{"id":52555,"date":"2023-02-10T10:52:54","date_gmt":"2023-02-10T10:52:54","guid":{"rendered":"http:\/\/www.cacsa.com.pa\/?page_id=52555"},"modified":"2023-03-16T14:25:33","modified_gmt":"2023-03-16T14:25:33","slug":"formulario-de-ingreso","status":"publish","type":"page","link":"https:\/\/www.cacsa.com.pa\/?page_id=52555","title":{"rendered":"Formulario de ingreso CACSA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"52555\" class=\"elementor elementor-52555\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3db200c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3db200c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8c19672\" data-id=\"8c19672\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36a4511 elementor-widget elementor-widget-shortcode\" data-id=\"36a4511\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-53696 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-53696\" data-uid=\"69fc70e57efe2\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-53696\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-53696 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"53696\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69fc70e57efe2\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Datos Generales<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69fc70e57efe2\" id=\"forminator-field-name-1_69fc70e57efe2-label\" class=\"forminator-label\">Nombres: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Ejemplo: Juan Ismael\" id=\"forminator-field-name-1_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69fc70e57efe2\" id=\"forminator-field-name-2_69fc70e57efe2-label\" class=\"forminator-label\">Apellidos: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Ejemplo: P\u00e9rez Ara\u00faz\" id=\"forminator-field-name-2_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69fc70e57efe2\" id=\"forminator-field-name-3_69fc70e57efe2-label\" class=\"forminator-label\">C\u00e9dula: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69fc70e57efe2\" id=\"forminator-field-name-4_69fc70e57efe2-label\" class=\"forminator-label\">Pa\u00eds de Nacionalidad: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"Ejemplo: Panam\u00e1\" id=\"forminator-field-name-4_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69fc70e57efe2\" id=\"forminator-field-name-5_69fc70e57efe2-label\" class=\"forminator-label\">Ciudad de Nacimiento: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69fc70e57efe2\" id=\"forminator-field-name-6_69fc70e57efe2-label\" class=\"forminator-label\">Estado Civil:<\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_69fc70e57efe2\" id=\"forminator-field-name-7_69fc70e57efe2-label\" class=\"forminator-label\">No. de dependientes: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_69fc70e57efe2\" id=\"forminator-field-name-8_69fc70e57efe2-label\" class=\"forminator-label\">No. de hijos: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"\" id=\"forminator-field-name-8_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-2-69fc70e57efe2-label\" class=\"forminator-label\">Sexo <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Mujer\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mujer<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Hombre\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Hombre<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-9_69fc70e57efe2\" id=\"forminator-field-name-9_69fc70e57efe2-label\" class=\"forminator-label\">Fecha de nacimiento: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-9\" value=\"\" placeholder=\"dd\/mm\/yyyy\" id=\"forminator-field-name-9_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_69fc70e57efe2\" id=\"forminator-field-name-10_69fc70e57efe2-label\" class=\"forminator-label\">Nivel acad\u00e9mico: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"\" id=\"forminator-field-name-10_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_69fc70e57efe2\" id=\"forminator-field-name-11_69fc70e57efe2-label\" class=\"forminator-label\">Tipo de sangre: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"\" id=\"forminator-field-name-11_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-3-69fc70e57efe2-label\" class=\"forminator-label\">Donante de Sangre: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-12_69fc70e57efe2\" id=\"forminator-field-name-12_69fc70e57efe2-label\" class=\"forminator-label\">Profesi\u00f3n: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-12\" value=\"\" placeholder=\"\" id=\"forminator-field-name-12_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-13\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-13_69fc70e57efe2\" id=\"forminator-field-name-13_69fc70e57efe2-label\" class=\"forminator-label\">Religi\u00f3n: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-13\" value=\"\" placeholder=\"\" id=\"forminator-field-name-13_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Direcci\u00f3n<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-14\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-14_69fc70e57efe2\" id=\"forminator-field-name-14_69fc70e57efe2-label\" class=\"forminator-label\">Direcci\u00f3n