history.examone.com Open in urlscan Pro
209.242.242.26  Public Scan

Submitted URL: http://myque.st/8ZJtQ
Effective URL: https://history.examone.com/selfinterview/?token=IRwEKztUkHwZmbVARZalF2+6PCBFAOfhR+bFhQnICI0PcGVW1sTKERB7xCTZn+kN
Submission: On January 18 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-smo-c327="" novalidate="" autocomplete="off" class="login-form ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-smo-c327=""><mat-form-field _ngcontent-smo-c327=""
      class="mat-form-field full-width ng-tns-c113-1 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
      <div class="mat-form-field-wrapper ng-tns-c113-1">
        <div class="mat-form-field-flex ng-tns-c113-1"><!----><!---->
          <div class="mat-form-field-infix ng-tns-c113-1"><input _ngcontent-smo-c327="" matinput="" formcontrolname="FirstName" maxlength="40"
              class="mat-input-element mat-form-field-autofill-control ng-tns-c113-1 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-0" data-placeholder="First Name" aria-invalid="false"
              aria-required="false"><span class="mat-form-field-label-wrapper ng-tns-c113-1"><label class="mat-form-field-label ng-tns-c113-1 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-1" for="mat-input-0"
                aria-owns="mat-input-0"><span class="ng-tns-c113-1 ng-star-inserted">First Name</span><!----><!----><!----><!----></label><!----></span></div><!---->
        </div>
        <div class="mat-form-field-underline ng-tns-c113-1 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c113-1"></span></div><!---->
        <div class="mat-form-field-subscript-wrapper ng-tns-c113-1"><!---->
          <div class="mat-form-field-hint-wrapper ng-tns-c113-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
            <div class="mat-form-field-hint-spacer ng-tns-c113-1"></div>
          </div><!---->
        </div>
      </div>
    </mat-form-field></div>
  <div _ngcontent-smo-c327=""><mat-form-field _ngcontent-smo-c327=""
      class="mat-form-field full-width ng-tns-c113-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
      <div class="mat-form-field-wrapper ng-tns-c113-2">
        <div class="mat-form-field-flex ng-tns-c113-2"><!----><!---->
          <div class="mat-form-field-infix ng-tns-c113-2"><input _ngcontent-smo-c327="" matinput="" formcontrolname="LastName" maxlength="40"
              class="mat-input-element mat-form-field-autofill-control ng-tns-c113-2 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-1" data-placeholder="Last Name" aria-invalid="false" aria-required="false"><span
              class="mat-form-field-label-wrapper ng-tns-c113-2"><label class="mat-form-field-label ng-tns-c113-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="mat-input-1" aria-owns="mat-input-1"><span
                  class="ng-tns-c113-2 ng-star-inserted">Last Name</span><!----><!----><!----><!----></label><!----></span></div><!---->
        </div>
        <div class="mat-form-field-underline ng-tns-c113-2 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c113-2"></span></div><!---->
        <div class="mat-form-field-subscript-wrapper ng-tns-c113-2"><!---->
          <div class="mat-form-field-hint-wrapper ng-tns-c113-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
            <div class="mat-form-field-hint-spacer ng-tns-c113-2"></div>
          </div><!---->
        </div>
      </div>
    </mat-form-field></div>
  <div _ngcontent-smo-c327=""><mat-form-field _ngcontent-smo-c327=""
      class="mat-form-field full-width ng-tns-c113-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
      <div class="mat-form-field-wrapper ng-tns-c113-3">
        <div class="mat-form-field-flex ng-tns-c113-3"><!----><!---->
          <div class="mat-form-field-infix ng-tns-c113-3"><input _ngcontent-smo-c327="" matinput="" formcontrolname="BirthDate"
              class="mat-input-element mat-form-field-autofill-control mat-datepicker-input ng-tns-c113-3 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-2" data-placeholder="Date of Birth" aria-invalid="false"
              aria-required="false" aria-haspopup="dialog" min="1900-01-01T00:00:00+01:00" max="2024-01-18T03:48:26+01:00" data-mat-calendar="mat-datepicker-0"><mat-datepicker _ngcontent-smo-c327="" startview="multi-year"
              class="ng-tns-c113-3"></mat-datepicker><!----><span class="mat-form-field-label-wrapper ng-tns-c113-3"><label class="mat-form-field-label ng-tns-c113-3 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-5"
                for="mat-input-2" aria-owns="mat-input-2"><span class="ng-tns-c113-3 ng-star-inserted">Date of Birth</span><!----><!----><!----><!----></label><!----></span></div>
          <div class="mat-form-field-suffix ng-tns-c113-3 ng-star-inserted"><mat-datepicker-toggle _ngcontent-smo-c327="" matsuffix="" class="mat-datepicker-toggle ng-tns-c113-3" 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-c113-3 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c113-3"></span></div><!---->
        <div class="mat-form-field-subscript-wrapper ng-tns-c113-3"><!---->
          <div class="mat-form-field-hint-wrapper ng-tns-c113-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
            <div class="mat-form-field-hint-spacer ng-tns-c113-3"></div>
          </div><!---->
        </div>
      </div>
    </mat-form-field></div>
  <div _ngcontent-smo-c327=""><mat-form-field _ngcontent-smo-c327=""
      class="mat-form-field full-width ng-tns-c113-4 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-legacy mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
      <div class="mat-form-field-wrapper ng-tns-c113-4">
        <div class="mat-form-field-flex ng-tns-c113-4"><!----><!---->
          <div class="mat-form-field-infix ng-tns-c113-4"><input _ngcontent-smo-c327="" matinput="" type="password" formcontrolname="Last4SSN" pattern="[0-9]{4}" maxlength="4"
              class="mat-input-element mat-form-field-autofill-control ng-tns-c113-4 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-3" data-placeholder="Last 4 Digits of SSN" aria-invalid="false"
              aria-required="false"><span class="mat-form-field-label-wrapper ng-tns-c113-4"><label class="mat-form-field-label ng-tns-c113-4 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-7" for="mat-input-3"
                aria-owns="mat-input-3"><span class="ng-tns-c113-4 ng-star-inserted">Last 4 Digits of SSN</span><!----><!----><!----><!----></label><!----></span></div><!---->
        </div>
        <div class="mat-form-field-underline ng-tns-c113-4 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c113-4"></span></div><!---->
        <div class="mat-form-field-subscript-wrapper ng-tns-c113-4"><!---->
          <div class="mat-form-field-hint-wrapper ng-tns-c113-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
            <div class="mat-form-field-hint-spacer ng-tns-c113-4"></div>
          </div><!---->
        </div>
      </div>
    </mat-form-field></div>
  <div _ngcontent-smo-c327=""><button _ngcontent-smo-c327="" mat-raised-button="" color="primary" type="submit" class="mat-focus-indicator mat-raised-button mat-button-base mat-primary mat-button-disabled" disabled="true"><span
        class="mat-button-wrapper">Submit</span><span matripple="" class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button></div>
</form>

Text Content

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