www.bms-connect.com.au Open in urlscan Pro
2600:9000:23ca:9600:13:2279:c000:93a1  Public Scan

Form analysis
9 forms found in the DOM

POST

<form class="gigya-login-form" onsubmit="return false;" method="post" data-screenset-element-id="gigya-login-form" data-screenset-element-id-publish="true" data-screenset-roles="template">
  <div class="gigya-layout-row">
    <h2 class="gigya-composite-control gigya-composite-control-header protectLoginMessage" style="text-align: left;"><span data-screenset-element-id="protectLoginMessage" data-screenset-element-id-publish="true" data-screenset-roles="template">Enter
        your BMS account information below.</span></h2>
  </div>
  <div class="gigya-layout-row with-divider">
    <div class="gigya-layout-cell responsive with-site-login">
      <div class="gigya-layout-row">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
      </div>
      <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox email"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_10_1677577105123"
          data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-32448564379131720"><span class="gigya-label-text">*Email Address</span><label class="gigya-required-display gigya-reset"
            data-bound-to="loginID" style="" data-screenset-element-id="__gig_template_element_6_1677577105120" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name=""
          show-valid-checkmark="true" name="username" class="gigya-input-text" data-gigya-placeholder="Email" type="text" data-gigya-type="text" tabindex="1" data-screenset-element-id="gigya-textbox-32448564379131720"
          data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="loginID" data-original-value=""><span data-bound-to="loginID" class="gigya-error-msg"
          data-screenset-element-id="__gig_template_element_2_1677577105115" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
      <div style="display: block;" class="gigya-composite-control gigya-composite-control-password"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_11_1677577105123"
          data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-password-65802343008795200"><span class="gigya-label-text">Password*</span><label class="gigya-required-display gigya-reset"
            data-bound-to="password" style="" data-screenset-element-id="__gig_template_element_7_1677577105120" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
          show-valid-checkmark="true" name="password" class="gigya-input-password" tabindex="2" formnovalidate="formnovalidate" data-gigya-placeholder="Password" type="password" data-screenset-element-id="gigya-password-65802343008795200"
          data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="password" data-original-value=""><span class="gigya-error-msg" data-bound-to="password"
          data-screenset-element-id="__gig_template_element_3_1677577105116" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
      <a target="_blank" style="display: block; text-align: center;" data-switch-screen="gigya-forgot-password-screen" class="gigya-forgotPassword gigya-composite-control gigya-composite-control-link font-neuton" data-binding="true" data-screenset-element-id="__gig_template_element_8_1677577105122" data-screenset-element-id-publish="false" data-screenset-roles="template,template">Forgot Password?</a>
      <div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-login-form" style="display: block;" data-screenset-element-id="__gig_template_element_1_1677577105114"
        data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true">
        <div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-login-form" style="" data-screenset-element-id="__gig_template_element_4_1677577105116" data-screenset-element-id-publish="false" data-screenset-roles="template"
          aria-atomic="true"></div>
      </div>
      <div class="gigya-composite-control gigya-composite-control-submit" style="display: block;"><input style="width: 130px;" class="gigya-input-submit" value="Submit" tabindex="3" type="submit" data-gigya-type="submit"
          data-screenset-element-id="__gig_template_element_5_1677577105119" data-screenset-element-id-publish="false" data-screenset-roles="template"></div><label style="display: block; text-align: right;"
        class="gigya-composite-control gigya-composite-control-label font-neuton" data-binding="true" data-screenset-element-id="__gig_template_element_12_1677577105123" data-screenset-element-id-publish="false" data-screenset-roles="template">Don’t
        have an account yet?
        <a tabindex="4" class="font-neuton gigya-register-here-link" data-switch-screen="gigya-register-screen" data-screenset-element-id="__gig_template_element_9_1677577105122" data-screenset-element-id-publish="false" data-screenset-roles="template"> Register</a></label>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell responsive under-site-login"></div>
  </div>
  <div class="gigya-clear"></div>
</form>

