primecrestb.com Open in urlscan Pro
185.12.45.8  Public Scan

Form analysis
1 forms found in the DOM

POST http://primecrestb.com/uk/uus/register

<form role="form" action="http://primecrestb.com/uk/uus/register" method="post">
  <input type="hidden" name="_token" value="rLbieZbsQN7KFs72tWTeFREChiNLpj5yo6idlrx4">
  <div class="form-group mb-3">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-user-run"></i></span>
      </div>
      <input class="form-control" placeholder="Full name" type="text" name="name">
    </div>
  </div>
  <div class="form-group mb-3">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-user-run"></i></span>
      </div>
      <input class="form-control" placeholder="Username" type="text" name="username">
    </div>
  </div>
  <div class="form-group mb-3">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-email-83"></i></span>
      </div>
      <input class="form-control" placeholder="Email" type="email" name="email">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-mobile-button"></i></span>
      </div>
      <input class="form-control" placeholder="Mobile" type="text" name="phone">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-lock-circle-open"></i></span>
      </div>
      <input class="form-control" placeholder="Password" type="password" name="password">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge input-group-alternative">
      <div class="input-group-prepend">
        <span class="input-group-text"><i class="ni ni-lock-circle-open"></i></span>
      </div>
      <input class="form-control" placeholder="Re-type password" type="password" name="password_confirmation">
    </div>
  </div>
  <div class="text-center">
    <button type="submit" class="btn btn-default my-4">Sign up</button>
  </div>
</form>

Text Content

 * Login
 * Register


REGISTER

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