nationalbet-co.frontend-websites.ext.prod.sb.betlabs.io Open in urlscan Pro
34.107.82.129  Public Scan

Submitted URL: https://nationalbet-co.frontend-websites.ext.prod.sb.betlabs.io/
Effective URL: https://nationalbet-co.frontend-websites.ext.prod.sb.betlabs.io/de
Submission: On July 02 via api from US — Scanned from DE

Form analysis 3 forms found in the DOM

POST /de/auth/login

<form autofill="off" ismxfilled="0" autocomplete="off" method="post" class="login-step-1 needs-validation" id="login-modal-form" action="/de/auth/login" novalidate="">
  <div id="welcome-back-container" class="d-none">
    <h4 id="welcome-back" class="text-center mb-2">Willkommen zurück</h4>
    <h5 id="login-existing-user" class="text-center mb-0"></h5>
  </div>
  <input type="hidden" name="token" value="">
  <div class="form-group row">
    <div class="col">
      <label for="login_form[username]" class="form-label form-label-sm align-top form-label-gray">Nutzername oder E-Mail-Adresse</label>
      <input id="login_form[username]" type="text" required="" name="login_form[username]" value="" minlength="2" maxlength="50" placeholder="Geben Sie Ihren Benutzernamen oder Ihre E-Mail ein" autocomplete="off" aria-autocomplete="off"
        required-message="Geben Sie Ihren Benutzernamen oder Ihre E-Mail ein" class="form-control form-control-md data-hj-whitelist">
      <div class="invalid-feedback">Geben Sie Ihren Benutzernamen oder Ihre E-Mail ein</div>
    </div>
  </div>
  <div class="form-group row">
    <div class="col">
      <label for="login-modal-password-input" class="form-label form-label-sm align-top form-label-gray">Passwort</label>
      <input id="login-modal-password-input" type="password" required="" name="login_form[password]" value="" minlength="2" maxlength="50" placeholder="Ihr Passwort eingeben" autocomplete="off" aria-autocomplete="off"
        required-message="Ihr Passwort eingeben" class="form-control form-control-md ">
      <div class="invalid-feedback">Ihr Passwort eingeben</div>
    </div>
  </div>
  <div class="form-group row">
    <div class="col">
      <div class="custom-control custom-checkbox">
        <input type="checkbox" class="custom-control-input" id="is_remember_me_enabled" name="login_form[is_remember_me_enabled]" checked="checked" value="1">
        <label class="custom-control-label form-label form-label-sm " for="is_remember_me_enabled">An mich erinnern</label>
      </div>
    </div>
  </div>
  <div class="modal-action-bar">
    <button type="submit" class="btn btn-primary btn-block modal-submit-button">Anmelden</button>
  </div>
  <div class="row">
    <div class="col">
      <div class="d-flex justify-content-center">
        <a href="/de/recovery/forgotten-password" data-dismiss="modal" data-toggle="modal" data-target="#forgot-password-modal" data-tracking-event="select_forgotten_password_link" data-tracking-value="open_forgotten_password_modal" class="forgotten-psw-link">Passwort vergessen</a>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col">
      <div class="d-flex justify-content-center">
        <a href="#" id="login-with-different-account" class="forgotten-psw-link d-none">Mit anderem Konto anmelden</a>
      </div>
    </div>
  </div>
</form>

<form method="" class="validate-form" id="register-user-form" novalidate="" clear-fields="false" data-step="1">
  <div class="steps-section row justify-content-center">
    <div class="error-container col-lg-10"></div>
    <!-- begin step 1 -->
    <div class="step-section step-section-1 col-lg-10">
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_email" class="form-label form-label-sm align-top form-label-gray">E-Mail</label>
          <input id="reg_form_email" type="email" required="" name="reg_form[email]" value="" minlength="2" maxlength="50" placeholder="E-Mail" autocomplete="off" aria-autocomplete="off" required-message="Bitte gültige E-Mail-Adresse eingeben"
            class="form-control form-control-md data-hj-whitelist" title="E-Mail">
          <div class="invalid-feedback">Bitte gültige E-Mail-Adresse eingeben</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_username" class="form-label form-label-sm align-top form-label-gray">Benutzername</label>
          <input id="reg_form_username" type="text" required="" name="reg_form[username]" value="" minlength="2" maxlength="50" placeholder="Benutzername" autocomplete="off" aria-autocomplete="off" required-message="Bitte Benutzernamen eingeben"
            class="form-control form-control-md data-hj-whitelist" title="Benutzername">
          <div class="invalid-feedback">Bitte Benutzernamen eingeben</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_password" class="form-label form-label-sm align-top form-label-gray form-label-input-text">Passwort </label>
          <div class="form-relative-group-holder">
