amadox.top
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23.111.168.178
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Submitted URL: http://amadox.top/
Effective URL: http://amadox.top/user/register
Submission: On September 24 via api from SG — Scanned from SG
Effective URL: http://amadox.top/user/register
Submission: On September 24 via api from SG — Scanned from SG
Form analysis
1 forms found in the DOMPOST http://amadox.top/user/register
<form action="http://amadox.top/user/register" class="bg-white p-12 rounded-lg w-full max-w-md flex flex-col gap-3" method="post">
<input type="hidden" name="_token" value="Oyi8Jj3eYsa8vy5IjQxvzFe4C7ntF09VK1fD2ymn" id="_token">
<h2 class="text-3xl font-bold text-center">Sign Up</h2>
<label class="text-xl font-medium" for="name">Name</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" type="text" name="username" id="username">
<label class="text-xl font-medium" for="email">Email</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" type="email" name="email" id="email">
<label class="text-xl font-medium" for="phone">Phone</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" type="mobile" name="mobile" id="mobile">
<label class="text-xl font-medium" for="account">Select Account</label>
<select name="account" class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" id="account">
<!-- <option value="jazzcash">JazzCash</option> -->
<option value="1"
data-resource="{"id":1,"form_id":"6","name":"Easypaisa","min_limit":"1.00000000","max_limit":"50000000000.00000000","fixed_charge":"0.00000000","rate":"367.60000000","percent_charge":"0.00","currency":"PKR","description":"<br>","status":"1","created_at":"2023-08-12T06:36:58.000000Z","updated_at":"2023-09-24T13:52:05.000000Z"}">
Easypaisa</option>
</select>
<label class="text-xl font-medium" for="phone">Contry</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" type="text" value="Pakistan" name="city" id="city">
<label class="text-xl font-medium" for="password">Password</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" required="" type="password" name="password" id="password">
<label class="text-xl font-medium" for="confirm_password">Confirm Password</label>
<input class="border border-2 w-full rounded-md focus:ring-2 focus:ring-green-600 focus:border-0 p-2 text-lg" type="password" name="password_confirmation" id="password_confirmation">
<button type="submit" class="focus:outline-none text-white bg-green-600 hover:bg-green-700 focus:ring-4 focus:ring-green-300 font-medium rounded-lg text-lg w-full py-2">SignUp</button>
<p class="text-lg text-center font-medium">Already Have An Account? <a href="login" class="text-green-600">Login</a></p>
</form>
Text Content
SIGN UP Name Email Phone Select Account Easypaisa Contry Password Confirm Password SignUp Already Have An Account? Login