status.support Open in urlscan Pro
172.64.162.29  Public Scan

Submitted URL: http://supin.org.uk/app/wrap/YXBwL3JlZGlyZWN0aW9uL3dyYXAucGhwP3RyYWNrPUExWEMzNTUyNTFYUjdYTTFYUzI4MVhWMjYwOFhOMTFYTzQ...
Effective URL: https://status.support/benefits/?utm_source=e2536acc-adf6-4320-b3a1-afa58ede2903&zan&hern&ear&medadv65&mu65&eqto&heart&...
Submission: On October 14 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-ggg-c87="" novalidate="" class="ng-untouched ng-pristine ng-invalid ng-star-inserted" style=""><input _ngcontent-ggg-c87="" id="username" type="text" name="fakeusernameremembered" style="display: none;"><input _ngcontent-ggg-c87=""
    id="password" type="password" name="fakepasswordremembered" style="display: none;"><mat-form-field _ngcontent-ggg-c87="" appearance="fill"
    class="mat-form-field full-width ng-tns-c65-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
    <div class="mat-form-field-wrapper ng-tns-c65-2">
      <div class="mat-form-field-flex ng-tns-c65-2"><!----><!---->
        <div class="mat-form-field-infix ng-tns-c65-2"><input _ngcontent-ggg-c87="" formcontrolname="firstName" matinput="" pattern="[a-zA-Z]*" required="" type="text" autocomplete="given-name"
            class="mat-input-element mat-form-field-autofill-control ng-tns-c65-2 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-1" aria-invalid="false" aria-required="true"><span
            class="mat-form-field-label-wrapper ng-tns-c65-2"><label class="mat-form-field-label ng-tns-c65-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="mat-input-1" aria-owns="mat-input-1"><!----><mat-label
                _ngcontent-ggg-c87="" class="ng-tns-c65-2 ng-star-inserted">First name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c65-2 ng-star-inserted">
                *</span><!----></label><!----></span></div><!---->
      </div>
      <div class="mat-form-field-underline ng-tns-c65-2 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c65-2"></span></div><!---->
      <div class="mat-form-field-subscript-wrapper ng-tns-c65-2"><!---->
        <div class="mat-form-field-hint-wrapper ng-tns-c65-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
          <div class="mat-form-field-hint-spacer ng-tns-c65-2"></div>
        </div><!---->
      </div>
    </div>
  </mat-form-field><mat-form-field _ngcontent-ggg-c87="" appearance="fill"
    class="mat-form-field full-width ng-tns-c65-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
    <div class="mat-form-field-wrapper ng-tns-c65-3">
      <div class="mat-form-field-flex ng-tns-c65-3"><!----><!---->
        <div class="mat-form-field-infix ng-tns-c65-3"><input _ngcontent-ggg-c87="" formcontrolname="lastName" matinput="" pattern="[a-zA-Z]*" required="" type="text" autocomplete="family-name"
            class="mat-input-element mat-form-field-autofill-control ng-tns-c65-3 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-2" aria-invalid="false" aria-required="true"><span
            class="mat-form-field-label-wrapper ng-tns-c65-3"><label class="mat-form-field-label ng-tns-c65-3 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-5" for="mat-input-2" aria-owns="mat-input-2"><!----><mat-label
                _ngcontent-ggg-c87="" class="ng-tns-c65-3 ng-star-inserted">Last name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c65-3 ng-star-inserted">
                *</span><!----></label><!----></span></div><!---->
      </div>
      <div class="mat-form-field-underline ng-tns-c65-3 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c65-3"></span></div><!---->
      <div class="mat-form-field-subscript-wrapper ng-tns-c65-3"><!---->
        <div class="mat-form-field-hint-wrapper ng-tns-c65-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
          <div class="mat-form-field-hint-spacer ng-tns-c65-3"></div>
        </div><!---->
      </div>
    </div>
  </mat-form-field><mat-form-field _ngcontent-ggg-c87="" appearance="fill"
    class="mat-form-field full-width ng-tns-c65-4 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
    <div class="mat-form-field-wrapper ng-tns-c65-4">
      <div class="mat-form-field-flex ng-tns-c65-4"><!----><!---->
        <div class="mat-form-field-infix ng-tns-c65-4"><input _ngcontent-ggg-c87="" formcontrolname="birthday" matinput="" autocomplete="bday" type="text"
            class="mat-input-element mat-form-field-autofill-control mat-datepicker-input ng-tns-c65-4 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-3" aria-invalid="false" aria-required="false"
            aria-haspopup="dialog" min="1900-01-01" max="2021-10-14" data-mat-calendar="mat-datepicker-0"><mat-datepicker _ngcontent-ggg-c87="" startview="multi-year" class="ng-tns-c65-4"></mat-datepicker><!----><span
            class="mat-form-field-label-wrapper ng-tns-c65-4"><label class="mat-form-field-label ng-tns-c65-4 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-7" for="mat-input-3" aria-owns="mat-input-3"><!----><mat-label
