cat-kaubun.petok-sangkulirang.com Open in urlscan Pro
2001:df0:27b:2::4:a260  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.cat-kaubun.petok-sangkulirang.com/login/aksi

<form class="theme-form login-form" action="https://www.cat-kaubun.petok-sangkulirang.com/login/aksi" method="post">
  <div class="text-center">
    <img src="https://www.cat-kaubun.petok-sangkulirang.com/assets/back/logo.png" width="auto" alt="" height="60rem" class="mr-2 mb-2">
    <h4>Login Form</h4>
    <h6>Silahkan Masukkan Data Anda</h6>
  </div>
  <div>
  </div>
  <div class="form-group">
    <label>Nama Lengkap</label>
    <div class="input-group"><span class="input-group-text"><i class="fa fa-user"></i></span>
      <input class="form-control" type="text" id="p_nama" name="p_nama" required="" placeholder="Silahkan Input Nama Anda ..">
    </div>
  </div>
  <div class="form-group">
    <label>Desa</label>
    <div class="input-group"><span class="input-group-text"><i class="fa fa-hospital-o"></i></span>
      <select class="form-control" name="p_desa" id="p_desa" required="">
        <option selected="" disabled="" value="">-- Pilih Desa --</option>
        <option> Mandu Dalam </option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <button class="btn btn-primary btn-block" type="submit">Masuk</button>
  </div>
  <p>Belum Terdaftar ?<a class="ms-2" href="https://www.cat-kaubun.petok-sangkulirang.com/login">Daftar</a></p>
</form>

Text Content

LOGIN FORM

SILAHKAN MASUKKAN DATA ANDA


Nama Lengkap

Desa
-- Pilih Desa -- Mandu Dalam
Masuk

Belum Terdaftar ?Daftar