            <input id="reg_form_password" type="password" name="reg_form[password]" required="" minlength="2" maxlength="50" placeholder="Passwort" autocomplete="off" aria-autocomplete="off"
              required-message="Das Passwort sollte mindestens 3 Zeichen enthalten." class="form-control form-control-md" aria-describedby="passwordHelpBlock">
            <div class="invalid-feedback">Das Passwort sollte mindestens 3 Zeichen enthalten.</div>
            <span class="icon-toggle ds-icon-material">remove_red_eye</span>
          </div>
          <span id="passwordHelpBlock" class="form-help form-text" style="display: none">
            <span class="icon ds-icon-material help-el">info_outline</span> <span class="help-el">Das Passwort sollte mindestens 3 Zeichen enthalten.</span>
          </span>
        </div>
      </div>
      <input type="hidden" id="register-form-confirm-password" class="hidden-password-field" name="reg_form[confirm_password]">
      <input type="hidden" id="register-form-coupon-code" class="hidden-password-field" name="reg_form[coupon_code]">
      <button id="next-registration-step" type="button" class="btn btn-primary btn-block modal-submit-button">Weiter</button>
    </div>
    <!-- end of step 1 -->
    <!-- begin step 2 -->
    <div class="step-section step-section-2 col-lg-10 d-none">
      <div class="form-group row">
        <div class="col">
          <div class="custom-control custom-radio custom-control-inline">
            <input type="radio" id="reg_form_gender_male" name="reg_form[gender]" value="male" class="custom-control-input grouped-input" checked="checked" required="">
            <label class="custom-control-label form-label-sm align-self-center form-label form-label-gray" for="reg_form_gender_male">Männlich</label>
          </div>
          <div class="custom-control custom-radio custom-control-inline">
            <input type="radio" id="reg_form_gender_female" name="reg_form[gender]" value="female" class="custom-control-input grouped-input" required="">
            <label class="custom-control-label form-label-sm align-self-center form-label form-label-gray" for="reg_form_gender_female">Weiblich</label>
          </div>
        </div>
        <div class="invalid-feedback col-12">Bitte Ihr Geschlecht auswählen</div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_fname" class="form-label form-label-sm align-top form-label-gray">Vorname (wie im Ausweis)</label>
          <input id="reg_form_fname" type="text" required="" name="reg_form[fname]" value="" minlength="2" maxlength="50" placeholder="Vorname (wie im Ausweis)" autocomplete="off" aria-autocomplete="off" required-message="Bitte Vornamen eingeben"
            class="form-control form-control-md data-hj-whitelist" title="Vorname (wie im Ausweis)">
          <div class="invalid-feedback">Bitte Vornamen eingeben</div>
          <span id="firstNameHelpBlock" class="form-help form-text" style="display: none">
            <span class="icon ds-icon-material help-el">info_outline</span>
            <span class="help-el">Zulässige Zeichen: a-z, A-Z</span>
          </span>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_lname" class="form-label form-label-sm align-top form-label-gray">Nachname (wie im Ausweis)</label>
          <input id="reg_form_lname" type="text" required="" name="reg_form[lname]" value="" minlength="2" maxlength="50" placeholder="Nachname (wie im Ausweis)" autocomplete="off" aria-autocomplete="off" required-message="Bitte Nachnamen eingeben"
            class="form-control form-control-md data-hj-whitelist" title="Nachname (wie im Ausweis)">
          <div class="invalid-feedback">Bitte Nachnamen eingeben</div>
          <span id="lastNameHelpBlock" class="form-help form-text" style="display: none">
            <span class="icon ds-icon-material help-el">info_outline</span>
            <span class="help-el">Zulässige Zeichen: a-z, A-Z</span>
          </span>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_address" class="form-label form-label-sm align-top form-label-gray">Adresse</label>
          <input id="reg_form_address" type="text" required="" name="reg_form[address]" value="" minlength="2" maxlength="100" placeholder="Adresse" autocomplete="off" aria-autocomplete="off" required-message="Bitte Adresse eingeben"
            class="form-control form-control-md " title="Adresse">
          <div class="invalid-feedback">Bitte Adresse eingeben</div>
          <span id="addressHelpBlock" class="form-help form-text" style="display: none">
            <span class="icon ds-icon-material help-el">info_outline</span>
            <span class="help-el">Zulässige Zeichen: a-z, A-Z, 0-9</span>
          </span>
        </div>
      </div>
      <div class="form-group row ">
        <div class="col">
