Datos personales
{!! Form::open([ 'route' => 'admon-officials.store', 'method'=>'POST', 'autocomplete'=>'off', 'class' => 'form-horizontal', 'files' => true, 'onsubmit' => "submitButton.disabled = true", 'id' => 'form-person' ]) !!}
{!! Form::label('type_document_id', 'Tipo documento *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::select('type_document_id', $type_documents, null, ['class' => ($errors->has('code')) ? 'form-control form-control-sm is-invalid type_document_id' : 'form-control form-control-sm type_document_id', 'placeholder' => 'Seleccione...' ]) !!} {!! Form::hidden('id', null, ['class' => ($errors->has('admission_date')) ? 'form-control form-control-sm is-invalid person_id' : 'form-control form-control-sm person_id', 'required'=>'required', 'id'=>'id']) !!} {!! $errors->first('type_document_id', '
:message
') !!}
{!! Form::label('document_number', 'Número de documento *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('document_number', null, ['class' => ($errors->has('admission_date')) ? 'form-control form-control-sm is-invalid document_number' : 'form-control form-control-sm document_number']) !!} {!! $errors->first('document_number', '
:message
') !!}
{!! Form::label('expedition_date', 'Fecha expedición *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('expedition_date', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm is-invalid typedate valid_date expedition_date' : 'form-control form-control-sm typedate valid_date expedition_date', 'required'=>'required', 'placeholder'=>'dd/mm/yyyy', 'disabled'=>'disabled']) !!} {!! $errors->first('expedition_date', '
:message
') !!}
{!! Form::label('first_name', 'Primer nombre *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('first_name', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid first_name' : 'form-control form-control-sm first_name']) !!} {!! $errors->first('first_name', '
:message
') !!}
{!! Form::label('second_name', 'Segundo nombre', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('second_name', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid second_name' : 'form-control form-control-sm second_name']) !!} {!! $errors->first('second_name', '
:message
') !!}
{!! Form::label('first_surname', 'Primer apellido *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('first_surname', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid first_surname' : 'form-control form-control-sm first_surname']) !!} {!! $errors->first('first_surname', '
:message
') !!}
{!! Form::label('second_surname', 'Segundo apellido', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('second_surname', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid second_surname' : 'form-control form-control-sm second_surname']) !!} {!! $errors->first('second_surname', '
:message
') !!}
{!! Form::label('birth_date', 'Fecha de nacimiento *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('birth_date', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm typedate is-invalid valid_date' : 'form-control form-control-sm typedate valid_date', 'required'=>'required', 'placeholder'=>'dd/mm/yyyy']) !!} {!! $errors->first('birth_date', '
:message
') !!}
{!! Form::label('birth_municipality_id', 'Municipio de nacimiento *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('birth_municipality', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'id'=>'birth_municipality']) !!} {!! Form::hidden('birth_municipality_id', null, ['class' => 'form-control form-control-sm', 'id'=>'birth_municipality_id', 'required'=>'required']) !!} {!! Form::hidden('birth_municipality-x', null,['id' => 'birth_municipality-x']) !!} {!! $errors->first('birth_municipality_id', '
:message
') !!}
{!! Form::label('gender', 'Genero *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::select('gender', ['M' => 'Masculino', 'F' => 'Femenino'], null, ['class' => ($errors->has('code')) ? 'form-control form-control-sm is-invalid' : 'form-control form-control-sm ', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!} {!! $errors->first('gender', '
:message
') !!}
{!! Form::label('nationality_id', 'Nacionalidad *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('nationality', null, ['class' => 'form-control form-control-sm', 'id'=>'nationality']) !!} {!! Form::hidden('nationality_id', null, ['class' => 'form-control form-control-sm', 'id'=>'nationality_id', 'required'=>'required']) !!} {!! Form::hidden('nationality-x', null, ['class' => 'form-control form-control-sm']) !!} {!! $errors->first('nationality_id', '
:message
') !!}
{!! Form::label('phone', 'Teléfono *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('phone', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! $errors->first('phone', '
:message
') !!}
