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projet-selfcare.vercel.app Open in urlscan Pro
76.76.21.9  Public Scan

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Submitted URL: https://auth.projet.germen.io/
Effective URL: https://projet-selfcare.vercel.app/inscription
Submission: On July 13 via automatic, source certstream-suspicious — Scanned from FR

Form analysis 1 forms found in the DOM

<form novalidate="" id="email-signup-form">
  <div class="grid grid-cols-1 gap-x-2.5 gap-y-1.5 md:grid-cols-2">
    <div class="relative flex flex-1 flex-col md:col-span-2"><label class="mb-1 min-h-3" for=":Radffdnla:"><span class="font-wix text-lg leading-normal font-bold text-grey-60">Email<!-- --> <span
            class="font-wix text-md leading-normal font-normal text-danger-30">*</span></span></label>
      <div class="relative flex-1">
        <div class="relative rounded-sm focus-within:text-primary-50 focus-within:outline-none focus-within:outline-1 focus-within:outline-offset-4 focus-within:outline-primary-30"><input
            class="h-6 w-full border-b bg-transparent text-lg transition-colors focus:outline-none border-grey-60 text-grey-60 focus:border-primary-50 focus:text-primary-50 truncate text-left" id=":Radffdnla:" mask="" type="email" required=""
            autocomplete="email" placeholder="penelope.johnson@gmail.com" name="email"></div>
      </div>
    </div>
    <div class="relative flex flex-1 flex-col"><label class="mb-1 min-h-3" for=":Ridffdnla:"><span class="font-wix text-lg leading-normal font-bold text-grey-60">Prénom<!-- --> <span
            class="font-wix text-md leading-normal font-normal text-danger-30">*</span></span></label>
      <div class="relative flex-1">
        <div class="relative rounded-sm focus-within:text-primary-50 focus-within:outline-none focus-within:outline-1 focus-within:outline-offset-4 focus-within:outline-primary-30"><input
            class="h-6 w-full border-b bg-transparent text-lg transition-colors focus:outline-none border-grey-60 text-grey-60 focus:border-primary-50 focus:text-primary-50 truncate text-left" id=":Ridffdnla:" mask="" required=""
            autocomplete="given-name" placeholder="Pénélope" name="firstname"></div>
      </div>
    </div>
    <div class="relative flex flex-1 flex-col"><label class="mb-1 min-h-3" for=":Rqdffdnla:"><span class="font-wix text-lg leading-normal font-bold text-grey-60">Nom<!-- --> <span
            class="font-wix text-md leading-normal font-normal text-danger-30">*</span></span></label>
      <div class="relative flex-1">
        <div class="relative rounded-sm focus-within:text-primary-50 focus-within:outline-none focus-within:outline-1 focus-within:outline-offset-4 focus-within:outline-primary-30"><input
            class="h-6 w-full border-b bg-transparent text-lg transition-colors focus:outline-none border-grey-60 text-grey-60 focus:border-primary-50 focus:text-primary-50 truncate text-left" id=":Rqdffdnla:" mask="" required=""
            autocomplete="family-name" placeholder="Johnson" name="lastname"></div>
      </div>
    </div>
    <div class="relative flex flex-1 flex-col"><label class="mb-1 min-h-3" for=":R12dffdnla:"><span class="font-wix text-lg leading-normal font-bold text-grey-60">Date de naissance<!-- --> <span
            class="font-wix text-md leading-normal font-normal text-danger-30">*</span></span></label>
      <div class="relative flex-1">
        <div class="relative rounded-sm focus-within:text-primary-50 focus-within:outline-none focus-within:outline-1 focus-within:outline-offset-4 focus-within:outline-primary-30"><input
            class="h-6 w-full border-b bg-transparent text-lg transition-colors focus:outline-none border-grey-60 text-grey-60 focus:border-primary-50 focus:text-primary-50 truncate text-left" id=":R12dffdnla:" required="" placeholder="31/12/1997"
            name="birthdate"></div>
      </div>
    </div>
    <div class="relative flex flex-1 flex-col"><label class="mb-1 min-h-3" for=":R1adffdnla:"><span class="font-wix text-lg leading-normal font-bold text-grey-60">Numéro de téléphone<!-- --> <span
            class="font-wix text-md leading-normal font-normal text-danger-30">*</span></span></label>
      <div class="relative flex-1">
        <div class="relative rounded-sm focus-within:text-primary-50 focus-within:outline-none focus-within:outline-1 focus-within:outline-offset-4 focus-within:outline-primary-30"><input
            class="h-6 w-full border-b bg-transparent text-lg transition-colors focus:outline-none border-grey-60 text-grey-60 focus:border-primary-50 focus:text-primary-50 truncate text-left" id=":R1adffdnla:" mask="" type="tel" required=""
            placeholder="0645789654" name="phoneNumber"></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Email *

Prénom *

Nom *

Date de naissance *

Numéro de téléphone *

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