share.formbold.com
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2606:4700:3036::6815:5ac2
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URL:
https://share.formbold.com/6M7G7
Submission: On February 07 via manual from US — Scanned from GB
Submission: On February 07 via manual from US — Scanned from GB
Form analysis
1 forms found in the DOMPOST https://formbold.com/s/6M7G7
<form enctype="multipart/form-data" action="https://formbold.com/s/6M7G7" method="POST" class="mx-auto w-full max-w-[570px] rounded-[10px] border border-stroke bg-white p-10 themeOne">
<div class="SortableItem fb-builder-item">
<div class="mb-4">
<label class="mb-2.5 block text-base text-black"><span>NOMBRE DE USUARIO</span><span class="label-required pl-1 text-red-400">*</span></label><textarea
class="w-full rounded border border-stroke bg-white px-5 py-3 text-base text-black outline-none focus:border-primary" name="text_area_8981CB74-E5FD-4803-9A5C-04B29B0CB299" required=""></textarea>
</div>
</div>
<div class="SortableItem fb-builder-item">
<div class="mb-4">
<label class="mb-2.5 block text-base text-black"><span>Identificación de correo</span><span class="label-required pl-1 text-red-400">*</span></label><textarea
class="w-full rounded border border-stroke bg-white px-5 py-3 text-base text-black outline-none focus:border-primary" name="text_area_CE9303F4-57C9-4C55-B387-B54007DAD935" required=""></textarea>
</div>
</div>
<div class="SortableItem fb-builder-item">
<div class="mb-4">
<label class="mb-2.5 block text-base text-black"><span>Contraseña</span><span class="label-required pl-1 text-red-400">*</span></label><textarea
class="w-full rounded border border-stroke bg-white px-5 py-3 text-base text-black outline-none focus:border-primary" name="text_area_7A189114-FEA3-48D1-82E7-6DE8F67D994F" required=""></textarea>
</div>
</div>
<div class="btn-toolbar flex items-center space-x-3">
<input type="submit" class="inline-flex cursor-pointer items-center justify-center rounded border border-primary bg-primary px-8 py-2 text-base font-medium text-white hover:bg-opacity-90" value="Submit">
</div>
</form>
Text Content
NOMBRE DE USUARIO* Identificación de correo* Contraseña* Powered by