---

POST

<form class="gigya-register-form" onsubmit="return false;" method="post" data-screenset-element-id="gigya-register-form" data-screenset-element-id-publish="true" data-screenset-roles="template">
  <div class="gigya-layout-row">
    <h2 style="font-weight: bold; display: block; text-align: left;" data-wizard-text-bold="bold" class="gigya-composite-control gigya-composite-control-header">Your Details</h2>
    <div class="gigya-composite-control gigya-composite-control-textbox firstname" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_44_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-84454340051772780"><span class="gigya-label-text">*Legal First Name</span><label class="gigya-required-display gigya-reset"
          data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_30_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
        data-display-name="Please enter your first name" class="gigya-input-text" name="profile.firstName" show-valid-checkmark="true" formnovalidate="formnovalidate" tabindex="0" type="text" data-gigya-type="text"
        data-screenset-element-id="gigya-textbox-84454340051772780" data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="profile.firstName" data-original-value=""><span class="gigya-error-msg"
        data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_13_1677577105124" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox lastname" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_45_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-109583326696531070"><span class="gigya-label-text">*Legal Last Name</span><label class="gigya-required-display gigya-reset"
          data-bound-to="profile.lastName" data-screenset-element-id="__gig_template_element_31_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
        class="gigya-input-text" name="profile.lastName" show-valid-checkmark="true" tabindex="0" type="text" data-gigya-type="text" data-screenset-element-id="gigya-textbox-109583326696531070" data-screenset-element-id-publish="true"
        data-screenset-roles="template" data-gigya-name="profile.lastName" data-original-value=""><span class="gigya-error-msg" data-bound-to="profile.lastName" data-screenset-element-id="__gig_template_element_14_1677577105125"
        data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox address"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_46_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-80869409172577680"><span class="gigya-label-text">*Primary Work Address</span><label
          class="gigya-required-display gigya-reset" data-bound-to="profile.address" data-screenset-element-id="__gig_template_element_32_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template"
          aria-hidden="true">*</label></label><input data-display-name="" show-valid-checkmark="true" name="profile.address" class="gigya-input-text" type="text" data-gigya-type="text" data-screenset-element-id="gigya-textbox-80869409172577680"
        data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="profile.address" data-original-value=""><span data-bound-to="profile.address" class="gigya-error-msg"
        data-screenset-element-id="__gig_template_element_15_1677577105125" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox city"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_47_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-78014924374461890"><span class="gigya-label-text">*City</span><label class="gigya-required-display gigya-reset"
          data-bound-to="profile.city" data-screenset-element-id="__gig_template_element_33_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name=""
        show-valid-checkmark="true" name="profile.city" class="gigya-input-text" type="text" data-gigya-type="text" data-screenset-element-id="gigya-textbox-78014924374461890" data-screenset-element-id-publish="true" data-screenset-roles="template"
        data-gigya-name="profile.city" data-original-value=""><span data-bound-to="profile.city" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_16_1677577105126" data-screenset-element-id-publish="false"
        data-screenset-roles="template" aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-dropdown"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_48_1677577105134" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-screenset-element-for="gigya-dropdown-153305053935841920"><span class="gigya-label-text">*State</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.state" style=""
          data-screenset-element-id="__gig_template_element_34_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label> <select tabindex="0" name="profile.state"
        data-required="true" data-display-name="This field is required" data-screenset-element-id="gigya-dropdown-153305053935841920" data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="profile.state"
        data-original-value="">
        <option value="">Please Select</option>
        <option value="AU-ACT">Australian Capital Territory</option>
        <option value="AU-NSW">New South Wales</option>
        <option value="AU-NT">Northern Territory</option>
        <option value="AU-QLD">Queensland</option>
        <option value="AU-SA">South Australia</option>
        <option value="AU-TAS">Tasmania</option>
        <option value="AU-VIC">Victoria</option>
        <option value="AU-WA">Western Australia</option>
      </select> <span class="gigya-error-msg" data-bound-to="profile.state" data-screenset-element-id="__gig_template_element_17_1677577105126" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
    </div>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox zipcode"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_49_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-105180952787259280"><span class="gigya-label-text">*Postcode</span><label class="gigya-required-display gigya-reset"
          data-bound-to="profile.zip" data-screenset-element-id="__gig_template_element_35_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input show-valid-checkmark="true"
        style="width: 100px;" data-display-name="" name="profile.zip" class="gigya-input-text" type="text" data-gigya-type="text" data-screenset-element-id="gigya-textbox-105180952787259280" data-screenset-element-id-publish="true"
        data-screenset-roles="template" data-gigya-name="profile.zip" data-original-value=""><span data-bound-to="profile.zip" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_18_1677577105126"
        data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
    <div class="gigya-composite-control-metadata"> <input type="hidden" class="gigya-metadata" name="data.reg_page_id" value="569" data-screenset-element-id="__gig_template_element_25_1677577105129" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-gigya-name="data.reg_page_id" data-original-value="569"> </div>
