sumbergrosirutama.com Open in urlscan Pro
185.237.145.116  Public Scan

URL: https://sumbergrosirutama.com/
Submission: On May 17 via api from US — Scanned from SG

Form analysis 2 forms found in the DOM

POST

<form method="POST">
  <div class="input-group mb-3">
    <div class="input-group-prepend">
      <span class="input-group-text" style="width:110px;">Nama</span>
    </div>
    <input type="hidden" value="" name="useriduy" class="form-control" placeholder="" required="">
    <input type="text" value="" name="nama" class="form-control" placeholder="Nama" required="">
  </div>
  <div class="input-group mb-3">
    <div class="input-group-prepend">
      <span class="input-group-text" style="width:110px;">provinsi</span>
    </div>
    <input type="text" value="" name="provinsi" class="form-control" placeholder="Provinsi" required="">
  </div>
  <div class="input-group mb-3">
    <div class="input-group-prepend">
      <span class="input-group-text" style="width:110px;">Kota</span>
    </div>
    <input type="text" value="" name="kota" class="form-control" placeholder="Kota" required="">
  </div>
  <div class="input-group mb-3">
    <div class="input-group-prepend">
      <span class="input-group-text" style="width:110px;">Alamat</span>
    </div>
    <input type="text" value="" name="alamat" class="form-control" placeholder="Alamat" required="">
  </div>
  <div class="input-group mb-3">
    <div class="input-group-prepend">
      <span class="input-group-text" style="width:110px;">Telp</span>
    </div>
    <input type="number" value="" name="telp" class="form-control" placeholder="Telp" required="">
  </div>
</form>

POST #

<form action="#" method="post" enctype="multipart/form-data">
  <div class="input-group">
    <table style="width:100%;">
      <tbody>
        <tr>
          <th style="width:10%;">
            <img src="image.png" style="height:28px;" data-toggle="modal" data-target="#modal-default">
            <div class="modal fade" id="modal-default">
              <div class="modal-dialog">
                <div class="modal-content">
                  <div class="modal-header">
                    <h4 class="modal-title">Kirim Gambar</h4>
                    <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                      <span aria-hidden="true">×</span>
                    </button>
                  </div>
                  <div class="modal-body">
                    <input value="" type="hidden" name="user_id">
                    <input value="" type="hidden" name="lbr">
                    <input value="18602190936647384e56e7f.png" type="hidden" name="unik">
                    <a href="#" class="kt-nav__link">

														<input value="219.75.16.16" type="hidden" id="tt">
														
														
																
																			<input onchange="readURL(this);" type="file" name="image_link" class="form-control" required="">
																		</a><br>
                    <i><font style="font-size:10px;">* mode kamera landscape
																		</font></i><br><img src="" id="product_image" style="width:1px;height:1px;" name="product_image" class="img-thumbnail">
                    <br>
                  </div>
                  <div class="modal-footer justify-content-between">
                    <button class="btn btn-default" data-dismiss="modal">Tutup</button>
                    <button type="submit" name="uploadfotoo" class="btn btn-primary">Kirim</button>
                  </div>
                </div>
                <!-- /.modal-content -->
              </div>
              <!-- /.modal-dialog -->
            </div>
            <script>
              function readURL(input) {
                if (input.files && input.files[0]) {
                  var reader = new FileReader();
                  reader.onload = function(e) {
                    $('#product_image').attr('src', e.target.result).width(100).height(100);
                  };
                  reader.readAsDataURL(input.files[0]);
                }
              }
            </script>
            <!--<nav class="main-header navbar navbar-expand navbar-white navbar-light"> 
	<ul class="navbar-nav ml-auto"> -->
            <!-- Notifications Dropdown Menu 
      <li class="nav-item dropdown">
        <a class="nav-link" data-toggle="dropdown" href="#">
          <i class="far fa-bell"></i>
          
        </a>
        <div style="background-color:white;" class="dropdown-menu dropdown-menu-lg dropdown-menu-right">
          <span class="dropdown-item dropdown-header">15 Notifications</span>
          <div class="dropdown-divider"></div>
          <a href="#" class="dropdown-item">
            <i class="fas fa-envelope mr-2"></i> 4 new messages
            <span class="float-right text-muted text-sm">3 mins</span>
          </a>
          <div class="dropdown-divider"></div>
          <a href="#" class="dropdown-item">
            <i class="fas fa-users mr-2"></i> 8 friend requests
            <span class="float-right text-muted text-sm">12 hours</span>
          </a>
          <div class="dropdown-divider"></div>
          <a href="#" class="dropdown-item">
            <i class="fas fa-file mr-2"></i> 3 new reports
            <span class="float-right text-muted text-sm">2 days</span>
          </a>
          <div class="dropdown-divider"></div>
          <a href="#" class="dropdown-item dropdown-footer">See All Notifications</a>
        </div>
      </li>
     
    </ul>-->
            <!--	</nav>		  -->
          </th>
          <th>
            <input type="text" id="isiokecc" name="isiokecc" placeholder="Type Message ..." class="form-control">
          </th>
          <th style="width:10%;">
            <span class="input-group-append">
              <button id="kirimokecc" class="btn btn-primary">Send</button>
            </span>
          </th>
        </tr>
      </tbody>
    </table>
  </div>
</form>

Text Content

 * 
   

   
 * 
 * 
 * 
 * 
   
   
   

Egy-Mart
   

 * Home

 * Transaksi
   
   * Proses
   
   * Selesai

 * Produk

   

 * Halaman Admin

KERANJANG BELANJA

×

items



Close Checkout

CHECKOUT

×
Nama
provinsi
Kota
Alamat
Telp
Close Selesai




LIVE CHAT

×



KIRIM GAMBAR

×

* mode kamera landscape


Tutup Kirim
Send










Telp:
Email:


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egymart.store. All rights reserved.

CUSTOMIZE ADMINLTE

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Navbar small text
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Sidebar nav flat style
Sidebar nav legacy style
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Main Sidebar disable hover/focus auto expand
Brand small text

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