imunocare.azizsembada.com Open in urlscan Pro
2606:4700:3031::6815:309e  Public Scan

Form analysis
1 forms found in the DOM

POST /auth-process

<form id="formAuthentication" class="mb-3 fv-plugins-bootstrap5 fv-plugins-framework" action="/auth-process" method="POST" novalidate="novalidate">
  <div class="mb-3">
    <label for="email" class="form-label">NIK</label>
    <input type="hidden" class="txt_csrfname" name="csrf_token_name" value="15db3a470a89365327d82e7c451ea835">
    <input type="text" class="form-control" id="nik" name="nik" placeholder="Masukan NIK" autofocus="">
  </div>
  <div class="mb-3 form-password-toggle fv-plugins-icon-container">
    <div class="d-flex justify-content-between">
      <label class="form-label" for="password">Kata Sandi</label>
      <a href="auth-forgot-password-cover.html">
                                    <small>Lupa Kata Sandi?</small>
                                </a>
    </div>
    <div class="input-group input-group-merge has-validation">
      <input type="password" id="password" class="form-control" name="password" placeholder="············" aria-describedby="password">
      <span class="input-group-text cursor-pointer"><i class="ti ti-eye-off"></i></span>
    </div>
    <div class="fv-plugins-message-container fv-plugins-message-container--enabled invalid-feedback"></div>
  </div>
  <button class="btn btn-primary d-grid w-100 waves-effect waves-light">Masuk</button>
  <input type="hidden">
</form>

Text Content

Silahkan Login untuk mendapatkan layanan kami

NIK
Kata Sandi Lupa Kata Sandi?


Masuk

TEMPLATE CUSTOMIZER

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THEMING

Style (Mode)

Light

Dark

System
Themes

Default

Bordered

Semi Dark

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LAYOUT

Menu (Navigation)

Expanded

Collapsed
Navbar Type

Sticky

Static

Hidden
Content

Compact

Wide
Direction

Left to Right (En)

Right to Left (Ar)