Burp Scanner Report

Summary

The table below shows the numbers of issues identified in different categories. Issues are classified according to severity as High, Medium, Low, Information or False Positive. This reflects the likely impact of each issue for a typical organization. Issues are also classified according to confidence as Certain, Firm or Tentative. This reflects the inherent reliability of the technique that was used to identify the issue.

    Confidence
    Certain Firm Tentative Total
Severity High 0 0 1 1
Medium 0 0 0 0
Low 0 0 0 0
Information 0 0 0 0
False Positive 0 0 0 0

The chart below shows the aggregated numbers of issues identified in each category. Solid colored bars represent issues with a confidence level of Certain, and the bars fade as the confidence level falls.

    Number of issues
    0 1 2 3 4
Severity High
 
Medium
 
Low
 

Contents

1. SQL injection


1. SQL injection

Summary

Severity:   High
Confidence:   Tentative
Host:   https://www.human.de
Path:   /en/request-consultation

Issue detail

The _ssid cookie appears to be vulnerable to SQL injection attacks. The payloads ' and '9465'='9465 and ' and '1524'='1532 were each submitted in the _ssid cookie. These two requests resulted in different responses, indicating that the input is being incorporated into a SQL query in an unsafe way.

Note that automated difference-based tests for SQL injection flaws can often be unreliable and are prone to false positive results. You should manually review the reported requests and responses to confirm whether a vulnerability is actually present.

Issue background

SQL injection vulnerabilities arise when user-controllable data is incorporated into database SQL queries in an unsafe manner. An attacker can supply crafted input to break out of the data context in which their input appears and interfere with the structure of the surrounding query.

A wide range of damaging attacks can often be delivered via SQL injection, including reading or modifying critical application data, interfering with application logic, escalating privileges within the database and taking control of the database server.

Issue remediation

The most effective way to prevent SQL injection attacks is to use parameterized queries (also known as prepared statements) for all database access. This method uses two steps to incorporate potentially tainted data into SQL queries: first, the application specifies the structure of the query, leaving placeholders for each item of user input; second, the application specifies the contents of each placeholder. Because the structure of the query has already been defined in the first step, it is not possible for malformed data in the second step to interfere with the query structure. You should review the documentation for your database and application platform to determine the appropriate APIs which you can use to perform parameterized queries. It is strongly recommended that you parameterize every variable data item that is incorporated into database queries, even if it is not obviously tainted, to prevent oversights occurring and avoid vulnerabilities being introduced by changes elsewhere within the code base of the application.

You should be aware that some commonly employed and recommended mitigations for SQL injection vulnerabilities are not always effective:

References

Vulnerability classifications

Request 1

POST /en/request-consultation HTTP/2
Host: www.human.de
Cache-Control: max-age=0
Sec-CH-UA: "Chromium";v="140", "Not;A=Brand";v="24", "Google Chrome";v="140"
Sec-CH-UA-Mobile: ?0
Sec-CH-UA-Platform: "Windows"
Accept-Language: en-US;q=0.9,en;q=0.8
User-Agent: Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/140.0.0.0 Safari/537.36
Accept: text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7
Sec-Fetch-Site: none
Sec-Fetch-Mode: navigate
Sec-Fetch-User: ?1
Sec-Fetch-Dest: document
Accept-Encoding: gzip, deflate, br
Connection: close
Cookie: _ssid=43b4778a313cbd3a469d7f068679499e'%20and%20'9465'%3d'9465
Origin: https://www.human.de
Upgrade-Insecure-Requests: 1
Referer: https://www.human.de/en/request-consultation
Content-Type: application/x-www-form-urlencoded
Content-Length: 1085

