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airtel-woacb.formstack.com Open in urlscan Pro
99.84.88.127  Public Scan

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URL: https://airtel-woacb.formstack.com/forms/afdeling_hulp
Submission: On February 12 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://airtel-woacb.formstack.com/forms/index.php

<form autocomplete="off" id="fsForm5634565" method="post" class="StyledForm-sc-1xaj75q-0 hJdUvq fsForm" action="https://airtel-woacb.formstack.com/forms/index.php" novalidate="" enctype="multipart/form-data"><input type="hidden" tabindex="-1"
    name="displayTime" value="2024-02-12T06:12:28-05:00"><input type="hidden" tabindex="-1" name="formstackFormSchemaVersion" value="4"><input type="hidden" tabindex="-1" name="formstackFormRendererVersion" value="master"><input type="hidden"
    tabindex="-1" name="form" value="5634565"><input type="hidden" tabindex="-1" name="viewkey" value="p1GY8Wm0VO"><input type="hidden" tabindex="-1" name="password" value=""><input type="hidden" tabindex="-1" name="hidden_fields" value=""><input
    type="hidden" tabindex="-1" name="_submit" value="1"><input type="hidden" tabindex="-1" name="incomplete" value=""><input type="hidden" tabindex="-1" name="incomplete_email" value=""><input type="hidden" tabindex="-1" name="incomplete_password"
    value=""><input type="hidden" tabindex="-1" name="latitude" value=""><input type="hidden" tabindex="-1" name="longitude" value=""><input id="fsUserAgent" type="hidden" tabindex="-1" name="fsUserAgent"
    value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/121.0.6167.160 Safari/537.36">
  <div id="fsPage5634565-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
    <div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 iShIzf fsSection"><label class="StyledLabel-sc-vn5hkq-0 eCgzfR fsLabelVertical fsFieldFocused fsFieldCell" id="label-field159649914" for="field159649914"
        data-testid="field-159649914"><a id="field-anchor-159649914" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 ePikHq fsLabel fsRequiredLabel"><span>E-mailadres:</span><span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field159649914" type="email" maxlength="" label="E-mailadres:" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 kkNRZq fsFieldEmail" name="field159649914" size="50"
              placeholder="" data-fs-field-id="159649914" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
        </div>
      </label><label class="StyledLabel-sc-vn5hkq-0 eCgzfR fsLabelVertical fsFieldCell" id="label-field159649915" for="field159649915" data-testid="field-159649915"><a id="field-anchor-159649915" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 ePikHq fsLabel fsRequiredLabel"><span>Gebruikersnaam:</span><span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 kkNRZq fsFieldShortAnswer" id="field159649915" type="text" label="Gebruikersnaam:" required="" name="field159649915" placeholder=""
              data-fs-field-id="159649915" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
        </div>
      </label><label class="StyledLabel-sc-vn5hkq-0 eCgzfR fsLabelVertical fsFieldCell" id="label-field159649916" for="field159649916" data-testid="field-159649916"><a id="field-anchor-159649916" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 ePikHq fsLabel fsRequiredLabel"><span>Wachtwoord:</span><span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 kkNRZq fsFieldShortAnswer" id="field159649916" type="text" label="Wachtwoord:" required="" name="field159649916" placeholder=""
              data-fs-field-id="159649916" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
        </div>
      </label></div>
  </div>
  <div id="fsSubmit5634565" class="StyledFormFooter-sc-9cjpwp-0 dmHCKO fsSubmit fsPagination">
    <div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton5634565" class="StyledSubmitButton-sc-1ylq3c5-0 bXNdXS fsSubmitButton" type="submit">Bevestigen</button></div>
  </div>
</form>

Text Content

E-mailadres:*

Gebruikersnaam:*

Wachtwoord:*

Bevestigen
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