clientes.bmcassurance.com Open in urlscan Pro
82.223.120.150  Public Scan

Form analysis
1 forms found in the DOM

POST index.php

<form method="post" action="index.php">
  <input type="hidden" name="op" value="val">
  <div class="form-group">
    <input type="text" name="usuario" placeholder="User" class="form-control" required="">
  </div>
  <div class="form-group">
    <input type="password" name="pass" placeholder="Password" class="form-control" required="">
  </div>
  <div class="form-group">
    <div class="checkbox checkbox-replace">
      <input type="checkbox" id="remeber">
      <label for="remeber">Remember me</label>
    </div>
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-primary btn-block">Enter</button>
  </div>
  <!--p class="text-center"><a href="forgot-password.html">Forgot your password?</a></p-->
</form>

Text Content

WELCOME, PLEASE ENTER USERNAME AND PASSWORD

Remember me
Enter