formbuilder_1%5BformId%5D=1&formbuilder_1%5BinputUserName%5D=&formbuilder_1%5BformCl%5D=%5B%5D&formbuilder_1%5BformRuntimeData%5D=%7B%22form_preset%22%3A%22custom%22%2C%22form_template%22%3A%22form_div_layout%22%2C%22form_output_workflow%22%3Anull%2C%22custom_options%22%3A%5B%5D%2C%22form_template_full_path%22%3A%22%40FormBuilder%5C%2Fform%5C%2Ftheme%5C%2Fform_div_layout.html.twig%22%7D&formbuilder_1%5BformRuntimeDataToken%5D=bc398f0baca0ec5f665da7d06.WAE2nkktiHg-Y6HZbdnF1Je7t-n_3PXNcB34N3rNc0A.MDkA2x5h_T8IOcusGe6sos_r-Ly3k7b7QF7VY0n9FXgTYlSuEX7OEQ8s7A&formbuilder_1%5BFirstNameField%5D=&formbuilder_1%5BLastNameField%5D=&formbuilder_1%5BEmailField%5D=&formbuilder_1%5BPhoneField%5D=&formbuilder_1%5BCompanyOrganizationField%5D=&formbuilder_1%5BCountryField%5D=&formbuilder_1%5BYourInterestField%5D=&formbuilder_1%5BYourMessageField%5D=Your+Message+*&formbuilder_1%5BPrivacyField%5D=1&formbuilder_1%5BNewsField%5D=1&formbuilder_1%5BSubmitField%5D=&formbuilder_1%5B_token%5D=96.oW9iPqbXFPPgkhNejLkLxOibKy7UT2Of1rDbrDy0xoI.1ykLVd-1f6aZ9308ydo8opH0EkDsYjrphYK3xHvZqdTuXQtO5J9ZyqLYfA

Response 1

HTTP/2 200 OK
Date: Fri, 12 Sep 2025 08:25:51 GMT
Content-Type: text/html; charset=UTF-8
Access-Control-Allow-Origin: https://www.human.de
Cache-Control: max-age=0, must-revalidate, private
Content-Language: en
Expires: Fri, 12 Sep 2025 08:25:51 GMT
Nel: {"report_to":"cf-nel","success_fraction":0.0,"max_age":604800}
Cf-Cache-Status: DYNAMIC
Expect-Ct: max-age=86400, enforce
Referrer-Policy: same-origin
X-Content-Type-Options: nosniff
X-Frame-Options: SAMEORIGIN
X-Xss-Protection: 1; mode=block
Server-Timing: cfCacheStatus;desc="DYNAMIC"
Server-Timing: cfEdge;dur=6,cfOrigin;dur=72
Report-To: {"group":"cf-nel","max_age":604800,"endpoints":[{"url":"https://a.nel.cloudflare.com/report/v4?s=Td0XJ8%2BowOgORTZ8CK8dGSENs5gNVRw%2FqyDwCB1ySo1xDETKClyQl0KEZ%2F5V99PqHa%2BW%2FqjwX6h%2BghvPo0Hbr4qy8peEpn813hHG"}]}
Server: cloudflare
Set-Cookie: _ssid=6ff64cacfa17407fc1b6a52a239298aa; HttpOnly; SameSite=Lax; Path=/
Cf-Ray: 97de043f3a19d375-FRA
Alt-Svc: h3=":443"; ma=86400

<!DOCTYPE html>

<html lang="en">
<head>
                   <title>Request a consultation</title>
                   <meta name="description" content="We listen to you carefully and answer as soon as possible!" />
<meta name="robots" content="noindex, nofollow" />

                   
                                   <link rel="manifest" id="manifest-placeholder">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta charset="UTF-8">
               <!-- For all browsers -->
               <link rel="icon" type="image/png" sizes="32x32" href="/build/assets/icon-32-BKg7cWu7.png">
               <!-- For Google and Android -->
               <link rel="icon" type="image/png" sizes="192x192" href="/build/assets/icon-192-DvoJpW3K.png">
               <!-- For iPhone and iPad -->
               <link rel="apple-touch-icon" type="image/png" sizes="192x192" href="/build/assets/icon-192-DvoJpW3K.png">
               <link rel="apple-touch-icon" type="image/png" sizes="512x512" href="/build/assets/icon-512-BxNc3i0h.png">
    <link rel="stylesheet" href="/build/assets/pages-MlWozUcO.css">
<link rel="stylesheet" href="/build/assets/styles-Cu2RWEPQ.css">
<link rel="stylesheet" href="/build/assets/formStyles-C0Bs14_U.css">
<link rel="stylesheet" href="/build/assets/mobileStyles-wD4bABkr.css">
<link rel="stylesheet" href="/build/assets/desktopStyles-BSMcXM-T.css" media="screen and (min-width: 600px)">
<link rel="stylesheet" href="/build/assets/printStyles-Bas-qetj.css" media="print">