personal: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-14\" value=\"\" placeholder=\"\" id=\"forminator-field-name-14_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-30\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-30_69fc70e57efe2\" id=\"forminator-field-name-30_69fc70e57efe2-label\" class=\"forminator-label\">Direcci\u00f3n de un familiar: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-30\" value=\"\" placeholder=\"\" id=\"forminator-field-name-30_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-15\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-15_69fc70e57efe2\" id=\"forminator-field-name-15_69fc70e57efe2-label\" class=\"forminator-label\">Direcci\u00f3n laboral: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-15\" value=\"\" placeholder=\"\" id=\"forminator-field-name-15_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69fc70e57efe2\" id=\"forminator-field-phone-1_69fc70e57efe2-label\" class=\"forminator-label\">Celular o tel\u00e9fono: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69fc70e57efe2\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69fc70e57efe2\" id=\"forminator-field-email-1_69fc70e57efe2-label\" class=\"forminator-label\">Correo electr\u00f3nico: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69fc70e57efe2\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-4-69fc70e57efe2-label\" class=\"forminator-label\">Tipo de vivienda: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Casa propia\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Casa propia<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Casa alquilada\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Casa alquilada<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"Apartamento\"><input type=\"radio\" name=\"radio-4\" value=\"Apartamento\" id=\"forminator-field-radio-4-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Apartamento<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"Cuarto de Alquiler\"><input type=\"radio\" name=\"radio-4\" value=\"Cuarto-de-Alquiler\" id=\"forminator-field-radio-4-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cuarto de Alquiler<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-5-69fc70e57efe2-label\" class=\"forminator-label\">En que Sucursal o Agencia quiere inscribirse: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Bar\u00fa\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Bar\u00fa<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Divala\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Divala<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"Bugaba\"><input type=\"radio\" name=\"radio-5\" value=\"Apartamento\" id=\"forminator-field-radio-5-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Bugaba<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"Boquete\"><input type=\"radio\" name=\"radio-5\" value=\"Cuarto-de-Alquiler\" id=\"forminator-field-radio-5-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Boquete<\/span><\/label><label id=\"forminator-field-radio-5-label-5\" for=\"forminator-field-radio-5-5-69fc70e57efe2\" class=\"forminator-radio\" title=\"David\"><input type=\"radio\" name=\"radio-5\" value=\"David\" id=\"forminator-field-radio-5-5-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">David<\/span><\/label><label id=\"forminator-field-radio-5-label-6\" for=\"forminator-field-radio-5-6-69fc70e57efe2\" class=\"forminator-radio\" title=\"Changuinola\"><input type=\"radio\" name=\"radio-5\" value=\"Changuinola\" id=\"forminator-field-radio-5-6-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Changuinola<\/span><\/label><label id=\"forminator-field-radio-5-label-7\" for=\"forminator-field-radio-5-7-69fc70e57efe2\" class=\"forminator-radio\" title=\"Santiago\"><input type=\"radio\" name=\"radio-5\" value=\"Santiago\" id=\"forminator-field-radio-5-7-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Santiago<\/span><\/label><label id=\"forminator-field-radio-5-label-8\" for=\"forminator-field-radio-5-8-69fc70e57efe2\" class=\"forminator-radio\" title=\"Chitr\u00e9\"><input type=\"radio\" name=\"radio-5\" value=\"Chitr\u00e9\" id=\"forminator-field-radio-5-8-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Chitr\u00e9<\/span><\/label><label id=\"forminator-field-radio-5-label-9\" for=\"forminator-field-radio-5-9-69fc70e57efe2\" class=\"forminator-radio\" title=\"Chorrera\"><input type=\"radio\" name=\"radio-5\" value=\"Chorrera\" id=\"forminator-field-radio-5-9-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Chorrera<\/span><\/label><label id=\"forminator-field-radio-5-label-10\" for=\"forminator-field-radio-5-10-69fc70e57efe2\" class=\"forminator-radio\" title=\"Albrook\"><input type=\"radio\" name=\"radio-5\" value=\"Albrook\" id=\"forminator-field-radio-5-10-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Albrook<\/span><\/label><label