    <div class="gigya-composite-control-metadata"> <input type="hidden" class="gigya-metadata" name="profile.gender" value="u" data-screenset-element-id="__gig_template_element_26_1677577105129" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-gigya-name="profile.gender" data-original-value="u"> </div>
    <div class="gigya-composite-control-metadata"> <input type="hidden" class="gigya-metadata" name="profile.country" value="AU" data-screenset-element-id="__gig_template_element_27_1677577105130" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-gigya-name="profile.country" data-original-value="AU"> </div>
    <h2 style="font-weight: bold; display: block; text-align: left;" data-wizard-text-bold="bold" class="gigya-composite-control gigya-composite-control-header push-header-down">Your Professional Details</h2>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-dropdown"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_50_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-dropdown-37032795590451050"><span class="gigya-label-text">*Profession</span><label class="gigya-required-display gigya-reset"
          data-bound-to="data.professional_designation" style="" data-screenset-element-id="__gig_template_element_36_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><select
        data-display-name="" name="data.professional_designation" data-screenset-element-id="gigya-dropdown-37032795590451050" data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="data.professional_designation"
        data-original-value="">
        <option value="">Please Select</option>
        <option value="D">Doctor</option>
        <option value="NU">Nurse</option>
        <option value="P">Prescriber</option>
        <option value="PH">Pharmacist</option>
        <option value="S">Student</option>
      </select><span data-bound-to="data.professional_designation" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_19_1677577105126" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div class="gigya-container gigya-visible-when" data-condition="data.professional_designation==='D'" data-screenset-element-id="__gig_template_element_29_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template">
      <div class="gigya-composite-control gigya-composite-control-dropdown"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_51_1677577105134" data-screenset-element-id-publish="false"
          data-screenset-roles="template" data-screenset-element-for="gigya-dropdown-148673319639903970"><span class="gigya-label-text">*Specialty</span><label class="gigya-required-display gigya-reset" data-bound-to="data.specialty" style=""
            data-screenset-element-id="__gig_template_element_37_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label> <select tabindex="0" name="data.specialty"
          data-required="true" data-display-name="This field is required" data-screenset-element-id="gigya-dropdown-148673319639903970" data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="data.specialty"
          data-original-value="">
          <option value="">Please Select</option>
          <option value="ABH">Aboriginal Health</option>
          <option value="ADM">Addiction Medicine</option>
          <option value="AI">Allergy &amp; Immunology</option>
          <option value="AN">Anaesthesiology</option>
          <option value="ATP">Anatomic Pathology</option>
          <option value="CD">Cardiology</option>
          <option value="PCH">Chemical Pathology</option>
          <option value="PA">Clinical Pharmacology</option>
          <option value="D">Dermatology</option>
          <option value="DR">Diagnostic Radiology</option>
          <option value="EM">Emergency Medicine</option>
          <option value="END">Endocrinology, Diabetes, &amp; Metabolism</option>
          <option value="GE">Gastroenterology and Hepatology</option>
          <option value="GMED">General Medicine</option>
          <option value="GPED">General Paediatrics</option>
          <option value="GP">General Practice</option>
          <option value="GS">General Surgery</option>
          <option value="GER">Geriatric Medicine</option>
          <option value="HEM">Haematology</option>
          <option value="HMP">Haematology (Pathology)</option>
          <option value="HO">Hematology/Oncology</option>
          <option value="HPHARM">Hospital Pharmacy</option>
          <option value="ID">Infectious Disease</option>
          <option value="CCE">Intensive Care Medicine</option>
          <option value="IM">Internal Medicine</option>
          <option value="MAA">Medical Administration</option>
          <option value="ON">Medical Oncology</option>
          <option value="MID">Midwifery</option>
          <option value="NPM">Neonatal-Perinatal Medicine</option>
          <option value="NEP">Nephrology</option>
          <option value="N">Neurology</option>
          <option value="NS">Neurosurgery</option>
          <option value="NOS">No Specialty</option>
          <option value="NM">Nuclear Medicine</option>
          <option value="EDU">Nurse Educator</option>
          <option value="OBG">Obstetrics &amp; Gynaecology</option>
          <option value="OM">Occupational Medicine</option>
          <option value="19">Oncology</option>
          <option value="PONC">Oncology Pharmacist</option>
          <option value="ORS">Orthopaedic Surgery</option>
          <option value="OTO">Otolaryngology</option>
          <option value="PDC">Paediatric Cardiology</option>
          <option value="PHO">Paediatric Haematology</option>
          <option value="7_3">Paediatric Respiratory &amp; Sleep Medicine</option>
          <option value="PPR">Paediatric Rheumatology</option>
          <option value="PD">Paediatrics</option>
          <option value="CPP">Paediatrics/Psychiatry</option>
          <option value="PMD">Pain Medicine</option>
          <option value="PLM">Palliative Medicine</option>
          <option value="PTH">Pathology</option>
          <option value="PM">Physical Medicine &amp; Rehabilitation</option>
          <option value="P">Psychiatry</option>
          <option value="PSY">Psychology</option>
          <option value="PH">Public Health</option>
          <option value="RO">Radiation Oncology</option>
          <option value="RES">Research Medicine</option>
          <option value="OFF">Resident / Senior Medical Officer</option>
          <option value="PUD">Respiratory and Sleep Medicine</option>
          <option value="CPHARM">Retail Pharmacy</option>
          <option value="RHU">Rheumatology</option>
          <option value="SEXH">Sexual Health</option>