   <link rel="stylesheet" href="/build/assets/requestConsultationStyles-BNi3guv1.css">
                                   <!-- Google Tag Manager -->
                   <script>
                       window.dataLayer = window.dataLayer || [];
                       window.dataLayer.push({
                           "gtm.start": new Date().getTime(),
                           event: "gtm.js",
                       });
                   </script>
                   <!-- End Google Tag Manager -->
                </head>
<body>
                                   <hmn-gtm
                       gtm_id="GTM-KCK966VX"
                       domain="human.de"
                                           ></hmn-gtm>
                                                   <hmn-posthog posthog_id="phc_pWbZNzPqZNfDdzSRawu2Tijpq10cjB5IKjVb22kMqyb" posthog_host="https://eu.i.posthog.com"></hmn-posthog>
                   <main>
       <section class="get-consultation">
           <div class="content">
               <picture class="consult-image">
                   <source srcset='/build/assets/doctor-work-bMAC6zqT.avif' type='image/avif' width='' height='' /><source srcset='/build/assets/doctor-work-Dl9wvs78.webp' type='image/webp' width='' height='' /><source srcset='/build/assets/doctor-work-ygopUvsU.jpg' type='image/jpg' width='' height='' /><img src='/build/assets/doctor-work-ygopUvsU.jpg' width='' height='' alt='doctor work' loading='lazy' class='' />
               </picture>
               <div class="container">
                   <div class="heading">
                       <p class="heading-text">Contact us</p>
                       <div class="info">
                           <div><p>Use the following form for any request whether it is product related or concerning potential distribution partnership. We listen to you carefully and answer as soon as possible!</p> <p>..</p> <p>Fields marked with a * are mandatory.</p></div>
                       </div>
                   </div>
                   <div class="request-consultation">
                                                                        <div class="form-builder-wrapper">
<form name="formbuilder_1" method="post" action="https://www.human.de/en/request-consultation" novalidate="novalidate" class="formbuilder ajax-form" data-template="form_div_layout" data-ajax-structure-url="/en/form-control/get-url-structure">


