exg.prismhr.com
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98.129.5.247
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Submitted URL: https://exg.prismhr.com/exg/auth/#/register
Effective URL: https://exg.prismhr.com/exg/auth/
Submission: On February 15 via manual from US — Scanned from DE
Effective URL: https://exg.prismhr.com/exg/auth/
Submission: On February 15 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-obx-c78="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-obx-c78="" class="row">
<div _ngcontent-obx-c78="" class="card-text text-gray col-12 col-sm-12"><input _ngcontent-obx-c78="" type="text" name="fakeUserName" style="display: none;"><input _ngcontent-obx-c78="" type="password" name="fakePassword"
style="display: none;"><phr-control _ngcontent-obx-c78="" required="">
<div class="form-group" style="width: 100%;"><phr-input-label><label><span><span>* </span><!----><span>Last Name</span></span><!----></label></phr-input-label>
<div class="input-group"><!----><input type="text" aria-describedby="basic-addon1" class="form-control ng-untouched ng-pristine ng-invalid" placeholder=""><!----></div>
</div>
</phr-control><phr-ssn-ein-control _ngcontent-obx-c78="" id="identifierType" required="">
<div class="form-group"><label><span><span>* </span><!----><span>Identifier</span></span><!----></label>
<div class="mb-3"><select class="form-control ng-untouched ng-pristine ng-valid" style="width: 300px;">
<option value="0: ssn"> Social Security Number (SSN) </option>
<option value="1: ein"> Employer Identification Number (EIN) </option><!---->
</select></div>
<div><input phrssnein="" class="form-control ng-untouched ng-pristine ng-invalid" style="width: 130px;"></div><span id="basic-addon1" class="input-group-prepend input-group-text" hidden=""><i class="fas fa-circle-notch fa-spin"></i></span>
</div>
</phr-ssn-ein-control><phr-control _ngcontent-obx-c78="">
<div class="form-group" style="width: 100%;"><phr-input-label><label><span><!----><span>Personal Email</span></span><!----></label></phr-input-label>
<div class="input-group"><!----><input type="text" aria-describedby="basic-addon1" class="form-control ng-untouched ng-pristine ng-valid" placeholder=""><!----></div>
</div>
</phr-control><phr-control _ngcontent-obx-c78="" required="">
<div class="form-group" style="width: 100%;"><phr-input-label><label><span><span>* </span><!----><span>Username</span></span><!----></label></phr-input-label>
<div class="input-group"><!----><input type="text" aria-describedby="basic-addon1" class="form-control ng-untouched ng-pristine ng-invalid" placeholder=""><!----></div>
</div>
</phr-control>
<div _ngcontent-obx-c78="" class="form-group"><label _ngcontent-obx-c78="" for="password"> * Password <!----><!----></label>
<div _ngcontent-obx-c78="" class="input-group" style="position: relative;"><input _ngcontent-obx-c78="" name="password" type="password" phrpasswordtoggle="" aria-describedby="basic-addon1"
class="form-control clear-ms-input-icons ng-untouched ng-pristine ng-invalid" style="padding-right: 39px;">
<div _ngcontent-obx-c78="" style="position: absolute; top: 0px; right: 0px; width: 38px; height: 38px; cursor: pointer; opacity: 0.8; z-index: 999;"><span _ngcontent-obx-c78=""
style="position: absolute; margin: auto; top: 7px; color: rgb(31, 152, 183); font-weight: bold; right: 10px;">Show</span></div>
</div>
</div><!---->
<div _ngcontent-obx-c78="" class="form-group"><label _ngcontent-obx-c78="" for="confirm"> * Confirm Password <!----><!----></label>
<div _ngcontent-obx-c78="" class="input-group" style="position: relative;"><input _ngcontent-obx-c78="" name="password" type="password" phrpasswordtoggle="" aria-describedby="basic-addon1"
class="form-control clear-ms-input-icons ng-untouched ng-pristine ng-invalid" style="padding-right: 39px;">
<div _ngcontent-obx-c78="" style="position: absolute; top: 0px; right: 0px; width: 38px; height: 38px; cursor: pointer; opacity: 0.8; z-index: 999;"><span _ngcontent-obx-c78=""
style="position: absolute; margin: auto; top: 7px; color: rgb(31, 152, 183); font-weight: bold; right: 10px;">Show</span></div>
</div>
</div><!----><!---->
</div>
</div>
<div _ngcontent-obx-c78="" class="col-12">
<div _ngcontent-obx-c78="" class="row"><button _ngcontent-obx-c78="" id="save" type="button" class="btn btn-primary mr-1" disabled=""> Register </button><button _ngcontent-obx-c78="" routerlink="/login" type="button" class="btn btn-link"
tabindex="0"> Return To Login </button></div>
</div>
</form>Text Content
NEW USER REGISTRATION * Last Name * Identifier Social Security Number (SSN) Employer Identification Number (EIN) Personal Email * Username * Password Show * Confirm Password Show Register Return To Login