%PDF-
%PDF-
Mini Shell
Mini Shell
<?php
//include "../controller/enviar_encuesta.php";
$fecha = date('m/d/Y h:i a');
?>
<div class="page-content">
<div class="portlet box portlet-yellow">
<div class="portlet-header">
<div class="caption">Registrar Nueva empresa</div>
<div class="tools"><i class="fa fa-chevron-up"></i><i class="fa fa-refresh"></i></div>
</div>
<div class="portlet-body">
<form data-toggle="validator" action = "controller/agregar_empresa.php" method = "post" role="form" enctype="multipart/form-data">
<div class="row">
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt> Regimén Fiscal
</dt></label>
<select id="rFiscal" name="regimen" class="form-control">
<option selected value="Fisica">Fisica</option>
<option value="Moral">Moral</option>
</select>
</div>
</div>
<div class="col-md-6">
<div class="form-group"><label for="inputName" class="control-label"><dt>Giro de la empresa</dt></label><span class='require'> *</span>
<select class="form-control" name="id_giro" >
<?php
$conf = new Configuracion();
$conf->conectarBD();
$consulta = "SELECT id_giro,nombre FROM compras_empresa_giro";
$rst1 = $conf->consulta($consulta);
for($i = 0; $i < count($rst1); $i++)
{
echo '<option value="'.$rst1[$i]["id_giro"].'">'.$rst1[$i]["nombre"].'</option>';
}
?>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-8">
<div class="form-group"><label for="inputName" class="control-label"><dt> Razón Social (Nombre de la empresa)</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input id="rRazon" type="text" name="nombreE" placeholder="" value="<?php echo $nombre; ?>" class="form-control" />
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt> RFC</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input id="rRFC" onblur="DatoRFC();" type="text"
name="rfc" value="<?php echo $rfc; ?>" placeholder="" class="form-control" />
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt>Estado</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $estado; ?>" id="rEstado" type="text" placeholder="" class="form-control" name="estadoE"/>
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt>Ciudad</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input id="rMun" type="text" value="<?php echo $municipio; ?>" name="ciudadE" placeholder="" class="form-control"/>
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt>Localidad</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $localidad; ?>" id="rLoc" type="text" name="localidadE" placeholder="" class="form-control"/>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt>Calle</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $calle; ?>" id="rCalle" type="text" placeholder="" class="form-control" name="direccionE"/>
</div>
</div>
</div>
<div class="col-md-2">
<div class="form-group"><label for="inputName" class="control-label"><dt>No</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $noext; ?>" id="rNoext" type="text" name="noextE" placeholder="" class="form-control"/>
</div>
</div>
</div>
<div class="col-md-4">
<div class="form-group"><label for="inputName" class="control-label"><dt>Colonia</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $colonia; ?>" id="rCol" type="text" name="coloniaE" placeholder="" class="form-control"/>
</div>
</div>
</div>
<div class="col-md-2">
<div class="form-group"><label for="inputName" class="control-label"><dt>CP</dt></label>
<div class="input-icon left"><i class="fa fa-edit"></i><input value="<?php echo $codigoPostal; ?>" id="rCP" type="text" name="cpE" placeholder="" class="form-control"/>
</div>
</div>
</div>
</div>
<input type="hidden" name="app" value="1"/>
<div class="row">
<div class="col-md-6">
<div class="form-group"><label for="inputName" class="control-label"><dt>Teléfono</dt></label>
<div class="input-icon left"><i class="fa fa-phone"></i><input value="<?php echo $telefono; ?>" id="rTel" type="text" placeholder="" class="form-control" name="telefonoE"/>
</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group"><label for="inputName" class="control-label"><dt>Correo</dt></label>
<div class="input-icon left"><i class="fa fa-envelope"></i><input value="<?php echo $correo; ?>" id="rCorreo" type="text" name="correoE" placeholder="" class="form-control"/>
</div>
</div>
</div>
</div>
<hr style="color: #0056b2;" size="10" />
<div class="portlet box portlet-yellow">
<div class="portlet-header">
<div class="caption">Información de Contacto</div>
<div class="tools"><i class="fa fa-chevron-up"></i><i class="fa fa-refresh"></i></div>
</div>
<div class="portlet-body">
<div class="row">
<div class="col-md-6">
<div class="form-group"><label for="inputName" class="control-label"><dt>Nombre del contacto</dt></label><span class='require'> *</span>
<div class="input-icon left"><i class="fa fa-user"></i><input type="text"
name="nombreC" class="form-control" required style="text-transform:uppercase;" />
</div>
</div>
</div>
<input id="idC" type="hidden" name="id_cliente"/>
<div class="col-md-3">
<div class="form-group"><label for="inputName" class="control-label"><dt>Celular</dt></label><span class='require'> *</span>
<div class="input-icon left"><i class="fa fa-mobile"></i><input type="number"
name="celular" class="form-control" required />
</div>
</div>
</div>
<div class="col-md-3">
<div class="form-group"><label for="inputName" class="control-label"><dt>Correo</dt></label><span class='require'> *</span>
<div class="input-icon left"><i class="fa fa-envelope"></i><input type="email" name="correoC" class="form-control" required />
</div>
</div>
</div>
</div>
<div class="form-actions">
<div class="col-md-offset-5 col-md-6">
<button type="submit" class="btn btn-success">Registrar</button>
<button type="button" onclick="location.href='page_find_empresas.php?app=1'" class="btn btn-primary">Cancelar</button>
</div>
</div>
</div>
</div>
</form>
</div>
Zerion Mini Shell 1.0