          <label for="reg_form_zipcode" class="form-label form-label-sm align-top form-label-gray">Postleitzahl</label>
          <input id="reg_form_zipcode" type="text" required="" name="reg_form[zipcode]" value="" minlength="2" maxlength="50" placeholder="Postleitzahl" autocomplete="off" aria-autocomplete="off" required-message="Bitte Postleitzahl eingeben"
            class="form-control form-control-md " title="Postleitzahl">
          <div class="invalid-feedback">Bitte Postleitzahl eingeben</div>
        </div>
        <div class="col">
          <label for="reg_form_city" class="form-label form-label-sm align-top form-label-gray">Stadt</label>
          <input id="reg_form_city" type="text" required="" name="reg_form[city]" value="" minlength="2" maxlength="50" placeholder="Stadt" autocomplete="off" aria-autocomplete="off" required-message="Bitte Stadt eingeben"
            class="form-control form-control-md " title="Stadt">
          <div class="invalid-feedback">Bitte Stadt eingeben</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_country_id" class="form-label form-label-sm align-top form-label-gray">Land</label>
          <select id="reg_form_country_id" name="reg_form[country_id]" class="custom-select custom-select-md reg-form-country-id" required="">
            <option value="" disabled="" selected="">Land</option>
          </select>
          <div class="invalid-feedback">Bitte Land auswählen</div>
        </div>
        <div class="col">
          <label for="reg_form_currency_id" class="form-label form-label-sm align-top form-label-gray">Währung</label>
          <select id="reg_form_currency_id" name="reg_form[currency_id]" class="custom-select custom-select-md reg-form-currency-id" required="">
            <option value="" disabled="" selected="">Währung</option>
          </select>
          <div class="invalid-feedback">Bitte Währung auswählen</div>
        </div>
      </div>
      <div class="form-group row phone-group-row">
        <div class="col">
          <label for="register-user-modal" class="form-label form-label-sm align-top form-label-gray">Mobiltelefon</label>
          <div class="phone-prefix-container d-flex align-items-center">
            <input type="hidden" class="phone-prefix-hidden-input" id="reg_form_phone_prefix" name="reg_form[phone_prefix]" value="">
            <input type="hidden" class="phone-number-hidden-input" id="reg_form_cell_phone" title="Mobiltelefon" name="reg_form[cell_phone]" value="">
            <div class="phone-prefix-label">Vorwahl</div>
            <div class="phone-prefix-country-container d-none align-items-center justify-content-between">
              <i class="flag-icon flag-icon-sm"></i>
              <div class="phone-prefix-value-container d-flex align-items-center">
                <span class="phone-prefix-sign">+</span>
                <span class="phone-prefix-value"></span>
              </div>
            </div>
            <select class="custom-select custom-select-md phone-prefix-select phone-validation-group" required="" id="phone-prefix-select" required-message="Bitte Telefon-Vorwahl auswählen">
              <option value="" disabled="" selected="">Land</option>
            </select>
          </div>
          <input id="register-user-modal" type="text" required="" value="" minlength="5" maxlength="50" placeholder="Mobiltelefon" autocomplete="off" aria-autocomplete="off" required-message="Bitte Mobiltelefon eingeben"
            class="form-control form-control-md data-hj-whitelist reg-form-cell-phone phone-validation-group">
          <div class="invalid-feedback">Bitte Mobiltelefon eingeben</div>
          <div class="help-message phone-help-message form-label-gray form-label-sm"></div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label class="form-label form-label-sm form-label-gray align-top input-group-label">Geburtsdatum</label>
          <div class="row">
            <div class="col">
              <select id="reg_form_birthday_day" name="reg_form[birthday][day]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Tag</option>
                <option value="1">01</option>
                <option value="2">02</option>
                <option value="3">03</option>
                <option value="4">04</option>
                <option value="5">05</option>
                <option value="6">06</option>
                <option value="7">07</option>
                <option value="8">08</option>
                <option value="9">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </div>
            <div class="col">
              <select id="reg_form_birthday_month" name="reg_form[birthday][month]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Monat</option>
                <option value="1">Januar</option>
