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dangkykhoatuchuahoiduc.com Open in urlscan Pro
103.216.113.32  Public Scan

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Submitted URL: http://dangkykhoatuchuahoiduc.com/volunteer-registration
Effective URL: https://dangkykhoatuchuahoiduc.com/volunteer-registration/
Submission: On August 18 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <div class="MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-4 css-920k2u">
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 css-15j76c0">
      <div class="MuiBox-root css-70qvj9"><img src="/images/avatars/15.png" alt="Profile Pic" class="css-1of6p8i">
        <div><label
            class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium css-lmge3f"
            tabindex="0" role="button" for="account-settings-upload-image">Ảnh đại diện<input hidden="" type="file" accept="image/png, image/jpeg" id="account-settings-upload-image"><span class="MuiTouchRipple-root css-w0pj6f"></span></label>
          <p class="MuiFormHelperText-root css-1nuyfmd" id="validation-basic-avatar">Vui lòng chọn ảnh đại diện</p>
          <p class="MuiTypography-root MuiTypography-body1 css-1jeccbb">Vui lòng tải lên hình có định dạng .png hoặc .jpg</p>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-5sn5l7" aria-describedby="validation-basic-last-name"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r0:" id=":r0:-label" style="font-size: 14px; font-weight: bold;">Họ và tên (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r0:"
            placeholder="Vui lòng nhập Họ và tên" type="text" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="react-datepicker-wrapper">
        <div class="react-datepicker__input-container "><span role="alert" aria-live="polite" class="react-datepicker__aria-live"></span>
          <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root  css-5sn5l7"><label
              class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
              data-shrink="true" for=":r1:" id=":r1:-label" style="font-size: 14px; font-weight: bold;">Ngày tháng năm sinh (*)</label>
            <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r1:"
                placeholder="Chọn ngày/tháng/năm" type="text" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
          </div>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-5sn5l7" aria-describedby="validation-basic-identity-number"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r2:" id=":r2:-label" style="font-size: 14px; font-weight: bold;">CMND/CCCD (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r2:"
            placeholder="Vui lòng nhập CMND hoặc CCCD" type="text" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="MuiFormControl-root css-13sljp9"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary css-1im5zb6" style="font-weight: bold;">Giới tính (*)</label>
        <div class="MuiFormGroup-root MuiFormGroup-row css-p58oka" role="radiogroup" aria-label="gender"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-sn4ofp"><span
              class="MuiButtonBase-root MuiRadio-root MuiRadio-colorPrimary PrivateSwitchBase-root MuiRadio-root MuiRadio-colorPrimary MuiRadio-root MuiRadio-colorPrimary css-1jhbs02"><input class="PrivateSwitchBase-input css-1m9pwf3"
                name="validation-basic-radio" type="radio" value="male"><svg width="24" height="24" fill="none" viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg" stroke="rgba(47, 43, 61, 0.42)">
                <path d="M12 3.5C16.6944 3.5 20.5 7.30558 20.5 12C20.5 16.6944 16.6944 20.5 12 20.5C7.30558 20.5 3.5 16.6944 3.5 12C3.5 7.30558 7.30558 3.5 12 3.5Z"></path>
              </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-1muapkq">Nam</span></label><label
            class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-sn4ofp"><span
              class="MuiButtonBase-root MuiRadio-root MuiRadio-colorPrimary PrivateSwitchBase-root MuiRadio-root MuiRadio-colorPrimary MuiRadio-root MuiRadio-colorPrimary css-1jhbs02"><input class="PrivateSwitchBase-input css-1m9pwf3"
                name="validation-basic-radio" type="radio" value="female"><svg width="24" height="24" fill="none" viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg" stroke="rgba(47, 43, 61, 0.42)">
                <path d="M12 3.5C16.6944 3.5 20.5 7.30558 20.5 12C20.5 16.6944 16.6944 20.5 12 20.5C7.30558 20.5 3.5 16.6944 3.5 12C3.5 7.30558 7.30558 3.5 12 3.5Z"></path>
              </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-1muapkq">Nữ</span></label></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-5sn5l7" aria-describedby="validation-basic-email"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r4:" id=":r4:-label" style="font-size: 14px; font-weight: bold;">Địa chỉ email (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r4:"