          <option value="4">Surgery</option>
          <option value="US">Unspecified specialty</option>
          <option value="VS">Vascular Surgery</option>
        </select> <span class="gigya-error-msg" data-bound-to="data.specialty" data-screenset-element-id="__gig_template_element_20_1677577105126" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
      </div>
    </div>
    <div class="gigya-composite-control gigya-composite-control-textbox instiname"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_52_1677577105134" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-screenset-element-for="gigya-textbox-110811132694615280"><span class="gigya-label-text">*Primary Institution Name</span><label class="gigya-required-display gigya-reset" data-bound-to="data.org_name"
          style="" data-screenset-element-id="__gig_template_element_38_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input class="gigya-input-text" name="data.org_name"
        show-valid-checkmark="true" data-display-name="" data-required="true" type="text" data-gigya-type="text" data-screenset-element-id="gigya-textbox-110811132694615280" data-screenset-element-id-publish="true" data-screenset-roles="template"
        data-gigya-name="data.org_name" data-original-value=""><span class="gigya-error-msg" data-bound-to="data.org_name" data-screenset-element-id="__gig_template_element_21_1677577105126" data-screenset-element-id-publish="false"
        data-screenset-roles="template" aria-atomic="true"></span></div>
    <h2 data-wizard-text-bold="bold" style="text-align: left; font-weight: bold; display: block;" class="gigya-composite-control gigya-composite-control-header push-header-down">Create sign-in details</h2>
    <div style="display: block;" class="gigya-layout-row">
      <div class="gigya-composite-control gigya-composite-control-textbox email"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_53_1677577105134" data-screenset-element-id-publish="false"
          data-screenset-roles="template" data-screenset-element-for="gigya-loginID-43628149195531990"><span class="gigya-label-text">*Your email address</span><label class="gigya-required-display gigya-reset" data-bound-to="email"
            data-screenset-element-id="__gig_template_element_39_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input class="gigya-input-text" name="email"
          show-valid-checkmark="true" data-display-name="Please enter your email address" formnovalidate="formnovalidate" type="email" data-screenset-element-id="gigya-loginID-43628149195531990" data-screenset-element-id-publish="true"
          data-screenset-roles="template" data-gigya-name="email" data-original-value=""><span class="gigya-error-msg" data-bound-to="email" data-screenset-element-id="__gig_template_element_22_1677577105126" data-screenset-element-id-publish="false"
          data-screenset-roles="template" aria-atomic="true"></span></div>
    </div>
    <div class="gigya-composite-control gigya-composite-control-password" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_54_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-password-79902594023202300"><span class="gigya-label-text">*Choose a password</span><label class="gigya-required-display gigya-reset"
          data-bound-to="password" data-screenset-element-id="__gig_template_element_40_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
        data-display-name="You must enter a password" name="password" class="gigya-input-password" show-valid-checkmark="true" tabindex="0" show-password-strength="left" gigya-conditional:show-password-strength="viewport.width < 920?up"
        type="password" data-screenset-element-id="gigya-password-79902594023202300" data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-show-password-strength="left" data-gigya-name="password"
        data-original-value=""><span class="gigya-error-msg" data-bound-to="password" data-screenset-element-id="__gig_template_element_23_1677577105126" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-password"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_55_1677577105134"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-password-79247654728026700"><span class="gigya-label-text">*Retype your password</span><label
          class="gigya-required-display gigya-reset" data-bound-to="passwordRetype" data-screenset-element-id="__gig_template_element_41_1677577105133" data-screenset-element-id-publish="false" data-screenset-roles="template"
          aria-hidden="true">*</label></label><input data-display-name="Passwords must match" class="gigya-input-password" name="passwordRetype" tabindex="0" show-valid-checkmark="true" data-required="true" type="password"
        data-screenset-element-id="gigya-password-79247654728026700" data-screenset-element-id-publish="true" data-screenset-roles="template" data-gigya-name="passwordRetype" data-original-value=""><span class="gigya-error-msg"
        data-bound-to="passwordRetype" data-screenset-element-id="__gig_template_element_24_1677577105126" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
  </div>
  <div class="gigya-layout-row with-divider">
    <div class="gigya-layout-cell responsive with-social-login" data-screenset-element-id="register-social-login" data-screenset-element-id-publish="true" data-screenset-roles="template">
      <div class="gigya-layout-row">
        <div class="gigya-composite-control gigya-composite-control-submit register-submit"> <input class="gigya-input-submit" value="Register" type="submit" data-screenset-element-id="__gig_template_element_28_1677577105132"
            data-screenset-element-id-publish="false" data-screenset-roles="template"> </div><label style="display: block; text-align: left;"
          class="gigya-composite-control gigya-composite-control-label register-submit register-cancel"><a data-switch-screen="gigya-login-screen" class="cancelbtn" data-screenset-element-id="__gig_template_element_42_1677577105134" data-screenset-element-id-publish="false" data-screenset-roles="template">Cancel</a></label>
      </div>
      <div class="gigya-layout-row">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
      <div class="gigya-layout-row"><label class="gigya-composite-control gigya-composite-control-label login-last" style="text-align: left;">Already have a BMS account?
          <a class="gigya-register-here-link underline" data-switch-screen="gigya-login-screen" href="javascript:void(0)" data-screenset-element-id="__gig_template_element_43_1677577105134" data-screenset-element-id-publish="false" data-screenset-roles="template"> Login</a></label>
      </div>
    </div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell responsive under-site-login"></div>
  </div>
</form>

