vitrolife.onlineacademy.se Open in urlscan Pro
46.21.101.222  Public Scan

Form analysis
1 forms found in the DOM

POST /register/update

<form id="profileform" method="post" action="/register/update" novalidate="novalidate">
  <input type="hidden" name="user" value="1239841">
  <table>
    <tbody>
      <tr>
        <td class="medium-4"><label for="firstName" class="required">First name</label></td>
        <td>
          <input type="text" name="firstName" id="firstName" value="">
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="lastName" class="required">Last name</label></td>
        <td>
          <input type="text" name="lastName" id="lastName" value="">
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="email" class="required">Email</label></td>
        <td>
          <input type="text" name="email" id="email" value="carmen.terren@chc.be">
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="language" class="required">Language</label></td>
        <td>
          <select name="language" id="language">
            <option value="en" selected="">English</option>
          </select>
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="company">Company/Organization</label></td>
        <td>
          <input type="text" name="company" id="company" value="CHC MontLégia">
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="password" class="required">New password</label></td>
        <td>
          <input type="password" name="password" id="password" value="">
        </td>
      </tr>
      <tr>
        <td class="medium-4"><label for="passwordconf" class="required">New password (confirmation)</label></td>
        <td>
          <input type="password" name="passwordconf" id="passwordconf" value="">
        </td>
      </tr>
    </tbody>
  </table>
  <input type="submit" class="button" value="Register">
</form>

Text Content

REGISTER NEW USER

Already registered? Login

First name Last name Email Language English Company/Organization New password
New password (confirmation)


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