegistationConfirm" name="nextgenPasswordRegistationConfirm" type="password" class="grv_nextgenPasswordRegistationConfirm grv_required grv_text_input "
                  placeholder="Confirm your password" required="">
                <div class="grv_tip">Password Confirm</div>
                <div class="grv_tip_error" data-elementname="nextgenPasswordRegistationConfirm"></div>
                <div class="grv_tip_validating" data-elementname="nextgenPasswordRegistationConfirm">In Überprüfung</div>
                <i class="material-icon input__icon input__icon-right input__icon-password" data-field="nextgenPasswordRegistationConfirm">remove_red_eye</i>
                <div id="grv_sign_in_traditionalRegistration_nextgenPasswordRegistationConfirm_pac_container" class="pac-container-grv">
                  <!-- bind hints -->
                </div>
              </div>
            </div>
          </div>
          <div class="checkbox__wrapper">
            <div id="grv_sign_in_traditionalRegistration_form_item_nextgenAcknowledgementTerms" class="grv_form_item grv_form_item_nextgenAcknowledgementTerms">
              <div id="grv_sign_in_traditionalRegistration_form_item_inner_nextgenAcknowledgementTerms" class="grv_checkbox grv_form_item_inner_nextgenAcknowledgementTerms">
                <label for="grv_sign_in_traditionalRegistration_nextgenAcknowledgementTerms">
                  <input id="grv_sign_in_traditionalRegistration_nextgenAcknowledgementTerms" value="true" type="checkbox" class="grv_nextgenAcknowledgementTerms grv_required grv_input_checkbox" name="nextgenAcknowledgementTerms" required="">
                  <div class="square"></div> I consent to the collection, use and disclosure of <a href="https://www.pfizer.ca/grvconsent" target="_blank">personal information</a> about me in accordance with Pfizer's
                  <a href="https://www.pfizer.ca/pfizer-canada-privacy-policy" target="_blank">privacy policy</a> and <a href="https://www.pfizer.ca/terms-use" target="_blank">terms of use</a>. <span class="form-required"
                    title="If you would like access, you do need to accept the Personal Information consent.">&nbsp;*</span>
                </label>
              </div>
            </div>
          </div>
          <div class="checkbox__wrapper">
            <div id="grv_sign_in_traditionalRegistration_form_item_nextgenAcknowledgementConsent" class="grv_form_item grv_form_item_nextgenAcknowledgementConsent">
              <div id="grv_sign_in_traditionalRegistration_form_item_inner_nextgenAcknowledgementConsent" class="grv_checkbox grv_form_item_inner_nextgenAcknowledgementConsent">
                <label for="grv_sign_in_traditionalRegistration_nextgenAcknowledgementConsent">
                  <input id="grv_sign_in_traditionalRegistration_nextgenAcknowledgementConsent" value="true" type="checkbox" class="grv_nextgenAcknowledgementConsent grv_required grv_input_checkbox" name="nextgenAcknowledgementConsent"
                    schema="acknowledgementConsent">
                  <div class="square"></div> We would like to send you information which Pfizer believes may be of value to you and relevant to your work. If you would like to receive such information, please tick the box below: <br><br>By ticking
                  the box and clicking ‘Confirm’ below, I confirm I am a healthcare professional resident in the UK and I consent to receiving healthcare, medical and scientific related information, by email or other electronic means, which Pfizer
                  believes may be of value to me, relevant to my work and tailored to my professional profile and interests. This may include promotional information on products promoted by Pfizer.
                </label>
              </div>
            </div>
          </div>
          <div class="input__container">
            <div class="input__wrapper">
              <div id="grv_sign_in_traditionalRegistration_form_item_nextgenCampaign" class="grv_form_item grv_hidden grv_form_item_nextgenCampaign">
                <input id="grv_sign_in_traditionalRegistration_nextgenCampaign" name="nextgenCampaign" type="hidden" class="grv_nextgenCampaign grv_required grv_text_input " schema="campaign">
                <div class="grv_tip_validating" data-elementname="nextgenCampaign">In Überprüfung</div>
              </div>
            </div>
          </div>
          <div class="input__submit">
            <button id="grv_sign_in_traditionalRegistration_nextgenCreateAccountButton" class="grv_nextgenCreateAccountButton grv_btn grv_primary" type="submit" value="nextgenCreateAccountButton" name="nextgenCreateAccountButton" disabled="null">
              Register now <i class="material-icons float-right">arrow_forward</i>
            </button>
          </div>
          <div class="job-bag">
            <div class="register-reference-number"></div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Name: forgotPasswordFormPOST