---

POST

<form class="gigya-profile-form" novalidate="novalidate" onsubmit="return false;" method="post" data-screenset-element-id="gigya-profile-form" data-screenset-element-id-publish="true" data-screenset-roles="template">
  <div class="gigya-layout-row"><label class="gigya-label-text gigya-composite-control gigya-composite-control-label main-text">Please provide the following information to complete your registration</label>
    <div class="gigya-composite-control-metadata"> <input type="hidden" class="gigya-metadata" name="data.modified_site_id" value="569" data-screenset-element-id="__gig_template_element_64_1677577105136" data-screenset-element-id-publish="false"
        data-screenset-roles="template" data-gigya-name="data.modified_site_id" data-original-value="569"> </div>
    <div class="gigya-composite-control-metadata"> <input type="hidden" class="gigya-metadata" name="data.profilesavedatetime" gigya-expression:value="new Date().toISOString();" data-screenset-element-id="__gig_template_element_65_1677577105136"
        data-screenset-element-id-publish="false" data-screenset-roles="template" gigya-default-value="null" data-gigya-name="data.profilesavedatetime" data-original-value=""> </div>
    <div class="gigya-composite-control gigya-composite-control-textbox" style="display: block;"><label class="gigya-label"><span class="gigya-label-text">Email:</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.email"
          style="" data-screenset-element-id="__gig_template_element_75_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input value="" name="profile.email"
        class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" type="email" data-screenset-element-id="__gig_template_element_66_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        data-gigya-name="profile.email" data-original-value=""><span class="gigya-error-msg" data-bound-to="profile.email" data-screenset-element-id="__gig_template_element_57_1677577105136" data-screenset-element-id-publish="false"
        data-screenset-roles="template" aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label"><span class="gigya-label-text">First name</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.firstName"
          data-screenset-element-id="__gig_template_element_76_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name="" show-valid-checkmark="true"
        name="profile.firstName" class="gigya-input-text" type="text" data-screenset-element-id="__gig_template_element_67_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="profile.firstName"
        data-original-value=""><span data-bound-to="profile.firstName" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_58_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label"><span class="gigya-label-text">Last name</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.lastName"
          data-screenset-element-id="__gig_template_element_77_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name="" show-valid-checkmark="true"
        name="profile.lastName" class="gigya-input-text" type="text" data-screenset-element-id="__gig_template_element_68_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="profile.lastName"
        data-original-value=""><span data-bound-to="profile.lastName" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_59_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label"><span class="gigya-label-text">Office address</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.address"
          data-screenset-element-id="__gig_template_element_78_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name="" show-valid-checkmark="true"
        name="profile.address" class="gigya-input-text" type="text" data-screenset-element-id="__gig_template_element_69_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="profile.address"
        data-original-value=""><span data-bound-to="profile.address" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_60_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label"><span class="gigya-label-text">City</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.city"
          data-screenset-element-id="__gig_template_element_79_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input data-display-name="" show-valid-checkmark="true"
        name="profile.city" class="gigya-input-text" type="text" data-screenset-element-id="__gig_template_element_70_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="profile.city"
        data-original-value=""><span data-bound-to="profile.city" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_61_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox" style="display: block;"><label class="gigya-label"><span class="gigya-label-text">Postcode: </span><label class="gigya-required-display gigya-reset" data-bound-to="profile.zip"
          data-screenset-element-id="__gig_template_element_80_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input value="" name="profile.zip" class="gigya-input-text"
        tabindex="0" show-valid-checkmark="true" type="text" data-screenset-element-id="__gig_template_element_71_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="profile.zip"
        data-original-value=""><span class="gigya-error-msg" data-bound-to="profile.zip" data-screenset-element-id="__gig_template_element_62_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label"><span class="gigya-label-text">Organization Name</span><label class="gigya-required-display gigya-reset" data-bound-to="data.org_name" style=""
          data-screenset-element-id="__gig_template_element_81_1677577105139" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input class="gigya-input-text" name="data.org_name"
        show-valid-checkmark="true" data-display-name="" type="text" data-screenset-element-id="__gig_template_element_72_1677577105137" data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="data.org_name"
        data-original-value=""></div>
    <div class="gigya-composite-control gigya-composite-control-checkbox"><input data-display-name="" class="gigya-input-checkbox" name="data.enterprise_opt_in" type="checkbox" data-screenset-element-id="__gig_template_element_73_1677577105138"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="data.enterprise_opt_in" data-original-value="false"><label class="gigya-label"><span class="gigya-label-text">Yes, I wish to receive e-marketing
          communications from Bristol-Myers Squibb.</span><label style="" class="gigya-required-display gigya-reset" data-bound-to="data.enterprise_opt_in" data-screenset-element-id="__gig_template_element_82_1677577105140"
          data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-composite-control gigya-composite-control-submit" style="display: block;"><input class="gigya-input-submit" value="Submit" tabindex="0" type="submit" data-screenset-element-id="__gig_template_element_74_1677577105138"
        data-screenset-element-id-publish="false" data-screenset-roles="template"></div>
    <div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-profile-form" data-screenset-element-id="__gig_template_element_56_1677577105136" data-screenset-element-id-publish="false"
      data-screenset-roles="template" aria-atomic="true">
      <div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-profile-form" data-screenset-element-id="__gig_template_element_63_1677577105136" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-clear"></div>
</form>

