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app.cbridge.be Open in urlscan Pro
146.185.149.78  Public Scan

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Submitted URL: http://app.cbridge.be/
Effective URL: https://app.cbridge.be/
Submission: On June 27 via manual from BE — Scanned from NL

Form analysis 1 forms found in the DOM

<form data-v-254d0eae="" class="block lg:grid grid-cols-2 gap-x-3">
  <div data-v-254d0eae="" class="col-span-2 my-3">
    <div data-v-254d0eae="" class="field"><!---->
      <div class="field file is-primary"><!----> <label class="upload control flex justify-center items-center h-[96px] w-[96px] bg-[#F3F4F6] rounded-full cursor-pointer"><svg xmlns="http://www.w3.org/2000/svg"
            class="text-[#AAB4C2] h-[50px] w-[50px]">
            <g fill="currentColor" fill-rule="evenodd">
              <path
                d="M18.85 22.5c4.949 0 9-4.05 9-9V9c0-4.95-4.051-9-9-9-4.95 0-9 4.05-9 9v4.5c0 4.95 4.05 9 9 9ZM22.5 37.5c0-3.7 1.35-7.1 3.6-9.75.699-.8.3-2.05-.7-2.4-2.05-.7-4.25-1.051-6.55-1.051-7.6 0-14.25 4.1-17.85 10.25-2.75 4.601.55 10.45 5.949 10.45h15.199c1.05 0 1.8-1.05 1.4-2.05-.699-1.7-1.049-3.549-1.049-5.449h.001Z">
              </path>
              <path
                d="M37.5 25C30.6 25 25 30.6 25 37.5S30.6 50 37.5 50 50 44.4 50 37.5 44.4 25 37.5 25Zm5.699 13.65h-4.55v4.551c0 .65-.5 1.15-1.151 1.15-.65 0-1.15-.5-1.15-1.15v-4.55h-4.551c-.65 0-1.15-.5-1.15-1.15 0-.651.5-1.151 1.15-1.151h4.55v-4.551c0-.65.5-1.15 1.15-1.15.651 0 1.151.5 1.151 1.15v4.55H43.2c.65 0 1.15.5 1.15 1.151 0 .65-.548 1.15-1.15 1.15Z">
              </path>
            </g>
          </svg> <!----> <input type="file" accept="image/png, image/jpeg"></label> <!----></div> <!---->
    </div>
  </div>
  <div data-v-254d0eae="" class="field"><label class="label">Naam *</label>
    <div data-v-254d0eae="" class="control is-clearfix"><input type="text" autocomplete="new-password" name="last_name" class="input"> <!----> <!----> <!----></div> <!---->
  </div>
  <div data-v-254d0eae="" class="field"><label class="label">Voornaam *</label>
    <div data-v-254d0eae="" class="control is-clearfix"><input type="text" autocomplete="new-password" name="first_name" class="input"> <!----> <!----> <!----></div> <!---->
  </div>
  <div data-v-254d0eae="" class="field"><label class="label">E-mailadres *</label>
    <div data-v-254d0eae="" class="control is-clearfix"><input type="text" autocomplete="new-password" name="email" class="input"> <!----> <!----> <!----></div> <!---->
  </div>
  <div data-v-254d0eae="" class="field"><label class="label">Telefoon</label>
    <div data-v-254d0eae="" class="control is-clearfix"><input type="text" autocomplete="new-password" name="phone" class="input"> <!----> <!----> <!----></div> <!---->
  </div>
  <div data-v-254d0eae="" class="field col-span-2"><label class="label">Wachtwoord *</label>
    <div data-v-254d0eae="" class="control has-icons-right is-clearfix"><input type="password" autocomplete="new-password" name="password" class="input"> <!----> <span
        class="icon is-right has-text-primary is-clickable"><i class="mdi mdi-eye mdi-24px"></i></span> <!----></div> <!---->
  </div>
  <div data-v-254d0eae="" class="field col-span-2"><!----> <label data-v-254d0eae="" class="b-checkbox checkbox !items-center is-large"><input type="checkbox" true-value="true" value="false"> <span class="check"></span> <span
        class="control-label"><span data-v-254d0eae="" class="text-sm"><span data-v-254d0eae="">Ik accepteer de <a data-v-254d0eae="" place="privacy_policy" target="_blank" href="/privacy_policy.pdf" rel="noopener noreferrer" class="underline !text-[#828385] font-bold">
                privacybeleid
              </a></span> * </span></span></label> <!----></div>
  <div data-v-254d0eae="" class="col-span-2"><button data-v-254d0eae="" type="submit" disabled="disabled" class="button mt-2 btn-signup is-medium is-primary is-fullwidth"><!----> <span> Registreren </span> <!----></button>
    <p data-v-254d0eae="" class="text-[#06070B] text-center"> Heb je al een account? <a data-v-254d0eae="" href="/login" class="font-bold underline">
            Inloggen
          </a></p>
  </div>
</form>

Text Content

CBRIDGE
Uw
Dossier
altijd bij de hand.



ACCOUNT AANMAKEN

Naam *

Voornaam *

E-mailadres *

Telefoon

Wachtwoord *

Ik accepteer de privacybeleid *
Registreren

Heb je al een account? Inloggen