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Form analysis
1 forms found in the DOM

Name: reg — POST proccess_reg.php

<form action="proccess_reg.php" enctype="application/x-www-form-urlencoded" method="POST" name="reg">
  <div class="row gx-2">
    <div class="mb-3 col-sm-6"><label class="form-label" for="card-fname">First Name</label><input name="fname" type="text" value="" class="form-control" id="f_name" required="">
    </div>
    <div class="mb-3 col-sm-6"><label class="form-label" for="card-lname">Last Name</label><input name="lname" type="text" value="" class="form-control" id="l_name" required="">
    </div>
  </div>
  <div class="mb-3"><label class="form-label" for="card-email">Email address</label>
    <input name="email" type="email" class="form-control" id="email" value="" required="">
  </div>
  <div class="row gx-2">
    <div class="mb-3 col-sm-6"><label class="form-label" for="card-password">Password</label><input name="ac_pasw" type="password" class="form-control" id="pass" required="">
    </div>
    <div class="mb-3 col-sm-6"><label class="form-label" for="card-confirm-password">Confirm Password</label><input name="ac_pasw2" type="password" class="form-control" id="c_pass" required="">
    </div>
  </div>
  <div class="form-check"><input class="form-check-input" type="checkbox" id="card-register-checkbox" value="accept" name="policy" data-rule="checked" data-msg="Please, accept our terms of service and privacy acy policy" required=""><label
      class="form-label" for="card-register-checkbox">I accept the <a href="#!">terms </a>and <a href="#!">privacy policy</a></label></div>
  <div class="mb-3"><button class="btn btn-primary d-block w-100 mt-3" type="submit" name="submit">Register</button></div>
  <input type="hidden" name="MM_insert" value="reg">
</form>

Text Content

Welcome to Prosperity Bank online registration portal.

Have an account?
Log In


REGISTER

First Name
Last Name
Email address
Password
Confirm Password
I accept the terms and privacy policy
Register