fadliananda.id Open in urlscan Pro
45.121.43.166  Public Scan

Form analysis
1 forms found in the DOM

https://fadliananda.id/welcome/aspirasi_add

<form action="https://fadliananda.id/welcome/aspirasi_add" id="form" autocomplete="new">
  <input type="hidden" name="token" class="form-control d-none" value="07d58623a9e0b59541cd8d05648627d5">
  <div class="row">
    <div class="col-md-12 mb-3">
      <div class="form-group">
        <input type="text" name="nama" class="form-control" id="nama" placeholder="Nama Anda" required="">
      </div>
    </div>
    <div class="col-md-12 mb-3">
      <div class="form-group">
        <input type="email" class="form-control" name="email" id="email" placeholder="Email Anda" required="">
      </div>
    </div>
    <div class="col-md-12 mb-3">
      <div class="form-group">
        <input type="text" class="form-control" name="judul" id="judul" placeholder="Judul Pesan" required="">
      </div>
    </div>
    <div class="col-md-12">
      <div class="form-group">
        <textarea class="form-control" name="pesan" id="pesan" rows="5" placeholder="Isi Pesan Aspirasi" required=""></textarea>
      </div>
    </div>
    <!-- <div class="col-md-12 text-center my-3">
                            <div class="loading">Loading</div>
                            <div class="error-message"></div>
                            <div class="sent-message">Pesan anda telah terkirim. Terima Kasih.</div>
                          </div> -->
    <div class="col-md-12 text-center mt-2">
      <button type="submit" name="submit" id="submit" class="button button-a button-big button-rouded">Kirim Pesan</button>
    </div>
  </div>
</form>

Text Content

 * Beranda
 * Tentang
 * Program
 * Kegiatan
 * Relawan
 * Aspirasi

dr. H. Fadli Ananda, SpOG

Calon Anggota DPRD Provinsi Sulawesi Selatan Dapil Makassar |

Masuk Aplikasi

PROFILE

dr. H. Fadli Ananda, SpOG

Calon Anggota Legislatif DPRD Provinsi Sulawesi Selatan

Dapil Makassar A

Rappocini | Makassar | Ujung Pandang | Ujung Tanah | Tallo | Wajo | Bontoala |
Kep. Sangkarrang | Mariso | Mamajang | tamalate

TENTANG SAYA

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arcu erat, accumsan id imperdiet et, porttitor at sem. Praesent sapien massa,
convallis a pellentesque nec, egestas non nisi. Nulla porttitor accumsan
tincidunt.Mauris blandit aliquet elit, eget tincidunt nibh pulvinar a. Vivamus
suscipit tortor eget felis porttitor volutpat. Vestibulum ac diam sit amet quam
vehicula elementum sed sit amet dui. porttitor at sem.Nulla porttitor accumsan
tincidunt.


PROGRAM

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WEB DESIGN








WEB DEVELOPMENT



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autem fugiat! Quia, provident vitae! Magni tempora perferendis eum non
provident.





PHOTOGRAPHY









RESPONSIVE DESIGN



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autem fugiat! Quia, provident vitae! Magni tempora perferendis eum non
provident.





GRAPHIC DESIGN



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autem fugiat! Quia, provident vitae! Magni tempora perferendis eum non
provident.





MARKETING SERVICES



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autem fugiat! Quia, provident vitae! Magni tempora perferendis eum non
provident.





KEGIATAN



Ini isian umum untuk sekedar kegiatan.






LOREM IMPSUM DOLOR

Ini pnjelasan tentang kegiatan 1


LOREDA CUNO NERE

penjelasan ringkas kegiatan 2


MAVRITO LANA DERE

aaaaa


BINDO LARO CADO

kegiatan


X XXXX

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XAVI ALONSO

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dolor sit amet, consectetur adipiscing elit.

MARTA SOCRATE

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dolor sit amet, consectetur adipiscing elit.

ACHANK

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XAVI ALONSO

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dolor sit amet, consectetur adipiscing elit.

MARTA SOCRATE

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dolor sit amet, consectetur adipiscing elit.

ACHANK

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XAVI ALONSO

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dolor sit amet, consectetur adipiscing elit.

MARTA SOCRATE

Curabitur arcu erat, accumsan id imperdiet et, porttitor at sem. Lorem ipsum
dolor sit amet, consectetur adipiscing elit.

ACHANK

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RELAWAN



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incididunt ut labore et dolore magna aliqua. Vitae tortor condimentum lacinia
quis. Tempus urna et pharetra pharetra massa massa ultricies mi quis. Diam
volutpat commodo sed egestas egestas fringilla. Egestas tellus rutrum tellus
pellentesque eu tincidunt tortor aliquam. Velit dignissim sodales ut eu sem.
Nisl nisi scelerisque eu ultrices vitae. Sed tempus urna et pharetra pharetra
massa massa. Cras semper auctor neque vitae tempus quam pellentesque nec.
Volutpat odio facilisis mauris sit amet massa. Risus pretium quam vulputate
dignissim. suspendisse. Sed augue lacus viverra vitae congue eu

Masuk Aplikasi

KOTAK ASPIRASI

Kirim Pesan

KONTAK SAYA

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soluta quidem expedita aperiam aliquid at. Totam magni ipsum suscipit amet?
Autem nemo esse laboriosam ratione nobis mollitia inventore?

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