www.issue.safety.tnbes.com.my Open in urlscan Pro
220.158.200.141  Public Scan

URL: https://www.issue.safety.tnbes.com.my/
Submission: On October 03 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST includes/form.php

<form class="user" action="includes/form.php" method="POST">
  <div class="form-group row">
    <div class="col-sm-6 mb-3 mb-sm-0">
      <label><b><span class="text-dark">Staff Number *</span></b></label>
      <i>Nombor Pekerja</i>
      <input type="text" class="form-control form-control-user" name="staff_no" required="">
    </div>
    <div class="col-sm-6">
      <label><b><span class="text-dark">Staff Name *</span></b></label>
      <i>Nama</i>
      <input type="text" class="form-control form-control-user" name="staff_name" required="">
    </div>
  </div>
  <div class="form-group row">
    <div class="col-sm-6 mb-3 mb-sm-0">
      <label><b><span class="text-dark">Types of Devices *</span></b></label>
      <i>Jenis peranti</i>
      <select name="type_device" class="form-control" required="">
        <option></option>
        <option value="ios">iOS</option>
        <option value="android">Android</option>
        <option value="pc">Desktop</option>
      </select>
    </div>
    <div class="col-sm-6">
      <label><b><span class="text-dark">Your Location*</span></b></label>
      <i>Lokasi anda</i>
      <input type="text" class="form-control form-control-user" name="location" required="">
    </div>
  </div>
  <div class="form-group">
    <label><b><span class="text-dark">Type of Problem *</span></b></label>
    <i>Jenis masalah</i>
    <select name="type_problem" class="form-control" required="">
      <option></option>
      <option value="interface">Interface</option>
      <option value="speed">Speed</option>
      <option value="connection">Connection</option>
      <option value="access">Access</option>
      <option value="others">Others..</option>
    </select>
  </div>
  <div class="form-group">
    <label><b><span class="text-dark">Description *</span></b></label>
    <i>Masalah yang dihadapi</i>
    <input type="text" class="form-control" style="height:200px" name="description" required="">
  </div>
  <div class="form-group">
    <div class="col-sm-10">
      <button type="submit" name="submit_btn" class="btn btn-success btn-icon-split">
        <span class="icon text-white-50">
          <i class="fas fa-check"></i>
        </span>
        <span class="text">Submit</span>
      </button>
    </div>
  </div>
</form>

Text Content

ISSUES REGARDING UCUA REPORTING SYSTEM

Staff Number * Nombor Pekerja
Staff Name * Nama
Types of Devices * Jenis peranti iOS Android Desktop
Your Location* Lokasi anda
Type of Problem * Jenis masalah Interface Speed Connection Access Others..
Description * Masalah yang dihadapi
Submit
Back to UCUA Reporting System