pwss.primetherapeutics.com Open in urlscan Pro
208.90.130.208  Public Scan

Form analysis
3 forms found in the DOM

<form id="userIDForm">
  <div class="form-outline mb-2">
    <div id="divEnterUserID" class="my-2"><label class="form-label" for="userID">User ID :</label> <input type="text" id="userID" class="form-control" autocomplete="username" autofocus="" required="">
      <div class="invalid-feedback">Please enter your User ID to continue</div>
    </div>
    <div class="row mb-5">
      <div class="col"><a href="" id="forgotUserID">Forgot your user ID ?</a></div>
    </div>
    <div class="text-center"><button id="btnContinue" type="submit" class="btn btn-primary btn-block shadow btn-pwss col-6 col-lg-4 fw-bold">Continue</button></div>
  </div>
</form>

<form id="loginForm">
  <div class="form-outline mb-2"><input hidden="" type="text" autocomplete="username">
    <div id="divEnterCode" class="my-2"><label class="form-label" for="userOtpCode">Enter code :</label> <input type="password" id="userOtpCode" class="form-control" pattern="[0-9]{6}" autocomplete="current-password" required="">
      <div class="invalid-feedback">Please enter 6 digit OTP code</div>
    </div>
    <div class="row mb-5">
      <div class="col"><a href="" id="registerSelf">Register/Request Login</a></div>
    </div>
    <div class="text-center my-2"><button id="btnLoginBackCode" onclick="location.href=&quot;/&quot;" type="button" class="btn btn-primary btn-block shadow btn-pwss text-start col-4 col-lg-3 mx-2"><i class="bi bi-arrow-left fs-5"></i> &nbsp;
        Back</button> <button id="btnLogin" type="submit" class="btn btn-primary btn-block shadow btn-pwss col-6 col-lg-5 fw-bold mx-2">Login</button></div>
  </div>
</form>

<form id="emailForm">
  <div class="row mb-3">
    <p id="emailActionTitle" class="fst-italic">Enter your e-mail address and you will receive an e-mail link to complete the Self Service registration</p>
  </div>
  <div class="form-outline mb-3">
    <div id="divEnterEmail" class="mb-5"><label class="form-label" for="userEmail">E-mail Address :</label> <input type="email" id="userEmail" class="form-control" placeholder="abc@domain.com" aria-describedby="emailHelpId" required=""> <small
        id="emailHelpId" class="form-text text-muted">Enter your registered email address</small></div>
    <div class="text-center"><button id="btnLoginBackForgot" onclick="location.href=&quot;/&quot;" type="button" class="btn btn-primary btn-block shadow btn-pwss text-start col-4 col-lg-3 mx-2"><i class="bi bi-arrow-left fs-5"></i> &nbsp; Back
      </button><button id="btnSendEmail" type="submit" class="btn btn-primary btn-block shadow btn-pwss col-6 col-lg-5 fw-bold mx-2">Send E-mail</button></div>
  </div>
</form>

Text Content

APPLICATION MESSAGE

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INFO

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PWSS

V1.3

User ID :
Please enter your User ID to continue
Forgot your user ID ?
Continue
Enter code :
Please enter 6 digit OTP code
Register/Request Login
  Back Login

Enter your e-mail address and you will receive an e-mail link to complete the
Self Service registration

E-mail Address : Enter your registered email address
  Back Send E-mail
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