www.issue.safety.tnbes.com.my
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220.158.200.141
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URL:
https://www.issue.safety.tnbes.com.my/
Submission: On October 03 via automatic, source certstream-suspicious — Scanned from DE
Submission: On October 03 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST 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