secure.e-gratow1.com Open in urlscan Pro
147.78.140.16  Public Scan

Submitted URL: https://new.novitaperte.com/re?l=D0Ilkhvs0I68sa2ekI0ITlqezwzb8&s=CGACIJNDOFOEOKCI
Effective URL: https://secure.e-gratow1.com/
Submission: On December 21 via api from ES — Scanned from ES

Form analysis 1 forms found in the DOM

<form>
  <div class="row">
    <div class="col-xs-12">
      <div class="row">
        <div class="col-xs-12">
          <div class="sc-JAcuL rhuht floating-label-wrapper undefined"><input data-id="emailCreateAccount" placeholder="Email Address" name="email" maxlength="255" type="text" id="emailCreateAccount" class="form-control input-clear" value=""><label
              for="emailCreateAccount" class="sc-cHjxUU gkhkjs control-label">Email Address</label><span class="label-shadow visible">Email Address</span><span class="hint">Please enter a valid email address</span></div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12">
          <div class="sc-JAcuL rhuht floating-label-wrapper undefined"><input data-id="usernameCreateAccount" placeholder="Username" name="username" maxlength="14" type="text" id="usernameCreateAccount"
              class="form-control input-clear floating-place-holder" value=""><label for="usernameCreateAccount" class="sc-cHjxUU gkhkjs control-label">Username</label><span class="label-shadow hidden">Username</span></div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12">
          <div class="sc-JAcuL rhuht  undefined"><input data-id="passwordCreateAccount" placeholder="Password" name="password" autocomplete="off" data-testid="pass-element" maxlength="30" type="password" id="passwordCreateAccount"
              class="input-clear form-control" value=""><span class="icon-wrapper" id=""><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="eye" class="svg-inline--fa fa-eye fa-w-18 fa-2x field-icon" role="img"
                xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512" color="">
                <path fill="currentColor"
                  d="M288 144a110.94 110.94 0 0 0-31.24 5 55.4 55.4 0 0 1 7.24 27 56 56 0 0 1-56 56 55.4 55.4 0 0 1-27-7.24A111.71 111.71 0 1 0 288 144zm284.52 97.4C518.29 135.59 410.93 64 288 64S57.68 135.64 3.48 241.41a32.35 32.35 0 0 0 0 29.19C57.71 376.41 165.07 448 288 448s230.32-71.64 284.52-177.41a32.35 32.35 0 0 0 0-29.19zM288 400c-98.65 0-189.09-55-237.93-144C98.91 167 189.34 112 288 112s189.09 55 237.93 144C477.1 345 386.66 400 288 400z">
                </path>
              </svg></span></div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12">
          <div class="sc-JAcuL rhuht  undefined"><input data-id="confirmPasswordCreateAccount" placeholder="Re-type Password" name="repeatPassword" autocomplete="off" data-testid="pass-element" maxlength="30" type="password"
              id="confirmPasswordCreateAccount" class="input-clear form-control" value=""><span class="icon-wrapper" id=""><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="eye"
                class="svg-inline--fa fa-eye fa-w-18 fa-2x field-icon" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512" color="">
                <path fill="currentColor"
                  d="M288 144a110.94 110.94 0 0 0-31.24 5 55.4 55.4 0 0 1 7.24 27 56 56 0 0 1-56 56 55.4 55.4 0 0 1-27-7.24A111.71 111.71 0 1 0 288 144zm284.52 97.4C518.29 135.59 410.93 64 288 64S57.68 135.64 3.48 241.41a32.35 32.35 0 0 0 0 29.19C57.71 376.41 165.07 448 288 448s230.32-71.64 284.52-177.41a32.35 32.35 0 0 0 0-29.19zM288 400c-98.65 0-189.09-55-237.93-144C98.91 167 189.34 112 288 112s189.09 55 237.93 144C477.1 345 386.66 400 288 400z">
                </path>
              </svg></span></div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12">
          <div id="custom-phone-field" class="floating-label-wrapper form-group" style="margin: 0.9rem 0px; direction: ltr;"><span class="input-group"><span class="editable-phone-prefix input-group-addon"><span> + </span><input type="text"
                  maxlength="3" minlength="1" placeholder="Country code" id="editable-phone-prefix" value="" style="outline: 0px; border: none; width: 90px; font-size: 14px; padding-left: 2px; padding-right: 2px;"></span>
              <div class="phone-floating-label-wrapper"><input type="tel" data-id="mobileSetupAccount" id="mobileSetupAccount" class="form-control" placeholder="Mobile number" maxlength="15" value="" style="border-radius: 0px;"><label
                  for="mobileSetupAccount" class="sc-cHjxUU gkhkjs phone-floating-label control-label">Mobile number</label><span class="label-shadow hidden">Mobile number</span></div>
            </span></div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12"><button id="submitButtonCreateAccount" type="submit" class="sc-GqfZa sc-fWSCIC emfPRz hikRRP btn btn-primary"
            style="width: 100%; height: 80px; background: unset; border: unset; margin: auto; box-shadow: unset; cursor: auto; outline: 0px;">
            <div class="sc-dwfUOf sc-kIeTtH fpqvhq fqziVk btn-block top-margin" style="height: 40px; width: 100%; margin: auto; box-shadow: unset; cursor: pointer;">Next</div>
          </button></div>
      </div>
      <div class="row">
        <div class="col-lg-12 col-lg-offset-0 col-xs-8 col-xs-offset-2"><a class="link-action" id="loginButtonCreateAccount" data-testid="loginButtonCreateAccount">Already have an account?</a></div>
      </div>
    </div>
  </div>
</form>

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