                _ngcontent-ggg-c87="" class="ng-tns-c65-4 ng-star-inserted">Your Birthday</mat-label><!----><!----></label><!----></span></div>
        <div class="mat-form-field-suffix ng-tns-c65-4 ng-star-inserted"><mat-datepicker-toggle _ngcontent-ggg-c87="" matsuffix="" class="mat-datepicker-toggle ng-tns-c65-4" data-mat-calendar="mat-datepicker-0"><button mat-icon-button=""
              type="button" class="mat-focus-indicator mat-icon-button mat-button-base" aria-haspopup="dialog" aria-label="Open calendar" tabindex="0"><span class="mat-button-wrapper"><svg viewBox="0 0 24 24" width="24px" height="24px"
                  fill="currentColor" focusable="false" class="mat-datepicker-toggle-default-icon ng-star-inserted">
                  <path d="M19 3h-1V1h-2v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm0 16H5V8h14v11zM7 10h5v5H7z"></path>
                </svg><!----></span><span matripple="" class="mat-ripple mat-button-ripple mat-button-ripple-round"></span><span class="mat-button-focus-overlay"></span></button></mat-datepicker-toggle></div><!---->
      </div>
      <div class="mat-form-field-underline ng-tns-c65-4 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c65-4"></span></div><!---->
      <div class="mat-form-field-subscript-wrapper ng-tns-c65-4"><!---->
        <div class="mat-form-field-hint-wrapper ng-tns-c65-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
          <div class="mat-form-field-hint-spacer ng-tns-c65-4"></div>
        </div><!---->
      </div>
    </div>
  </mat-form-field><mat-form-field _ngcontent-ggg-c87="" appearance="fill"
    class="mat-form-field full-width ng-tns-c65-5 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid">
    <div class="mat-form-field-wrapper ng-tns-c65-5">
      <div class="mat-form-field-flex ng-tns-c65-5"><!----><!---->
        <div class="mat-form-field-infix ng-tns-c65-5"><textarea _ngcontent-ggg-c87="" formcontrolname="address" matinput="" autocomplete="street-address"
            class="mat-input-element mat-form-field-autofill-control ng-tns-c65-5 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-4" data-placeholder="Address" aria-invalid="false"
            aria-required="false"></textarea><span class="mat-form-field-label-wrapper ng-tns-c65-5"><label class="mat-form-field-label ng-tns-c65-5 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-9" for="mat-input-4"
              aria-owns="mat-input-4"><!----><mat-label _ngcontent-ggg-c87="" class="ng-tns-c65-5 ng-star-inserted">Your Address</mat-label><!----><!----></label><!----></span></div><!---->
      </div>
      <div class="mat-form-field-underline ng-tns-c65-5 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c65-5"></span></div><!---->
      <div class="mat-form-field-subscript-wrapper ng-tns-c65-5"><!---->
        <div class="mat-form-field-hint-wrapper ng-tns-c65-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
          <div class="mat-form-field-hint-spacer ng-tns-c65-5"></div>
        </div><!---->
      </div>
    </div>
  </mat-form-field><mat-button-toggle-group _ngcontent-ggg-c87="" role="group" formcontrolname="gender" aria-label="Gender" name="gender"
    class="mat-button-toggle-group gender-toggle ng-untouched ng-pristine ng-invalid mat-button-toggle-group-appearance-standard" aria-disabled="false"><mat-button-toggle _ngcontent-ggg-c87="" role="presentation" value="M"
      class="mat-button-toggle mat-button-toggle-appearance-standard" id="mat-button-toggle-1"><button type="button" class="mat-button-toggle-button mat-focus-indicator" id="mat-button-toggle-1-button" tabindex="0" aria-pressed="false"
        name="gender"><span class="mat-button-toggle-label-content">Male</span></button><span class="mat-button-toggle-focus-overlay"></span><span matripple="" class="mat-ripple mat-button-toggle-ripple"></span></mat-button-toggle><mat-button-toggle
      _ngcontent-ggg-c87="" role="presentation" value="F" class="mat-button-toggle mat-button-toggle-appearance-standard" id="mat-button-toggle-2"><button type="button" class="mat-button-toggle-button mat-focus-indicator"
        id="mat-button-toggle-2-button" tabindex="0" aria-pressed="false" name="gender"><span class="mat-button-toggle-label-content">Female</span></button><span class="mat-button-toggle-focus-overlay"></span><span matripple=""
        class="mat-ripple mat-button-toggle-ripple"></span></mat-button-toggle></mat-button-toggle-group><!----><button _ngcontent-ggg-c87="" type="submit" mat-stroked-button=""
    class="mat-focus-indicator full-width mat-stroked-button mat-button-base"><span class="mat-button-wrapper"> CONTINUE </span><span matripple="" class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button>
</form>

Text Content

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