Información personal

Información personal

{!! Form::open(['id' => 'form-step1']) !!}
{!! Form::label('type_document_id', 'Tipo documento *', ['class' => 'control-label'], false) !!} {!! Form::select('type_document_id', $type_documents, null, ['class' => 'form-control form-control-sm type_document_id height25', 'placeholder' => 'Seleccione...' ]) !!} {!! Form::hidden('id', null, ['class' => 'form-control form-control-sm person_id', 'required'=>'required', 'id'=>'id']) !!}
{!! Form::label('document_number', 'Número de documento *', ['class' => 'control-label'], false) !!} {!! Form::text('document_number', null, ['class' => 'form-control form-control-sm document_number height25']) !!}
{!! Form::label('expedition_date', 'Fecha expedición *', ['class' => 'control-label'], false) !!} {!! Form::text('expedition_date', null, ['class' => 'form-control form-control-sm typedate valid_date expedition_date height25', 'required'=>'required', 'placeholder'=>'dd/mm/yyyy', 'disabled'=>'disabled']) !!}
{!! Form::label('dispatch_municipality_id', 'Municipio de expedición*', ['class' => 'control-label'], false) !!} {!! Form::text('dispatch_municipality', null, ['class' => 'form-control form-control-sm height25', 'id'=>'dispatch_municipality']) !!} {!! Form::hidden('dispatch_municipality_id', null, ['class' => 'form-control form-control-sm height25', 'id'=>'dispatch_municipality_id', 'required'=>'required']) !!} {!! Form::hidden('dispatch_municipality-x', null,['id' => 'dispatch_municipality-x']) !!}
{!! Form::label('first_name', 'Primer nombre *', ['class' => 'control-label'], false) !!} {!! Form::text('first_name', null, ['class' => 'form-control form-control-sm first_name height25']) !!}
{!! Form::label('second_name', 'Segundo nombre', ['class' => 'control-label'], false) !!} {!! Form::text('second_name', null, ['class' => 'form-control form-control-sm second_name height25']) !!}
{!! Form::label('first_surname', 'Primer apellido *', ['class' => 'control-label'], false) !!} {!! Form::text('first_surname', null, ['class' => 'form-control form-control-sm first_surname height25']) !!}
{!! Form::label('second_surname', 'Segundo apellido', ['class' => 'control-label'], false) !!} {!! Form::text('second_surname', null, ['class' => 'form-control form-control-sm second_surname height25']) !!}
{!! Form::label('nationality_id', 'Nacionalidad *', ['class' => 'control-label'], false) !!} {!! Form::text('nationality', null, ['class' => 'form-control form-control-sm height25', 'id'=>'nationality']) !!} {!! Form::hidden('nationality_id', null, ['class' => 'form-control form-control-sm height25', 'id'=>'nationality_id', 'required'=>'required']) !!} {!! Form::hidden('nationality-x', null, ['class' => 'form-control form-control-sm']) !!}
{!! Form::label('birth_date', 'Fecha de nacimiento *', ['class' => 'control-label'], false) !!} {!! Form::text('birth_date', null, ['class' => 'form-control form-control-sm typedate valid_date height25', 'required'=>'required', 'placeholder'=>'dd/mm/yyyy']) !!}
{!! Form::label('birth_municipality_id', 'Municipio de nacimiento *', ['class' => 'control-label'], false) !!} {!! Form::text('birth_municipality', null, ['class' => 'form-control form-control-sm height25', 'id'=>'birth_municipality']) !!} {!! Form::hidden('birth_municipality_id', null, ['class' => 'form-control form-control-sm height25', 'id'=>'birth_municipality_id', 'required'=>'required']) !!} {!! Form::hidden('birth_municipality-x', null,['id' => 'birth_municipality-x']) !!}
{!! Form::label('gender', 'Genero *', ['class' => 'control-label'], false) !!} {!! Form::select('gender', $gender, null, ['class' => 'form-control form-control-sm height25', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!}
{!! Form::label('phone', 'Teléfono *', ['class' => 'control-label'], false) !!} {!! Form::text('phone', null, ['class' => 'form-control form-control-sm height25', 'required'=>'required']) !!}
{!! Form::label('municipality_residence', 'Municipio de residencia *', ['class' => 'control-label'], false) !!} {!! Form::text('municipality_residence', null, ['class' => 'form-control form-control-sm height25', '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']) !!}
{!! Form::label('address', 'Dirección de residencia *', ['class' => 'control-label'], false) !!} {!! Form::text('address', null, ['class' => 'form-control form-control-sm height25', 'required'=>'required']) !!}
{!! Form::label('email', 'Email *', ['class' => 'control-label'], false) !!} {!! Form::text('email', null, ['class' => 'form-control form-control-sm height25', 'required'=>'required']) !!}
{!! Form::label('civil_status', 'Estado civil *', ['class' => 'control-label'], false) !!} {!! Form::select('civil_status', ['S' => 'Soltero', 'C' => 'Casado', 'U' => 'Union libre'], null, ['class' => 'form-control form-control-sm height25', 'placeholder' => 'Seleccione...', 'required'=>'required' ]) !!}
{!! Form::close() !!}