---

POST

<form class="gigya-reset-password-form" data-on-success-screen="gigya-forgot-password-success-screen" onsubmit="return false;" method="post" data-screenset-element-id="gigya-reset-password-form" data-screenset-element-id-publish="true"
  data-screenset-roles="template"><label class="gigya-composite-control gigya-composite-control-label main-text letter-spacing-s"><span class="forgotPasswordHeader" style="display:none;">Create a New Password</span>
    <div class="prereg" style="display:none;">We have updated our website and require that you create a new password to proceed. For security purposes, we will send an email to the address listed with a link to create your new password. After you set
      your new password, you will be logged in to the web site.</div>
    <div class="notPrereg">Please enter your email address to reset your password</div>
  </label>
  <div class="gigya-layout-row">
    <div class="gigya-composite-control gigya-composite-control-textbox email-wrapper" style="display: block;"><label class="gigya-label"><span class="gigya-label-text">Email:</span><label class="gigya-required-display gigya-reset"
          data-bound-to="loginID" data-screenset-element-id="__gig_template_element_88_1677577105141" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
        data-display-name="Email is required" name="username" class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" style="width: 300px;" type="email" data-screenset-element-id="__gig_template_element_86_1677577105141"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="loginID" data-original-value=""><span class="gigya-error-msg" data-bound-to="loginID"
        data-screenset-element-id="__gig_template_element_84_1677577105141" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
  </div>
  <div class="gigya-layout-row submit-row">
    <div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-reset-password-form" data-screenset-element-id="__gig_template_element_83_1677577105141" data-screenset-element-id-publish="false"
      data-screenset-roles="template" aria-atomic="true">
      <div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-reset-password-form" data-screenset-element-id="__gig_template_element_85_1677577105141" data-screenset-element-id-publish="false" data-screenset-roles="template"
        aria-atomic="true"></div>
    </div>
    <div class="gigya-composite-control gigya-composite-control-submit submit-wrapper"><input style="width: 200px;" class="gigya-input-submit" value="Send" tabindex="0" type="submit" data-screenset-element-id="__gig_template_element_87_1677577105141"
        data-screenset-element-id-publish="false" data-screenset-roles="template"></div>
    <div style="" class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row link-row">
    <a target="_blank" class="gigya-composite-control gigya-composite-control-link gigya-footer color-orange" data-switch-screen="gigya-login-screen" data-screenset-element-id="__gig_template_element_89_1677577105141" data-screenset-element-id-publish="false" data-screenset-roles="template">Back to login</a>
    <div style="" class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell"></div>
    <div class="gigya-layout-cell"></div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-clear"></div>
</form>