{!! Form::label('municipality_residence', 'Municipio de residencia *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('municipality_residence', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'id'=>'municipality_residence']) !!} {!! Form::hidden('municipality_residence_id', null, ['class' => 'form-control form-control-sm', 'id'=>'municipality_residence_id', 'required'=>'required']) !!} {!! Form::hidden('municipality_residence-x', null,['id' => 'municipality_residence-x']) !!} {!! $errors->first('municipality_residence', '
:message
') !!}
{!! Form::label('address', 'Dirección *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('address', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! $errors->first('address', '
:message
') !!}
{!! Form::label('email', 'Email *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('email', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! $errors->first('email', '
:message
') !!}
{!! Form::label('civil_status', 'Estado civil *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::select('civil_status', ['S' => 'Soltero', 'C' => 'Casado'], null, ['class' => ($errors->has('code')) ? 'form-control form-control-sm is-invalid' : 'form-control form-control-sm ', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!} {!! $errors->first('civil_status', '
:message
') !!}
{!! Form::label('number_children', 'Número de hijos *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('number_children', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! $errors->first('number_children', '
:message
') !!}
{!! Form::label('disability', 'Presenta discapacidad *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::select('disability', ['S' => 'Si', 'N' => 'No'], null, ['class' => ($errors->has('code')) ? 'form-control form-control-sm is-invalid' : 'form-control form-control-sm ', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!} {!! $errors->first('disability', '
:message
') !!}
{!! Form::label('health_promoting_entities_id', 'Entidad promotora de salud *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('health_promoting_entity', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'id'=>'health_promoting_entity']) !!} {!! Form::hidden('health_promoting_entity_id', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required', 'id'=>'health_promoting_entity_id']) !!} {!! Form::hidden('health_promoting_entity-x', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm']) !!} {!! $errors->first('health_promoting_entities_id', '
:message
') !!}
{!! Form::label('occupational_risk_management_id', 'Administración riesgos laborales *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('occupational_risk_management', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'id'=>'occupational_risk_management']) !!} {!! Form::hidden('occupational_risk_management_id', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! Form::hidden('occupational_risk_management-x', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm']) !!} {!! $errors->first('occupational_risk_management_id', '
:message
') !!}
{!! Form::label('pension_fund_manager_id', 'Fondos de pensiones *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('pension_fund_manager', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'id'=>'pension_fund_manager']) !!} {!! Form::hidden('pension_fund_manager_id', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required', 'id'=>'pension_fund_manager_id']) !!} {!! Form::hidden('pension_fund_manager-x', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm']) !!} {!! $errors->first('pension_fund_managers_id', '
:message
') !!}
{!! Form::label('housing_type_id', 'Tipo de vivienda *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::select('housing_type_id', ['P' => 'Propia', 'A' => 'Arriendo'], null, ['class' => ($errors->has('code')) ? 'form-control form-control-sm is-invalid' : 'form-control form-control-sm ', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!} {!! $errors->first('housing_type_id', '
:message
') !!}
{!! Form::label('stratum', 'Estrato socioeconómico *', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('stratum', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm', 'required'=>'required']) !!} {!! $errors->first('stratum', '
:message
') !!}
{!! Form::label('academic_training', 'Profesión', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('academic_training', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm']) !!} {!! $errors->first('academic_training', '
:message
') !!}
{!! Form::label('specialization', 'Especialización', ['class' => 'col-md-4 control-label tx-gray-800'], false) !!}
{!! Form::text('specialization', null, ['class' => ($errors->has('work_time')) ? 'form-control form-control-sm input-date is-invalid' : 'form-control form-control-sm']) !!} {!! $errors->first('specialization', '
:message
') !!}
{!! Form::close() !!}