www.eletref.co.uk
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185.53.59.187
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URL:
https://www.eletref.co.uk/index.php?option=com_fabrik&view=form&formid=15&Itemid=482&auid=61984&rfid=87066
Submission: On February 10 via manual from US — Scanned from GB
Submission: On February 10 via manual from US — Scanned from GB
Form analysis 1 forms found in the DOM
Name: form_15 — POST
<form method="post" class="fabrikForm" name="form_15" id="form_15" enctype="multipart/form-data">
<div class="fabrikMainError alert alert-error fabrikError fabrikHide">
<button class="close" data-dismiss="alert">×</button>
</div>
<div class="row-fluid nav">
<div class="span6 pull-right">
</div>
<div class="span6">
</div>
</div>
<fieldset class="fabrikGroup form-horizontal" id="group101" style="">
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-internalid fb_el_sokur_employref___id fabrikHide " style="display:none"> id <div class="controls">
<div class="fabrikElement">
<input type="text" class="fabrikinput inputbox hidden" name="sokur_employref___id" value="" id="sokur_employref___id">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-date fb_el_sokur_employref___date_time fabrikHide " style="display:none"> date time <div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer" id="sokur_employref___date_time">
<div class="input-append">
<input type="text" name="sokur_employref___date_time[date]" id="sokur_employref___date_time_cal" value="2022-02-10" class="fabrikinput inputbox input input-small" size="0" maxlength="19">
<button type="button" class="btn calendarbutton" id="sokur_employref___date_time_cal_cal_img" aria-label="Calendar">
<i data-isicon="true" class="icon-calendar "></i></button>
</div>
<div class="input-append">
<input type="text" class="inputbox fabrikinput timeField input input-mini" size="5" value="20:14:43" name="sokur_employref___date_time[time]">
<button type="button" class="btn timeButton" aria-label="Clock">
<i data-isicon="true" class="icon-clock timeButton"></i></button>
</div>
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_employref___empref_name fabrikDataEmpty span12">
<label for="sokur_employref___empref_name" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Your Full Name </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_employref___empref_name" name="sokur_employref___empref_name" size="10" maxlength="255" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_employref___empref_position fabrikDataEmpty span12">
<label for="sokur_employref___empref_position" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Position in Company </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_employref___empref_position" name="sokur_employref___empref_position" size="10" maxlength="255" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_employref___empref_email fabrikDataEmpty span12">
<label for="sokur_employref___empref_email" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-envelope isemail" ></i> This field is required, and must be a valid email address</li></ul>">
<i data-isicon="true" class="icon-envelope small "></i> Email </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_employref___empref_email" name="sokur_employref___empref_email" size="10" maxlength="255" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_employref___empref_phone fabrikDataEmpty span12">
<label for="sokur_employref___empref_phone" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Phone Number </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_employref___empref_phone" name="sokur_employref___empref_phone" size="10" maxlength="25" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_employref___empref_security fabrikDataEmpty span12">
<label for="sokur_employref___empref_security" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}" data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> Please refer to the email sent to you requesting this reference (you should have clicked on the link in that email to get to this form). The security code is contained in that email.
</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Security Code from email (this is typically a six digit number and is highlighted in red in your email) </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_employref___empref_security" name="sokur_employref___empref_security" size="10" maxlength="6" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-fileupload fb_el_sokur_employref___empref_reference span12">
<label for="sokur_employref___empref_reference" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Upload Reference (this must be either a PDF file or an image) Word documents cannot be accepted through this form. </label>
<div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer">
<input class="fabrikinput" name="sokur_employref___empref_reference" type="file" accept=".pdf,.jpg,.jpeg,.png" id="sokur_employref___empref_reference">
<input class="fabrikinput inputbox hidden" type="hidden" name="sokur_employref___empref_reference_orig" value="" id="sokur_employref___empref_reference_orig">
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-captcha fb_el_sokur_employref___empref_captcha fabrikDataEmpty span12">
<label for="sokur_employref___empref_captcha" class="fabrikLabel control-label"> Enter characters </label>
<div class="controls">
<div class="fabrikElement">
<div class="g-recaptcha" data-sitekey="6LdqZ08UAAAAALGO_MnuX42ira4Hfz7WnGgV4v6T">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdqZ08UAAAAALGO_MnuX42ira4Hfz7WnGgV4v6T&co=aHR0cHM6Ly93d3cuZWxldHJlZi5jby51azo0NDM.&hl=en&v=1p3YWy80wlZ7Q8QFR1gjazwU&size=normal&cb=4a2xzukom24c"
width="304" height="78" role="presentation" name="a-l6ckft5sj1np" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<script src="https://www.google.com/recaptcha/api.js?hl=en" async="" defer=""></script>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-ip fb_el_sokur_employref___empref_ip fabrikHide " style="display:none"> <div class="controls">
<div class="fabrikElement">
<input type="text" class="fabrikinput inputbox" readonly="readonly" name="sokur_employref___empref_ip" id="sokur_employref___empref_ip" value="82.199.130.38">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
</fieldset>
<div class="fabrikHiddenFields">
<input type="hidden" name="listid" value="15">
<input type="hidden" name="listref" value="15">
<input type="hidden" name="rowid" value="">
<input type="hidden" name="Itemid" value="482">
<input type="hidden" name="option" value="com_fabrik">
<input type="hidden" name="task" value="form.process">
<input type="hidden" name="isMambot" value="">
<input type="hidden" name="formid" value="15">
<input type="hidden" name="returntoform" value="0">
<input type="hidden" name="fabrik_referrer" value="">
<input type="hidden" name="fabrik_ajax" value="0">
<input type="hidden" name="package" value="fabrik">
<input type="hidden" name="packageId" value="">
<input type="hidden" name="nodata" value="0">
<input type="hidden" name="46db95c8d378c0dce163bc64cd6b4096" value="1">
<input type="hidden" name="format" value="html">
<input type="hidden" name="fabrik_repeat_group[101]" value="1" id="fabrik_repeat_group_101_counter">
<input type="hidden" name="fabrik_repeat_group_added[101]" value="0" id="fabrik_repeat_group_101_added">
</div>
<div class="fabrikActions form-actions">
<div class="row-fluid">
<div class="span4">
<div class="btn-group">
<button type="submit" class="btn btn-primary button submit" name="Submit" id="fabrikSubmit_15"> Submit</button>
</div>
</div>
</div>
</div>
</form>Text Content
* Home
* My LetRef
* Help
* How to Login
* Forgot Username
* Forgot Password
* How to Log out
* Login
EMPLOYER REFERENCE
Please complete this form in full. You will need to upload an employment
reference with the details requested in the email. (We can accept uploaded files
in .pdf format, or you can print and scan/photo and upload as .jpg or .png).
×
id
date time
Your Full Name
Position in Company
Email
Phone Number
Security Code from email (this is typically a six digit number and is
highlighted in red in your email)
Upload Reference (this must be either a PDF file or an image) Word documents
cannot be accepted through this form.
Enter characters
Submit
DATA PROTECTION
Registered under the Data Protection Act 1998 with the Information
Commissioner's Office. Registration Number: Z969467X. Company Reg No 582536. VAT
Reg. 978 8050 67.
TERMS & CONDITIONS
Please also refer to our Terms of Use and Privacy Policy.
Please note that any faxes sent to our fax number are charged at 10p per minute
© LetRef Ltd 2021
Site development by WebAppz Ltd
MAIN MENU
* Home
* My LetRef
* Help
* How to Login
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February, 2022
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