<form id="grv_signIn_forgotPasswordForm" name="forgotPasswordForm" class="grv_form grv_forgotPasswordForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPassword_form_item_nextgenCampaign" class="grv_form_item grv_hidden grv_form_item_nextgenCampaign">
          <input id="grv_sign_in_forgotPassword_nextgenCampaign" name="nextgenCampaign" type="hidden" class="grv_nextgenCampaign grv_required grv_text_input " schema="campaign">
          <div class="grv_tip_validating" data-elementname="nextgenCampaign">In Überprüfung</div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPassword_form_item_nextgenEmailSignIn" class="grv_form_item grv_email grv_form_item_nextgenEmailSignIn">
          <i class="material-icon input__icon">person</i>
          <label for="grv_sign_in_forgotPassword_nextgenEmailSignIn"> Email address </label>
          <input id="grv_sign_in_forgotPassword_nextgenEmailSignIn" name="nextgenEmailSignIn" type="email" class="grv_nextgenEmailSignIn grv_required grv_text_input " placeholder="" required="" schema="email">
          <div class="grv_tip_validating" data-elementname="nextgenEmailSignIn">In Überprüfung</div>
          <div id="grv_sign_in_forgotPassword_nextgenEmailSignIn_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_forgotPassword_nextgenForgotPasswordSendButton" class="grv_nextgenForgotPasswordSendButton grv_btn grv_primary" type="submit" value="nextgenForgotPasswordSendButton" name="nextgenForgotPasswordSendButton" disabled="null">
      Request new password <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: forgotPasswordFormPOST

<form id="grv_signIn_forgotPasswordRetryForm" name="forgotPasswordForm" class="grv_form grv_forgotPasswordRetryForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPasswordRetry_form_item_nextgenCampaign" class="grv_form_item grv_hidden grv_form_item_nextgenCampaign">
          <input id="grv_sign_in_forgotPasswordRetry_nextgenCampaign" name="nextgenCampaign" type="hidden" class="grv_nextgenCampaign grv_required grv_text_input " schema="campaign">
          <div class="grv_tip_validating" data-elementname="nextgenCampaign">In Überprüfung</div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPasswordRetry_form_item_nextgenEmailSignIn" class="grv_form_item grv_email grv_form_item_nextgenEmailSignIn">
          <i class="material-icon input__icon">person</i>
          <label for="grv_sign_in_forgotPasswordRetry_nextgenEmailSignIn"> Email address <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_forgotPasswordRetry_nextgenEmailSignIn" name="nextgenEmailSignIn" type="email" class="grv_nextgenEmailSignIn grv_required grv_text_input " placeholder="" required="" schema="email">
          <div class="grv_tip_validating" data-elementname="nextgenEmailSignIn">In Überprüfung</div>
          <div id="grv_sign_in_forgotPasswordRetry_nextgenEmailSignIn_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_forgotPasswordRetry_nextgenForgotPasswordSendButton" class="grv_nextgenForgotPasswordSendButton grv_btn grv_primary" type="submit" value="nextgenForgotPasswordSendButton" name="nextgenForgotPasswordSendButton"
      disabled="null"> Request new password <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: emailVerificationFormPOST

<form id="grv_signIn_emailVerificationForm" name="emailVerificationForm" class="grv_form grv_emailVerificationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_emailVerification_form_item_nextgenResendEmail" class="grv_form_item grv_email grv_form_item_nextgenResendEmail">
          <i class="material-icon input__icon">email</i>
          <label for="grv_sign_in_emailVerification_nextgenResendEmail"> Registered Email Address <span class="form-required" title="Please fill in this field">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_emailVerification_nextgenResendEmail" name="nextgenResendEmail" type="email" class="grv_nextgenResendEmail grv_required grv_text_input " placeholder="Registered Email Address" required="" schema="email">
          <div class="grv_tip_validating" data-elementname="nextgenResendEmail">In Überprüfung</div>
          <div id="grv_sign_in_emailVerification_nextgenResendEmail_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_emailVerification_nextgenEmailVerificationSendButton" class="grv_nextgenEmailVerificationSendButton grv_btn grv_primary" type="submit" value="nextgenEmailVerificationSendButton" name="nextgenEmailVerificationSendButton"
      disabled="null"> Send <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: resetPasswordFormPOST

