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    Uploaded by

    Alejandro Castrillón
    27 views3 pages
    This document contains an HTML form for student enrollment/registration. The form requests information such as name, photo, gender, date of birth, address, contact details, document type and number to register a student. Users fill in text fields, select options from drop-downs, upload images and select radio buttons to provide their registration information.

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    Original Title

    matricula-form

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    This document contains an HTML form for student enrollment/registration. The form requests information such as name, photo, gender, date of birth, address, contact details, document type and number to register a student. Users fill in text fields, select options from drop-downs, upload images and select radio buttons to provide their registration information.

    Copyright:

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

    HTML Lang

    Uploaded by

    Alejandro Castrillón
    This document contains an HTML form for student enrollment/registration. The form requests information such as name, photo, gender, date of birth, address, contact details, document type and number to register a student. Users fill in text fields, select options from drop-downs, upload images and select radio buttons to provide their registration information.

    Copyright:

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

    <!

    DOCTYPE html>
    <html lang="es">
    <!-- José Alejandro Castrillón Ortega -->
    <head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Formulario Matricula</title>
    </head>

    <body>
    <h2>MATRICULACIÓN</h2>
    <h4>Ingrese los datos de su Matricula a continuación:</h4>

    <form action="">
    <div>
    <img src="photo.jpg" width="100px" height="100px">
    <input type="file" name="photoinput" id="photoinput">
    </div>
    <br>

    <div>
    Nombre Completo:
    <input type="text" name="nameinput" id="nameinput">
    </div>
    <br>

    <div>
    Tipo de Documento:
    <input type="radio" name="doctypeinput" id="ccradio" value="CC">
    <label for="ccradio">CC</label>
    <input type="radio" name="doctypeinput" id="ceradio" value="CE">
    <label for="ceradio">CE</label>
    <input type="radio" name="doctypeinput" id="tiradio" value="TI">
    <label for="tiradio">TI</label>
    </div>
    <div>
    Numero de Documento:
    <input type="number" name="docnuminput" id="docnuminput">
    </div>
    <br>

    <div>
    Género:
    <input type="radio" name="genderinput" id="mradio" value="M">
    <label for="mradio">M</label>
    <input type="radio" name="genderinput" id="fradio" value="F">
    <label for="fradio">F</label>
    </div>
    <br>

    <div>
    Departamento:
    <input type="text" name="depinput" id="depinput">
    Ciudad:
    <input type="text" name="cityinput" id="cityinput">
    </div>
    <div>
    Dirección:
    <input type="text" name="addressinput" id="addressinput">
    </div>
    <br>

    <div>
    Fecha de Nacimiento:
    <input type="date" name="dateinput" id="dateinput">
    </div>
    <br>

    <div>
    Estado Civíl:
    <select name="statusselect" id="statusselect">
    <option value="soltero">Soltero</option>
    <option value="casado">Casado</option>
    <option value="unionlibre">Union Libre</option>
    <option value="divorciado">Divorciado</option>
    <option value="viudo">Viudo</option>
    </select>
    </div>
    <br>

    <div>
    Número de Teléfono:
    <input type="number" name="phoneinput" id="phoneinput">
    </div>
    <div>
    Correo Electrónico:
    <input type="email" name="emailinput" id="emailinput">
    </div>
    <br>

    <input type="submit" value="Enviar">


    </form>
    </body>

    </html>

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