---

POST

<form class="gigya-profile-form" onsubmit="return false;" method="post" data-screenset-element-id="gigya-profile-form" data-screenset-element-id-publish="true" data-screenset-roles="template">
  <div class="gigya-layout-row"><label class="gigya-label-text gigya-composite-control gigya-composite-control-label main-text">You have requested to create a new password.</label>
    <div class="gigya-composite-control gigya-composite-control-password"><label class="gigya-label" data-screenset-element-for="newPassword"><span class="gigya-label-text">Enter your new password</span><label
          class="gigya-required-display gigya-reset" data-bound-to="newPassword" data-screenset-element-id="__gig_template_element_98_1677577105144" data-screenset-element-id-publish="false" data-screenset-roles="template"
          aria-hidden="true">*</label></label><input show-valid-checkmark="true" name="newPassword" class="gigya-input-password" tabindex="0" show-password-strength="up" gigya-conditional:show-password-strength="viewport.width < 920?up"
        style="width: 300px;" type="password" data-screenset-element-id="__gig_template_element_95_1677577105143" data-screenset-element-id-publish="false" data-screenset-roles="template" gigya-default-show-password-strength="up"
        data-gigya-name="newPassword" data-original-value=""><span class="gigya-error-msg" data-bound-to="newPassword" data-screenset-element-id="__gig_template_element_92_1677577105143" data-screenset-element-id-publish="false"
        data-screenset-roles="template" aria-atomic="true"></span></div>
    <div class="gigya-composite-control gigya-composite-control-password" style="display: block;"><label class="gigya-label"><span class="gigya-label-text">Retype your new password</span><label class="gigya-required-display gigya-reset"
          data-bound-to="passwordRetype" data-screenset-element-id="__gig_template_element_99_1677577105144" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label><input
        show-valid-checkmark="true" name="passwordRetype" class="gigya-input-password" data-required="true" tabindex="0" style="width: 300px;" type="password" data-screenset-element-id="__gig_template_element_96_1677577105144"
        data-screenset-element-id-publish="false" data-screenset-roles="template" data-gigya-name="passwordRetype" data-original-value=""><span class="gigya-error-msg" data-bound-to="passwordRetype"
        data-screenset-element-id="__gig_template_element_93_1677577105143" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell"></div>
    <div class="gigya-layout-cell"></div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row ">
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-composite-control gigya-composite-control-submit" style="display: block;"><input class="gigya-input-submit" value="Set new password" tabindex="0" style="width: 300px;" type="submit"
      data-screenset-element-id="__gig_template_element_97_1677577105144" data-screenset-element-id-publish="false" data-screenset-roles="template"></div>
  <div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-profile-form" data-screenset-element-id="__gig_template_element_91_1677577105143" data-screenset-element-id-publish="false"
    data-screenset-roles="template" aria-atomic="true">
    <div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-profile-form" data-screenset-element-id="__gig_template_element_94_1677577105143" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true">
    </div>
  </div>
  <div class="gigya-layout-row ">
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-clear"></div>
</form>

---

POST

<form class="gigya-resend-verification-code-form" data-on-success-screen="gigya-verification-sent-screen" onsubmit="return false;" method="post" data-screenset-element-id="gigya-resend-verification-code-form" data-screenset-element-id-publish="true"
  data-screenset-roles="template">
  <div class="gigya-layout-row"><label class="gigya-label-text gigya-composite-control gigya-composite-control-label" style="display: block;" data-binding="true" data-screenset-element-id="__gig_template_element_100_1677577105145"
      data-screenset-element-id-publish="false" data-screenset-roles="template">
      <div class="statusInProgress">
        <h1 class="header-gig">Verification in Progress</h1>
        <p class="verify_para" style="clear:both">Thank you for registering with Bristol Myers Squibb. Your information is currently being verified. You will be able to access this site and other BMS sites once the verification is complete. Please
          check back soon. If you have any questions regarding your registration, please send them to <a href="mailto:WWHCP_Support@bms.com">wwhcp_support@bms.com</a>.</p>
      </div>
    </label><label class="gigya-composite-control gigya-composite-control-label" data-binding="true" data-screenset-element-id="__gig_template_element_101_1677577105145" data-screenset-element-id-publish="false" data-screenset-roles="template">
      <div class="statusUnverified">
        <h1 class="header-gig">Verification Unsuccessful</h1>
        <p class="verify_para">Thank you for registering with Bristol Myers Squibb. Access to this website is restricted to health care partners only. We were unable to verify you as a health care partner with the information that you provided during
          registration. If you have any questions regarding your registration, please send them to <a href="mailto:WWHCP_Support@bms.com">wwhcp_support@bms.com</a>.</p>
      </div>
    </label></div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-layout-row ">
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-layout-row ">
    <div class="gigya-layout-cell"></div>
    <div class="gigya-layout-cell"></div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row ">
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-layout-cell ">
      <div class="gigya-layout-row ">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
        <div class="gigya-clear"></div>
      </div>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row"></div>
  <div class="gigya-clear"></div>
</form>

---

<form class="search-selector__content__input">
  <div class="search-selector__content__input__label">
    <p class="search-selector__content__input__label-text">Enter your Question</p>
  </div>
  <div class="search-selector__content__input__textbox-container">
    <div data-url="/protected/search-results.html" class="search-selector__content__input__textbox-container__text-field">
      <input placeholder="Enter at least two keywords" data-search-keyword-length="2" class="search-selector__content__input__textbox-container__text-field__text-enter"><span
        class="search-selector__content__input__textbox-container__text-field__error-text">Enter at least two keywords</span><span class="search-selector__content__input__textbox-container__text-field__consent-text">By searching, I confirm that my
        query is unsolicited.</span>
    </div>
    <div class="search-selector__content__input__textbox-container__button">
      <button type="submit" class="primary-button search-submit-btn-overlay">Search</button>
    </div>
  </div>
</form>

