app.themartec.com Open in urlscan Pro
18.66.15.43  Public Scan

URL: https://app.themartec.com/advocate/register/ca3928cc-63ba-45e8-a955-f771b2c2043c/BBrLSyH.DibH7HBN
Submission: On September 21 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

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<form action="#">
  <p color="shade6" class="css-adyjl3" data-tag="allowRowEvents">UPLOAD PROFILE IMAGE</p><input type="file" hidden="" name="test" accept="*">
  <div size="120" class="css-phvzyk">
    <div class="css-0"><svg width="50" height="50" viewBox="0 0 50 30" fill="none" class="css-1pi1glc">
        <path
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          fill="#FFC937"></path>
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    <div class="css-6wxcs0"><svg width="15" height="15" viewBox="0 0 15 15" fill="none" class="css-0">
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          fill="#070550"></path>
      </svg></div>
  </div>
  <div class="css-1kdmo88">
    <p type="overline" color="shade6" class="css-bqul29" data-tag="allowRowEvents">First Name</p>
    <div class="css-u9vvix"><input id="firstName" type="text" autocomplete="on" class="css-1fvlz87" value="" style="height: 24px;"></div>
  </div>
  <div class="css-1kdmo88">
    <p type="overline" color="shade6" class="css-bqul29" data-tag="allowRowEvents">LAST NAME</p>
    <div class="css-u9vvix"><input id="lastName" type="text" autocomplete="on" class="css-1fvlz87" value="" style="height: 24px;"></div>
  </div>
  <div class="css-1kdmo88">
    <div class="css-12joatl">
      <div class="css-1wla3xl">
        <p color="shade6" data-tag="allowRowEvents" class="css-j7lkjh">DEPARTMENT</p>
      </div>
      <div class="css-1cscy5y">
        <div class=" css-2b097c-container">
          <div class=" css-2f5gng-control">
            <div class=" css-tntsk8">
              <div class=" css-1wa3eu0-placeholder">Select or create</div>
              <div class="css-1g6gooi">
                <div class="" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="react-select-2-input" spellcheck="false" tabindex="0" type="text" aria-autocomplete="list" value=""
                    style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
                  <div
                    style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 14px; font-family: Objective; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
                  </div>
                </div>
              </div>
            </div>
            <div class=" css-1wy0on6"><span class=" css-1okebmr-indicatorSeparator"></span>
              <div aria-hidden="true" class=" css-tlfecz-indicatorContainer"><svg width="8" height="6" viewBox="0 0 8 6" fill="#070550">
                  <path d="M.561 1.814l2.87 3.348a.75.75 0 001.139 0l2.869-3.348a.75.75 0 00-.57-1.238H1.132a.75.75 0 00-.57 1.238z" fill="#070550"></path>
                </svg></div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="css-1kdmo88">
    <p type="overline" color="shade6" class="css-bqul29" data-tag="allowRowEvents">ROLE</p>
    <div class="css-u9vvix"><input id="role" type="text" autocomplete="on" class="css-1fvlz87" value="" style="height: 24px;"></div>
  </div>
  <div class="css-1kdmo88">
    <div class="css-12joatl">
      <div class="css-1wla3xl">
        <p color="shade6" data-tag="allowRowEvents" class="css-j7lkjh">LANGUAGE</p>
      </div>
      <div class="css-1cscy5y">
        <div class=" css-2b097c-container">
          <div class=" css-2f5gng-control">
            <div class=" css-tntsk8">
              <div class=" css-1wa3eu0-placeholder">Select</div>
              <div class="css-1g6gooi">
                <div class="" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="react-select-3-input" spellcheck="false" tabindex="0" type="text" aria-autocomplete="list" value=""
                    style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
                  <div
                    style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 14px; font-family: Objective; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
                  </div>
                </div>
              </div>
            </div>
            <div class=" css-1wy0on6"><span class=" css-1okebmr-indicatorSeparator"></span>
              <div aria-hidden="true" class=" css-tlfecz-indicatorContainer"><svg width="8" height="6" viewBox="0 0 8 6" fill="#070550">
                  <path d="M.561 1.814l2.87 3.348a.75.75 0 001.139 0l2.869-3.348a.75.75 0 00-.57-1.238H1.132a.75.75 0 00-.57 1.238z" fill="#070550"></path>
                </svg></div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="css-q1hwsx"><button loading="" type="submit" class="css-10hz4jy">
      <p color="primary" class="css-1yuuqik" data-tag="allowRowEvents">Complete Registration</p>
      <div class="css-0"></div>
    </button></div>
</form>

Text Content

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Registration

UPLOAD PROFILE IMAGE



First Name



LAST NAME



DEPARTMENT

Select or create



ROLE



LANGUAGE

Select



Complete Registration