wasap.nuhtravel.com.my
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2402:1f00:8001:1203::
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URL:
https://wasap.nuhtravel.com.my/
Submission: On July 09 via api from US — Scanned from SG
Submission: On July 09 via api from US — Scanned from SG
Form analysis
1 forms found in the DOMName: New Form — POST
<form class="elementor-form" method="post" name="New Form">
<input type="hidden" name="post_id" value="76">
<input type="hidden" name="form_id" value="f3ed8dd">
<input type="hidden" name="referer_title" value="">
<input type="hidden" name="queried_id" value="76">
<div class="ele-extensions-hide-form elementor-form-fields-wrapper elementor-labels-above">
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required">
<label for="form-field-name" class="elementor-field-label"> Nama </label>
<input size="1" type="text" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Nama" required="required" aria-required="true">
</div>
<div class="elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-tel elementor-col-100 elementor-field-required">
<label for="form-field-tel" class="elementor-field-label"> No. Tel </label>
<input size="1" type="tel" name="form_fields[tel]" id="form-field-tel" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="No. Tel" required="required" aria-required="true" pattern="[0-9()#&+*-=.]+"
title="Only numbers and phone characters (#, -, *, etc) are accepted.">
</div>
<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100">
<label for="form-field-email" class="elementor-field-label"> Email </label>
<input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Email">
</div>
<div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-bilpeserta elementor-col-100">
<label for="form-field-bilpeserta" class="elementor-field-label"> Bilangan Peserta </label>
<div class="elementor-field elementor-select-wrapper remove-before ">
<div class="select-caret-down-wrapper">
<i aria-hidden="true" class="eicon-caret-down"></i>
</div>
<select name="form_fields[bilpeserta]" id="form-field-bilpeserta" class="elementor-field-textual elementor-size-sm">
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
</div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-destinasi elementor-col-100">
<label for="form-field-destinasi" class="elementor-field-label"> Destinasi </label>
<input size="1" type="text" name="form_fields[destinasi]" id="form-field-destinasi" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Destinasi pilihan anda..">
</div>
<div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-bulan elementor-col-100">
<label for="form-field-bulan" class="elementor-field-label"> Tarikh (bulan) </label>
<div class="elementor-field elementor-select-wrapper remove-before ">
<div class="select-caret-down-wrapper">
<i aria-hidden="true" class="eicon-caret-down"></i>
</div>
<select name="form_fields[bulan]" id="form-field-bulan" class="elementor-field-textual elementor-size-sm">
<option value="Januari">Januari</option>
<option value="Februari">Februari</option>
<option value="Mac">Mac</option>
<option value="April">April</option>
<option value="Mei">Mei</option>
<option value="Jun">Jun</option>
<option value="Julai">Julai</option>
<option value="Ogos">Ogos</option>
<option value="September">September</option>
<option value="Oktober">Oktober</option>
<option value="November">November</option>
<option value="Disember">Disember</option>
</select>
</div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-request elementor-col-100">
<label for="form-field-request" class="elementor-field-label"> Special request </label>
<input size="1" type="text" name="form_fields[request]" id="form-field-request" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Special request">
</div>
<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
<button type="submit" class="elementor-button elementor-size-sm">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">Send</span>
</span>
</button>
</div>
</div>
</form>
Text Content
Nama No. Tel Email Bilangan Peserta 0 1 2 3 4 5 6 7 8 9 10 11 12 Destinasi Tarikh (bulan) Januari Februari Mac April Mei Jun Julai Ogos September Oktober November Disember Special request Send COPYRIGHT© 2023 NUH TRAVEL & TOURS SDN BHD Facebook Instagram Youtube Whatsapp