aletheiacare.ch Open in urlscan Pro
2a01:518:1:1041::16  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class="pul-form login-page__form" method="post" id="form-login">
  <div id="loginSection">
    <div class="pul-section-item pul-section-item--vertical pul-form-field pul-form-field-text">
      <div class="pul-section-item__title">
        <div class="pul-form-field__label"><label for="login_name">Gebruikersnaam</label></div>
      </div>
      <div class="pul-section-item__value">
        <div><span class="pul-input pul-input--size-fill pul-form-field-text__input"><input type="text" class="pul-input__input" id="login_name" name="login_name" value=""></span></div>
      </div>
    </div>
    <div class="pul-section-item pul-section-item--vertical pul-form-field pul-form-field-password">
      <div class="pul-section-item__title">
        <div class="pul-form-field__label"><label for="passwd">Wachtwoord</label></div>
      </div>
      <div class="pul-section-item__value">
        <div>
          <div class="pul-form-field-password__control pul-form-field-password__control--fill">
            <div class="pul-form-field-password__field pul-form-field-password__field--fill"><span class="pul-input pul-input--size-fill pul-input--affix pul-form-field-password__input"><input type="password" class="pul-input__input" id="passwd"
                  name="passwd" value=""><span class="pul-input__suffix"><button class="pul-button pul-button--ghost pul-button--empty pul-form-field-password__button--show" type="button"><span class="pul-button__inner"><span
                        class="pul-icon pul-icon--size-16 pul-button__icon"><svg focusable="false">
                          <use href="/ui-library/images/symbols.svg?8282f220ad8abf7c5898e94c012295ca#eye-closed:16"></use>
                        </svg></span><span></span></span></button></span></span></div>
          </div>
        </div>
      </div>
    </div><input type="hidden" name="locale_id" value="default">
  </div>
  <div class="pul-section pul-section--vertical pul-form__footer">
    <div class="pul-section-item pul-section-item--vertical pul-form-field">
      <div class="pul-section-item__title">
        <div class="pul-form-field__label"><label></label></div>
      </div>
      <div class="pul-section-item__value">
        <div><button class="pul-button pul-button--lg pul-button--primary pul-button--fill login-page__login-button" type="button" name="send" data-action="log-in"><span class="pul-button__inner"><span>Aanmelden</span></span></button></div>
      </div>
    </div>
  </div><input type="image" src="data:image/gif;base64,R0lGODlhAQABAIAAAAUEBAAAACwAAAAAAQABAAACAkQBADs=" style="border: 0px; height: 0px; width: 0px; position: absolute;">
</form>

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