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basicos.html
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61 lines (61 loc) · 1.56 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
</head>
<body>
<form action="funcion.php" method="post" enctype="multipart/form-data">
<label>
Nombre:
<input type="text" name="nom">
</label>
<br><br>
<label>
Edad:
<input type="number" name="edad">
</label>
<br><br>
<label>
Fecha:
<input type="date" name="date">
<br>
<br>
Foto:
<input type="file" name="fot">
</label>
<br><br>
<label>
Estado Civil:
<select name="se">
<option value="S">Soltero</option>
<option value="C">Casado</option>
<option value="D">Divorciado</option>
</select>
</label>
<br><br>
<label>
Documentacion Presentada:
<input type="checkbox" name="doccion[]" value="INE"> INE
<input type="checkbox" name="doccion[]" value="CURP"> CURP
<input type="checkbox" name="doccion[]" value="ACTA"> ACTA
</label>
<br><br>
<label for="">Genero: </label>
<label for="">Masculino
<input type="radio" value="M" name="gen"></label>
<label for="">Femenino
<input type="radio" value="F" name="gen"></label>
<br><br>
<label>
Observaciones:
<br><br>
</label>
<textarea name="observaciones" cols="30" rows="10"></textarea>
<br><br>
<button type="submit">
Enviar
</button>
</form>
</body></html>