jubilant.insuranceportfolio.in
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13.224.195.52
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URL:
https://jubilant.insuranceportfolio.in/
Submission: On April 27 via manual from IN — Scanned from DE
Submission: On April 27 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-pfm-c46="" novalidate="" style="width: 100%;" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0 p-pt-3 p-pb-0"><label _ngcontent-pfm-c46="">Username</label></div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0">
<div _ngcontent-pfm-c46="" class="p-inputgroup"><span _ngcontent-pfm-c46="" class="p-inputgroup-addon"><i _ngcontent-pfm-c46="" class="pi pi-user"></i></span><input _ngcontent-pfm-c46="" type="text" pinputtext="" enter="" formcontrolname="email"
placeholder="Enter Username" autocomplete="email" class="p-inputtext p-component ng-untouched ng-pristine ng-invalid"></div><!---->
</div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0 p-pt-3 p-pb-0"><label _ngcontent-pfm-c46="">Password</label></div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0">
<div _ngcontent-pfm-c46="" class="p-inputgroup"><span _ngcontent-pfm-c46="" class="p-inputgroup-addon"><i _ngcontent-pfm-c46="" class="pi pi-key"></i></span><input _ngcontent-pfm-c46="" type="password" pinputtext="" formcontrolname="password"
placeholder="Enter Password" autocomplete="password" class="p-inputtext p-component ng-untouched ng-pristine ng-invalid"></div><!---->
</div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0 ng-star-inserted">
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0 p-pt-3 p-pb-0" style="padding-bottom: 10px !important;"><label _ngcontent-pfm-c46="">Select the Module</label></div>
<div _ngcontent-pfm-c46="" class="p-inputgroup"><span _ngcontent-pfm-c46="" class="p-inputgroup-addon"><i _ngcontent-pfm-c46="" class="pi pi-briefcase"></i></span><p-dropdown _ngcontent-pfm-c46="" formcontrolname="login_type" optionlabel="name"
class="W100 ng-tns-c45-0 p-inputwrapper-filled ng-untouched ng-pristine ng-valid">
<div class="ng-tns-c45-0 p-dropdown p-component">
<div class="p-hidden-accessible ng-tns-c45-0"><input type="text" readonly="" aria-haspopup="listbox" role="listbox" class="ng-tns-c45-0" aria-label="Claim Management"></div><span
class="ng-tns-c45-0 p-dropdown-label p-inputtext ng-star-inserted">Claim Management<!----><!----><!----></span><!----><!----><!----><!---->
<div role="button" aria-haspopup="listbox" class="p-dropdown-trigger ng-tns-c45-0"><span class="p-dropdown-trigger-icon ng-tns-c45-0 pi pi-chevron-down"></span></div><!---->
</div>
</p-dropdown></div>
</div><!---->
<div _ngcontent-pfm-c46="" class="p-col-12 p-px-0 p-pt-4 p-pb-0">
<div _ngcontent-pfm-c46="" class="p-d-flex p-flex-row">
<div _ngcontent-pfm-c46="" class="p-col-6 p-p-0">
<div _ngcontent-pfm-c46="" class="custom-control custom-checkbox"><input _ngcontent-pfm-c46="" type="checkbox" id="customControlInline" class="custom-control-input"><label _ngcontent-pfm-c46="" for="customControlInline"
class="custom-control-label">Remember me</label></div>
</div>
<div _ngcontent-pfm-c46="" class="p-col-6 p-py-0 text-right ng-star-inserted"><a _ngcontent-pfm-c46="" href="/forgotPassword" class="text-muted font-13"><i _ngcontent-pfm-c46="" class="mdi mdi-lock"></i> Forgot password?</a></div><!---->
</div>
</div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-mt-3 p-p-0">
<div _ngcontent-pfm-c46="" class="p-col-12 p-p-0"><button _ngcontent-pfm-c46="" pbutton="" pripple="" type="submit" icon="pi pi-sign-in" iconpos="right" label="Log In" class="p-button p-component"><span
class="p-button-icon p-button-icon-right pi pi-sign-in" aria-hidden="true"></span><span class="p-button-label">Log In</span></button></div><small _ngcontent-pfm-c46="" class="p-invalid ng-star-inserted"> </small><!---->
</div>
<div _ngcontent-pfm-c46="" class="p-col-12 p-mt-3 p-p-0 ng-star-inserted">
<div _ngcontent-pfm-c46="" class="p-col-12 p-p-0"><a _ngcontent-pfm-c46="" href="/register" class="text-muted font-13"><i _ngcontent-pfm-c46="" class="mdi mdi-lock"></i> Sign Up</a></div>
</div><!---->
</form>Text Content
LOGIN - INSURTECH MODULES Enhaced Digital Experience Username Password Select the Module Claim Management Remember me Forgot password? Log In Sign Up WELCOME TO ADVANCED INSURTECH SOLUTION LET'S GET STARTED