<div id="formbuilder_1" novalidate="novalidate" class="formbuilder ajax-form" data-template="form_div_layout" data-ajax-structure-url="/en/form-control/get-url-structure"><ul class="errors"><li>The CSRF token is invalid. Please try to resubmit the form.</li><li>Manipulated runtime token detected.</li></ul><input type="hidden" id="formbuilder_1_formId" name="formbuilder_1[formId]" value="1" />
<input type="text" id="formbuilder_1_inputUserName" name="formbuilder_1[inputUserName]" autocomplete="off" tabindex="-1" style="position: absolute; left: -500%; top: -500%;" role="presentation" />
<input type="hidden" id="formbuilder_1_formCl" name="formbuilder_1[formCl]" value="[]" />
<input type="hidden" id="formbuilder_1_formRuntimeData" name="formbuilder_1[formRuntimeData]" value="{&quot;form_preset&quot;:&quot;custom&quot;,&quot;form_template&quot;:&quot;form_div_layout&quot;,&quot;form_output_workflow&quot;:null,&quot;custom_options&quot;:[],&quot;form_template_full_path&quot;:&quot;@FormBuilder\/form\/theme\/form_div_layout.html.twig&quot;}" />
<input type="hidden" id="formbuilder_1_formRuntimeDataToken" name="formbuilder_1[formRuntimeDataToken]" value="bc398f0baca0ec5f665da7d06.WAE2nkktiHg-Y6HZbdnF1Je7t-n_3PXNcB34N3rNc0A.MDkA2x5h_T8IOcusGe6sos_r-Ly3k7b7QF7VY0n9FXgTYlSuEX7OEQ8s7A" />
<div class="formbuilder-row"
                   ><label class="radio-custom">Salutation</label><div id="formbuilder_1_SalutationField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_SalutationField_0" name="formbuilder_1[SalutationField]" value="Mr." /><label for="formbuilder_1_SalutationField_0">Mr.</label><input type="radio" id="formbuilder_1_SalutationField_1" name="formbuilder_1[SalutationField]" value="Mrs." /><label for="formbuilder_1_SalutationField_1">Mrs.</label></div>
</div><div class="formbuilder-row"
                   ><label class="radio-custom">Title</label><div id="formbuilder_1_TitleField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_TitleField_0" name="formbuilder_1[TitleField]" value="None" /><label for="formbuilder_1_TitleField_0">None</label><input type="radio" id="formbuilder_1_TitleField_1" name="formbuilder_1[TitleField]" value="Prof." /><label for="formbuilder_1_TitleField_1">Prof.</label><input type="radio" id="formbuilder_1_TitleField_2" name="formbuilder_1[TitleField]" value="Dr." /><label for="formbuilder_1_TitleField_2">Dr.</label></div>
</div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_FirstNameField" class="required">First Name *</label><input type="text" id="formbuilder_1_FirstNameField" name="formbuilder_1[FirstNameField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_LastNameField" class="required">Last Name *</label><input type="text" id="formbuilder_1_LastNameField" name="formbuilder_1[LastNameField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_EmailField" class="required">E-mail *</label><input type="text" id="formbuilder_1_EmailField" name="formbuilder_1[EmailField]" required="required" data-initial-constraints="not_blank,email" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row"
                   ><label for="formbuilder_1_PhoneField">Phone number</label><input type="text" id="formbuilder_1_PhoneField" name="formbuilder_1[PhoneField]" data-initial-constraints="" data-template="default" />
</div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_CompanyOrganizationField" class="required">Company / Organization *</label><input type="text" id="formbuilder_1_CompanyOrganizationField" name="formbuilder_1[CompanyOrganizationField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_CountryField" class="required">Country *</label><select id="formbuilder_1_CountryField" name="formbuilder_1[CountryField]" required="required" data-initial-constraints="not_blank" data-template="default"><option value="" selected="selected">Choose an option</option><option value="AF">Afghanistan</option><option value="AX">..land Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua &amp; Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BA">Bosnia &amp; Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo - Brazzaville</option><option value="CD">Congo - Kinshasa</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">C..te d...Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Cura..ao</option><option value="CY">Cyprus</option><option value="CZ">Czechia</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="SZ">Eswatini</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard &amp; McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong SAR China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao SAR China</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar (Burma)</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="KP">North Korea</option><option value="MK">North Macedonia</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestinian Territories</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn Islands</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">R..union</option><option value="RO">Romania</option><option value="RU">Russia</option><option value="RW">Rwanda</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">S..o Tom.. &amp; Pr..ncipe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia &amp; South Sandwich Islands</option><option value="KR">South Korea</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="BL">St. Barth..lemy</option><option value="SH">St. Helena</option><option value="KN">St. Kitts &amp; Nevis</option><option value="LC">St. Lucia</option><option value="MF">St. Martin</option><option value="PM">St. Pierre &amp; Miquelon</option><option value="VC">St. Vincent &amp; Grenadines</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard &amp; Jan Mayen</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syria</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad &amp; Tobago</option><option value="TN">Tunisia</option><option value="TR">T..rkiye</option><option value="TM">Turkmenistan</option><option value="TC">Turks &amp; Caicos Islands</option><option value="TV">Tuvalu</option><option value="UM">U.S. Outlying Islands</option><option value="VI">U.S. Virgin Islands</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US">United States</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican City</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="WF">Wallis &amp; Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select>
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row"
                   ><label for="formbuilder_1_YourInterestField">Your Interest</label><select id="formbuilder_1_YourInterestField" name="formbuilder_1[YourInterestField]" data-initial-constraints="" data-template="default"><option value="">Choose an option</option><option value="Product Information">Product Information</option><option value="Become a partner">Become a partner</option><option value="General request">General request</option></select>
</div><div class="formbuilder-row"
                   ><label class="radio-custom">Best way to contact</label><div id="formbuilder_1_BestWayField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_BestWayField_0" name="formbuilder_1[BestWayField]" value="By Email" /><label for="formbuilder_1_BestWayField_0">By Email</label><input type="radio" id="formbuilder_1_BestWayField_1" name="formbuilder_1[BestWayField]" value="By Phone" /><label for="formbuilder_1_BestWayField_1">By Phone</label></div>
</div><div class="formbuilder-row"
                   ><label for="formbuilder_1_YourMessageField" class="required">Your Message *</label><textarea id="formbuilder_1_YourMessageField" name="formbuilder_1[YourMessageField]" required="required" placeholder="Please leave us a message..." data-initial-constraints="not_blank" data-template="default">Your Message *</textarea>
</div><div class="formbuilder-row"
                   ><label class="checkbox-custom" for="formbuilder_1_PrivacyField">In order for HUMAN to send me relevant information to my interests, I agree that my data may be saved, used and tracked. I have noted the Privacy Statement and that I may revoke my consent at any time.</label><input type="checkbox" id="formbuilder_1_PrivacyField" name="formbuilder_1[PrivacyField]" data-initial-constraints="" data-template="default" value="1" checked="checked" />
</div><div class="formbuilder-row"
                   ><label class="checkbox-custom" for="formbuilder_1_NewsField">I would like to receive HUMAN News.</label><input type="checkbox" id="formbuilder_1_NewsField" name="formbuilder_1[NewsField]" data-initial-constraints="" data-template="default" value="1" checked="checked" />
</div><div        ><button type="submit" id="formbuilder_1_SubmitField" name="formbuilder_1[SubmitField]" data-initial-constraints="" data-template="default">Submit</button></div><input type="hidden" id="formbuilder_1__token" name="formbuilder_1[_token]" value="2138b165fe571ce0.TzYDk76Wq4-8DBpkBWLv8JNWUfi7QKBmhYD5BBvXE1w.fkVw-9Lc_PfNT1cjbTXepqc5Mo7fCOsz4tiWdHOza2wlZnah_MHH3cs_Lg" />
</div>

