amadox.top Open in urlscan Pro
23.111.168.178  Public Scan

Submitted URL: http://amadox.top/
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 DOM

POST 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="{&quot;id&quot;:1,&quot;form_id&quot;:&quot;6&quot;,&quot;name&quot;:&quot;Easypaisa&quot;,&quot;min_limit&quot;:&quot;1.00000000&quot;,&quot;max_limit&quot;:&quot;50000000000.00000000&quot;,&quot;fixed_charge&quot;:&quot;0.00000000&quot;,&quot;rate&quot;:&quot;367.60000000&quot;,&quot;percent_charge&quot;:&quot;0.00&quot;,&quot;currency&quot;:&quot;PKR&quot;,&quot;description&quot;:&quot;<br>&quot;,&quot;status&quot;:&quot;1&quot;,&quot;created_at&quot;:&quot;2023-08-12T06:36:58.000000Z&quot;,&quot;updated_at&quot;:&quot;2023-09-24T13:52:05.000000Z&quot;}">
      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

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