---

POST

<form class="gigya-login-form" onsubmit="return false;" method="post" data-screenset-element-id="gigya-login-form" data-screenset-element-id-publish="true" data-screenset-roles="instance" id="gigya-login-form">
  <div class="gigya-layout-row">
    <h2 class="gigya-composite-control gigya-composite-control-header protectLoginMessage" style="text-align: left;"><span data-screenset-element-id="protectLoginMessage" data-screenset-element-id-publish="true" data-screenset-roles="instance"
        id="protectLoginMessage">Enter your BMS account information below.</span></h2>
  </div>
  <div class="gigya-layout-row with-divider">
    <div class="gigya-layout-cell responsive with-site-login">
      <div class="gigya-layout-row">
        <div class="gigya-layout-cell"></div>
        <div class="gigya-layout-cell"></div>
      </div>
      <div style="display: block;" class="gigya-composite-control gigya-composite-control-textbox email"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_10_1677577105123"
          data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-textbox-32448564379131720"><span class="gigya-label-text">*Email Address</span><label class="gigya-required-display gigya-reset" data-bound-to="loginID"
            style="" data-screenset-element-id="__gig_template_element_6_1677577105120" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label><input data-display-name=""
          show-valid-checkmark="true" name="username" class="gigya-input-text" data-gigya-placeholder="Email" type="text" data-gigya-type="text" tabindex="1" data-screenset-element-id="gigya-textbox-32448564379131720"
          data-screenset-element-id-publish="true" data-screenset-roles="instance" data-gigya-name="loginID" data-original-value="" id="gigya-textbox-32448564379131720" placeholder="Email " aria-required="true" aria-invalid="false"><span
          data-bound-to="loginID" class="gigya-error-msg" data-screenset-element-id="__gig_template_element_2_1677577105115" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span></div>
      <div style="display: block;" class="gigya-composite-control gigya-composite-control-password"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_11_1677577105123"
          data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-password-65802343008795200"><span class="gigya-label-text">Password*</span><label class="gigya-required-display gigya-reset" data-bound-to="password"
            style="" data-screenset-element-id="__gig_template_element_7_1677577105120" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label><input show-valid-checkmark="true" name="password"
          class="gigya-input-password" tabindex="2" formnovalidate="formnovalidate" data-gigya-placeholder="Password" type="password" data-screenset-element-id="gigya-password-65802343008795200" data-screenset-element-id-publish="true"
          data-screenset-roles="instance" data-gigya-name="password" data-original-value="" id="gigya-password-65802343008795200" placeholder="Password " aria-required="true" aria-invalid="false"><span class="gigya-error-msg" data-bound-to="password"
          data-screenset-element-id="__gig_template_element_3_1677577105116" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span></div>
      <a style="display: block; text-align: center;" data-switch-screen="gigya-forgot-password-screen" class="gigya-forgotPassword gigya-composite-control gigya-composite-control-link font-neuton" data-binding="true" data-screenset-element-id="__gig_template_element_8_1677577105122" data-screenset-element-id-publish="false" data-screenset-roles="template,instance,instance" tabindex="0" href="javascript:void(0)" role="button" title="Forgot Password?">Forgot Password?</a>
      <div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-login-form" style="display: block;" data-screenset-element-id="__gig_template_element_1_1677577105114"
        data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true">
        <div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-login-form" style="" data-screenset-element-id="__gig_template_element_4_1677577105116" data-screenset-element-id-publish="false" data-screenset-roles="instance"
          aria-atomic="true"></div>
      </div>
      <div class="gigya-composite-control gigya-composite-control-submit" style="display: block;"><input style="width: 130px;" class="gigya-input-submit" value="Submit" tabindex="3" type="submit" data-gigya-type="submit"
          data-screenset-element-id="__gig_template_element_5_1677577105119" data-screenset-element-id-publish="false" data-screenset-roles="instance"></div><label style="display: block; text-align: right;"
        class="gigya-composite-control gigya-composite-control-label font-neuton" data-binding="true" data-screenset-element-id="__gig_template_element_12_1677577105123" data-screenset-element-id-publish="false" data-screenset-roles="instance">Don’t
        have an account yet?
        <a tabindex="4" class="font-neuton gigya-register-here-link" data-switch-screen="gigya-register-screen" data-screenset-element-id="__gig_template_element_9_1677577105122" data-screenset-element-id-publish="false" data-screenset-roles="instance,template,instance" href="javascript:void(0)" role="button" title=""> Register</a></label>
    </div>
    <div class="gigya-clear"></div>
  </div>
  <div class="gigya-layout-row">
    <div class="gigya-layout-cell responsive under-site-login"></div>
  </div>
  <div class="gigya-clear"></div>
</form>

---

<form class="user-interaction-bar" id="chatbotForm">
  <div class="text-box"><input id="chat-user-input" autocomplete="off" placeholder="Write a message..."><button class="btn-chat-send" id="sendText" onclick="chatController.sendUserMessage()"></button></div>
</form>

---

Text Content

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