ibta-mtc.services.layox.com Open in urlscan Pro
104.225.220.212  Public Scan

Submitted URL: http://ibta-mtc.services.layox.com/inscricao-grad
Effective URL: https://ibta-mtc.services.layox.com/inscricao-grad
Submission: On November 10 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://ibta-mtc.services.layox.com/form/submit?formId=1

<form autocomplete="false" role="form" method="post" action="https://ibta-mtc.services.layox.com/form/submit?formId=1" id="mauticform_inscricaograd" data-mautic-form="inscricaograd" enctype="multipart/form-data" target="mauticiframe_inscricaograd">
  <div class="mauticform-error" id="mauticform_inscricaograd_error"></div>
  <div class="mauticform-message" id="mauticform_inscricaograd_message"></div>
  <div class="mauticform-innerform">
    <div class="mauticform-page-wrapper mauticform-page-1" data-mautic-form-page="1">
      <div id="mauticform_inscricaograd_nome_completo" class="mauticform-row mauticform-text mauticform-field-1 mauticform-required w100" data-validate="nome_completo" data-validation-type="text">
        <label id="mauticform_label_inscricaograd_nome_completo" for="mauticform_input_inscricaograd_nome_completo" class="mauticform-label">Nome completo</label>
        <input id="mauticform_input_inscricaograd_nome_completo" name="mauticform[nome_completo]" value="" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <div id="mauticform_inscricaograd_email" data-validate="email" data-validation-type="email" class="mauticform-row mauticform-email mauticform-field-2 mauticform-required">
        <label id="mauticform_label_inscricaograd_email" for="mauticform_input_inscricaograd_email" class="mauticform-label">E-mail</label>
        <input id="mauticform_input_inscricaograd_email" name="mauticform[email]" value="" class="mauticform-input" type="email">
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <div id="mauticform_inscricaograd_celular" data-validate="celular" data-validation-type="tel" class="mauticform-row mauticform-tel mauticform-field-3 mauticform-required">
        <label id="mauticform_label_inscricaograd_celular" for="mauticform_input_inscricaograd_celular" class="mauticform-label">Celular</label>
        <input id="mauticform_input_inscricaograd_celular" name="mauticform[celular]" value="" placeholder="(XX) 9 8888-9999" class="mauticform-input" type="tel" maxlength="15">
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <div id="mauticform_inscricaograd_cpf" class="mauticform-row mauticform-text mauticform-field-4 mauticform-required w100" data-validate="cpf" data-validation-type="text">
        <label id="mauticform_label_inscricaograd_cpf" for="mauticform_input_inscricaograd_cpf" class="mauticform-label">CPF</label>
        <input id="mauticform_input_inscricaograd_cpf" name="mauticform[cpf]" value="" placeholder="000.000.000-00" class="mauticform-input" type="text" maxlength="15" autocomplete="off">
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <div id="mauticform_inscricaograd_desejo_receber_informacoe" class="mauticform-row mauticform-checkboxgrp mauticform-field-5 w100">
        <div class="mauticform-checkboxgrp-row"> <input class="mauticform-checkboxgrp-checkbox" name="mauticform[desejo_receber_informacoe][]" id="mauticform_checkboxgrp_checkbox_desejo_receber_informacoe_sim0" type="checkbox" value="sim">
          <label id="mauticform_checkboxgrp_label_desejo_receber_informacoe_sim0" for="mauticform_checkboxgrp_checkbox_desejo_receber_informacoe_sim0" class="mauticform-checkboxgrp-label">Desejo receber informações sobre minhas inscrições no
            celular</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_inscricaograd_dados_do_curso" class="mauticform-row mauticform-freetext mauticform-field-6">
        <div id="mauticform_input_inscricaograd_dados_do_curso" name="mauticform[dados_do_curso]" value="" class="mauticform-freetext">
          <h3 fr-original-style="text-align: center;" style="text-align: center; box-sizing: border-box; font-family: inherit; font-weight: 400; line-height: 1.2; color: inherit; margin-top: 0px; margin-bottom: 0px; font-size: 20px;"><strong
              fr-original-style="font-weight: bold;" style="font-weight: bold; box-sizing: border-box;">Dados do curso</strong></h3>
        </div>
      </div>
      <div id="mauticform_inscricaograd_tipo_de_ingresso" data-validate="tipo_de_ingresso" data-validation-type="select" class="mauticform-row mauticform-select mauticform-field-7 mauticform-required">
        <label id="mauticform_label_inscricaograd_tipo_de_ingresso" for="mauticform_input_inscricaograd_tipo_de_ingresso" class="mauticform-label">Tipo de ingresso</label>
