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Form analysis
2 forms found in the DOM

POST ?

<form action="?" method="post" class="regesiterForm" enctype="multipart/form-data">
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Name:</label>
    <input autocomplete="off" type="text" name="name" class="form-control" placeholder="Name" required="" value="">
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Phone:</label>
    <input autocomplete="off" type="text" class="form-control " data-type="2" placeholder="971-XX-XXXXXXX" name="phone" required="" value="">
    <span class="d-none errorEmail-2 errorMsgInput"></span>
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Email:</label>
    <input autocomplete="off" type="email" class="form-control " placeholder="Email" name="email" required="" data-type="1" value="">
    <span class="d-none errorEmail-1 errorMsgInput"></span>
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Address : <span class="subtitleGray">Building Name/No, Flat/Villa No </span></label>
    <input autocomplete="off" type="text" class="form-control " placeholder="Building Name/No, Flat/Villa No" name="location" required="" data-type="1" value="">
  </div>
  <div class="form-group">
    <label class="control-label ToLabel ">Address 2 : <span class="subtitleGray">Street Name/No., Area Name</span></label>
    <input autocomplete="off" type="text" class="form-control " placeholder="Street Name/No., Area Name" name="location2" data-type="1" value="">
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>City:</label>
    <select class=" form-control citySelect" style="padding-bottom: 5px;" name="city" required="" data-selectcity="Select City" data-select="Select">
      <option value="">Select</option>
      <option value="153">Al Fujairah</option>
      <option value="154">Dubai</option>
      <option value="155">Ras Al Khaimah</option>
      <option value="156">Umm al Quwain</option>
      <option value="157">Abu Dhabi</option>
      <option value="158">Ajman</option>
      <option value="159">Sharjah</option>
      <option value="160">Al Ayn</option>
    </select>
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Area:</label>
    <select class=" form-control areaSelect" style="padding-bottom: 5px;" name="areaId" required="">
      <option value="">Select City</option>
    </select>
  </div>
  <div class="form-group cal-form">
    <label class="control-label ToLabel" for="uploadform-begin"><span class="errorStar text-danger">*</span>Preferred day for the Agent visit:</label>
    <input type="text" autocomplete="off" name="day" onchange="loadTime(this.value)" class="form-control uploadform-end-2 datetimepicker" required="" readonly="">
    <span class="icon">
    </span>
  </div>
  <div class="form-group">
    <label class="control-label ToLabel "><span class="errorStar text-danger">*</span>Preferred timeslot for the Agent Visit:</label>
    <select class="timeSelect form-control" name="time" required="">
    </select>
  </div>
  <button type="submit" id="saveInfo" name="saveInfo" class="btn btn-primary bt-book">Book</button>
</form>

POST ?

<form action="?" method="post" class="text-center" enctype="multipart/form-data">
</form>

Text Content

عربي


WESTERN UNION ONLINE VERIFICATION
SCHEDULE AN APPOINTMENT

*Name:
*Phone:
*Email:
*Address : Building Name/No, Flat/Villa No
Address 2 : Street Name/No., Area Name
*City: Select Al Fujairah Dubai Ras Al Khaimah Umm al Quwain Abu Dhabi Ajman
Sharjah Al Ayn
*Area: Select City
*Preferred day for the Agent visit:
*Preferred timeslot for the Agent Visit:
Book

THANK YOU FOR BOOKING AN APPOINTMENT TO GET A COMPLIMENTARY VERIFICATION VISIT.
ONCE VERIFIED, YOU CAN START SENDING MONEY 24/7 TO OVER 200 COUNTRIES!

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