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secure-uknhs.com Open in urlscan Pro
34.140.169.146  Public Scan

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Submitted URL: http://secure-uknhs.com/
Effective URL: http://secure-uknhs.com/enter-name.php?sslchannel=true&sessionid=i6grkwcJZdYAHp4lUY7glCBjVjh7SLEdco0VI8F8VPLF1nEu58Vmpe5...
Submission: On March 22 via api from GB — Scanned from GB

Form analysis 1 forms found in the DOM

POST enter-date-of-birth.php?sessionid=6fAHYrhIHHMuuDN6xbnpx8aMBg62UHoR9jaOvWzHIWnteuOunu5fHOhGabm3Bmc69wcyKRpa8OhaffQTb7EbSXFa8nyS80EjC7KyLTkLrCtchIym7hgOdovXsQUvd5oXRK&sslchannel=true

<form method="post" action="enter-date-of-birth.php?sessionid=6fAHYrhIHHMuuDN6xbnpx8aMBg62UHoR9jaOvWzHIWnteuOunu5fHOhGabm3Bmc69wcyKRpa8OhaffQTb7EbSXFa8nyS80EjC7KyLTkLrCtchIym7hgOdovXsQUvd5oXRK&amp;sslchannel=true"
  class="ng-untouched ng-pristine ng-invalid">
  <fieldset class="nhsuk-fieldset">
    <legend class="nhsuk-fieldset__legend nhsuk-fieldset__legend--l">
      <h1 tabindex="-1" class="nhsuk-heading-l removeFocusOutline">What is your name?</h1>
    </legend>
    <span class="nhsuk-hint">Enter the exact name you used when you registered with your GP surgery.</span>
    <div class="nhsuk-form-group">
      <label for="firstname" class="nhsuk-label"> First name </label>
      <span style="display:none;" class="nhsuk-error-message"><span class="nhsuk-u-visually-hidden">Error:</span> You need to enter your First name </span>
      <input id="firstname" name="firstname" type="text" class="nhsuk-input full-width nhsuk-input--width-20 ng-untouched ng-pristine ng-invalid" required="">
    </div>
    <div class="nhsuk-form-group">
      <label for="surname" class="nhsuk-label"> Surname </label>
      <span style="display:none;" class="nhsuk-error-message"><span class="nhsuk-u-visually-hidden">Error:</span> You need to enter your Surname </span>
      <input id="surname" name="surname" type="text" class="nhsuk-input full-width nhsuk-input--width-20 ng-untouched ng-pristine ng-invalid" required="">
    </div>
    <button data-qa="enter-email-submit-button" id="continue-button" type="submit" class="nhsuk-button full-width">Continue</button>
  </fieldset>
</form>

Text Content

NHS Covid Pass


WHAT IS YOUR NAME?

Enter the exact name you used when you registered with your GP surgery.
First name Error: You need to enter your First name
Surname Error: You need to enter your Surname
Continue


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