1 | {% extends 'consulta.base.html' %} |
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2 | {% load staticfiles %} |
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3 | {% block title %}Registrarse{% endblock %} |
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4 | {% block contenido %} |
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5 | <div class="row text-center"> |
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6 | <h1>Registro</h1><hr> |
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7 | <form action="{% url 'register' %}" method="post"> |
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8 | {% csrf_token %} |
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9 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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10 | <div class="form-group {% if form.username.errors %}has-error{% endif %}"> |
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11 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.username.auto_id }}"> |
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12 | {{ form.username.label }} |
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13 | </label> |
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14 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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15 | {{ form.username }} |
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16 | {% include 'base.forms.errors.html' with form_errors=form.username.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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17 | </div> |
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18 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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19 | </div> |
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20 | </div><br><br><br> |
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21 | |
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22 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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23 | <div class="form-group {% if form.password.errors %}has-error{% endif %}"> |
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24 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.password.auto_id }}"> |
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25 | {{ form.password.label }} |
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26 | </label> |
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27 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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28 | {{ form.password }} |
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29 | {% include 'base.forms.errors.html' with form_errors=form.password.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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30 | </div> |
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31 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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32 | </div> |
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33 | </div><br><br><br> |
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34 | |
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35 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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36 | <div class="form-group {% if form.password_repeat.errors %}has-error{% endif %}"> |
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37 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.password_repeat.auto_id }}"> |
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38 | {{ form.password_repeat.label }} |
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39 | </label> |
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40 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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41 | {{ form.password_repeat }} |
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42 | {% include 'base.forms.errors.html' with form_errors=form.password_repeat.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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43 | </div> |
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44 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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45 | </div> |
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46 | </div><br><br><br> |
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47 | |
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48 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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49 | <div class="form-group {% if form.nombre.errors %}has-error{% endif %}"> |
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50 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.nombre.auto_id }}"> |
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51 | {{ form.nombre.label }} |
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52 | </label> |
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53 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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54 | {{ form.nombre }} |
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55 | {% include 'base.forms.errors.html' with form_errors=form.nombre.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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56 | </div> |
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57 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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58 | </div> |
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59 | </div><br><br><br> |
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60 | |
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61 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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62 | <div class="form-group {% if form.apellido.errors %}has-error{% endif %}"> |
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63 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.apellido.auto_id }}"> |
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64 | {{ form.apellido.label }} |
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65 | </label> |
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66 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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67 | {{ form.apellido }} |
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68 | {% include 'base.forms.errors.html' with form_errors=form.apellido.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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69 | </div> |
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70 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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71 | </div> |
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72 | </div><br><br><br> |
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73 | |
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74 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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75 | <div class="form-group {% if form.cedula.errors %}has-error{% endif %}"> |
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76 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.cedula.auto_id }}"> |
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77 | {{ form.cedula.label }} |
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78 | </label> |
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79 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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80 | <div class="form-inline"> |
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81 | {{ form.cedula }} |
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82 | </div> |
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83 | {% include 'base.forms.errors.html' with form_errors=form.cedula.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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84 | </div> |
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85 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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86 | </div> |
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87 | </div><br><br><br> |
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88 | |
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89 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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90 | <div class="form-group {% if form.email.errors %}has-error{% endif %}"> |
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91 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.email.auto_id }}"> |
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92 | {{ form.email.label }} |
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93 | </label> |
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94 | <div class="col-md-4 col-xs-4 col-sm-4"> |
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95 | {{ form.email }} |
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96 | {% include 'base.forms.errors.html' with form_errors=form.email.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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97 | </div> |
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98 | <div class="col-sm-1"><i class="ion ion-ios-medical item-requerido"></i></div> |
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99 | </div> |
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100 | </div><br><br><br> |
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101 | |
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102 | <div class="col-md-4 col-sm-4 col-xs-4"> |
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103 | <div class="form-group {% if form.estado.errors %}has-error{% endif %}"> |
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104 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.estado.auto_id }}"> |
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105 | {{ form.estado.label }} |
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106 | </label> |
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107 | <div class="col-md-5 col-xs-5 col-sm-5"> |
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108 | {{ form.estado }} |
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109 | {% include 'base.forms.errors.html' with form_errors=form.estado.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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110 | </div> |
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111 | </div> |
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112 | </div> |
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113 | |
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114 | <div class="col-md-4 col-sm-4 col-xs-4"> |
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115 | <div class="form-group {% if form.municipio.errors %}has-error{% endif %}"> |
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116 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.municipio.auto_id }}"> |
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117 | {{ form.municipio.label }} |
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118 | </label> |
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119 | <div class="col-md-5 col-xs-5 col-sm-5"> |
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120 | {{ form.municipio }} |
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121 | {% include 'base.forms.errors.html' with form_errors=form.municipio.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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122 | </div> |
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123 | </div> |
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124 | </div> |
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125 | |
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126 | <div class="col-md-4 col-sm-4 col-xs-4"> |
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127 | <div class="form-group {% if form.parroquia.errors %}has-error{% endif %}"> |
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128 | <label class="col-md-3 col-xs-3 col-sm-3 control-label" for="{{ form.parroquia.auto_id }}"> |
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129 | {{ form.parroquia.label }} |
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130 | </label> |
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131 | <div class="col-md-5 col-xs-5 col-sm-5"> |
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132 | {{ form.parroquia }} |
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133 | {% include 'base.forms.errors.html' with form_errors=form.parroquia.errors col_title_error='col-sm-2' col_msg_error='col-sm-10' %} |
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134 | </div> |
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135 | </div> |
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136 | </div><br><br><br> |
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137 | |
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138 | <div class="col-md-12 col-sm-12 col-xs-12"> |
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139 | <button type="submit" class="btn btn-success pull-center">Registrarse</button> |
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140 | </div> |
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141 | </form> |
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142 | </div> |
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143 | {% endblock %} |
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