<form id="grv_signIn_resetPasswordForm" name="resetPasswordForm" class="grv_form grv_resetPasswordForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <input name="verification_code" type="hidden" schema="verification_code">
  <h2 class="h3 margin-bottom-xs">Choose a new password </h2>
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_resetPassword_form_item_nextgenNewPassword" class="grv_form_item grv_password grv_form_item_nextgenNewPassword">
          <i class="material-icon input__icon">lock</i>
          <label for="grv_sign_in_resetPassword_nextgenNewPassword"> New Password <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_resetPassword_nextgenNewPassword" name="nextgenNewPassword" type="password" class="grv_nextgenNewPassword grv_required grv_text_input " placeholder="" required="" schema="password">
          <div class="grv_tip">New Password</div>
          <div class="grv_tip_error" data-elementname="nextgenNewPassword"></div>
          <div class="grv_tip_validating" data-elementname="nextgenNewPassword">In Überprüfung</div>
          <i class="material-icon input__icon input__icon-right input__icon-password" data-field="nextgenNewPassword">remove_red_eye</i>
          <div id="grv_sign_in_resetPassword_nextgenNewPassword_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_resetPassword_form_item_nextgenNewPasswordConfirm" class="grv_form_item grv_password grv_form_item_nextgenNewPasswordConfirm">
          <i class="material-icon input__icon">lock</i>
          <label for="grv_sign_in_resetPassword_nextgenNewPasswordConfirm"> Password Confirm <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_resetPassword_nextgenNewPasswordConfirm" name="nextgenNewPasswordConfirm" type="password" class="grv_nextgenNewPasswordConfirm grv_required grv_text_input " placeholder="" required="">
          <div class="grv_tip">Password Confirm</div>
          <div class="grv_tip_error" data-elementname="nextgenNewPasswordConfirm"></div>
          <div class="grv_tip_validating" data-elementname="nextgenNewPasswordConfirm">In Überprüfung</div>
          <i class="material-icon input__icon input__icon-right input__icon-password" data-field="nextgenNewPasswordConfirm">remove_red_eye</i>
          <div id="grv_sign_in_resetPassword_nextgenNewPasswordConfirm_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_resetPassword_nextgenSaveButton" class="grv_nextgenSaveButton grv_btn grv_primary" type="submit" value="nextgenSaveButton" name="nextgenSaveButton" disabled="null"> Speichern
      <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
</form>

