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instasaral.nivabupa.com Open in urlscan Pro
3.6.71.79  Public Scan

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Submitted URL: https://instasaral.nivabupa.com/InfinityHealth/App
Effective URL: https://instasaral.nivabupa.com/InfinityHealth/
Submission: On October 07 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form role="form" method="post" class="login-form" id="login-form">
  <input name="__RequestVerificationToken" type="hidden" value="1lbc61XHi8y7gurtnwXggv1PIGf0FwZ6nZB6cW2YJ_y5pMQAnQomCVq3_OUlhhyulhhp5jDRmjqqqF7K1UxWR-QjrxiXQHJA_sttYEat3dw1">
  <b style="color: red">
                        <div class="validation-summary-valid" data-valmsg-summary="true"><ul><li style="display:none"></li>
</ul></div>
                    </b>
  <div class="form-group has-feedback">
    <input autofocus="autofocus" class="form-control" data-val="true" data-val-required="Plaese enter username" id="UserName" name="UserName" placeholder="User Name" type="text" value="">
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
    <span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group has-feedback">
    <input class="form-control" data-val="true" data-val-required="Plaese enter password" id="Password" name="Password" placeholder="Password" type="password">
    <span class="glyphicon glyphicon-lock form-control-feedback"></span>
    <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group has-feedback">
    <span id="captcha" style="padding: 5px; font-family:cursive; background: url('/InfinityHealth/Images/captcha-background.jpg'); font-size: 25px;">54947</span> &nbsp; <span id="refresh" style="font-size:20px; cursor:pointer;"
      class="glyphicon glyphicon-refresh"></span>
  </div>
  <div class="form-group has-feedback">
    <label for="captchaCode"><span style="color:red;">*</span>&nbsp;Enter above image text</label>
    <input type="text" class="form-control" id="captchaCode" name="captchaCode" placeholder="Enter Image Text">
  </div>
  <div class="row">
    <div class="col-md-6">
      <a href="/InfinityHealth/Account/Support" class="text-bold">Forgot password?</a><br>
    </div>
    <div class="col-md-6">
      <input type="button" value="Sign In" title="Sign In" id="btnLogin" class="btn btn-primary btn-block btn-flat">
    </div>
  </div>
  <br>
  <div class="row">
    <div class="col-md-12">
      <span class="pull-right"> Powered by <img src="/InfinityHealth/Images/niva-logo.png" style="max-width: 65px" alt="">
      </span>
    </div>
  </div>
</form>

Text Content

 * 



54947  
* Enter above image text
Forgot password?



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