id=\"forminator-field-radio-5-label-11\" for=\"forminator-field-radio-5-11-69fc70e57efe2\" class=\"forminator-radio\" title=\"Panam\u00e1\"><input type=\"radio\" name=\"radio-5\" value=\"Panam\u00e1\" id=\"forminator-field-radio-5-11-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-5-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Panam\u00e1<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Datos Laborales<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-16\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-16_69fc70e57efe2\" id=\"forminator-field-name-16_69fc70e57efe2-label\" class=\"forminator-label\">Empresa donde labora: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-16\" value=\"\" placeholder=\"\" id=\"forminator-field-name-16_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69fc70e57efe2\" id=\"forminator-field-phone-2_69fc70e57efe2-label\" class=\"forminator-label\">Tel\u00e9fono: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_69fc70e57efe2\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-17\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-17_69fc70e57efe2\" id=\"forminator-field-name-17_69fc70e57efe2-label\" class=\"forminator-label\">Actividad econ\u00f3mica: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-17\" value=\"\" placeholder=\"\" id=\"forminator-field-name-17_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-18\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-18_69fc70e57efe2\" id=\"forminator-field-name-18_69fc70e57efe2-label\" class=\"forminator-label\">Puesto actual: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-18\" value=\"\" placeholder=\"\" id=\"forminator-field-name-18_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-19\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-19_69fc70e57efe2\" id=\"forminator-field-name-19_69fc70e57efe2-label\" class=\"forminator-label\">Salario devengado: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-19\" value=\"\" placeholder=\"\" id=\"forminator-field-name-19_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-20\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-20_69fc70e57efe2\" id=\"forminator-field-name-20_69fc70e57efe2-label\" class=\"forminator-label\">Otros ingresos: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-20\" value=\"\" placeholder=\"\" id=\"forminator-field-name-20_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-21\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-21_69fc70e57efe2\" id=\"forminator-field-name-21_69fc70e57efe2-label\" class=\"forminator-label\">Fecha de ingreso a la empresa: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-21\" value=\"\" placeholder=\"\" id=\"forminator-field-name-21_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-22\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-22_69fc70e57efe2\" id=\"forminator-field-name-22_69fc70e57efe2-label\" class=\"forminator-label\">A\u00f1os de laborar en la empresa: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-22\" value=\"\" placeholder=\"\" id=\"forminator-field-name-22_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-6-69fc70e57efe2-label\" class=\"forminator-label\">Tipo de contrato: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Definido\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Definido<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Indefinido\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Indefinido<\/span><\/label><label id=\"forminator-field-radio-6-label-3\" for=\"forminator-field-radio-6-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"Eventual\"><input type=\"radio\" name=\"radio-6\" value=\"Apartamento\" id=\"forminator-field-radio-6-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Eventual<\/span><\/label><label id=\"forminator-field-radio-6-label-4\" for=\"forminator-field-radio-6-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"Licencia con sueldo\"><input type=\"radio\" name=\"radio-6\" value=\"Cuarto-de-Alquiler\" id=\"forminator-field-radio-6-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Licencia con sueldo<\/span><\/label><label id=\"forminator-field-radio-6-label-5\" for=\"forminator-field-radio-6-5-69fc70e57efe2\" class=\"forminator-radio\" title=\"Licencia sin sueldo\"><input type=\"radio\" name=\"radio-6\" value=\"Licencia-sin-sueldo\" id=\"forminator-field-radio-6-5-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Licencia sin sueldo<\/span><\/label><label id=\"forminator-field-radio-6-label-6\" for=\"forminator-field-radio-6-6-69fc70e57efe2\" class=\"forminator-radio\" title=\"Practicante\"><input type=\"radio\" name=\"radio-6\" value=\"Practicante\" id=\"forminator-field-radio-6-6-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Practicante<\/span><\/label><label id=\"forminator-field-radio-6-label-7\" for=\"forminator-field-radio-6-7-69fc70e57efe2\" class=\"forminator-radio\" title=\"Tiempo