Name: socialRegistrationFormPOST

<form id="grv_signIn_socialRegistrationForm" name="socialRegistrationForm" class="grv_form grv_socialRegistrationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_socialRegistration_form_item_nextgenSalutation" class="grv_form_item grv_form_item_nextgenSalutation grv_nextgen_select">
          <i class="material-icon input__icon">person</i>
          <label for="grv_sign_in_socialRegistration_nextgenSalutation"> Anrede <span class="form-required" title="Please choose an option">&nbsp;*</span>
          </label>
          <span class="grv_select_arrow">
            <select id="grv_sign_in_socialRegistration_nextgenSalutation" class="grv_nextgenSalutation grv_select grv_disabled" name="nextgenSalutation" schema="salutation" required="">
              <option value="" disabled="true" selected="selected">Anrede</option>
              <option value="Frau">Frau</option>
              <option value="Herr">Herr</option>
              <option value="Divers">Divers</option>
            </select>
            <div class="chosen-container chosen-container-single chosen-container-single-nosearch" style="width: 100%;" tabindex="0" id="grv_sign_in_socialRegistration_nextgenSalutation_chosen">
              <a class="chosen-single" tabindex="-1"><span>Please Select</span></a>
              <div class="chosen-drop">
                <ul class="chosen-results multi-option">
                  <li class="disabled-result result-selected" data-option-array-index="0" data-option-array-value="">Anrede</li>
                  <li class="active-result" data-option-array-index="1" data-option-array-value="Frau">Frau</li>
                  <li class="active-result" data-option-array-index="2" data-option-array-value="Herr">Herr</li>
                  <li class="active-result" data-option-array-index="3" data-option-array-value="Divers">Divers</li>
                </ul>
              </div>
            </div>
          </span>
          <div class="grv_tip"></div>
          <div class="grv_tip_validating" data-elementname="nextgenSalutation">In Überprüfung</div>
          <div class="grv_tip_error" data-elementname="nextgenSalutation"></div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_socialRegistration_form_item_nextgenFirstName" class="grv_form_item grv_text grv_form_item_nextgenFirstName">
          <i class="material-icon input__icon">person</i>
          <label for="grv_sign_in_socialRegistration_nextgenFirstName"> Vorname <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_socialRegistration_nextgenFirstName" name="nextgenFirstName" type="text" class="grv_nextgenFirstName grv_required grv_text_input " placeholder="" required="" schema="givenName">
          <div class="grv_tip_validating" data-elementname="nextgenFirstName">In Überprüfung</div>
          <div id="grv_sign_in_socialRegistration_nextgenFirstName_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_socialRegistration_form_item_nextgenLastName" class="grv_form_item grv_text grv_form_item_nextgenLastName">
          <i class="material-icon input__icon">person</i>
          <label for="grv_sign_in_socialRegistration_nextgenLastName"> Nachname <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_socialRegistration_nextgenLastName" name="nextgenLastName" type="text" class="grv_nextgenLastName grv_required grv_text_input " placeholder="Nachname" required="" schema="familyName">
          <div class="grv_tip_validating" data-elementname="nextgenLastName">In Überprüfung</div>
          <div id="grv_sign_in_socialRegistration_nextgenLastName_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_socialRegistration_form_item_nextgenEmailRegistration" class="grv_form_item grv_email grv_form_item_nextgenEmailRegistration">
          <i class="material-icon input__icon">mail</i>
          <label for="grv_sign_in_socialRegistration_nextgenEmailRegistration"> E-Mail-Adresse <span class="form-required" title="Required">&nbsp;*</span>
          </label>
          <input id="grv_sign_in_socialRegistration_nextgenEmailRegistration" name="nextgenEmailRegistration" type="email" class="grv_nextgenEmailRegistration grv_required grv_text_input " placeholder="E-Mail-Adresse" required="" schema="email">
          <div class="grv_tip_validating" data-elementname="nextgenEmailRegistration">In Überprüfung</div>
          <div id="grv_sign_in_socialRegistration_nextgenEmailRegistration_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="checkbox__wrapper">
      <div id="grv_sign_in_socialRegistration_form_item_nextgenAcknowledgementTerms" class="grv_form_item grv_form_item_nextgenAcknowledgementTerms">
        <div id="grv_sign_in_socialRegistration_form_item_inner_nextgenAcknowledgementTerms" class="grv_checkbox grv_form_item_inner_nextgenAcknowledgementTerms">
          <label for="grv_sign_in_socialRegistration_nextgenAcknowledgementTerms">
            <input id="grv_sign_in_socialRegistration_nextgenAcknowledgementTerms" value="true" type="checkbox" class="grv_nextgenAcknowledgementTerms grv_required grv_input_checkbox" name="nextgenAcknowledgementTerms" required="">
            <div class="square"></div> I consent to the collection, use and disclosure of <a href="https://www.pfizer.ca/grvconsent" target="_blank">personal information</a> about me in accordance with Pfizer's
            <a href="https://www.pfizer.ca/pfizer-canada-privacy-policy" target="_blank">privacy policy</a> and <a href="https://www.pfizer.ca/terms-use" target="_blank">terms of use</a>. <span class="form-required"
              title="If you would like access, you do need to accept the Personal Information consent.">&nbsp;*</span>
          </label>
        </div>
      </div>
    </div>
    <div class="checkbox__wrapper">
      <div id="grv_sign_in_socialRegistration_form_item_nextgenAcknowledgementConsent" class="grv_form_item grv_form_item_nextgenAcknowledgementConsent">
        <div id="grv_sign_in_socialRegistration_form_item_inner_nextgenAcknowledgementConsent" class="grv_checkbox grv_form_item_inner_nextgenAcknowledgementConsent">
          <label for="grv_sign_in_socialRegistration_nextgenAcknowledgementConsent">
            <input id="grv_sign_in_socialRegistration_nextgenAcknowledgementConsent" value="true" type="checkbox" class="grv_nextgenAcknowledgementConsent grv_required grv_input_checkbox" name="nextgenAcknowledgementConsent"
              schema="acknowledgementConsent">
            <div class="square"></div> We would like to send you information which Pfizer believes may be of value to you and relevant to your work. If you would like to receive such information, please tick the box below: <br><br>By ticking the box
            and clicking ‘Confirm’ below, I confirm I am a healthcare professional resident in the UK and I consent to receiving healthcare, medical and scientific related information, by email or other electronic means, which Pfizer believes may be
            of value to me, relevant to my work and tailored to my professional profile and interests. This may include promotional information on products promoted by Pfizer.
          </label>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_socialRegistration_registerSocialAccountButton" class="grv_registerSocialAccountButton grv_btn grv_primary" type="submit" value="registerSocialAccountButton" name="registerSocialAccountButton" disabled="null"> Register
      <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: forgotPasswordFormOtpPOST

