uitvoerdersportaal.develop.veiligbereikbaardrenthe.nl Open in urlscan Pro
64.227.71.164  Public Scan

Form analysis
1 forms found in the DOM

POST https://uitvoerdersportaal.develop.veiligbereikbaardrenthe.nl/login

<form class="form-horizontal" role="form" method="post" parsley-validate="" novalidate="" action="https://uitvoerdersportaal.develop.veiligbereikbaardrenthe.nl/login">
  <input type="hidden" name="_token" value="RtYCODZZ1rVKSlThBQBaXhGnSUWbBvOtZd8fEJ7o">
  <div class="login-form">
    <div class="form-group">
      <div class="input-group" id="email-handler">
        <span class="input-group-addon"><span class="icon s7-mail"></span></span>
        <input id="email" type="email" required="" class="form-control" name="email" placeholder="E-mailadres" parsley-trigger="change" data-parsley-errors-messages-disabled="true" data-parsley-class-handler="#email-handler" value="">
      </div>
    </div>
    <div class="form-group">
      <div class="input-group" id="password-handler">
        <span class="input-group-addon"><span class="icon s7-lock"></span></span>
        <input id="password" type="password" required="" class="form-control" name="password" placeholder="Wachtwoord" parsley-trigger="change" data-parsley-errors-messages-disabled="true" data-parsley-class-handler="#password-handler">
      </div>
    </div>
    <div class="form-group login-submit">
      <button data-dismiss="modal" type="submit" class="btn btn-primary btn-lg">Inloggen</button>
    </div>
    <div class="form-group footer row">
      <div class="col-xs-6"><a href="https://uitvoerdersportaal.develop.veiligbereikbaardrenthe.nl/password/reset">Wachtwoord aanmaken?</a></div>
      <div class="col-xs-6 remember">
        <label for="remember">Ingelogd blijven</label>
        <div class="am-checkbox">
          <input type="checkbox" id="remember" name="remember" value="on" data-parsley-multiple="remember">
          <label for="remember"></label>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

Vul hieronder a.u.b. je inloggegevens in.
Inloggen
Wachtwoord aanmaken?
Ingelogd blijven


Nee Ja
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