gms.fanuc.co.id Open in urlscan Pro
202.180.20.116  Public Scan

URL: https://gms.fanuc.co.id/
Submission: On August 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <div><label for="name" class="block font-medium text-sm text-gray-700 font-semibold">Nama</label><label for="name" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Name</label><input id="name" name="name" autocomplete="name"
      required="" type="text" class="border-gray-300 focus:border-indigo-500 focus:ring-indigo-500 rounded-md shadow-sm mt-1 block w-full" value=""></div>
  <div class="mt-4"><label for="company" class="block font-medium text-sm text-gray-700 font-semibold">Perusahaan</label><label for="company" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Company</label><input id="company"
      name="company" autocomplete="company" required="" type="text" class="border-gray-300 focus:border-indigo-500 focus:ring-indigo-500 rounded-md shadow-sm mt-1 block w-full" value=""></div>
  <div class="mt-4"><label for="position" class="block font-medium text-sm text-gray-700 font-semibold">Posisi</label><label for="position" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Position</label><input id="position"
      name="position" autocomplete="position" required="" type="text" class="border-gray-300 focus:border-indigo-500 focus:ring-indigo-500 rounded-md shadow-sm mt-1 block w-full" value=""></div>
  <div class="mt-4"><label for="nationality" class="block font-medium text-sm text-gray-700 font-semibold">Kebangsaan</label><label for="nationality" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Nationality</label>
    <div class="w-full flex flex-col">
      <div class="w-full flex justify-around"><label><input type="radio" value="Indonesia" checked="">&nbsp;&nbsp;Indonesia</label><label><input type="radio" value="Japan">&nbsp;&nbsp;Japan</label><label><input type="radio"
            value="custom">&nbsp;&nbsp;Other</label></div>
    </div>
  </div>
  <div class="mt-4"><label for="email" class="block font-medium text-sm text-gray-700 font-semibold">Alamat email</label><label for="email" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Email address</label><input id="email"
      name="email" autocomplete="username" required="" type="email" class="border-gray-300 focus:border-indigo-500 focus:ring-indigo-500 rounded-md shadow-sm mt-1 block w-full" value=""></div>
  <div class="mt-4"><label for="phone" class="block font-medium text-sm text-gray-700 font-semibold">Nomor telepon</label><label for="phone" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Phone number</label><input id="phone"
      name="phone_number" autocomplete="phone" required="" type="number" class="border-gray-300 focus:border-indigo-500 focus:ring-indigo-500 rounded-md shadow-sm mt-1 block w-full" value=""></div>
  <div class="mt-4"><label for="product_interests" class="block font-medium text-sm text-gray-700 font-semibold">Product yang diminati</label><label for="product_interests" class="block font-medium text-sm text-gray-700 p-0 text-xs italic">Product
      interest</label>
    <div class="mt-1 w-full flex justify-around"><label><input type="checkbox" value="1">&nbsp;FA</label><label><input type="checkbox" value="2">&nbsp;ROBOT</label><label><input type="checkbox" value="3">&nbsp;ROBODRILL</label><label><input
          type="checkbox" value="4">&nbsp;ROBOSHOT</label><label><input type="checkbox" value="5">&nbsp;ROBOCUT</label><label><input type="checkbox" value="6">&nbsp;IoT</label></div>
  </div>
  <div class="flex items-center justify-end mt-6"><button
      class="inline-flex items-center px-4 py-2 bg-gray-800 border border-transparent rounded-md font-semibold text-xs text-white uppercase tracking-widest hover:bg-gray-700 focus:bg-gray-700 active:bg-gray-900 focus:outline-none focus:ring-2 focus:ring-indigo-500 focus:ring-offset-2 transition ease-in-out duration-150 false ms-4">Register</button>
  </div>
</form>

Text Content

NamaName
PerusahaanCompany
PosisiPosition
KebangsaanNationality
  Indonesia  Japan  Other
Alamat emailEmail address
Nomor teleponPhone number
Product yang diminatiProduct interest
 FA ROBOT ROBODRILL ROBOSHOT ROBOCUT IoT
Register