<form id="grv_signIn_forgotPasswordByPhoneNumber" name="forgotPasswordFormOtp" class="grv_form grv_forgotPasswordByPhoneNumberForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPasswordByPhoneNumber_form_item_nextgenPhoneOtp" class="grv_form_item grv_text grv_form_item_nextgenPhoneOtp">
          <i class="material-icon input__icon">phone</i>
          <label for="grv_sign_in_forgotPasswordByPhoneNumber_nextgenPhoneOtp"> Phone number </label>
          <input id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenPhoneOtp" name="nextgenPhoneOtp" type="text" class="grv_nextgenPhoneOtp grv_required grv_text_input grv_input_otp" placeholder="Phone number" schema="phoneNumberMobile">
          <div class="grv_button_div_otp">
            <button name="grv_button_otp" class="grv_btn grv_button_otp" type="button" data-otp-type="phone" disabled="">
              <div class="grv_otp_button_message">
                <i class="material-icons float-right">arrow_forward</i>Send OTP
              </div>
            </button>
          </div>
          <div class="grv_tip_validating" data-elementname="nextgenPhoneOtp">In Überprüfung</div>
          <div id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenPhoneOtp_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPasswordByPhoneNumber_form_item_nextgenCodeOtp" class="grv_form_item grv_text grv_form_item_nextgenCodeOtp">
          <label for="grv_sign_in_forgotPasswordByPhoneNumber_nextgenCodeOtp"> Code </label>
          <input id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenCodeOtp" name="nextgenCodeOtp" type="text" class="grv_nextgenCodeOtp grv_required grv_text_input " placeholder="Code" schema="otp">
          <div class="grv_tip_validating" data-elementname="nextgenCodeOtp">In Überprüfung</div>
          <div id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenCodeOtp_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_forgotPasswordByPhoneNumber_form_item_nextgenOtpToken" class="grv_form_item grv_hidden grv_form_item_nextgenOtpToken">
          <input id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenOtpToken" name="nextgenOtpToken" type="hidden" class="grv_nextgenOtpToken grv_required grv_text_input " schema="otpToken">
          <div class="grv_tip_validating" data-elementname="nextgenOtpToken">In Überprüfung</div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_forgotPasswordByPhoneNumber_nextgenForgotPasswordSendButton" class="grv_nextgenForgotPasswordSendButton grv_btn grv_primary" type="submit" value="nextgenForgotPasswordSendButton" name="nextgenForgotPasswordSendButton">
      Request new password <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: identityVerificationFormPOST

<form id="grv_signIn_identityVerificationForm" name="identityVerificationForm" class="grv_form grv_identityVerificationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
  </div>
  <div class="input__container input_container_dynamic">
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_identityVerification_identityVerificationButton" class="grv_identityVerificationButton grv_btn grv_primary" type="submit" value="identityVerificationButton" name="identityVerificationButton"> Verify
      <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: identityVerificationFormPOST

