d10000000azwteam.my.salesforce-sites.com Open in urlscan Pro
13.115.131.225  Public Scan

Submitted URL: http://linktrace.szwgroup.com/szwgroupetracetime20230822/EventInterface/map?t=41569176&EASEYEUID=9066343-492486-379-23937&yiye...
Effective URL: https://d10000000azwteam.my.salesforce-sites.com/registerproject/?prjcode=ISSingapore202310SZW&uname=Sliver&ind=Insurance
Submission: On August 26 via api from CA — Scanned from CA

Form analysis 1 forms found in the DOM

Name: regprjpage:regprjformPOST /registerproject/RegisterProject

<form id="regprjpage:regprjform" name="regprjpage:regprjform" method="post" action="/registerproject/RegisterProject" enctype="application/x-www-form-urlencoded">
  <input type="hidden" name="regprjpage:regprjform" value="regprjpage:regprjform">
  <script id="regprjpage:regprjform:j_id34" type="text/javascript">
    SaveToData = function(like, likeother, lastname, firstname, company, title, tel, mobile, email, find, search, other, code, comment) {
      A4J.AJAX.Submit('regprjpage:regprjform', null, {
        'similarityGroupingId': 'regprjpage:regprjform:j_id34',
        'parameters': {
          'firstname': (typeof firstname != 'undefined' && firstname != null) ? firstname : '',
          'other': (typeof other != 'undefined' && other != null) ? other : '',
          'code': (typeof code != 'undefined' && code != null) ? code : '',
          'like': (typeof like != 'undefined' && like != null) ? like : '',
          'mobile': (typeof mobile != 'undefined' && mobile != null) ? mobile : '',
          'title': (typeof title != 'undefined' && title != null) ? title : '',
          'lastname': (typeof lastname != 'undefined' && lastname != null) ? lastname : '',
          'search': (typeof search != 'undefined' && search != null) ? search : '',
          'regprjpage:regprjform:j_id34': 'regprjpage:regprjform:j_id34',
          'find': (typeof find != 'undefined' && find != null) ? find : '',
          'likeother': (typeof likeother != 'undefined' && likeother != null) ? likeother : '',
          'company': (typeof company != 'undefined' && company != null) ? company : '',
          'tel': (typeof tel != 'undefined' && tel != null) ? tel : '',
          'comment': (typeof comment != 'undefined' && comment != null) ? comment : '',
          'email': (typeof email != 'undefined' && email != null) ? email : ''
        }
      })
    };
  </script>
  <div align="center" style="PADDING-RIGHT: 0px; PADDING-LEFT: 0px; BACKGROUND-IMAGE: url(/registerproject/resource/1403496208000/szwresource/img/back.jpg); PADDING-BOTTOM: 0px; PADDING-TOP: 394px; BACKGROUND-REPEAT: no-repeat">
    <table border="0" cellpadding="0" cellspacing="0" width="600">
      <tbody>
        <tr>
          <td width="147">&nbsp;</td>
          <td width="453">&nbsp;</td>
        </tr>
        <tr align="center">
          <td colspan="2">
            <strong style="FONT-SIZE: 16px; COLOR: #fff">I Am Interested in Attending 4th Health Insurance Innovation Congress Asia Pacific 2023.</strong>
          </td>
        </tr>
        <tr>
          <td width="147">&nbsp;</td>
          <td width="453">&nbsp;</td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td align="left"><strong>I would like to be :</strong></td>
          <td>
            <table border="0" cellpadding="0" cellspacing="0" width="453">
              <tbody>
                <tr align="left">
                  <td><input name="chklike" type="checkbox" value="Sponsor"></td>
                  <td>Sponsor</td>
                  <td><input name="chklike" type="checkbox" value="Speaker"></td>
                  <td>Speaker</td>
                  <td><input name="chklike" type="checkbox" value="Delegate"></td>
                  <td>Delegate</td>
                  <td><input name="chklike" type="checkbox" value="Partner"></td>
                  <td>Partner</td>
                  <td><input id="likeother" onclick="setenable(this,'txtlikeother');" type="checkbox"></td>
                  <td>Others</td>
                  <td><input disabled="disabled" id="txtlikeother" maxlength="50" size="15" type="text"></td>
                </tr>
              </tbody>
            </table>
          </td>
        </tr>
        <tr>
          <td align="left"><strong>LastName :</strong></td>
          <td align="left"><input id="txtlastname" type="text"><strong style="COLOR: #f00">*</strong></td>
        </tr>
        <tr>
          <td align="left"><strong>FirstName :</strong></td>
          <td align="left"><input id="txtfirstname" type="text"><strong style="COLOR: #f00">*</strong></td>
        </tr>
        <tr>
          <td align="left"><strong>Company :</strong></td>
          <td align="left"><input id="txtcompany" type="text"><strong style="COLOR: #f00">*</strong></td>
        </tr>
        <tr>
          <td align="left"><strong>Job Title :</strong></td>
          <td align="left"><input id="txttitle" type="text"></td>
        </tr>
        <tr>
          <td align="left"><strong>Direct Number :</strong></td>
          <td align="left"><input id="txttel" type="text"></td>
        </tr>
        <tr>
