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2606:4700:3033::ac43:8f4f  Public Scan

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URL: https://alsadeem.net/sadeemlight/register
Submission: On May 18 via manual from IQ — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-gjr-c3="" class="contact100-form validate-form ng-untouched ng-pristine ng-invalid" novalidate="" role="form"><span _ngcontent-gjr-c3="" class="contact100-form-title"> استمارة الاشتراك في السديم لايت </span>
  <h2 _ngcontent-gjr-c3=""> معلومات المشترك</h2><br _ngcontent-gjr-c3="">
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">اسم المؤسس</span><input _ngcontent-gjr-c3="" class="input100 ng-untouched ng-pristine ng-invalid"
      formcontrolname="mname" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">رقم هاتف المؤسس</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="mphone" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">عنوان المؤسس</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="maddres" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div><br _ngcontent-gjr-c3="">
  <h2 _ngcontent-gjr-c3=""> معلومات المؤسسة</h2><br _ngcontent-gjr-c3="">
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">اسم المؤسسة</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="gname" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">البلد</span><input _ngcontent-gjr-c3="" class="input100 ng-untouched ng-pristine ng-invalid"
      formcontrolname="gcountry" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">المحافظة</span><input _ngcontent-gjr-c3="" class="input100 ng-untouched ng-pristine ng-invalid"
      formcontrolname="gprovienc" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">اسم الشارع</span><input _ngcontent-gjr-c3="" class="input100 ng-untouched ng-pristine ng-invalid"
      formcontrolname="gstreat" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">أقرب نقطة دالة</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="gd" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">عدد الطلبة</span><input _ngcontent-gjr-c3="" class="input100 ng-untouched ng-pristine ng-invalid"
      formcontrolname="gnumber" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div><br _ngcontent-gjr-c3="">
  <h2 _ngcontent-gjr-c3=""> معلومات مدخل البيانات</h2><br _ngcontent-gjr-c3="">
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">اسم مدخل البيانات</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="cname" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div>
  <div _ngcontent-gjr-c3="" class="wrap-input100 validate-input alert-validate" data-validate=" مطلوب"><span _ngcontent-gjr-c3="" class="label-input100">رقم هاتف مدخل البيانات</span><input _ngcontent-gjr-c3=""
      class="input100 ng-untouched ng-pristine ng-invalid" formcontrolname="cphone" type="text"><span _ngcontent-gjr-c3="" class="focus-input100"></span></div><br _ngcontent-gjr-c3="">
  <div _ngcontent-gjr-c3="" class="container-contact100-form-btn">
    <div _ngcontent-gjr-c3="" class="wrap-contact100-form-btn">
      <div _ngcontent-gjr-c3="" class="contact100-form-bgbtn"></div><button _ngcontent-gjr-c3="" class="contact100-form-btn" disabled=""><span _ngcontent-gjr-c3=""> ارسال </span></button>
    </div>
  </div>
</form>

Text Content

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 * ControlPanel
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 * العربية
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استمارة الاشتراك في السديم لايت


معلومات المشترك


اسم المؤسس
رقم هاتف المؤسس
عنوان المؤسس



معلومات المؤسسة


اسم المؤسسة
البلد
المحافظة
اسم الشارع
أقرب نقطة دالة
عدد الطلبة



معلومات مدخل البيانات


اسم مدخل البيانات
رقم هاتف مدخل البيانات


ارسال

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