www.dpmg.in Open in urlscan Pro
132.148.218.71  Public Scan

Form analysis
1 forms found in the DOM

Name: login_form — POST http://dpmg.in/

<form action="http://dpmg.in/" name="login_form" id="login_form" method="POST" enctype="multipart/form-data">
  <!-- First Name and Last Name in one row -->
  <div class="row mb-3">
    <div class="col">
      <label for="firstName" class="form-label">First Name <span class="mandatory">*</span></label>
      <input type="text" class="form-control" id="first_name" name="first_name" value="">
      <span class="error"></span>
    </div>
    <div class="col">
      <label for="lastName" class="form-label">Last Name <span class="mandatory">*</span></label>
      <input type="text" class="form-control" id="last_name" name="last_name" value="">
      <span class="error"></span>
    </div>
  </div>
  <!-- Gender -->
  <div class="mb-3">
    <label class="form-label">Gender <span class="mandatory">*</span></label>
    <div>
      <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" id="gender_male" name="gender" value="male" checked="">
        <label class="form-check-label" for="gender_male">Male</label>
      </div>
      <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" id="gender_female" name="gender" value="female">
        <label class="form-check-label" for="gender_female">Female</label>
      </div>
    </div>
    <span class="error"></span>
  </div>
  <!-- Email -->
  <div class="mb-3">
    <label for="email" class="form-label">Email <span class="mandatory">*</span></label>
    <input type="text" class="form-control" id="email" name="email" value="">
    <span class="error"></span>
  </div>
  <!-- Mobile Number -->
  <div class="mb-3">
    <label for="mobile" class="form-label">Mobile Number <span class="mandatory">*</span></label>
    <input type="tel" class="form-control" id="mobile_no" name="mobile_no" value="">
    <span class="error"></span>
  </div>
  <!-- Password -->
  <div class="mb-3">
    <label for="password" class="form-label">Password <span class="mandatory">*</span></label>
    <input type="password" class="form-control" id="password" name="password" value="">
    <span class="error"></span>
  </div>
  <!-- Confirm Password -->
  <div class="mb-3">
    <label for="confirmPassword" class="form-label">Confirm Password <span class="mandatory">*</span></label>
    <input type="password" class="form-control" id="c_password" name="c_password" value="">
    <span class="error"></span>
  </div>
  <!-- Submit Button -->
  <div class="d-grid">
    <button type="submit" class="btn btn-primary">Create Account</button>
  </div>
</form>

Text Content

Patel Marriage Group
Login


CREATE AN ACCOUNT

First Name *
Last Name *
Gender *
Male
Female
Email *
Mobile Number *
Password *
Confirm Password *
Create Account