www.streamqash.com
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198.204.247.74
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URL:
https://www.streamqash.com/user/register.php?ref=Cheruu
Submission: On November 04 via manual from NL — Scanned from NL
Submission: On November 04 via manual from NL — Scanned from NL
Form analysis 1 forms found in the DOM
<form class="row g-3 needs-validation" id="registrationForm" novalidate="">
<input type="hidden" name="todo" value="post">
<input type="hidden" value="1" name="package">
<input type="hidden" class="form-control" id="useremail" name="referral" value="Cheruu" readonly="">
<div class="alert alert-success alert-dismissible">You were brought by: Cheruu</div>
<br><br>
<div class="row">
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Full Names<span class="text-danger ms-1">*</span></label>
<input class="form-control ms-0" type="text" name="fname" id="validationServer01" data-required="true" placeholder="Registered Names" required="">
<div class="invalid-feedback"> Please fill in here. </div>
</div>
</div>
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Username<span class="text-danger ms-1">*</span></label>
<input class="form-control ms-0" type="text" name="username" data-required="true" placeholder="Enter your Username" autocomplete="username" required="">
<div class="invalid-feedback"> Please fill in here. </div>
</div>
</div>
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Email<span class="text-danger ms-1">*</span></label>
<input class="form-control ms-0" type="email" name="email" data-required="true" placeholder="Enter your Email" required="">
<div class="invalid-feedback"> Please fill in here. </div>
</div>
</div>
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Mobile Number<span class="text-danger ms-1">*</span></label>
<input class="form-control ms-0" type="text" name="mobile" data-required="true" placeholder="Start with 07..." required="">
<div class="invalid-feedback"> Please fill in here. </div>
</div>
</div>
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Country<span class="text-danger ms-1">*</span></label>
<select name="country" class="form-control ms-0" placeholder="Select Country" value="" data-required="true" required="">
<option value="">Please Select Country</option>
<option value="ke">Kenya</option>
<option value="tz">Tanzania</option>
<option value="ug">Uganda</option>
<option value="rw">Rwanda</option>
<option value="bi">Burundi</option>
<option value="ng">Nigeria</option>
<option value="zm">Zambia</option>
<option value="mw">Malawi</option>
<option value="gh">Ghana</option>
<option value="cm">Cameroon</option>
<option value="iv">Ivory Cost</option>
<option value="bw">Botswana</option>
<option value="bf">Burkina Faso</option>
<option value="se">Senegal</option>
<option value="be">Benin</option>
<option value="sa">South Africa</option>
<option value="su">South Sudan</option>
<option value="us">International/Worldwide</option>
</select>
</div>
</div>
<div class="col-sm-12">
<div class="mb-3">
<label class="mb-2 fw-500">Create a Password<span class="text-danger ms-1">*</span></label>
<div class="input-group has-validation">
<input type="password" class="form-control ms-0 border-end-0" name="password" placeholder="Create a Password" autocomplete="password" id="signup-password" required="">
<button class="btn btn-light" onclick="createpassword('signup-password',this)" type="button" id="button-addon2"><i class="ri-eye-off-line align-middle"></i></button>
<div class="invalid-feedback"> Please enter a password. </div>
</div>
</div>
<div class="col-xl-12">
<div class="d-flex mb-3">
<div class="form-check d-flex align-items-center">
<input class="form-check-input" type="checkbox" value="" id="flexCheckDefault">
<label class="form-check-label tx-15" for="flexCheckDefault"> I accept terms </label>
</div>
</div>
<div class="d-grid mb-3">
<button type="button" id="registerButton" class="btn btn-primary">Register</button>
</div>
<div class="text-center">
<p class="mb-0 tx-14">Already Have An Account? <a href="index.php" class="tx-primary ms-1 text-decoration-underline">Sign In</a>
</p>
</div>
</div>
</div>
<p class="text-center mt-3 mb-2">Register With</p>
<div class="d-flex justify-content-center">
<div class="btn-list">
<button class="btn btn-icon bg-primary-transparent rounded-pill border-0" type="button">
<span class="btn-inner--icon"><i class="fa fa-facebook"></i></span>
</button>
<button class="btn btn-icon bg-primary-transparent rounded-pill border-0" type="button">
<span class="btn-inner--icon"><i class="fa fa-google"></i></span>
</button>
<button class="btn btn-icon bg-primary-transparent rounded-pill border-0" type="button">
<span class="btn-inner--icon"><i class="fa fa-twitter"></i></span>
</button>
<button class="btn btn-icon bg-primary-transparent rounded-pill border-0" type="button">
<span class="btn-inner--icon"><i class="fa fa-linkedin"></i></span>
</button>
</div>
</div>
</div>
</form>Text Content
WELLCOME! Sign up Welcome back! You were brought by: Cheruu Full Names* Please fill in here. Username* Please fill in here. Email* Please fill in here. Mobile Number* Please fill in here. Country* Please Select Country Kenya Tanzania Uganda Rwanda Burundi Nigeria Zambia Malawi Ghana Cameroon Ivory Cost Botswana Burkina Faso Senegal Benin South Africa South Sudan International/Worldwide Create a Password* Please enter a password. I accept terms Register Already Have An Account? Sign In Register With