action.spike.email Open in urlscan Pro
2001:67c:1870:1:80::d77e  Public Scan

Form analysis
1 forms found in the DOM

POST /101902/Profile/Manage/kffwktmxjixeygfxbubtxxkack4wlra3ewdde3eol7ou5ldaa2yljcqewfqmep63vzywmnrd6ye6e?culture=nl-NL

<form action="/101902/Profile/Manage/kffwktmxjixeygfxbubtxxkack4wlra3ewdde3eol7ou5ldaa2yljcqewfqmep63vzywmnrd6ye6e?culture=nl-NL" id="spkForm" method="post"><input name="__RequestVerificationToken" type="hidden"
    value="2-DVtAuakLusiqzaQ-ilshXq_gf80d_PZYfpVozTzMqYkX2aG-e-2X16LrBZV6zGGV8YjITGSJ65CfG2vMk1edftOlYyJ8UqBEQIp-ZAhHI1">
  <div class="row">
    <div class="col-md-offset-2 col-md-8 page-head text-center" role="heading">
      <a href="https://www.west-vlaanderen.be/" target="_blank" rel="noopener noreferrer">
                                <img src="https://www.west-vlaanderen.be/themes/custom/calibr8_subtheme/logo.svg" class="img-responsive center-block" alt="Logo">
                            </a>
      <h1>Profiel beheren</h1>
    </div>
    <div class="row">
      <div class="col-md-offset-2 col-md-8 page-head text-center" role="main">
        <div class="panel panel-default">
          <div class="panel-heading">
            <h3 class="lead">Profielgegevens</h3>
          </div>
          <table class="table table-condensed table-responsive" role="presentation">
            <tbody>
              <tr>
                <td class="text-left">
                  <label for="EmailAddress">E-mailadres <span class="text-muted">Verplicht</span></label>
                </td>
                <td class="text-left">
                  <input class="form-control" id="EmailAddress" name="EmailAddress" type="text" value="marc.nollet3@telenet.be">
                  <span class="field-validation-valid" data-valmsg-for="EmailAddress" data-valmsg-replace="true"></span>
                </td>
              </tr>
            </tbody>
          </table>
          <div class="panel-footer">
            <button name="Wijzigingen doorvoeren" type="submit" class="btn btn-primary">Wijzigingen doorvoeren</button>
            <a href="/101902/Profile/View/kffwktmxjixeygfxbubtxxkack4wlra3ewdde3eol7ou5ldaa2yljcqewfqmep63vzywmnrd6ye6e?culture=nl-NL" class="btn btn-default">Annuleren</a>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

Terug naar profielpagina
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PROFIEL BEHEREN


PROFIELGEGEVENS

E-mailadres Verplicht

Wijzigingen doorvoeren Annuleren
Ga naar de website van Provincie West-Vlaanderen
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