probatorio\"><input type=\"radio\" name=\"radio-6\" value=\"Tiempo-probatorio\" id=\"forminator-field-radio-6-7-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tiempo probatorio<\/span><\/label><label id=\"forminator-field-radio-6-label-8\" for=\"forminator-field-radio-6-8-69fc70e57efe2\" class=\"forminator-radio\" title=\"Temporal\"><input type=\"radio\" name=\"radio-6\" value=\"Temporal\" id=\"forminator-field-radio-6-8-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Temporal<\/span><\/label><label id=\"forminator-field-radio-6-label-9\" for=\"forminator-field-radio-6-9-69fc70e57efe2\" class=\"forminator-radio\" title=\"TFHA\"><input type=\"radio\" name=\"radio-6\" value=\"TFHA\" id=\"forminator-field-radio-6-9-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-6-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TFHA<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Referencias Personales y Comerciales<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-23\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-23_69fc70e57efe2\" id=\"forminator-field-name-23_69fc70e57efe2-label\" class=\"forminator-label\">Referencia Personal #1 - (Nombre y Apellidos): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-23\" value=\"\" placeholder=\"\" id=\"forminator-field-name-23_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-31\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-31_69fc70e57efe2\" id=\"forminator-field-name-31_69fc70e57efe2-label\" class=\"forminator-label\">Referencia Personal #1 - (Celular): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-31\" value=\"\" placeholder=\"\" id=\"forminator-field-name-31_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-24\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-24_69fc70e57efe2\" id=\"forminator-field-name-24_69fc70e57efe2-label\" class=\"forminator-label\">Referencia personal #2 (Nombre y Apellido): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-24\" value=\"\" placeholder=\"\" id=\"forminator-field-name-24_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-32\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-32_69fc70e57efe2\" id=\"forminator-field-name-32_69fc70e57efe2-label\" class=\"forminator-label\">Referencia personal #2 (Celular): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-32\" value=\"\" placeholder=\"\" id=\"forminator-field-name-32_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-25\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-25_69fc70e57efe2\" id=\"forminator-field-name-25_69fc70e57efe2-label\" class=\"forminator-label\">Referencia Laboral #1 (Nombre y Apellidos): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-25\" value=\"\" placeholder=\"\" id=\"forminator-field-name-25_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-33\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-33_69fc70e57efe2\" id=\"forminator-field-name-33_69fc70e57efe2-label\" class=\"forminator-label\">Referencia Laboral #1 (Celular): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-33\" value=\"\" placeholder=\"\" id=\"forminator-field-name-33_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-26\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-26_69fc70e57efe2\" id=\"forminator-field-name-26_69fc70e57efe2-label\" class=\"forminator-label\">Referencia laboral #2:<\/label><input type=\"text\" name=\"name-26\" value=\"\" placeholder=\"\" id=\"forminator-field-name-26_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-27\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-27_69fc70e57efe2\" id=\"forminator-field-name-27_69fc70e57efe2-label\" class=\"forminator-label\">Referencia financiera:<\/label><input type=\"text\" name=\"name-27\" value=\"\" placeholder=\"Tiene cuenta en alguna Cooperativa o Banco\" id=\"forminator-field-name-27_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Datos financieros y otros<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-1-69fc70e57efe2-label\" class=\"forminator-label\">Origen de sus fondos <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Ayuda familiar\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ayuda familiar<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Salario\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Salario<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"Pensi\u00f3n\"><input type=\"radio\" name=\"radio-1\" value=\"Pensi\u00f3n\" id=\"forminator-field-radio-1-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Pensi\u00f3n<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"Subsidio\"><input type=\"radio\" name=\"radio-1\" value=\"Subsidio\" id=\"forminator-field-radio-1-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Subsidio<\/span><\/label><\/div><\/div><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-7-69fc70e57efe2-label\" class=\"forminator-label\">Es usted PEP o tiene relaci\u00f3n con un PEP (Persona pol\u00edticamente