Código PHP:
<tr>
<td>Tipo Curso:
</td>
<td>
<SELECT size=1 name=select4>
<option value="1">DEFENSA CIVIL
<option value="2">OTROS
</select>
</td>
<td>Nombre:
</td>
<td><input type = "text" name = "nomcurso">
</td>
</tr>
<tr>
<td>Fecha Día:
</td>
<td><input type = "text" name = "dia1">
</td>
<td>Mes:
</td>
<td><input type = "text" name = "mes1">
</td>
<td>Año:
</td>
<td><input type = "text" name = "ano1">
</td>
<td><input id="mas" value="Agregar" type="button">
</td>
</tr>
<tr>
<td><BIG> <STRONG> Condecoracion:<STRONG></BIG> <BR>
<td>
<select name="first" ">
<?php while($res = mysql_fetch_array($firstQry)){?>
<option value="<?php echo $res["Id_Condecora"]?>"><?php echo $res["Tipo"]?></option>
<?php }unset($firstQry,$res);?>
</select>
</td>
<td>N° Resolucion:
</td>
<td><input type = "text" name = "nomcurso">
</td>
</tr>
<tr>
<td>Fecha Día:
</td>
<td><input type = "text" name = "dia2">
</td>
<td>Mes:
</td>
<td><input type = "text" name = "mes2">
</td>
<td>Año:
</td>
<td><input type = "text" name = "ano2">
</td>
<td><input type = "reset" name = "Boton4" value = "Agregar">
</td>
</tr>
</tr>
<tr>
<td><input type = "reset" name = "Boton1" value = "Cancelar">
</td>
<td><input type="button" name="Boton2" value="Finalizar" onclick= "validar()">
</td>
</tr>
</form>
</table>