Ver original<tr> <td width="30%"> OPCIÓN LEGITIMO: </td> <td width="70%"> <select name="legitimo"> <option>SI</option> <option>NO</option> </select> </td> </tr></table><br><table border="0" align="center" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" class="primeralinea"><font color="#FFFFFF">DATOS DEL PRIMER TESTIGO</font></td> </tr> <tr> <td width="30%"> NOMBRE: </td> <td width="70%"> <input name="nombre_testigo1" type="text" size="35"> </td> </tr> <tr> <td width="30%"> CEDULA: </td> <td width="70%"> <input name="cedula_testigo1" type="text" size="15" onKeyPress="return ValidarNumero(event);"> </td> </tr></table><br><table border="0" align="center" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" class="primeralinea"><font color="#FFFFFF">DATOS DEL SEGUNDO TESTIGO</font></td> </tr> <tr> <td width="30%"> NOMBRE: </td> <td width="70%"> <input name="nombre_testigo2" type="text" size="35"> </td> </tr> <tr> <td width="30%"> CEDULA: </td> <td width="70%"> <input name="cedula_testigo2" type="text" size="15" onKeyPress="return ValidarNumero(event);"> </td> </tr> </table> <br><table border="0" align="center" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" class="primeralinea"><font color="#FFFFFF">¿QUIEN PRESENTA?</font></td> </tr> <tr> <td width="70%"><center> <input name="rad_presentacion" type="radio" value="rad_padre">EL PADRE <input name="rad_presentacion" type="radio" value="rad_madre">LA MADRE <input name="rad_presentacion" type="radio" value="rad_otro">OTRO </center></td> </tr></table><br><table border="0" align="center" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" class="primeralinea"><font color="#FFFFFF">NOTA MARGINAL</font></td> </tr> <tr> <td width="70%"><center> <input name="rad_marginal" type="radio" value="nota_si" onClick="javascript:opcion_si()">SI <input name="rad_marginal" type="radio" value="nota_no" checked onClick="javascript:opcion_no()">NO </center></td> </tr> <tr> <td><center><textarea name="nota_marginal" cols="100" rows="5">SIN NOTA MARGINAL</textarea></center></td> </tr> </table><td width="49%" align="center"><br><table border="0" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" align="center" class="primeralinea"> <center> <font color="#FFFFFF">DATOS DE LA MADRE</font> </center> </td> </tr> <tr> <td align="left"> NOMBRE: </td> <td align="left"> <input type="text" name="nombre_madre" size="45" maxlength="50"> </td> </tr> <tr> <td align="left"> CEDULA:</td> <td align="left"> <input name="cedula_madre" type="text" size="45" maxlength="50" onKeyPress="return ValidarNumero(event);"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> EDAD:</td> <td align="left"> <input name="edad_madre" type="text" size="45" maxlength="50" onKeyPress="return ValidarNumero(event);"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> NACIONALIDAD:</td> <td align="left"> <select name="nacionalidad_madre"> <option> </option> <option>VENEZOLANA</option> <option>EXTRANJERA</option> </select> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> ESTADO CIVIL:</td> <td align="left"> <select name="civil_madre"> <option> </option> <option>SOLTERA</option> <option>CASADA</option> <option>DIVORCIADA</option> <option>VIUDA</option> </select> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> PROFESION U OFICIO:</td> <td align="left"> <input name="prof_madre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> DOMICILIO:</td> <td align="left"> <input name="domicilio_madre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> LUGAR DE NACIMIENTO:</td> <td align="left"> <input name="lugar_madre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> MUNICIPIO:</td> <td align="left"> <input name="municipio_madre" type="text" size="45" maxlength="50"> </td>