eventluthfi.eramasagri.com Open in urlscan Pro
103.185.53.115  Public Scan

Form analysis
1 forms found in the DOM

POST submit.php

<form method="post" action="submit.php">
  <div class="w3l-user">
    <span><i class="fa fa-user-circle-o w3l-1" aria-hidden="true"></i></span>
    <input type="text" name="txtName" placeholder="Full Name" required="">
    <div class="clear"></div>
  </div>
  <div class="w3l-email">
    <span><i class="fa fa-envelope-o w3l-3" aria-hidden="true"></i></span>
    <input type="email" name="txtEmail" placeholder="your@email.com" required="">
    <div class="clear"></div>
  </div>
  <div class="w3l-phone">
    <span><i class="fa fa-mobile w3l-4" aria-hidden="true"></i></span>
    <input type="phone" name="txtPhone" placeholder="081x xxxx xxxx" required="">
    <div class="clear"></div>
  </div>
  <div class="w3l-btn">
    <input type="submit" name="button" value="Submit">
  </div>
  <br>
  <b>PIC: Luthful Khaliq</b>
</form>

Text Content

PT ERAMAS AGRI INTERNASIONAL



PIC: Luthful Khaliq
Copyright © 2024 PT Eramas Agri Internasional