expuesta) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69fc70e57efe2-label\"><span id=\"forminator-radiogroup-radio-8-69fc70e57efe2-label\" class=\"forminator-label\">Prop\u00f3sito de afiliaci\u00f3n <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"Gozar de beneficios\"><input type=\"radio\" name=\"radio-8\" value=\"one\" id=\"forminator-field-radio-8-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Gozar de beneficios<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"Por pr\u00e9stamo\"><input type=\"radio\" name=\"radio-8\" value=\"two\" id=\"forminator-field-radio-8-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Por pr\u00e9stamo<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"Por ahorros\"><input type=\"radio\" name=\"radio-8\" value=\"Pensi\u00f3n\" id=\"forminator-field-radio-8-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Por ahorros<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"Mejores inter\u00e9s de plazo fijo\"><input type=\"radio\" name=\"radio-8\" value=\"Subsidio\" id=\"forminator-field-radio-8-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mejores inter\u00e9s de plazo fijo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69fc70e57efe2-label\" aria-describedby=\"forminator-radiogroup-radio-9-69fc70e57efe2-description\"><span id=\"forminator-radiogroup-radio-9-69fc70e57efe2-label\" class=\"forminator-label\">Promedio transaccional: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69fc70e57efe2\" class=\"forminator-radio\" title=\"De 0 a B\/.750.00\"><input type=\"radio\" name=\"radio-9\" value=\"one\" id=\"forminator-field-radio-9-1-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-9-69fc70e57efe2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">De 0 a B\/.750.00<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69fc70e57efe2\" class=\"forminator-radio\" title=\"De B\/.751.00 a B\/.1,500.00\"><input type=\"radio\" name=\"radio-9\" value=\"two\" id=\"forminator-field-radio-9-2-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-9-69fc70e57efe2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">De B\/.751.00 a B\/.1,500.00<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69fc70e57efe2\" class=\"forminator-radio\" title=\"De B\/.1,501.00 a B\/.2,500.00\"><input type=\"radio\" name=\"radio-9\" value=\"Pensi\u00f3n\" id=\"forminator-field-radio-9-3-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-9-69fc70e57efe2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">De B\/.1,501.00 a B\/.2,500.00<\/span><\/label><label id=\"forminator-field-radio-9-label-4\" for=\"forminator-field-radio-9-4-69fc70e57efe2\" class=\"forminator-radio\" title=\"De B\/.2,501.00 a B\/.3,500.00\"><input type=\"radio\" name=\"radio-9\" value=\"Subsidio\" id=\"forminator-field-radio-9-4-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-9-label-4\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-9-69fc70e57efe2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">De B\/.2,501.00 a B\/.3,500.00<\/span><\/label><label id=\"forminator-field-radio-9-label-5\" for=\"forminator-field-radio-9-5-69fc70e57efe2\" class=\"forminator-radio\" title=\"De B\/.3,501.00 en adelante\"><input type=\"radio\" name=\"radio-9\" value=\"De-B-.3,501.00-en-adelante\" id=\"forminator-field-radio-9-5-69fc70e57efe2\" aria-labelledby=\"forminator-field-radio-9-label-5\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-9-69fc70e57efe2-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">De B\/.3,501.00 en adelante<\/span><\/label><span id=\"forminator-radiogroup-radio-9-69fc70e57efe2-description\" class=\"forminator-description\">Promedio de transacciones semanales<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-29\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-29_69fc70e57efe2\" id=\"forminator-field-name-29_69fc70e57efe2-label\" class=\"forminator-label\">Comentarios adicionales:<\/label><input type=\"text\" name=\"name-29\" value=\"\" placeholder=\"\" id=\"forminator-field-name-29_69fc70e57efe2\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Carga de archivos<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69fc70e57efe2\" id=\"forminator-field-upload-1_69fc70e57efe2-label\" class=\"forminator-label\">Ingresar su identificaci\u00f3n a color: <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69fc70e57efe2\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69fc70e57efe2\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_69fc70e57efe2\" id=\"forminator-field-upload-2_69fc70e57efe2-label\" class=\"forminator-label\">Ficha o talonario: <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-2_69fc70e57efe2\"><input type=\"file\" name=\"upload-2\" id=\"forminator-field-upload-2_69fc70e57efe2\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-2_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-2_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_69fc70e57efe2\" id=\"forminator-field-upload-3_69fc70e57efe2-label\" class=\"forminator-label\">Recibo de