<%-- 
    Document   : index
    Created on : 05-ene-2018, 20:49:32
    Author     : Alonso
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html lang="en">
    <head>
        <%@include file="templates/header.jsp" %>
        <!--template-core-->

        <!--css-->

        <!--css-->
    </head>

    <body>
        <%@include file="templates/header-body.jsp" %>

        <!--  content -->
        <div class="row">
            <div class="col-md-8 col-md-offset-2">
                <div class="panel panel-flat border-top-xlg border-top-primary">
                    <div class="panel-heading">
                        <h6 class="panel-title text-semibold"><i class="icon-location4 position-left"></i> Ubigeo</h6>
                    </div>
                    <div class="panel-body">
                        <div class="row">
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label class="text-uppercase">departamento<span class="text-danger"> (*)</span></label>
                                    <select class="bootstrap-select" data-width="100%">
                                        <option value="0">[ SELECCIONE ]</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label class="text-uppercase">provincia<span class="text-danger"> (*)</span></label>
                                    <select class="bootstrap-select" data-width="100%">
                                        <option value="0">[ SELECCIONE ]</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label class="text-uppercase">distrito<span class="text-danger"> (*)</span></label>
                                    <select class="bootstrap-select" data-width="100%">
                                        <option value="0">[ SELECCIONE ]</option>
                                    </select>
                                </div>
                            </div>

                        </div>
                        <div class="row">
                            <div class="col-md-12">
                                <label class="text-danger pull-right">Campos obligatorios (*)</label>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <!-- / content -->



        <%@include file="templates/footer-body.jsp" %>

        <!--js-->
        <script type="text/javascript" src="../plantilla/assets/js/plugins/forms/selects/bootstrap_select.min.js"></script>

        <script type="text/javascript" src="../plantilla/assets/js/pages/form_bootstrap_select.js"></script>
        <!--js-->

    </body>
</html>

