sovalue.speedy-world.com Open in urlscan Pro
88.198.203.126  Public Scan

Form analysis
1 forms found in the DOM

POST https://sovalue.speedy-world.com/ajax/event_register.php

<form id="contactForm" class="contact-form" enctype="multipart/form-data" action="https://sovalue.speedy-world.com/ajax/event_register.php" method="post">
  <div class="row">
    <div class="col-md-12">
      <div class="ic-box p-relative">
        <i class="far fa-user-alt"></i>
        <input type="text" placeholder="Full Name : " name="guest_fullname" value="" required="">
      </div>
    </div>
    <div class="col-md-12">
      <div class="ic-box p-relative">
        <i class="fal fa-envelope-open"></i>
        <input type="email" placeholder="Email address : " name="guest_email" value="" required="">
      </div>
    </div>
    <div class="col-md-12">
      <div class="ic-box p-relative">
        <i class="far fa-phone"></i>
        <input type="tel" placeholder="phone : " name="guest_phone" value="" required="">
      </div>
    </div>
    <div class="col-md-12">
      <div class="ic-box p-relative">
        <i class="far fa-book"></i>
        <input type="tel" placeholder="Address : " name="guest_address" value="" required="">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-4 col-md-6">
      <div class="ic-box p-relative">
        <div class="recaptcha" id="captcha1" data-sitekey="6Le6MUEhAAAAAKL7koJz1WZzgQgbZX4euFJy6cWS">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-2s5r3dilusbn" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Le6MUEhAAAAAKL7koJz1WZzgQgbZX4euFJy6cWS&amp;co=aHR0cHM6Ly9zb3ZhbHVlLnNwZWVkeS13b3JsZC5jb206NDQz&amp;hl=en&amp;v=hfUfsXWZFeg83qqxrK27GB8P&amp;theme=light&amp;size=normal&amp;cb=8ln5gyx4cbnn"></iframe>
            </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div>
        </div><span class="form-validation"></span>
      </div>
    </div>
  </div>
  <button type="submit" class="btn">Confirm Registration</button>
</form>

Text Content

 * Home
 * Register

English
English العربية

 * Home
 * About Us
 * All Courses
 * Our Partners
 * Contact Us
 * Privacy Policy




Welcome Message

Meeting Speakers :

1-Prof.Aly Abd el Rahim
-Professor of Internal Medicine & Diabetes
-Faculty of Medicine
-Alexandria University


2-Prof.Alaa Abd elsalam
-Professor of Internal Medicine & Diabetes
-Faculty of Medicine
-Alexandria University




Register

Confirm Registration

Meillä ei valitettavasti ole kuvia täältä.
Meillä ei valitettavasti ole kuvia täältä.
Meillä ei valitettavasti ole kuvia täältä.
Käytä nuolinäppäimiä siirtymiseen.






Tämä sivu ei voi ladata Google Mapsia oikein.

Omistatko tämän verkkosivuston?OK

Sovalue Pharma Marketing

info@sovalue-pharma.com +0201000064223 salah salem st, cairo egypt

All Copy Rights reserved Sovalue Pharma. - Privacy Policy

Developed By speedy-world.com.

 * Message To User

Close