tickets.infopark.in Open in urlscan Pro
169.62.244.66  Public Scan

Form analysis
1 forms found in the DOM

Name: frm_ticket — POST index.php

<form action="index.php" method="post" name="frm_ticket" id="frm_ticket" enctype="multipart/form-data">
  <div class="open_ticket" style="background-color:#FFFFFF;padding-top:8px;">
    <p>
    </p>
    <h2>Open A New Ticket</h2>
    <p>Please provide as much detail as possible so we can best assist you. To update a previously submitted ticket, please use the form to right.</p>
    <div class="form_area">
      <div class="form1">
        <p class="open_Pticket">Full Name<span>*</span></p>
        <input name="fullName" type="text" id="fullName" value="" maxlength="20">
      </div>
      <div class="form1">
        <p class="open_Pticket">Company Name<span>*</span></p>
        <input name="company" type="text" id="company" value="">
      </div>
      <div class="form1">
        <p class="open_Pticket">Email Address<span>*</span></p>
        <input name="email" type="text" id="email" value="">
      </div>
      <div class="form1">
        <p class="open_Pticket">Telephone</p>
        <input name="telephone" type="text" id="telephone" value="" maxlength="14">
      </div>
      <div class="ext">
        <p>Ext</p>
        <input name="ext" type="text" id="ext" value="" maxlength="4">
      </div>
      <div class="form1">
        <p class="open_Pticket">Mobile<span>*</span></p>
        <input name="mobile" type="text" id="mobile" maxlength="10" value="">
      </div>
      <div class="form1">
        <p class="open_Pticket">Subject<span>*</span></p>
        <input name="issue" type="text" id="issue" value="">
      </div>
      <div class="form1">
        <p class="open_Pticket">Department<span>*</span></p>
        <select name="issueType" id="issueType">
          <option value="">--Select--</option>
        </select>
      </div>
    </div>
  </div>
</form>

Text Content

 * Staff login




OPEN A NEW TICKET

Please provide as much detail as possible so we can best assist you. To update a
previously submitted ticket, please use the form to right.

Full Name*

Company Name*

Email Address*

Telephone

Ext

Mobile*

Subject*

Department*

--Select--