hassan-allam.medoc.care Open in urlscan Pro
2606:4700:3032::6815:1854  Public Scan

Form analysis
1 forms found in the DOM

Name: form —

<form _ngcontent-ng-c1226066362="" novalidate="" name="form" class="card ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-ng-c1226066362="" class="card-body"><img _ngcontent-ng-c1226066362="" alt="" width="200" class="d-block mb-2 mx-auto" src="https://luxmedicard-storage.s3.amazonaws.com/files/public/Hassan-Allam-Academy-Logo-1-copy.png">
    <h3 _ngcontent-ng-c1226066362="" class="mb-1 text-center">Welcome Back!</h3>
    <h4 _ngcontent-ng-c1226066362="" class="mb-3 text-center">Log In</h4>
    <div _ngcontent-ng-c1226066362="" class="form-group"><label _ngcontent-ng-c1226066362="">Username</label><input _ngcontent-ng-c1226066362="" type="text" name="username" required="" class="form-control ng-untouched ng-pristine ng-invalid"></div>
    <div _ngcontent-ng-c1226066362="" class="form-group"><label _ngcontent-ng-c1226066362="">Password</label><input _ngcontent-ng-c1226066362="" type="password" name="password" required="" minlength="6"
        class="form-control ng-untouched ng-pristine ng-invalid"></div>
    <div _ngcontent-ng-c1226066362="" class="form-group my-4">
      <div _ngcontent-ng-c1226066362="" class="d-flex align-items-center"><input _ngcontent-ng-c1226066362="" type="checkbox" name="termsAccepted" id="termsAccepted" required="" class="form-check-input ng-untouched ng-pristine ng-invalid"><label
          _ngcontent-ng-c1226066362="" for="termsAccepted" class="form-check-label mb-0">I accept <a _ngcontent-ng-c1226066362="" href="https://medoc.care/terms" target="__blank">Terms &amp; Conditions</a></label></div><!---->
    </div>
    <div _ngcontent-ng-c1226066362="" class="col-12"><button _ngcontent-ng-c1226066362="" type="submit" class="btn btn-primary mt-4 d-block mx-auto" disabled=""> Log In </button></div>
  </div>
</form>

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