</form>
</div>

                   </div>
               </div>
               <button class="close-consultation" data-button-type="x-close" data-size="md" aria-label=Close>
                   <img src="/build/assets/x-close-DRkW4SBc.svg" class="svg-img" alt="Close" />
               </button>
           </div>
       </section>
   </main>

   <script async type="module" src="/build/assets/requestConsultation-CK2Dm_X_.js"></script>
                                   <script async type="module" src="/build/assets/gtm-BXrRRllH.js"></script>
                                                   <script async type="module" src="/build/assets/posthog-C7rbuTcf.js"></script>
                <script defer src="https://static.cloudflareinsights.com/beacon.min.js/vcd15cbe7772f49c399c6a5babf22c1241717689176015" integrity="sha512-ZpsOmlRQV6y907TI0dKBHq9Md29nnaEIPlkf84rnaERnq6zvWvPUqr2ft8M1aS28oN72PdrCzSjY4U6VaAw1EQ==" data-cf-beacon='{"version":"2024.11.0","token":"b234ddd26a5949c991f656e13093e0bf","server_timing":{"name":{"cfCacheStatus":true,"cfEdge":true,"cfExtPri":true,"cfL4":true,"cfOrigin":true,"cfSpeedBrain":true},"location_startswith":null}}' crossorigin="anonymous"></script>
<script>(function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'97de043f3a19d375',t:'MTc1NzY2NTU1MQ=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document
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</html>

Request 2

POST /en/request-consultation HTTP/2
Host: www.human.de
Cache-Control: max-age=0
Sec-CH-UA: "Chromium";v="140", "Not;A=Brand";v="24", "Google Chrome";v="140"
Sec-CH-UA-Mobile: ?0
Sec-CH-UA-Platform: "Windows"
Accept-Language: en-US;q=0.9,en;q=0.8
User-Agent: Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/140.0.0.0 Safari/537.36
Accept: text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7
Sec-Fetch-Site: none
Sec-Fetch-Mode: navigate
Sec-Fetch-User: ?1
Sec-Fetch-Dest: document
Accept-Encoding: gzip, deflate, br
Connection: close
Cookie: _ssid=43b4778a313cbd3a469d7f068679499e'%20and%20'1524'%3d'1532
Origin: https://www.human.de
Upgrade-Insecure-Requests: 1
Referer: https://www.human.de/en/request-consultation
Content-Type: application/x-www-form-urlencoded
Content-Length: 1085

formbuilder_1%5BformId%5D=1&formbuilder_1%5BinputUserName%5D=&formbuilder_1%5BformCl%5D=%5B%5D&formbuilder_1%5BformRuntimeData%5D=%7B%22form_preset%22%3A%22custom%22%2C%22form_template%22%3A%22form_div_layout%22%2C%22form_output_workflow%22%3Anull%2C%22custom_options%22%3A%5B%5D%2C%22form_template_full_path%22%3A%22%40FormBuilder%5C%2Fform%5C%2Ftheme%5C%2Fform_div_layout.html.twig%22%7D&formbuilder_1%5BformRuntimeDataToken%5D=bc398f0baca0ec5f665da7d06.WAE2nkktiHg-Y6HZbdnF1Je7t-n_3PXNcB34N3rNc0A.MDkA2x5h_T8IOcusGe6sos_r-Ly3k7b7QF7VY0n9FXgTYlSuEX7OEQ8s7A&formbuilder_1%5BFirstNameField%5D=&formbuilder_1%5BLastNameField%5D=&formbuilder_1%5BEmailField%5D=&formbuilder_1%5BPhoneField%5D=&formbuilder_1%5BCompanyOrganizationField%5D=&formbuilder_1%5BCountryField%5D=&formbuilder_1%5BYourInterestField%5D=&formbuilder_1%5BYourMessageField%5D=Your+Message+*&formbuilder_1%5BPrivacyField%5D=1&formbuilder_1%5BNewsField%5D=1&formbuilder_1%5BSubmitField%5D=&formbuilder_1%5B_token%5D=96.oW9iPqbXFPPgkhNejLkLxOibKy7UT2Of1rDbrDy0xoI.1ykLVd-1f6aZ9308ydo8opH0EkDsYjrphYK3xHvZqdTuXQtO5J9ZyqLYfA

