dodi-form-regristrasi-github-io.pages.dev Open in urlscan Pro
2a06:98c1:3121::c  Public Scan

Form analysis
1 forms found in the DOM

#

<form action="#">
  <div class="user-details">
    <div class="input-box">
      <span class="details">Nama Depan</span>
      <input type="text" placeholder="Enter your name" required="">
    </div>
    <div class="input-box">
      <span class="details">Nama Belakang</span>
      <input type="text" placeholder="Enter your name" required="">
    </div>
    <div class="input-box">
      <span class="details">NISN</span>
      <input type="text" placeholder="Enter your NISN" required="">
    </div>
    <div class="input-box">
      <p style="font-family:verdana"></p>
      <p style="font-size: 18px;">Kelas &amp; Jurusan</p>
      <select name="Kelas" id="">
        <option value="">X-TJKT</option>
        <option value="">XI-TJKT</option>
        <option value="">XII-TJKT</option>
      </select>
    </div>
    <div class="input-box">
      <span class="details">Phone Number</span>
      <input type="text" placeholder="Enter your number" required="">
    </div>
    <div class="input-box">
      <span class="details">Email</span>
      <input type="text" placeholder="Enter your email" required="">
    </div>
    <div class="input-box">
      <span class="details">Password</span>
      <input type="text" placeholder="Enter your password" required="">
    </div>
    <div class="input-box">
      <span class="details">Confirm Password</span>
      <input type="text" placeholder="Confirm your password" required="">
    </div>
  </div>
  <div class="gender-details">
    <input type="radio" name="gender" id="dot-1">
    <input type="radio" name="gender" id="dot-2">
    <input type="radio" name="gender" id="dot-3">
    <span class="gender-title">Gender</span>
    <div class="category">
      <label for="dot-1">
        <span class="dot one"></span>
        <span class="gender">Laki-Laki</span>
      </label>
      <label for="dot-2">
        <span class="dot two"></span>
        <span class="gender">Perempuan</span>
      </label>
      <label for="dot-3">
        <span class="dot three"></span>
        <span class="gender">Privasi</span>
      </label>
    </div>
  </div>
  <div class="button">
    <input type="submit" value="Register">
  </div>
</form>

Text Content

Form Registration
Nama Depan
Nama Belakang
NISN

Kelas & Jurusan

X-TJKT XI-TJKT XII-TJKT
Phone Number
Email
Password
Confirm Password
Gender
Laki-Laki Perempuan Privasi