        <select id="mauticform_input_inscricaograd_tipo_de_ingresso" name="mauticform[tipo_de_ingresso]" value="" placeholder="Selecione" class="mauticform-selectbox">
          <option value="">Selecione</option>
          <option value="vestibular">Vestibular</option>
          <option value="enem">ENEM</option>
          <option value="transferencia">Transferência</option>
          <option value="diploma">Portador de diploma</option>
        </select>
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <div id="mauticform_inscricaograd_unidade" data-validate="unidade" data-validation-type="select" class="mauticform-row mauticform-select mauticform-field-8 mauticform-required">
        <label id="mauticform_label_inscricaograd_unidade" for="mauticform_input_inscricaograd_unidade" class="mauticform-label">Unidade/Cidade - Bairro</label>
        <select id="mauticform_input_inscricaograd_unidade" name="mauticform[unidade]" value="" class="mauticform-selectbox lista_polos">
          <option selected="true" value="" disabled="">Escolha a Unidade/Cidade</option>
          <option value="Paulista" cod_unidade="1">Paulista</option>
        </select>
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <input id="mauticform_input_inscricaograd_cod_unidade" name="mauticform[cod_unidade]" value="" class="mauticform-hidden" type="hidden">
      <div id="mauticform_inscricaograd_curso" class="mauticform-row mauticform-select mauticform-field-10 mauticform-required w100" data-validate="curso" data-validation-type="select">
        <label id="mauticform_label_inscricaograd_curso" for="mauticform_input_inscricaograd_curso" class="mauticform-label">Curso</label>
        <select id="mauticform_input_inscricaograd_curso" name="mauticform[curso]" value="" class="mauticform-selectbox course_selector"></select>
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <input id="mauticform_input_inscricaograd_desc_curso" name="mauticform[desc_curso]" value="" class="mauticform-hidden" type="hidden">
      <div id="mauticform_inscricaograd_formato_grad" class="mauticform-row mauticform-select mauticform-field-12 mauticform-required w100" data-validate="formato_grad" data-validation-type="select">
        <label id="mauticform_label_inscricaograd_formato_grad" for="mauticform_input_inscricaograd_formato_grad" class="mauticform-label">Formato</label>
        <select id="mauticform_input_inscricaograd_formato_grad" name="mauticform[formato_grad]" value="" class="mauticform-selectbox class_modalidade"></select>
        <div id="info_modalidades"></div>
        <span class="mauticform-errormsg" style="display: none;">Campo obrigatório</span>
      </div>
      <input id="mauticform_input_inscricaograd_grau" name="mauticform[grau]" value="graduacao" class="mauticform-hidden" type="hidden">
      <input id="mauticform_input_inscricaograd_consultor" name="mauticform[consultor]" value="" class="mauticform-hidden" type="hidden">
      <input id="mauticform_input_inscricaograd_cupom_desconto" name="mauticform[cupom_desconto]" value="" class="mauticform-hidden" type="hidden">
      <input id="mauticform_input_inscricaograd_processo_seletivo" name="mauticform[processo_seletivo]" value="2022_1" class="mauticform-hidden" type="hidden">
      <div id="mauticform_inscricaograd_submit" class="mauticform-row mauticform-button-wrapper mauticform-field-17">
        <button type="submit" name="mauticform[submit]" id="mauticform_input_inscricaograd_submit" value="" class="mauticform-button btn btn-default">Enviar</button>
      </div>
    </div>
  </div>
  <input type="hidden" name="mauticform[formId]" id="mauticform_inscricaograd_id" value="1">
  <input type="hidden" name="mauticform[return]" id="mauticform_inscricaograd_return" value="">
  <input type="hidden" name="mauticform[formName]" id="mauticform_inscricaograd_name" value="inscricaograd">
  <input type="hidden" name="mauticform[mauticpage]" value="10">
  <input type="hidden" name="mauticform[messenger]" id="mauticform_inscricaograd_messenger" value="1">
</form>

Text Content

INSCRIÇÃO ONLINE
GRADUAÇÃO

Nome completo Campo obrigatório
E-mail Campo obrigatório
Celular Campo obrigatório
CPF Campo obrigatório
Desejo receber informações sobre minhas inscrições no celular


DADOS DO CURSO

Tipo de ingresso Selecione Vestibular ENEM Transferência Portador de diploma
Campo obrigatório
Unidade/Cidade - Bairro Escolha a Unidade/CidadePaulista Campo obrigatório
Curso Campo obrigatório
Formato

Campo obrigatório
Enviar

By EducMax.com

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