                <option value="2">Februar</option>
                <option value="3">März</option>
                <option value="4">April</option>
                <option value="5">Mai</option>
                <option value="6">Juni</option>
                <option value="7">Juli</option>
                <option value="8">August</option>
                <option value="9">September</option>
                <option value="10">Oktober</option>
                <option value="11">November</option>
                <option value="12">Dezember</option>
              </select>
            </div>
            <div class="col">
              <select id="reg_form_birthday_year" name="reg_form[birthday][year]" class="custom-select custom-select-md grouped-input date-select" required="">
                <option value="" disabled="" selected="">Jahr</option>
                <option value="2006">2006</option>
                <option value="2005">2005</option>
                <option value="2004">2004</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
                <option value="1921">1921</option>
                <option value="1920">1920</option>
              </select>
            </div>
            <div class="invalid-feedback col-12">Bitte Geburtstag auswählen</div>
          </div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_security_question" class="form-label form-label-sm align-top form-label-gray">Sicherheitsfrage</label>
          <select id="reg_form_security_question" name="reg_form[security_question]" class="custom-select custom-select-md " required="">
            <option value="" disabled="" selected="">Sicherheitsfrage</option>
          </select>
          <div class="invalid-feedback">Bitte Frage auswählen</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="reg_form_security_answer" class="form-label form-label-sm align-top form-label-gray">Antwort</label>
          <input id="reg_form_security_answer" type="text" required="" name="reg_form[security_answer]" value="" minlength="2" maxlength="50" placeholder="Antwort" autocomplete="off" aria-autocomplete="off" required-message="Sicherheitsantwort"
            class="form-control form-control-md ">
          <div class="invalid-feedback">Sicherheitsantwort</div>
        </div>
      </div>
      <div class="form-group row mb-0 ">
        <div class="col">
          <div class="custom-control custom-checkbox">
            <input type="checkbox" class="custom-control-input" id="reg_form_terms_accepted" required="" name="reg_form[terms_accepted]">
            <label class="custom-control-label form-label form-label-sm " for="reg_form_terms_accepted"> Durch Klicken auf "Neues Konto erstellen" bestätige ich, dass ich Folgendes gelesen habe und akzeptiere die
              <a href="/de/pages/terms-and-conditions" class="info-link help-popup">Allgemeinen Geschäftsbedingungen</a> und <a href="/de/pages/privacy-policy" class="info-link help-popup">Datenschutzrichtlinien</a>
            </label>
            <div class="invalid-feedback">Please accept the terms and conditions</div>
          </div>
        </div>
      </div>
      <div class="form-group row ">
        <div class="col">
          <div class="custom-control custom-checkbox">
            <input type="checkbox" class="custom-control-input" id="reg_form_newsletter" name="reg_form[is_in_mail_list]" checked="checked" value="1">
            <label class="custom-control-label form-label form-label-sm " for="reg_form_newsletter">Senden Sie mir Newsletter und SMS</label>
          </div>
        </div>
      </div>
      <button type="submit" id="submit-reg-form" class="btn btn-primary btn-block modal-submit-button"> Neues Konto erstellen </button>
    </div>
    <!-- end of step 2 -->
    <!-- begin step 3 -->
    <div class="step-section step-section-3 col-lg-10 d-none confirmation-container">
      <div class="d-none confirmation-icon-container">
        <i class="ds-icon-material status-icon">check</i>
      </div>
      <div class="confirmation-heading">Glückwunsch</div>
      <div class="confirmation-details form-tooltip"> Sie haben Ihr Konto aktiviert! <div class="d-none login-action-caption">Please proceed to login</div>
      </div>
      <div class="redirect-counter-container"> Sie werden weitergeleitet in <span class="redirect-counter">15</span> Sekunden </div>
      <button id="register-complete-button" type="button" class="btn btn-action btn-block modal-submit-button">JETZT EINZAHLEN</button>
      <div class="login-action-btn-container d-none justify-content-center">
        <button type="button" data-tracking-event="select_login_button" data-dismiss="modal" data-toggle="modal" data-target="#login-guest-modal" class="btn btn-sm w-75 btn-action">Einloggen</button>
      </div>
    </div>
    <!-- end of step 3 -->
  </div>
