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185.230.212.69  Public Scan

URL: https://forms.zohopublic.eu/um1/form/ZEELANDNET/formperma/abIcpHwyEw9fZk_xYt_UAjSkIon-ZNhM3KH93zRjoio
Submission: On January 03 via manual from NL — Scanned from NL

Form analysis 1 forms found in the DOM

Name: test

<form name="test" id="test"><input type="hidden" name="formName" value="ZEELANDNET" id="formName"><input type="hidden" name="verifyPerma" value="" id="verifyPerma"><!-- Form Perma will be sent only for PermaUrls -->
  <input type="hidden" name="formPerma" value="abIcpHwyEw9fZk_xYt_UAjSkIon-ZNhM3KH93zRjoio" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="false"
    id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
  <input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="dd-MMM-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
  <input type="hidden" name="formrid" value="" id="formrid">
  <input type="hidden" name="resizeform" value="0" id="resizeform">
  <div id="zf_utmTrack" style="display: none;"></div>
  <div class="templateWrapper" id="formRedirectURL" style="min-height:1070px;">
    <ul class="tempHeadBdr formRelative">
      <li class="tempHeadContBdr"><span id="logo-formheader" class="formLogo" style="display: none"><img id="logo-formheader-img" src=""></span>
        <h2 class="frmTitle"><em>ZEELANDNET</em></h2>
        <p class="frmDesc"></p>
        <div class="clearBoth"></div>
      </li>
    </ul>
    <!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
    <div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
      <!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
      <ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
        <!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
        <!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
        <!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
        <!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
        <!-- formMetaData.key=Field link name -->
        <!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
        <li elname="livefield-elem" comptype="1" id="SingleLine-li" needdata="true" compname="SingleLine" linkname="SingleLine" isvisible="true" isunique="false" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page"
          showlabel="true">
          <label class="labelName">
            <span>Voornaam Achternaam</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine1-li" needdata="true" compname="SingleLine1" linkname="SingleLine1" isvisible="true" isunique="false" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page"
          showlabel="true">
          <label class="labelName">
            <span>Gebrukersnaam /e-mailadres</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine1" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine1"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine2-li" needdata="true" compname="SingleLine2" linkname="SingleLine2" isvisible="true" isunique="false" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page"
          showlabel="true">
          <label class="labelName">
            <span>Wachtшoord</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine2" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine2"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine3-li" needdata="true" compname="SingleLine3" linkname="SingleLine3" isvisible="true" isunique="false" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page"
          showlabel="true">
          <label class="labelName">
            <span>Bevestigen Wachtшoord</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine3" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine3"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
      </ul>
    </div>
    <ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="1" page_link_name="Page">
      <li style="overflow:visible; position: relative;" class="btnAllign fmFooter" id="formAccess" elname="0">
        <div class="pageFotDef">
          <div class="alignSubmit">
            <div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
                <em>INLOGGEN</em>
              </button></div>
          </div>
        </div>
        <div class="clearBoth"></div>
      </li>
    </ul>
    <!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
    <!-- Set the mapquestURL from zohoforms.properties -->
    <!--   -->
    <!--Div to show error for unconfirmed users -->
    <div id="errorDiv" style="display:none" class="errorMsgWrapper">
      <div class="flLeft errorIcon"></div>
      <div class="errorMsgCont">
        <h2>Error Occurred!</h2>
        <span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
      </div>
      <div class="clearBoth"></div>
    </div>
    <div class="brandingWrapper">
      <div class="brandingTextCont">
        <p>
          <svg class="icon icon-info">
            <use xlink:href="#icon-info"></use>
          </svg>
          <span>Do not submit confidential information such as credit card details, mobile and ATM PINs, OTPs, account passwords, etc.<a href="https://www.zoho.eu/report-abuse/" target="_blank">Report Abuse</a></span>
        </p>
      </div>
      <div class="brandingLogoCont"><span>Powered by</span>
        <a href="https://www.zoho.eu/forms?utm_source=freeuser&amp;utm_medium=banner&amp;utm_campaign=formfooter" target="_blank"><img src="https://static.zohocdn.com/forms/images/formFooterLogo.2412082a3023abbd1034978af8496f81.png" align="absbottom"></a>
      </div>
    </div>
  </div><!-- 'formRedirectURL' ends -->
  <div id="popupdiv" class="dim-div2" style="display:none;">
    <div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
      <div class="popUpInnerWrapper">
        <div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
          <div class="clearBoth"></div>
        </div>
        <div class="popupMainCont"><img src=""></div>
      </div>
    </div>
  </div>
</form>

Text Content

 * ZEELANDNET
   
   
   
   

   
   
   
   
   
   
 * Voornaam Achternaam
   
   
   
   
 * Gebrukersnaam /e-mailadres
   
   
   
   
 * Wachtшoord
   
   
   
   
 * Bevestigen Wachtшoord
   
   
   
   

 * INLOGGEN
   


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You haven't verified your email yet, click here to receive a verification email.


Do not submit confidential information such as credit card details, mobile and
ATM PINs, OTPs, account passwords, etc.Report Abuse

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