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sociale-geneeskunde-qa.zorgraming.nl Open in urlscan Pro
188.114.96.3  Public Scan

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Submitted URL: https://sociale-geneeskunde-qa.zorgraming.nl/
Effective URL: https://sociale-geneeskunde-qa.zorgraming.nl/login
Submission: On August 09 via automatic, source certstream-suspicious — Scanned from NL

Form analysis 1 forms found in the DOM

POST https://sociale-geneeskunde-qa.zorgraming.nl/login

<form role="form" method="POST" action="https://sociale-geneeskunde-qa.zorgraming.nl/login">
  <input type="hidden" name="_token" value="lVYMHXX157QxFrbHeu80Ju51Ql5a8j776QiOruBZ">
  <div class="form-group row">
    <label class="col-md-4 col-form-label">Emailadres</label>
    <div class="col-md-6">
      <input type="email" class="form-control" name="email" value="">
    </div>
  </div>
  <div class="form-group row">
    <label class="col-md-4 col-form-label">Wachtwoord</label>
    <div class="col-md-6">
      <input type="password" class="form-control" name="password">
    </div>
  </div>
  <div class="form-group row">
    <div class="col-md-6 offset-md-4">
      <button type="submit" class="btn btn-primary">Log in</button>
      <a class="btn btn-flat pull-right" href="https://sociale-geneeskunde-qa.zorgraming.nl/password/reset">Wachtwoord vergeten?</a>
    </div>
  </div>
</form>

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