<form id="grv_signIn_identityVerificationForm" name="identityVerificationForm" class="grv_form grv_identityVerificationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
  </div>
  <div class="input__container input_container_dynamic">
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_identityVerification_identityVerificationButton" class="grv_identityVerificationButton grv_btn grv_primary" type="submit" value="identityVerificationButton" name="identityVerificationButton"> Verify
      <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: mfaSmsOtpVerificationFormPOST

<form id="grv_signIn_mfaSmsOtpVerification" name="mfaSmsOtpVerificationForm" class="grv_form grv_mfaSmsOtpVerificationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_mfaSmsOtpVerification_form_item_nextgenMfaSmsPhoneOtp" class="grv_form_item grv_text grv_form_item_nextgenMfaSmsPhoneOtp">
          <i class="material-icon input__icon">phone</i>
          <label for="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsPhoneOtp"> Phone number </label>
          <input id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsPhoneOtp" name="nextgenMfaSmsPhoneOtp" type="text" class="grv_nextgenMfaSmsPhoneOtp grv_required grv_text_input grv_input_otp" placeholder="Phone number" schema="phoneNumberMobile">
          <div class="grv_button_div_otp">
            <button name="grv_button_otp" class="grv_btn grv_button_otp" type="button" data-otp-type="phone" disabled="">
              <div class="grv_otp_button_message">
                <i class="material-icons float-right">arrow_forward</i>Send OTP
              </div>
            </button>
          </div>
          <div class="grv_tip_validating" data-elementname="nextgenMfaSmsPhoneOtp">In Überprüfung</div>
          <div id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsPhoneOtp_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_mfaSmsOtpVerification_form_item_nextgenMfaSmsCodeOtp" class="grv_form_item grv_text grv_form_item_nextgenMfaSmsCodeOtp">
          <label for="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsCodeOtp"> OTP </label>
          <input id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsCodeOtp" name="nextgenMfaSmsCodeOtp" type="text" class="grv_nextgenMfaSmsCodeOtp grv_required grv_text_input " placeholder="OTP" schema="otp">
          <div class="grv_tip_validating" data-elementname="nextgenMfaSmsCodeOtp">In Überprüfung</div>
          <div id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsCodeOtp_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_mfaSmsOtpVerification_form_item_nextgenMfaSmsOtpToken" class="grv_form_item grv_hidden grv_form_item_nextgenMfaSmsOtpToken">
          <input id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsOtpToken" name="nextgenMfaSmsOtpToken" type="hidden" class="grv_nextgenMfaSmsOtpToken grv_required grv_text_input " schema="otpToken">
          <div class="grv_tip_validating" data-elementname="nextgenMfaSmsOtpToken">In Überprüfung</div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_mfaSmsOtpVerification_nextgenMfaSmsOtpSendButton" class="grv_nextgenMfaSmsOtpSendButton grv_btn grv_primary" type="submit" value="nextgenMfaSmsOtpSendButton" name="nextgenMfaSmsOtpSendButton"> Submit
      <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: progressiveRegistrationFormPOST

<form id="grv_signIn_progressiveRegistration" name="progressiveRegistrationForm" class="grv_form grv_progressiveRegistrationForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
  </div>
  <div class="input__submit">
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: accountMatchingOptionsFormPOST

<form id="grv_signIn_accountMatchingOptions" name="accountMatchingOptionsForm" class="grv_form grv_accountMatchingOptionsForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__submit">
    <button name="nextgenMergeSocialAccountsLink" type="button" class="grv_nextgenMergeSocialAccountsLink grv_btn grv_primary" id="grv_sign_in_accountMatchingOptions_nextgenMergeSocialAccountsLink" grv-form="accountMatchingOwnershipProofing">
      <i class="material-icons float-right">arrow_forward</i>Merge Accounts </button>
    <button name="nextgenProceedWithExistingAccountLink" type="button" class="grv_nextgenProceedWithExistingAccountLink grv_btn grv_primary" id="grv_sign_in_accountMatchingOptions_nextgenProceedWithExistingAccountLink">
      <i class="material-icons float-right">arrow_forward</i>Proceed with the existing account </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

