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1 forms found in the DOM

POST /index.php/lists/ef241020b5ba0/update-profile/673add56e7151590b1679c42

<form action="/index.php/lists/ef241020b5ba0/update-profile/673add56e7151590b1679c42" method="post">
  <input type="hidden" value="Q3ZqX3EwM2k2bFh-NHBKcTg5RG1IT1ZRWGhIWDNSNGYNqXfU74rcwoCEZsfjqbBDRcvUUkgUiJ34GKXxXDauqg==" name="csrf_token">
  <div class="box box-primary">
    <div class="box-header">
      <h3 class="box-title">SAFPS Member Communication</h3>
    </div>
    <div class="box-body">
      <div class="callout callout-info">Use this form to update your profile information.</div>
      <div class="form-group wrap-email">
        <label for="ListFieldValue_value" class="required">Email <span class="required">*</span></label> <input class="form-control field-email field-type-text" placeholder="Email" required="required" type="text"
          value="nekitaperumal@capitecbank.co.za" name="EMAIL" id="EMAIL">
      </div>
      <div class="form-group wrap-fname">
        <label for="ListFieldValue_value">First name</label> <input class="form-control field-fname field-type-text" placeholder="First name" type="text" name="FNAME" id="FNAME">
      </div>
      <div class="form-group wrap-lname">
        <label for="ListFieldValue_value">Last name</label> <input class="form-control field-lname field-type-text" placeholder="Last name" type="text" name="LNAME" id="LNAME">
      </div>
    </div>
    <div class="box-footer">
      <div class="pull-right"><input type="submit" class="btn btn-default" name="yt0" value="Update Profile"></div>
      <div class="clearfix"></div>
    </div>
  </div>
</form>

Text Content

Frontend area




SAFPS MEMBER COMMUNICATION

Use this form to update your profile information.
Email *
First name
Last name