HTML Injection: It is possible to inject your own HTML into this page because the input is not encoded prior to be used as output. Determine which input field contributes output here and inject HTML, CSS, and/or Javascripts in order to alter the client-side code of this page.
Javascript Validation Bypass: Set the page to at least security level 1 to activate the javascript validation. Javascript validation can always be bypassed. Use a client-proxy like Burp-Suite to capture the request after it has left the browser. You can alter the request at that time. Also, Javascript can be disabled.
Operating System Command Injection: Command injection may occur when a web application passes user input in part or in whole to the operating system for execution. This page incorporates user input into a larger statement that is submitted to an operating system shell for execution. Try to determine the operating system in use. Enter characters that are reserved in shells; especially characters used to concatenate commands.
Method Tampering: Because the page does not specify that the input parameters must be posted, it is possible to submit input parameters via a post or a get. This is a second order vulnerability allowing other vulnerabilities to be exploited easier.
Application Log Injection: Some inputs on this page are recorded into log records which can be read by visiting the Show Log page. Vulnerabilities on the Show Log page may allow injections in log records to execute.
Reflected Cross-Site Scripting: This page is vulnerable to reflected cross-site scripting because the input is not encoded prior to be used as output. Determine which input field contributes output here and inject scripts. Try to redirect the user to the capture-data.php page which records cookies and other parameters. Visit the captured-data.php page to view captured data.