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formulario.php
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formulario.php
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<!DOCTYPE html>
<html>
<head>
<title>INICIO</title>
<meta name="viewport" content="width=device-width, user-scalable=no, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0">
<meta charset = 'UTF-8'>
<link rel="stylesheet" type="text/css" href="css/bootstrap.min.css">
<link rel="stylesheet" type="text/css" href="css/estilo.css">
</head>
<body>
<div class="parte_superior">
<div class="img_login">
<IMG SRC="img/logo_banco.png" class="img_logo">
</div>
</div>
<div class="jumbotron cont_form" >
<form action="datos_formulario_registro.php" method="post" class="form-horizontal">
<div class="form-group">
<label class="control-label col-xs-3">Nombre:</label>
<div class="col-xs-9">
<input type="text" class="form-control" name="nombre" id="nombre" placeholder="Nombre" maxlength="50" required>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3">Apellido:</label>
<div class="col-xs-9">
<input type="text" class="form-control" name="Apellido" id="Apellido" placeholder="Apellido" required>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3">Telefono:</label>
<div class="col-xs-9">
<input type="number" class="form-control" name="telefono" id="telefono" placeholder="044-612" required />
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3">Email:</label>
<div class="col-xs-9">
<input type="email" class="form-control" name="email" id="emali" placeholder="@exemple.com" maxlength="50" required>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3">Fecha Nacimiento:</label>
<div class="col-xs-3">
<select class="form-control" name="dia" id="dia">
<option>1</option>
<option>2</option>
<option>21</option>
</select>
</div>
<div class="col-xs-3">
<select class="form-control" name="mes" id="mes">
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
</select>
</div>
<div class="col-xs-3">
<select class="form-control" name="ano" id="ano">
<option>1995</option>
<option>1996</option>
<option>1963</option>
</select>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3">Dirección:</label>
<div class="col-xs-9">
<textarea rows="3" class="form-control" name="direc" id="direc" placeholder="Dirección" maxlength="100" required></textarea>
</div>
</div>
<div class="form-group">
<div class="col-xs-offset-3 col-xs-9">
<input type="submit" class="btn btn-primary" value="Registrarse">
</div>
</div>
</form>
</div>
<script src="js/jquery-min.js"></script>
<script src="js/bootstrap.min.js"></script>
</body>
</html>