            placeholder="you@example.com" type="email" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-6 css-rpybyc">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-5sn5l7" aria-describedby="validation-basic-phone"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r5:" id=":r5:-label" style="font-size: 14px; font-weight: bold;">Số điện thoại (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r5:"
            placeholder="Nhập số điện thoại" type="text" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-4 css-h3o6is">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-1r797zj"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r6:" id=":r6:-label" style="font-size: 14px; font-weight: bold;">Tỉnh/Thành phố (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h">
          <div tabindex="0" role="button" aria-expanded="false" aria-haspopup="listbox" aria-labelledby=":r6:-label :r6:" id=":r6:"
            class="MuiSelect-select MuiSelect-filled MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-198uyf"><span class="notranslate">​</span></div><input aria-invalid="false" name="provinceId" aria-hidden="true"
            tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconFilled css-1xwwuad" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
            data-testid="ArrowDropDownIcon">
            <path d="M7 10l5 5 5-5z"></path>
          </svg>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-4 css-h3o6is">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-1r797zj"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r7:" id=":r7:-label" style="font-size: 14px; font-weight: bold;">Quận/Huyện (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h">
          <div tabindex="0" role="button" aria-expanded="false" aria-haspopup="listbox" aria-labelledby=":r7:-label :r7:" id=":r7:"
            class="MuiSelect-select MuiSelect-filled MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-198uyf"><span class="notranslate">​</span></div><input aria-invalid="false" name="districtId" aria-hidden="true"
            tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconFilled css-1xwwuad" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
            data-testid="ArrowDropDownIcon">
            <path d="M7 10l5 5 5-5z"></path>
          </svg>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-sm-4 css-h3o6is">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-1r797zj"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r8:" id=":r8:-label" style="font-size: 14px; font-weight: bold;">Phường/Xã (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h">
          <div tabindex="0" role="button" aria-expanded="false" aria-haspopup="listbox" aria-labelledby=":r8:-label :r8:" id=":r8:"
            class="MuiSelect-select MuiSelect-filled MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-198uyf"><span class="notranslate">​</span></div><input aria-invalid="false" name="communeId" aria-hidden="true" tabindex="-1"
            class="MuiSelect-nativeInput css-1k3x8v3" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconFilled css-1xwwuad" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
            data-testid="ArrowDropDownIcon">
            <path d="M7 10l5 5 5-5z"></path>
          </svg>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 css-15j76c0">
      <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-5sn5l7" aria-describedby="validation-basic-address"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeSmall MuiInputLabel-filled css-1wvcw6o"
          data-shrink="true" for=":r9:" id=":r9:-label" style="font-size: 14px; font-weight: bold;">Địa chỉ công tác/ học tập hiện tại (*)</label>
        <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-6hxm8h"><input aria-invalid="false" id=":r9:"
            placeholder="Vui lòng nhập địa chỉ nhà/hẻm, tên đường" type="text" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputSizeSmall css-1no3sf" value=""></div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 css-wo75ud"><button
        class="MuiButtonBase-root MuiButton-root MuiButton-tonal MuiButton-tonalSecondary MuiButton-sizeMedium MuiButton-tonalSizeMedium Mui-disabled MuiButton-root MuiButton-tonal MuiButton-tonalSecondary MuiButton-sizeMedium MuiButton-tonalSizeMedium css-oz2rm3"
        tabindex="-1" type="button" disabled="">Quay lại</button><button
        class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium css-1ec5wwi"
        tabindex="0" type="submit">Tiếp<span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
  </div>
</form>

Text Content

01

Thông tin đăng ký

Tình nguyện viên



02

Hình thức liên lạc

Tình nguyện viên

Ảnh đại diện

Vui lòng chọn ảnh đại diện

Vui lòng tải lên hình có định dạng .png hoặc .jpg

Họ và tên (*)

Ngày tháng năm sinh (*)

CMND/CCCD (*)

Giới tính (*)
NamNữ
Địa chỉ email (*)

Số điện thoại (*)

Tỉnh/Thành phố (*)

Quận/Huyện (*)

Phường/Xã (*)

Địa chỉ công tác/ học tập hiện tại (*)

Quay lạiTiếp