Response 2

HTTP/2 200 OK
Date: Fri, 12 Sep 2025 08:25:51 GMT
Content-Type: text/html; charset=UTF-8
Access-Control-Allow-Origin: https://www.human.de
Cache-Control: max-age=0, must-revalidate, private
Content-Language: en
Expires: Fri, 12 Sep 2025 08:25:51 GMT
Nel: {"report_to":"cf-nel","success_fraction":0.0,"max_age":604800}
Cf-Cache-Status: DYNAMIC
Expect-Ct: max-age=86400, enforce
Referrer-Policy: same-origin
X-Content-Type-Options: nosniff
X-Frame-Options: SAMEORIGIN
X-Xss-Protection: 1; mode=block
Server-Timing: cfCacheStatus;desc="DYNAMIC"
Server-Timing: cfEdge;dur=6,cfOrigin;dur=66
Report-To: {"group":"cf-nel","max_age":604800,"endpoints":[{"url":"https://a.nel.cloudflare.com/report/v4?s=ZknslEWeow9xj%2Be8YPEEbvXTwIU%2BGTTT1lPhYhuC7OCXDDMbtAlpMMBFjCjDalcTg22eEQe4X3%2BNqvrJM8iBYKIR3w2lr4RiPTgJ"}]}
Server: cloudflare
Set-Cookie: _ssid=534bc580b926d174f9d9b60e0c069784; HttpOnly; SameSite=Lax; Path=/
Cf-Ray: 97de04406df4d375-FRA
Alt-Svc: h3=":443"; ma=86400

<!DOCTYPE html>

<html lang="en">
<head>
                   <title>Request a consultation</title>
                   <meta name="description" content="We listen to you carefully and answer as soon as possible!" />
<meta name="robots" content="noindex, nofollow" />

                   
                                   <link rel="manifest" id="manifest-placeholder">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta charset="UTF-8">
               <!-- For all browsers -->
               <link rel="icon" type="image/png" sizes="32x32" href="/build/assets/icon-32-BKg7cWu7.png">
               <!-- For Google and Android -->
               <link rel="icon" type="image/png" sizes="192x192" href="/build/assets/icon-192-DvoJpW3K.png">
               <!-- For iPhone and iPad -->
               <link rel="apple-touch-icon" type="image/png" sizes="192x192" href="/build/assets/icon-192-DvoJpW3K.png">
               <link rel="apple-touch-icon" type="image/png" sizes="512x512" href="/build/assets/icon-512-BxNc3i0h.png">
    <link rel="stylesheet" href="/build/assets/pages-MlWozUcO.css">
<link rel="stylesheet" href="/build/assets/styles-Cu2RWEPQ.css">
<link rel="stylesheet" href="/build/assets/formStyles-C0Bs14_U.css">
<link rel="stylesheet" href="/build/assets/mobileStyles-wD4bABkr.css">
<link rel="stylesheet" href="/build/assets/desktopStyles-BSMcXM-T.css" media="screen and (min-width: 600px)">
<link rel="stylesheet" href="/build/assets/printStyles-Bas-qetj.css" media="print">

   <link rel="stylesheet" href="/build/assets/requestConsultationStyles-BNi3guv1.css">
                                   <!-- Google Tag Manager -->
                   <script>
                       window.dataLayer = window.dataLayer || [];
                       window.dataLayer.push({
                           "gtm.start": new Date().getTime(),
                           event: "gtm.js",
                       });
                   </script>
                   <!-- End Google Tag Manager -->
                </head>
<body>
                                   <hmn-gtm
                       gtm_id="GTM-KCK966VX"
                       domain="human.de"
                                           ></hmn-gtm>
                                                   <hmn-posthog posthog_id="phc_pWbZNzPqZNfDdzSRawu2Tijpq10cjB5IKjVb22kMqyb" posthog_host="https://eu.i.posthog.com"></hmn-posthog>
                   <main>
       <section class="get-consultation">
           <div class="content">
               <picture class="consult-image">
                   <source srcset='/build/assets/doctor-work-bMAC6zqT.avif' type='image/avif' width='' height='' /><source srcset='/build/assets/doctor-work-Dl9wvs78.webp' type='image/webp' width='' height='' /><source srcset='/build/assets/doctor-work-ygopUvsU.jpg' type='image/jpg' width='' height='' /><img src='/build/assets/doctor-work-ygopUvsU.jpg' width='' height='' alt='doctor work' loading='lazy' class='' />
               </picture>
               <div class="container">
                   <div class="heading">
                       <p class="heading-text">Contact us</p>
                       <div class="info">
                           <div><p>Use the following form for any request whether it is product related or concerning potential distribution partnership. We listen to you carefully and answer as soon as possible!</p> <p>..</p> <p>Fields marked with a * are mandatory.</p></div>
                       </div>
                   </div>
                   <div class="request-consultation">
                                                                        <div class="form-builder-wrapper">
<form name="formbuilder_1" method="post" action="https://www.human.de/en/request-consultation" novalidate="novalidate" class="formbuilder ajax-form" data-template="form_div_layout" data-ajax-structure-url="/en/form-control/get-url-structure">


