loginformtemi.pages.dev Open in urlscan Pro
2a06:98c1:3121::3  Public Scan

URL: https://loginformtemi.pages.dev/
Submission: On July 07 via automatic, source certstream-suspicious — Scanned from NL

Form analysis 1 forms found in the DOM

http://www.google.com

<form action="http://www.google.com" style="margin: 0 auto; Width: 250px">
  <fieldset>
    <legend> Personal Information </legend> First name: <br>
    <input type="text" name="firstname"> <br> Last name: <br>
    <input type="text name=" lastname"=""> <br> Email Address: <br>
    <input type="email" name="emailaddress"> <br> Phone Number: <br>
    <input type="number" name="phonenumber"> <br> Gender: <br>
    <input type="radio" name="gender" value="male"> Male<br>
    <input type="radio" name="gender" value="female"> Female <br> Date of Birth: <br>
    <input type="date" name="bday"> <br> <br>
    <input type="submit" value="Submit">
  </fieldset>
</form>

Text Content

REGISTRATION FORM

Personal Information First name:

Last name:

Email Address:

Phone Number:

Gender:
Male
Female
Date of Birth: