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inscribir.php
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<html>
<head> <?php include 'php/imports.php' ?>
</head> <?php include 'php/header.php' ?>
<title>Inscripciones</title>
<body class="ng-scope" ng-app="AppRegistroJuguetes" ng-controller="Insc_Ctrl">
<section>
<div class="container ">
<div class="row invert">
<div class="col-xs-12 text-center">
<h3 class="titulo">Formulario inscripción beneficiarios</h3>
</div>
</div>
<label ng-model="codeStatus">{{codeStatus}} </label>
<div class="row section-padding">
<div class="col-xs-8 col-xs-offset-2 col-sm-6 col-sm-offset-3">
<form name="FormInsc" ng-submit="onSubmit()">
<input style="visibility:hidden" ng-model="benef.user" >
<div class="form-group">
<select required ng-model="benef.entidad"
ng-options="item.Id as item.Nombre for item in entidades"
class="form-control"
placeholder="Entidad"
id="entidad">
<option value="">Seleccionar Entidad</option>
</select>
</div>
<div class="form-group">
<select required ng-model="benef.estado"
class="form-control"
placeholder="Estado"
id="estado">
<option value="">Seleccionar Tipo de Inscripción</option>
<option value="1">Normal</option>
<option value="2">Especial D</option>
<option value="3">Especial E</option>
</select>
</div>
<label for="rut">Ingresar Rut sin puntos, sin guión</label>
<div class="form-group">
<input required ng-model="benef.rut"
type="text"
class="form-control"
placeholder="12345678-9"
id="rut"
oninput="checkRut(this)">
</div>
<label for="nombres">Nombre</label>
<div class="row">
<div class="form-group col-sm-6">
<input required ng-model="benef.nombre1"
type="text"
class="form-control soloLetras "
placeholder="Primer Nombre"
id="nombre1" >
</div>
<div style="display:none" class="form-group col-sm-6">
<input ng-model="benef.nombre2"
type="text"
class="form-control soloLetras"
placeholder="Segundo Nombre"
>
</div>
</div>
<label for="apellidos">Apellidos</label>
<div class="row">
<div class="form-group col-sm-6">
<input required ng-model="benef.apellido1"
type="text" class="form-control soloLetras"
placeholder="Primer Apellido"
id="apellidos">
</div>
<div class="form-group col-sm-6">
<input ng-model="benef.apellido2"
type="text"
class="form-control soloLetras"
placeholder="Segundo Apellido">
</div>
</div>
<label for="fecha_nac">Fecha de Nacimiento</label>
<div class="form-group">
<input required ng-model="benef.fecha_nac"
type="text"
class="form-control"
placeholder="dia-mes-año"
id="fecha">
</div>
<label for="dire">Dirección</label>
<div class="form-group">
<input required ng-model="benef.direccion"
type="text"
class="form-control"
placeholder="Dirección"
id="dire">
</div>
<label>Genero</label>
<div class="row">
<div class="form-group col-xs-6">
<div class="radio">
<label>
<input required ng-model="benef.genero"
type="radio"
name="optionsRadios"
id="radioMasculino"
value="M">
Masculino
</label>
</div>
</div>
<div class="form-group col-xs-6">
<div class="radio">
<label>
<input required ng-model="benef.genero"
type="radio"
name="optionsRadios"
id="radioFemenino"
value="F">
Femenino
</label>
</div>
</div>
</div>
<div class="boton text-center">
<input value="Registrar"
class="btn btn-primary"
type="submit"
>
</div>
</form>
</div>
</div>
</div>
</section>
<?php include 'php/foot.php' ?>
</body>
</html>