Ver original</tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> ESTADO:</td> <td align="left"> <input name="estado_madre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> </table><br><table border="0" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" align="center" class="primeralinea"> <center> <font color="#FFFFFF">DATOS DEL PADRE</font> </center> </td> </tr> <tr> <td align="left"> NOMBRE: </td> <td align="left"> <input type="text" name="nombre_padre" size="45" maxlength="50"> </td> </tr> <tr> <td align="left"> CEDULA:</td> <td align="left"> <input name="cedula_padre" 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_padre" 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_padre"> <option> </option> <option>EXTRANJERO</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_padre"> <option> </option> <option>SOLTERO</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_padre" 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_padre" 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_padre" 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_padre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> ESTADO:</td> <td align="left"> <input name="estado_padre" type="text" size="45" maxlength="50"> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> </table> <br><table border="0" cellpadding="0" cellspacing="0" bordercolor="#0066FF"> <tr> <td colspan="2" align="center" class="primeralinea"> <center> <font color="#FFFFFF">DATOS DEL PRESENTANTE (CUANDO NO SON LOS PADRES)</font> </center> </td> </tr> <tr> <td align="left"> NOMBRE: </td> <td align="left"> <input type="text" name="nombre_otro" size="45" maxlength="50" value =""> </td> </tr> <tr> <td align="left"> CEDULA:</td> <td align="left"> <input name="cedula_otro" type="text" size="45" maxlength="50" value ="" 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_otro" type="text" size="45" maxlength="50" value ="" 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_otro"> <option> </option> <option>EXTRANJERO(A)</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_otro"> <option>SOLTERO(A)</option> </select> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> PARENTESCO:</td> <td align="left"> <input name="parentesco" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <tr> <td align="left"> PROFESION U OFICIO:</td> <td align="left"> <input name="prof_otro" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> DOMICILIO:</td> <td align="left"> <input name="domicilio_otro" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> LUGAR DE NACIMIENTO:</td> <td align="left"> <input name="lugar_otro" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> MUNICIPIO:</td> <td align="left"> <input name="municipio_otro" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr> <tr> <td align="left"> ESTADO:</td> <td align="left"> <input name="estado_otro" type="text" size="45" maxlength="50" value =""> </td> </tr> <tr> <td colspan="2" align="center"> </td> </tr></table><br><tr align="center"> <td colspan="2" bgcolor="#0066FF"> <center> <br> <input name="guardar" type="submit" value="Guardar Datos"> </center> </td></tr></table></form>