www.flyerpost.in Open in urlscan Pro
159.65.159.119  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST" id="getDataForm" novalidate="novalidate" action="">
  <div class="row">
    <div class="col-md-6 offset-md-3">
      <div class="imageUploader">
        <div class="user_pic_container_box">
          <span id="selection"><b>Select Your Photo</b></span>
          <img data-type="circle" data-width="490" data-height="490" class="user_pic_container" src="">
        </div>
        <input readonly="" style="display: none" id="file_browse" type="file" accept="image/*">
        <input type="hidden" name="profile_pic_2" class="value_container" value="nochange">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-6 mb-3 offset-md-3 form-group">
      <label for="name">Company Name</label>
      <input type="text" class="form-control" name="name" id="name" value="" required="">
    </div>
  </div>
  <div class="row">
    <div class="col-md-6 mb-3 offset-md-3 form-group">
      <label for="contactPerson">Name</label>
      <div class="input-group mb-3">
        <div class="input-group-prepend">
          <span class="input-group-text" id="basic-addon1">
            <select name="sal" id="gender">
              <option selected="selected" value="Mr.">Mr.</option>
              <option value="Ms.">Ms.</option>
              <option value="Mrs.">Mrs.</option>
              <option value="Miss.">Miss.</option>
            </select>
          </span>
        </div>
        <input type="text" class="form-control" name="contactPerson" id="contactPerson" value="" required="">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-6 mb-3 offset-md-3 form-group">
      <label for="Phone">Phone No</label>
      <input type="number" class="form-control" name="Phone" id="Phone" value="" required="">
    </div>
  </div>
  <div class="row">
    <div class="col-md-6 mb-3 offset-md-3 form-group">
      <label for="Business">Bussiness Category</label>
      <input type="text" class="form-control" name="Business" id="Business" value="" required="">
    </div>
  </div>
  <hr class="mb-4">
  <div class="row">
    <div class="col-md-6 mb-4 offset-md-3">
      <button onclick="downloadBanner(event)" type="submit" class="btn btn-lg btn-block" style="background-color: #DA3D06; color:white">Download</button>
    </div>
  </div>
</form>

Text Content

GUJARAT PAINT ASSOCIATION

Select Your Photo
Company Name
Name
Mr. Ms. Mrs. Miss.
Phone No
Bussiness Category

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Download

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