www.ticket.tcoi.codeart.id Open in urlscan Pro
45.13.255.122  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.ticket.tcoi.codeart.id/register/register/add

<form action="https://www.ticket.tcoi.codeart.id/register/register/add" id="reg" class="formify-forms formify-forms__v8" method="post" accept-charset="utf-8">
  <input type="hidden" name="csrf_test_name" value="0ccf8f239d7015d56fa17fee449ffe83">
  <!-- Form Area -->
  <div class="row">
    <div class="col-12">
      <div class="form-group">
        <div class="formify-forms__input">
          <label>Full Name</label>
          <input type="text" name="fullname" placeholder="Enter your fullname" required="required">
        </div>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <div class="formify-forms__input">
          <label>Email</label>
          <input type="email" name="email" placeholder="Enter your email address" required="required">
        </div>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <div class="formify-forms__input">
          <label>Phone Number (WhatsApp)</label>
          <input type="number" name="phone" placeholder="Enter your WhatsApp Number" required="required">
        </div>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <label for="company" class="form-label">Occupation</label>
        <select class="form-select" name="occupation" id="occupation" required="">
          <option value="">Please Select Occupation</option>
          <option value="1">Architect</option>
          <option value="2">Interior Designer</option>
          <option value="3">Student</option>
          <option value="4">Others</option>
        </select>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group">
        <div class="formify-forms__checkbox formify-mg-top-20">
          <input class="formify-forms-check" id="checkbox" name="checkbox" type="checkbox" required="required">
          <label class="m-0" for="checkbox">I agree to Register</label>
        </div>
      </div>
    </div>
    <input type="hidden" name="id_schedule" class="form-control" id="id_schedule" value="3">
    <input type="hidden" name="venue" class="form-control" id="venue" value="MAIN ATRIUM - SENAYAN CITY">
    <input type="hidden" name="name_event" class="form-control" id="name_event" value="TCOI 2024 - SUMMER HOME (BLUE)">
    <input type="hidden" name="start_show_datetime" class="form-control" id="start_show_datetime" value="10:00:00">
    <input type="hidden" name="end_show_datetime" class="form-control" id="end_show_datetime" value="21:00:00">
    <input type="hidden" name="poster" class="form-control" id="poster" value="https://ticket.tcoi.codeart.id/uploads/954d623658271408c3eff9757eff230b.png">
    <input type="hidden" name="event_id" class="form-control" id="event_id" value="1">
    <input type="hidden" name="date_show" class="form-control" id="date_show" value="2024-09-02">
    <input type="hidden" name="type_event" class="form-control" id="type_event" value="Public">
    <input type="hidden" name="template" class="form-control" id="template" value="1">
    <div class="col-12">
      <!-- Form Group -->
      <div class="form-group formify-mg-top-30">
        <div class="formify-forms__button">
          <button class="formify-btn formify-btn__full" type="submit" name="submit" id="button-reg">Register</button>
        </div>
      </div>
    </div>
  </div>
  <!-- Form Group -->
</form>

Text Content

Full Name
Email
Phone Number (WhatsApp)
Occupation Please Select Occupation Architect Interior Designer Student Others
I agree to Register
Register