</form>

<form method="" id="forgot-password-form" class="validate-form " novalidate="">
  <div class="row">
    <div class="col-lg-10 offset-lg-1">
      <div class="row">
        <div class="col">
        </div>
      </div>
    </div>
    <div class="col-lg-10 offset-lg-1">
      <div class="row">
        <div class="col error-container"></div>
      </div>
    </div>
    <div class="col-lg-10 offset-lg-1">
      <div class="form-group row">
        <div class="col">
          <label for="forgot-password-form_username" class="form-label form-label-sm align-top form-label-gray">Benutzername</label>
          <input id="forgot-password-form_username" type="text" required="" name="username" value="" minlength="2" maxlength="50" placeholder="Benutzername" autocomplete="off" aria-autocomplete="off" required-message="Bitte Benutzernamen eingeben"
            class="form-control form-control-md ">
          <div class="invalid-feedback">Bitte Benutzernamen eingeben</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label for="forgot-password-form_email" class="form-label form-label-sm align-top form-label-gray">E-Mail</label>
          <input id="forgot-password-form_email" type="email" required="" name="email" value="" minlength="2" maxlength="50" placeholder="E-Mail" autocomplete="off" aria-autocomplete="off" required-message="Bitte gültige E-Mail-Adresse eingeben"
            class="form-control form-control-md ">
          <div class="invalid-feedback">Bitte gültige E-Mail-Adresse eingeben</div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <label class="form-label form-label-sm form-label-gray input-group-label align-top">Geburtsdatum</label>
          <div class="row">
            <div class="col">
              <select id="forgot-password-form_birthday_day" name="birthday[day]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Tag</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </div>
            <div class="col">
              <select id="forgot-password-form_birthday_month" name="birthday[month]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Monat</option>
                <option value="01">Januar</option>
                <option value="02">Februar</option>
                <option value="03">März</option>
                <option value="04">April</option>
                <option value="05">Mai</option>
                <option value="06">Juni</option>
                <option value="07">Juli</option>
                <option value="08">August</option>
                <option value="09">September</option>
                <option value="10">Oktober</option>
                <option value="11">November</option>
                <option value="12">Dezember</option>
              </select>
            </div>
            <div class="col">
              <select id="forgot-password-form_birthday_year" name="birthday[year]" class="custom-select custom-select-md grouped-input birthday-date" required="">
                <option value="" disabled="" selected="">Jahr</option>
                <option value="2006">2006</option>
                <option value="2005">2005</option>
                <option value="2004">2004</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
                <option value="1921">1921</option>
                <option value="1920">1920</option>
              </select>
            </div>
            <div class="invalid-feedback col-12">Bitte Geburtstag auswählen</div>
          </div>
        </div>
      </div>
      <div class="form-group row">
        <div class="col">
          <button type="submit" id="submit-forgot-password-form" class="btn btn-primary btn-block modal-submit-button">Wiederherstellen</button>
        </div>
      </div>
    </div>
  </div>
</form>

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Geburtsdatum
Tag 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
26 27 28 29 30 31
Monat Januar Februar März April Mai Juni Juli August September Oktober November
Dezember
Jahr 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992
1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976
1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944
1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928
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Tag 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
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Monat Januar Februar März April Mai Juni Juli August September Oktober November
Dezember
Jahr 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992
1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976
1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944
1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928
1927 1926 1925 1924 1923 1922 1921 1920
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