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www.globally.grgbishal.com Open in urlscan Pro
69.57.172.43  Public Scan

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Submitted URL: https://www.globally.grgbishal.com/
Effective URL: https://www.globally.grgbishal.com/clients/create
Submission: On March 20 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form><a href="/clients"><button class="button-primary">List</button></a><br><br>
  <fieldset>
    <legend><span class="number">1</span> Your Basic Info</legend>
    <div class="form-input-container"><label for="name">Name:</label><input type="text" id="name"><small></small></div>
    <div class="form-input-container"><label for="email">Email:</label><input type="email" id="mail"><small></small></div>
    <div class="form-input-container"><label for="phone">Phone:</label><input type="text" id="phone" name="phone"><small></small></div>
    <div class="form-input-container"><label>Gender:</label>
      <div class="radio_container">
        <div><input type="radio" id="male" value="Male"><label for="male" class="light">Male</label></div>
        <div><input type="radio" id="female" value="Female"><label for="female" class="light">Female</label></div>
        <div><input type="radio" id="Other" value="Other"><label for="Other" class="light">Others</label></div>
      </div><small></small>
    </div>
    <div class="form-input-container"><label for="address">Address:</label><input type="text" id="address"><small></small></div>
    <div class="form-input-container">
      <div class="form-input-container"><label for="nationality">Nationality:</label><input type="text" id="nationality"><small></small></div>
    </div>
    <div class="form-input-container"><label for="dob">Date of birth:</label><input type="date" id="dob"><small></small></div>
    <div class="form-input-container"><label for="education_background">Education Background:</label><input type="text" id="education_background"><small></small></div>
    <div class="form-input-container"><label>Preferred mode of contact:</label>
      <div class="radio_container">
        <div><input type="radio" id="phone" value="Phone"><label for="phone" class="light">Phone</label></div>
        <div><input type="radio" id="email" value="Email"><label for="email" class="light">Email</label></div>
        <div><input type="radio" id="none"><label for="none" class="light">None</label></div>
      </div><small></small>
    </div>
  </fieldset><button class="button-success" type="submit">Sign Up</button>
</form>

Text Content

List

1 Your Basic Info
Name:
Email:
Phone:
Gender:
Male
Female
Others
Address:
Nationality:
Date of birth:
Education Background:
Preferred mode of contact:
Phone
Email
None
Sign Up