energ\u00eda el\u00e9ctrica: <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-3_69fc70e57efe2\"><input type=\"file\" name=\"upload-3\" id=\"forminator-field-upload-3_69fc70e57efe2\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-3_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-3_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-4\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-4_69fc70e57efe2\" id=\"forminator-field-upload-4_69fc70e57efe2-label\" class=\"forminator-label\">Recibo de IDAAN: <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-4_69fc70e57efe2\"><input type=\"file\" name=\"upload-4\" id=\"forminator-field-upload-4_69fc70e57efe2\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-4_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-4_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-5\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-5_69fc70e57efe2\" id=\"forminator-field-upload-5_69fc70e57efe2-label\" class=\"forminator-label\">Identificaci\u00f3n familiar #1 (foto a color):<\/label><div class=\"forminator-file-upload \" data-element=\"upload-5_69fc70e57efe2\"><input type=\"file\" name=\"upload-5\" id=\"forminator-field-upload-5_69fc70e57efe2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-5_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-5_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-6\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-6_69fc70e57efe2\" id=\"forminator-field-upload-6_69fc70e57efe2-label\" class=\"forminator-label\">Identificaci\u00f3n familiar #2 (foto a color):<\/label><div class=\"forminator-file-upload \" data-element=\"upload-6_69fc70e57efe2\"><input type=\"file\" name=\"upload-6\" id=\"forminator-field-upload-6_69fc70e57efe2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-6_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-6_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-7\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-7_69fc70e57efe2\" id=\"forminator-field-upload-7_69fc70e57efe2-label\" class=\"forminator-label\">Identificaci\u00f3n familiar #3 (foto a color):<\/label><div class=\"forminator-file-upload \" data-element=\"upload-7_69fc70e57efe2\"><input type=\"file\" name=\"upload-7\" id=\"forminator-field-upload-7_69fc70e57efe2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-7_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-7_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-8\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-8_69fc70e57efe2\" id=\"forminator-field-upload-8_69fc70e57efe2-label\" class=\"forminator-label\">Identificaci\u00f3n familiar #4 (foto a color):<\/label><div class=\"forminator-file-upload \" data-element=\"upload-8_69fc70e57efe2\"><input type=\"file\" name=\"upload-8\" id=\"forminator-field-upload-8_69fc70e57efe2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-8_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-8_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-9\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-9_69fc70e57efe2\" id=\"forminator-field-upload-9_69fc70e57efe2-label\" class=\"forminator-label\">Identificaci\u00f3n familiar #5 (foto a color):<\/label><div class=\"forminator-file-upload \" data-element=\"upload-9_69fc70e57efe2\"><input type=\"file\" name=\"upload-9\" id=\"forminator-field-upload-9_69fc70e57efe2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.ttf,.otf,.eot,.woff,.woff2,.redux,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-9_69fc70e57efe2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-9_69fc70e57efe2\">Elegir archivo<\/button><span data-empty-text=\"Ning\u00fan archivo seleccionado\">Ning\u00fan archivo seleccionado<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Eliminar el archivo subido<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">CACSA R.L., TU MEJOR ELECCI\u00d3N<\/h2><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\"><span>Enviar mensaje<\/span><span aria-hidden=\"true\"><\/span><\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"5c7299ea07\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F52555\" \/><input type=\"hidden\" name=\"form_id\" value=\"53696\"><input type=\"hidden\" name=\"page_id\" value=\"52555\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.cacsa.com.pa\/?page_id=52555\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_54\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_54\" type=\"text\" name=\"input_54\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-52555","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/52555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=52555"}],"version-history":[{"count":13,"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/52555\/revisions"}],"predecessor-version":[{"id":53831,"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/52555\/revisions\/53831"}],"wp:attachment":[{"href":"https:\/\/www.cacsa.com.pa\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}