{"id":489,"date":"2020-08-20T15:10:59","date_gmt":"2020-08-20T18:10:59","guid":{"rendered":"https:\/\/amebs.org.ar\/2020\/?page_id=489"},"modified":"2020-08-20T15:11:00","modified_gmt":"2020-08-20T18:11:00","slug":"formulario-de-grupo-familiar","status":"publish","type":"page","link":"https:\/\/amebs.org.ar\/2020\/formulario-de-grupo-familiar\/","title":{"rendered":"Formulario de Grupo Familiar"},"content":{"rendered":"\n<h3 class=\"has-text-color wp-block-heading\" style=\"color:#07562e\">Exclusivo para Asociados<\/h3>\n\n\n\n<h5 class=\"has-vivid-red-color has-text-color wp-block-heading\">Por favor complete todos los campos con la informaci\u00f3n requerida, la misma ser\u00e1 considerada en car\u00e1cter de <strong>Declaraci\u00f3n Jurada<\/strong>.<\/h5>\n\n\n\n<h5 class=\"has-vivid-red-color has-text-color wp-block-heading\">por favor lea atentamente antes de comenzar a completar.<\/h5>\n\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f488-o1\" lang=\"es-ES\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/2020\/wp-json\/wp\/v2\/pages\/489#wpcf7-f488-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"488\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f488-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<h4>A\u00f1ada los datos del Asociado solicitante y a continuaci\u00f3n ingrese el grupo familiar\n<\/h4>\n<p><label>Apellido Asociado Solicitante: <span><\/span><br \/>\n<input type=\"text\" name=\"apellidosoli\" placeholder=\"Apellido\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Nombres Asociado Solicitante: <span><\/span><br \/>\n<input type=\"text\" name=\"nombresoli\" placeholder=\"Nombre\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>DNI Asociado Solicitante: <span><\/span><br \/>\n<input type=\"text\" name=\"dnisoli\" placeholder=\"DNI\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Email Asociado Solicitante: <span><\/span><br \/>\n<input type=\"text\" name=\"emailsoli\" placeholder=\"email\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Tel\u00e9fono Asociado Solicitante: <span><\/span><br \/>\n<input type=\"text\" name=\"telefonosoli\" placeholder=\"telefono\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label>\n<\/p>\n<h4>Grupo Familiar\n<\/h4>\n<h5>Familiar 1\n<\/h5>\n<p><label>Apellido: <span><\/span><br \/>\n<input type=\"text\" name=\"apellido\" placeholder=\"Apellido\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Nombres: <span><\/span><br \/>\n<input type=\"text\" name=\"nombre\" placeholder=\"Nombre\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>DNI: <span><\/span><br \/>\n<input type=\"text\" name=\"dni\" placeholder=\"DNI\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Parentesco: <span><\/span><br \/>\n<input type=\"text\" name=\"parentesco\" placeholder=\"parentesco\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Fecha de Nacimiento: <span><\/span><br \/>\n<input type=\"text\" name=\"fecha\" placeholder=\"fecha\" class=\"campo-form\" style=\"width:100%;\" required \/><br \/>\n<\/label>\n<\/p>\n<h5>Familiar 2\n<\/h5>\n<p><label>Apellido: <span><\/span><br \/>\n<input type=\"text\" name=\"apellido2\" placeholder=\"Apellido\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Nombres: <span><\/span><br \/>\n<input type=\"text\" name=\"nombre2\" placeholder=\"Nombre\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>DNI: <span><\/span><br \/>\n<input type=\"text\" name=\"dni2\" placeholder=\"DNI\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Parentesco: <span><\/span><br \/>\n<input type=\"text\" name=\"parentesco2\" placeholder=\"parentesco\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Fecha de Nacimiento: <span><\/span><br \/>\n<input type=\"text\" name=\"fecha2\" placeholder=\"fecha\" class=\"campo-form\" style=\"width:100%;\" required \/><br \/>\n<\/label>\n<\/p>\n<h5>Familiar 3\n<\/h5>\n<p><label>Apellido: <span><\/span><br \/>\n<input type=\"text\" name=\"apellido3\" placeholder=\"Apellido\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Nombres: <span><\/span><br \/>\n<input type=\"text\" name=\"nombre3\" placeholder=\"Nombre\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>DNI: <span><\/span><br \/>\n<input type=\"text\" name=\"dni3\" placeholder=\"DNI\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Parentesco: <span><\/span><br \/>\n<input type=\"text\" name=\"parentesco3\" placeholder=\"parentesco\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Fecha de Nacimiento: <span><\/span><br \/>\n<input type=\"text\" name=\"fecha3\" placeholder=\"fecha\" class=\"campo-form\" style=\"width:100%;\" required \/><br \/>\n<\/label>\n<\/p>\n<h5>Familiar 4\n<\/h5>\n<p><label>Apellido: <span><\/span><br \/>\n<input type=\"text\" name=\"apellido4\" placeholder=\"Apellido\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Nombres: <span><\/span><br \/>\n<input type=\"text\" name=\"nombre4\" placeholder=\"Nombre\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>DNI: <span><\/span><br \/>\n<input type=\"text\" name=\"dni4\" placeholder=\"DNI\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Parentesco: <span><\/span><br \/>\n<input type=\"text\" name=\"parentesco4\" placeholder=\"parentesco\" class=\"campo-form\" style=\"width:100%;\" \/><br \/>\n<\/label><br \/>\n<label>Fecha de Nacimiento: <span><\/span><br \/>\n<input type=\"text\" name=\"fecha4\" placeholder=\"fecha\" class=\"campo-form\" style=\"width:100%;\" required \/><br \/>\n<\/label>\n<\/p>\n<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6Lee8UAlAAAAADS1RpfoDAWIqi_du9jOJi3GiACP\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Lee8UAlAAAAADS1RpfoDAWIqi_du9jOJi3GiACP\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"Aqu\u00ed la respuesta de reCAPTCHA\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Exclusivo para Asociados Por favor complete todos los campos con la informaci\u00f3n requerida, la misma ser\u00e1 considerada en car\u00e1cter de Declaraci\u00f3n Jurada. por favor lea atentamente antes de comenzar a &#8230;<\/p>\n","protected":false},"author":5,"featured_media":313,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/pages\/489"}],"collection":[{"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/comments?post=489"}],"version-history":[{"count":1,"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/pages\/489\/revisions"}],"predecessor-version":[{"id":490,"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/pages\/489\/revisions\/490"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/media\/313"}],"wp:attachment":[{"href":"https:\/\/amebs.org.ar\/2020\/wp-json\/wp\/v2\/media?parent=489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}