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  • Nose

    Uploaded by

    JOHN JAIRO LANCHEROS RANGEL
    3 views3 pages
    jajajajajjaja

    Original Title

    nose

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    © © All Rights Reserved

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    jajajajajjaja

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views3 pages

    Nose

    Uploaded by

    JOHN JAIRO LANCHEROS RANGEL
    jajajajajjaja

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    <html>

    <head>
    <title>
    "Formulario"
    </title>

    <link href="HojaDeEstilo.css" rel="stylesheet" type="text/css">

    </head>

    <body>

    <center>

    <br>
    <br>

    <hr/>

    <h1> --------// Formulario Servicio Militar //--------</h1>

    <hr/>

    </center>

    <br>
    <br>
    <br>

    <center>
    <img src="Servicio.jpg" width=650>
    </center>

    <br>
    <br>
    <br>

    <form method=GET action ="Formulario2.html">

    <center>

    <table border =1 bgcolor=red>

    <tr> <td> <font color="#ffffa0">Nombre:</font> </td> <td> <input


    type="text" action="get" name="Nombre" placeholder="Ingrese Su
    Nombre"> </tr>
    <tr> <td> <font color="#ffffa0">Edad:</font> </td> <td> <input
    type="text" action="get" name="Edad" placeholder="Ingrese Su Edad"
    > </tr>
    <tr> <td> <font color="#ffffa0">Sexo:</font> </td> <td> <input
    type="text" action="get" name="Sexo" placeholder="Ingrese Su
    Sexo"> </tr>
    <tr> <td> <font color="#ffffa0">Enfermedades:</font> </td> <td> <input
    type="text" action="get" name="Enfermedades" placeholder="Alguna
    Enfermedad?" > </tr>
    <tr> <td> <font color="#ffffa0">Capacidad Fisica:</font> </td> <td> <input
    type="text" action="get" name="Capacidad" placeholder="Estado Fisico">
    </tr>
    <tr> <td> <font color="#ffffa0">Antecedentes:</font> </td> <td> <input
    type="text" action="get" name="Antecedentes" placeholder="Tiene
    Antecedentes?"> </tr>
    <tr> <td> <font color="#ffffa0">Direccion:</font> </td> <td> <input
    type="text" action="get" name="Direccion" placeholder="Ingrese Su
    Direccion"> </tr>
    <tr> <td> <font color="#ffffa0">Tipo De Sangre:</font> </td> <td> <input
    type="text" action="get" name="Sangre" placeholder="Ingrese Su Tipo
    De Sangre"> </tr>
    <tr> <td> <font color="#ffffa0">Estado Civil:</font> </td> <td> <input
    type="text" action="get" name="Estado" placeholder="Ingrese Su
    Estado Civil"> </tr>
    <tr> <td> <font color="#ffffa0">Cedula:</font> </td> <td> <input
    type="text" action="get" name="Cedula" placeholder="Ingrese Su
    Cedula"> </tr>

    </table>

    <br>
    <br>
    <br>

    </center>

    <center>
    <form action ="Formulario2.html">
    <button type="sumbit">Reclutar
    </center>

    </form>
    </body>
    </html>

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