<div id="formbuilder_1" novalidate="novalidate" class="formbuilder ajax-form" data-template="form_div_layout" data-ajax-structure-url="/en/form-control/get-url-structure"><ul class="errors"><li>The CSRF token is invalid. Please try to resubmit the form.</li><li>Manipulated runtime token detected.</li></ul><input type="hidden" id="formbuilder_1_formId" name="formbuilder_1[formId]" value="1" />
<input type="text" id="formbuilder_1_inputUserName" name="formbuilder_1[inputUserName]" autocomplete="off" tabindex="-1" style="position: absolute; left: -500%; top: -500%;" role="presentation" />
<input type="hidden" id="formbuilder_1_formCl" name="formbuilder_1[formCl]" value="[]" />
<input type="hidden" id="formbuilder_1_formRuntimeData" name="formbuilder_1[formRuntimeData]" value="{&quot;form_preset&quot;:&quot;custom&quot;,&quot;form_template&quot;:&quot;form_div_layout&quot;,&quot;form_output_workflow&quot;:null,&quot;custom_options&quot;:[],&quot;form_template_full_path&quot;:&quot;@FormBuilder\/form\/theme\/form_div_layout.html.twig&quot;}" />
<input type="hidden" id="formbuilder_1_formRuntimeDataToken" name="formbuilder_1[formRuntimeDataToken]" value="bc398f0baca0ec5f665da7d06.WAE2nkktiHg-Y6HZbdnF1Je7t-n_3PXNcB34N3rNc0A.MDkA2x5h_T8IOcusGe6sos_r-Ly3k7b7QF7VY0n9FXgTYlSuEX7OEQ8s7A" />
<div class="formbuilder-row"
                   ><label class="radio-custom">Salutation</label><div id="formbuilder_1_SalutationField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_SalutationField_0" name="formbuilder_1[SalutationField]" value="Mr." /><label for="formbuilder_1_SalutationField_0">Mr.</label><input type="radio" id="formbuilder_1_SalutationField_1" name="formbuilder_1[SalutationField]" value="Mrs." /><label for="formbuilder_1_SalutationField_1">Mrs.</label></div>
</div><div class="formbuilder-row"
                   ><label class="radio-custom">Title</label><div id="formbuilder_1_TitleField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_TitleField_0" name="formbuilder_1[TitleField]" value="None" /><label for="formbuilder_1_TitleField_0">None</label><input type="radio" id="formbuilder_1_TitleField_1" name="formbuilder_1[TitleField]" value="Prof." /><label for="formbuilder_1_TitleField_1">Prof.</label><input type="radio" id="formbuilder_1_TitleField_2" name="formbuilder_1[TitleField]" value="Dr." /><label for="formbuilder_1_TitleField_2">Dr.</label></div>
</div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_FirstNameField" class="required">First Name *</label><input type="text" id="formbuilder_1_FirstNameField" name="formbuilder_1[FirstNameField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_LastNameField" class="required">Last Name *</label><input type="text" id="formbuilder_1_LastNameField" name="formbuilder_1[LastNameField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_EmailField" class="required">E-mail *</label><input type="text" id="formbuilder_1_EmailField" name="formbuilder_1[EmailField]" required="required" data-initial-constraints="not_blank,email" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row"
                   ><label for="formbuilder_1_PhoneField">Phone number</label><input type="text" id="formbuilder_1_PhoneField" name="formbuilder_1[PhoneField]" data-initial-constraints="" data-template="default" />
</div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_CompanyOrganizationField" class="required">Company / Organization *</label><input type="text" id="formbuilder_1_CompanyOrganizationField" name="formbuilder_1[CompanyOrganizationField]" required="required" data-initial-constraints="not_blank" data-template="default" />
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row has-error "
                   ><label for="formbuilder_1_CountryField" class="required">Country *</label><select id="formbuilder_1_CountryField" name="formbuilder_1[CountryField]" required="required" data-initial-constraints="not_blank" data-template="default"><option value="" selected="selected">Choose an option</option><option value="AF">Afghanistan</option><option value="AX">..land Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua &amp; Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BA">Bosnia &amp; Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo - Brazzaville</option><option value="CD">Congo - Kinshasa</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">C..te d...Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Cura..ao</option><option value="CY">Cyprus</option><option value="CZ">Czechia</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="SZ">Eswatini</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard &amp; McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong SAR China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao SAR China</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar (Burma)</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="KP">North Korea</option><option value="MK">North Macedonia</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestinian Territories</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn Islands</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">R..union</option><option value="RO">Romania</option><option value="RU">Russia</option><option value="RW">Rwanda</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">S..o Tom.. &amp; Pr..ncipe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia &amp; South Sandwich Islands</option><option value="KR">South Korea</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="BL">St. Barth..lemy</option><option value="SH">St. Helena</option><option value="KN">St. Kitts &amp; Nevis</option><option value="LC">St. Lucia</option><option value="MF">St. Martin</option><option value="PM">St. Pierre &amp; Miquelon</option><option value="VC">St. Vincent &amp; Grenadines</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard &amp; Jan Mayen</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syria</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad &amp; Tobago</option><option value="TN">Tunisia</option><option value="TR">T..rkiye</option><option value="TM">Turkmenistan</option><option value="TC">Turks &amp; Caicos Islands</option><option value="TV">Tuvalu</option><option value="UM">U.S. Outlying Islands</option><option value="VI">U.S. Virgin Islands</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US">United States</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican City</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="WF">Wallis &amp; Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select>
<ul class="errors"><li>This value should not be blank.</li></ul></div><div class="formbuilder-row"
                   ><label for="formbuilder_1_YourInterestField">Your Interest</label><select id="formbuilder_1_YourInterestField" name="formbuilder_1[YourInterestField]" data-initial-constraints="" data-template="default"><option value="">Choose an option</option><option value="Product Information">Product Information</option><option value="Become a partner">Become a partner</option><option value="General request">General request</option></select>
</div><div class="formbuilder-row"
                   ><label class="radio-custom">Best way to contact</label><div id="formbuilder_1_BestWayField" data-initial-constraints="" data-template="default"><input type="radio" id="formbuilder_1_BestWayField_0" name="formbuilder_1[BestWayField]" value="By Email" /><label for="formbuilder_1_BestWayField_0">By Email</label><input type="radio" id="formbuilder_1_BestWayField_1" name="formbuilder_1[BestWayField]" value="By Phone" /><label for="formbuilder_1_BestWayField_1">By Phone</label></div>
</div><div class="formbuilder-row"
                   ><label for="formbuilder_1_YourMessageField" class="required">Your Message *</label><textarea id="formbuilder_1_YourMessageField" name="formbuilder_1[YourMessageField]" required="required" placeholder="Please leave us a message..." data-initial-constraints="not_blank" data-template="default">Your Message *</textarea>
</div><div class="formbuilder-row"
                   ><label class="checkbox-custom" for="formbuilder_1_PrivacyField">In order for HUMAN to send me relevant information to my interests, I agree that my data may be saved, used and tracked. I have noted the Privacy Statement and that I may revoke my consent at any time.</label><input type="checkbox" id="formbuilder_1_PrivacyField" name="formbuilder_1[PrivacyField]" data-initial-constraints="" data-template="default" value="1" checked="checked" />
</div><div class="formbuilder-row"
                   ><label class="checkbox-custom" for="formbuilder_1_NewsField">I would like to receive HUMAN News.</label><input type="checkbox" id="formbuilder_1_NewsField" name="formbuilder_1[NewsField]" data-initial-constraints="" data-template="default" value="1" checked="checked" />
</div><div        ><button type="submit" id="formbuilder_1_SubmitField" name="formbuilder_1[SubmitField]" data-initial-constraints="" data-template="default">Submit</button></div><input type="hidden" id="formbuilder_1__token" name="formbuilder_1[_token]" value="c9e912eecc733b678b.UbpXnZL_aJEponKmq1tO0BhxiCX9MgtQ52i-QaMcP6g.CNka2PCYG9MY4QaQ2AoXpVcS_GGreUIAoTrzMu5kXvAj5R3y2Yw54nzjHQ" />
</div>

</form>
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Report generated by Burp Suite web vulnerability scanner v2025.8.3, at Fri Sep 12 10:29:25 CEST 2025.