admindemo-4wk2846g.authx.com Open in urlscan Pro
20.169.248.166  Public Scan

URL: https://admindemo-4wk2846g.authx.com/
Submission: On February 17 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form novalidate="novalidate" action="" id="kt_login_form" class="kt-form ng-untouched ng-pristine ng-invalid">
  <div class="kt-login__actions" hidden=""><span class="h5"> </span><a class="kt-link kt-login__link-forgot"> Change User ? </a></div>
  <div class="form-group" style="margin-bottom: 20px;"><input autofocus="" formcontrolname="username" type="email" placeholder="Email Address" name="username" autocomplete="off" aria-label="Email Address"
      class="form-control ng-untouched ng-pristine ng-invalid"><!----><!----></div><!---->
  <div class="form-group" hidden=""><label for="company"> Select Company <span class="text-danger">*</span></label><ng-select id="company" aria-hidden="true" formcontrolname="Company" name="memberType"
      class="form-control form-select pr-2 ng-select ng-select-single ng-untouched ng-pristine ng-valid">
      <div class="ng-select-container ng-has-value">
        <div class="ng-value-container">
          <div class="ng-placeholder"></div>
          <div class="ng-value"><!----><span aria-hidden="true" class="ng-value-icon left">×</span><span class="ng-value-label"></span><!----></div><!----><!----><!----><!---->
          <div role="combobox" aria-haspopup="listbox" class="ng-input" aria-expanded="false"><input aria-autocomplete="list" type="text" autocorrect="off" autocapitalize="off" autocomplete="ad6763558770" readonly=""></div>
        </div><!----><!----><span class="ng-arrow-wrapper"><span class="ng-arrow"></span></span>
      </div><!---->
    </ng-select></div>
  <div class="form-group kt-margin-t-10" hidden=""><label class="col-form-label kt-margin-b-10">Select Role <span class="text-danger">*</span></label>
    <div class="switch-field">
      <div><input type="radio" id="radio-one" name="Admin"><label for="radio-one">Admin</label></div>
      <div hidden=""><input type="radio" id="radio-three" name="Admin"><label for="radio-three">EPCS Enroller</label></div><input type="radio" id="radio-two" name="Admin" value="no"><label for="radio-two">User</label>
    </div>
  </div><!----><!---->
  <div class="kt-login__actions right" style="margin-top: 10px;"><button id="kt_login_signin_submit" type="button" class="btn btn-primary btn-elevate kt-login__btn-primary" disabled="">Continue</button></div>
</form>

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