docuseal.bankdaerahbangli.co.id Open in urlscan Pro
103.175.217.8  Public Scan

Form analysis
1 forms found in the DOM

POST /setup

<form class="space-y-6" action="/setup" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token" value="D6zQMSg6fYmGVQDXhAKwnIMTk8RCE_acH-pwdbN3dxyMZk7nEq3MewXzA2NRStOz_1vTBnmg8W4mk4wOFHgsbA" autocomplete="off">
  <div class="space-y-2">
    <div class="grid gap-2 md:grid-cols-2 md:gap-4">
      <div class="form-control">
        <label class="label" for="_user_first_name">First name</label>
        <input required="required" class="base-input" type="text" name="[user][first_name]" id="_user_first_name">
      </div>
      <div class="form-control">
        <label class="label" for="_user_last_name">Last name</label>
        <input required="required" class="base-input" type="text" name="[user][last_name]" id="_user_last_name">
      </div>
    </div>
    <div class="form-control">
      <label class="label" for="_user_email">Email</label>
      <input required="required" class="base-input" type="email" name="[user][email]" id="_user_email">
    </div>
    <set-timezone data-input-id="_account_timezone"></set-timezone>
    <input autocomplete="off" type="hidden" value="UTC" name="[account][timezone]" id="_account_timezone">
    <div class="form-control">
      <label class="label" for="_account_name">Company name</label>
      <input required="required" class="base-input" type="text" name="[account][name]" id="_account_name">
    </div>
    <div class="form-control">
      <label class="label" for="_user_password">Password</label>
      <input required="required" placeholder="************" class="base-input" type="password" name="[user][password]" id="_user_password">
    </div>
    <div class="form-control">
      <set-origin-url data-input-id="_encrypted_config_value"></set-origin-url>
      <label class="label" for="_encrypted_config_value">App URL</label>
      <input required="required" class="base-input" type="text" name="[encrypted_config][value]" id="_encrypted_config_value">
    </div>
  </div>
  <div class="form-control">
    <button name="button" type="submit" class="base-button"><span class="enabled">
        <span class="flex items-center justify-center space-x-2">
          <span class="">Submit</span>
        </span>
      </span>
      <span class="disabled">
        <span class="flex items-center justify-center space-x-2">
          <svg xmlns="http://www.w3.org/2000/svg" class="w-5 h-5 animate-spin" width="44" height="44" viewBox="0 0 24 24" stroke-width="1.5" stroke="currentColor" fill="none" stroke-linecap="round" stroke-linejoin="round">
            <path stroke="none" d="M0 0h24v24H0z" fill="none"></path>
            <path d="M12 3a9 9 0 1 0 9 9"></path>
          </svg>
          <span class="">Submitting...</span>
        </span>
      </span>
    </button>
  </div>
</form>

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