Name: accountMatchingOwnershipProofingFormPOST

<form id="grv_signIn_accountMatchingOwnershipProofing" name="accountMatchingOwnershipProofingForm" class="grv_form grv_accountMatchingOwnershipProofingForm" method="POST" novalidate="novalidate" accept-charset="UTF-8">
  <div class="input__container">
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_accountMatchingOwnershipProofing_form_item_nextgenAccountOwnershipProofingEmail" class="grv_form_item grv_text grv_form_item_nextgenAccountOwnershipProofingEmail">
          <i class="material-icon input__icon">email</i>
          <label for="grv_sign_in_accountMatchingOwnershipProofing_nextgenAccountOwnershipProofingEmail"> Email </label>
          <input id="grv_sign_in_accountMatchingOwnershipProofing_nextgenAccountOwnershipProofingEmail" name="nextgenAccountOwnershipProofingEmail" type="text" class="grv_nextgenAccountOwnershipProofingEmail grv_required grv_text_input grv_input_otp"
            placeholder="Email" schema="email">
          <div class="grv_button_div_otp">
            <button name="grv_button_otp" class="grv_btn grv_button_otp" type="button" data-otp-type="phone" disabled="">
              <div class="grv_otp_button_message">
                <i class="material-icons float-right">arrow_forward</i>Send OTP
              </div>
            </button>
          </div>
          <div class="grv_tip_validating" data-elementname="nextgenAccountOwnershipProofingEmail">In Überprüfung</div>
          <div id="grv_sign_in_accountMatchingOwnershipProofing_nextgenAccountOwnershipProofingEmail_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_accountMatchingOwnershipProofing_form_item_nextgenCodeOtp" class="grv_form_item grv_text grv_form_item_nextgenCodeOtp">
          <label for="grv_sign_in_accountMatchingOwnershipProofing_nextgenCodeOtp"> Code </label>
          <input id="grv_sign_in_accountMatchingOwnershipProofing_nextgenCodeOtp" name="nextgenCodeOtp" type="text" class="grv_nextgenCodeOtp grv_required grv_text_input " placeholder="Code" schema="otp">
          <div class="grv_tip_validating" data-elementname="nextgenCodeOtp">In Überprüfung</div>
          <div id="grv_sign_in_accountMatchingOwnershipProofing_nextgenCodeOtp_pac_container" class="pac-container-grv">
            <!-- bind hints -->
          </div>
        </div>
      </div>
    </div>
    <div class="input__container">
      <div class="input__wrapper">
        <div id="grv_sign_in_accountMatchingOwnershipProofing_form_item_nextgenOtpToken" class="grv_form_item grv_hidden grv_form_item_nextgenOtpToken">
          <input id="grv_sign_in_accountMatchingOwnershipProofing_nextgenOtpToken" name="nextgenOtpToken" type="hidden" class="grv_nextgenOtpToken grv_required grv_text_input " schema="otpToken">
          <div class="grv_tip_validating" data-elementname="nextgenOtpToken">In Überprüfung</div>
        </div>
      </div>
    </div>
  </div>
  <div class="input__submit">
    <button id="grv_sign_in_accountMatchingOwnershipProofing_nextgenAccountMatchingOwnershipProofingSendButton" class="grv_nextgenAccountMatchingOwnershipProofingSendButton grv_btn grv_primary" type="submit"
      value="nextgenAccountMatchingOwnershipProofingSendButton" name="nextgenAccountMatchingOwnershipProofingSendButton"> Submit <i class="material-icons float-right">arrow_forward</i>
    </button>
  </div>
  <div class="job-bag">
    <div class="register-reference-number"></div>
  </div>
</form>

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YOUR PASSWORD HAS BEEN SUCCESSFULLY CHANGED.

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person Vorname  *
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mail E-Mail-Adresse  *
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I consent to the collection, use and disclosure of personal information about me
in accordance with Pfizer's privacy policy and terms of use.  *

We would like to send you information which Pfizer believes may be of value to
you and relevant to your work. If you would like to receive such information,
please tick the box below:

By ticking the box and clicking ‘Confirm’ below, I confirm I am a healthcare
professional resident in the UK and I consent to receiving healthcare, medical
and scientific related information, by email or other electronic means, which
Pfizer believes may be of value to me, relevant to my work and tailored to my
professional profile and interests. This may include promotional information on
products promoted by Pfizer.
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THANK YOU FOR REGISTERING WITH PFIZER

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