www.wbt-schulungen.com Open in urlscan Pro
62.48.76.52  Public Scan

Form analysis
1 forms found in the DOM

POST /public/register?_=1713467898036

<form id="registrationForm" class="span7 center-form" action="/public/register?_=1713467898036" method="post">
  <fieldset>
    <legend>Registrieren Sie sich kostenlos.</legend>
    <!-- empty -->
    <div class="row">
    </div>
    <div class="row">
      <div class="control-group span3">
        <label class="control-label" for="firstName">Vorname* </label>
        <div class="controls">
          <input id="firstName" name="firstName" class="input-block-level" type="text" value="" autocomplete="off">
        </div>
      </div>
      <div class="control-group span3">
        <label class="control-label" for="lastName">Nachname* </label>
        <div class="controls">
          <input id="lastName" name="lastName" class="input-block-level" type="text" value="" autocomplete="off">
        </div>
      </div>
    </div>
    <div class="control-group">
      <label class="control-label" for="email">E-Mail*</label>
      <div class="controls">
        <input id="email" name="email" class="input-block-level" type="text" value="" autocomplete="off">
      </div>
    </div>
    <div class="row">
      <div class="control-group span3">
        <label class="control-label" for="password">Passwort*</label>
        <div class="controls">
          <input id="password" name="password" class="input-block-level" type="password" value="">
        </div>
      </div>
      <div class="control-group span3">
        <label class="control-label" for="passwordAgain">Wiederholung Passwort*</label>
        <div class="controls">
          <input id="passwordAgain" name="passwordAgain" class="input-block-level" type="password" value="">
        </div>
      </div>
    </div>
    <div class="control-group">
      <label class="control-label" for="answer">Frage: Was ist das Ergebnis:&nbsp;8 + 8&nbsp;?* </label>
      <div class="controls">
        <input id="answer" name="answer" class="input-block-level" type="text" value="" autocomplete="off">
      </div>
    </div>
    <div class="control-group">
      <label class="control-label" for="agbCheck"></label>
      <div class="controls">
        <input id="agbCheck1" name="agbCheck" class="checkbox" type="checkbox" value="true"><input type="hidden" name="_agbCheck" value="on">
        <span class="checkbox-label"> Ich habe die&nbsp;<a target="_blank" href="public#agb">AGB</a>&nbsp;gelesen. * </span>
      </div>
    </div>
    <div class="control-group">
      <label class="control-label" for="stringMap[1]">Geburtsdatum* </label>
      <div class="controls">
        <div class="control-group">
          <input id="stringMap1" name="stringMap[1]" class="input-block-level" type="text" value="">
        </div>
      </div>
    </div>
    <div class="control-group">
      <label class="control-label" for="stringMap[2]">Personalnummer</label>
      <div class="controls">
        <div class="control-group">
          <input id="stringMap2" name="stringMap[2]" class="input-block-level" type="text" value="">
        </div>
      </div>
    </div>
    <div>
      <br>
      <small>* Pflichtfeld</small>
    </div>
    <button type="submit" class="btn btn-primary btn-block _submit" id="loginButton">Jetzt kostenlos registrieren</button>
    <hr>
    <a href="#login" class="back"><i class="icon-arrow-left"></i> zurück zum Login</a>
  </fieldset>
</form>

Text Content

Registrieren Sie sich kostenlos.

Vorname*

Nachname*

E-Mail*

Passwort*

Wiederholung Passwort*

Frage: Was ist das Ergebnis: 8 + 8 ?*

Ich habe die AGB gelesen. *
Geburtsdatum*

Personalnummer


* Pflichtfeld
Jetzt kostenlos registrieren

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