          <td align="left"><strong>Mobile :</strong></td>
          <td align="left"><input id="txtmobile" type="text"><strong style="COLOR: #f00">*</strong></td>
        </tr>
        <tr>
          <td align="left"><strong>Email :</strong></td>
          <td align="left"><input id="txtemail" type="text"><strong style="COLOR: #f00">*</strong></td>
        </tr>
        <tr>
          <td align="left"><strong>How did you find us?</strong></td>
          <td>
            <table border="0" cellpadding="0" cellspacing="0" width="453">
              <tbody>
                <tr>
                  <td><input name="chkfind1" type="checkbox" value="Email"></td>
                  <td>Email</td>
                  <td><input name="chkfind1" type="checkbox" value="Sales"></td>
                  <td>Sales</td>
                  <td><input name="chkfind1" type="checkbox" value="Colleague"></td>
                  <td>Colleague</td>
                  <td width="20">&nbsp;</td>
                  <td width="42">&nbsp;</td>
                  <td width="117">&nbsp;</td>
                  <td width="14">&nbsp;</td>
                  <td width="28">&nbsp;</td>
                </tr>
                <tr>
                  <td colspan="11">
                    <table border="0" cellpadding="0" cellspacing="0" width="453">
                      <tbody>
                        <tr>
                          <td>
                            <input name="chkfind2" type="checkbox" value="Search Engine">
                          </td>
                          <td>Search Engine&nbsp;&nbsp;</td>
                          <td>(&nbsp;</td>
                          <td><input disabled="disabled" id="chk" name="chksearch" type="checkbox" value="Google"></td>
                          <td>Google</td>
                          <td><input disabled="disabled" id="chk" name="chksearch" type="checkbox" value="Yahoo"></td>
                          <td>Yahoo</td>
                          <td><input disabled="disabled" id="chk" name="chksearch" type="checkbox" value="Baidu"></td>
                          <td>Baidu</td>
                          <td><input disabled="disabled" id="chk" name="chksearch" type="checkbox" value="360"></td>
                          <td>360</td>
                          <td><input disabled="disabled" id="chk" name="chksearch" type="checkbox" value="Bing"></td>
                          <td>Bing</td>
                          <td>)&nbsp;</td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                </tr>
                <tr>
                  <td colspan="11">
                    <table border="0" cellpadding="0" cellspacing="0" width="453">
                      <tbody>
                        <tr>
                          <td><input name="chkfind3" type="checkbox" value="Publication"></td>
                          <td>Publication</td>
                          <td><input name="chkfind3" type="checkbox" value="Media"></td>
                          <td>Media</td>
                          <td><input name="chkfind3" type="checkbox" value="Social Media"></td>
                          <td>Social Media</td>
                          <td><input id="other" onclick="setenable(this,'txtother');" type="checkbox"></td>
                          <td>Others</td>
                          <td><input disabled="disabled" id="txtother" maxlength="50" size="15" type="text"></td>
                          <td>&nbsp;</td>
                          <td>&nbsp;</td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                </tr>
              </tbody>
            </table>
          </td>
        </tr>
        <tr>
          <td align="left"><strong>Discount Code :</strong></td>
          <td align="left"><input id="txtdiscode" type="text"></td>
        </tr>
        <tr>
          <td align="left"><strong>Comments :</strong></td>
          <td align="left"><textarea cols="45" id="txtcomment" rows="5"></textarea></td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
        <tr align="left">
          <td>&nbsp;</td>
          <td align="left">
            <input id="saveBtn" name="button1" onclick="return saveinput();" src="/registerproject/resource/1403496208000/szwresource/img/submit.jpg" type="image"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input id="button2" name="button2"
              onclick="return cancelinput();" src="/registerproject/resource/1403496208000/szwresource/img/clear.jpg" type="image">
          </td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
      </tbody>
    </table>
  </div>
  <div id="regprjpage:regprjform:j_id65"></div>
</form>

Text Content

    I Am Interested in Attending 4th Health Insurance Innovation Congress Asia
Pacific 2023.         I would like to be :

Sponsor Speaker Delegate Partner Others

LastName : * FirstName : * Company : * Job Title : Direct Number : Mobile : *
Email : * How did you find us?

Email Sales Colleague          

Search Engine   (  Google Yahoo Baidu 360 Bing ) 

Publication Media Social Media Others    

Discount Code : Comments :                     



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