www.demosupport.nspmultiserve.com Open in urlscan Pro
198.23.50.188  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.demosupport.nspmultiserve.com/home

<form method="post" action="https://www.demosupport.nspmultiserve.com/home" class="create-form" enctype="multipart/form-data">
  <input type="hidden" name="_token" value="WQfH9rbtAFTMa4AcwP63HxiogjGHEjYoS823zJUX">
  <div class="row">
    <div class="form-group col-md-6">
      <label for="name" class="form-control-label">Name</label>
      <div class="form-icon-user">
        <span class="prefix-icon"><i class="fas fa-user"></i></span>
        <input type="text" class="form-control " id="name" name="name" placeholder="Name" required="" value="">
        <div class="invalid-feedback d-block">
        </div>
      </div>
    </div>
    <div class="form-group col-md-6">
      <label for="email" class="form-control-label">Email</label>
      <div class="form-icon-user">
        <span class="prefix-icon"><i class="fas fa-envelope"></i></span>
        <input type="email" class="form-control " id="email" name="email" placeholder="Email" required="" value="">
        <div class="invalid-feedback d-block">
        </div>
      </div>
    </div>
    <div class="form-group col-md-6">
      <label for="category" class="form-control-label">Category</label>
      <select class="select2 select2" id="category" name="category" data-placeholder="Select Category">
        <option value="">Select Category</option>
        <option value="1">CRMNx</option>
        <option value="2">Cloud4Host.in - Domain and Hosting</option>
        <option value="3">Custom Website Development</option>
        <option value="4">RecruitCRM</option>
      </select>
      <div class="invalid-feedback d-block">
      </div>
    </div>
    <div class="form-group col-md-6">
      <label for="subject" class="form-control-label">Subject</label>
      <div class="form-icon-user">
        <span class="prefix-icon"><i class="fas fa-file"></i></span>
        <input type="text" class="form-control " id="subject" name="subject" placeholder="Subject" required="" value="">
        <div class="invalid-feedback d-block">
        </div>
      </div>
    </div>
    <div class="form-group col-md-6">
      <label for="customField-7" class="form-control-label">Company Name</label>
      <input class="form-control" placeholder="Company Name" name="customField[7]" type="text">
    </div>
    <div class="form-group col-md-6">
      <label for="customField-8" class="form-control-label">Reference Link</label>
      <input class="form-control" placeholder="Reference Link" name="customField[8]" type="text">
    </div>
    <div class="form-group col-md-12">
      <label for="description" class="form-control-label">Description</label>
      <textarea name="description" class="form-control ckdescription " placeholder="Description"></textarea>
      <div class="invalid-feedback">
      </div>
    </div>
    <div class="form-group col-md-12">
      <label class="form-control-label">Attachments <small>(You can select multiple files)</small></label>
      <div class="choose-file form-group">
        <label for="file" class="form-control-label">
          <div>Choose File Here</div>
          <input type="file" class="form-control " multiple="" name="attachments[]" id="file" data-filename="multiple_file_selection">
          <div class="invalid-feedback">
          </div>
        </label>
        <p class="multiple_file_selection"></p>
      </div>
    </div>
    <div class="form-group col-lg-12 col-md-12">
      <div data-sitekey="6LeubDEbAAAAAANPSIAl22XbyCJrhVzELzrgGgR9" class="g-recaptcha">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LeubDEbAAAAAANPSIAl22XbyCJrhVzELzrgGgR9&amp;co=aHR0cHM6Ly93d3cuZGVtb3N1cHBvcnQubnNwbXVsdGlzZXJ2ZS5jb206NDQz&amp;hl=de&amp;v=wxAi4AKLXL2kBAvXqI4XLSWS&amp;size=normal&amp;cb=xktyzoywt4ad"
              width="304" height="78" role="presentation" name="a-3jdxm2wkn14o" frameborder="0" scrolling="no"
              sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
            class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
        </div><iframe style="display: none;"></iframe>
      </div>
    </div>
  </div>
  <div class="mt-3 text-center">
    <input type="hidden" name="status" value="In Progress">
    <button class="btn-submit mt-2">Create Ticket</button>
  </div>
</form>

Text Content

CREATE TICKET

Name

Email

Category Select Category CRMNx Cloud4Host.in - Domain and Hosting Custom Website
Development RecruitCRM

Subject

Company Name
Reference Link
Description

Attachments (You can select multiple files)
Choose File Here





Create Ticket
FAQ Agent Login Search Ticket