{"id":13333,"date":"2022-11-15T15:30:47","date_gmt":"2022-11-15T21:30:47","guid":{"rendered":"https:\/\/repuestosacquaroni.com\/?page_id=13333"},"modified":"2022-11-15T15:30:49","modified_gmt":"2022-11-15T21:30:49","slug":"13333-2","status":"publish","type":"page","link":"https:\/\/repuestosacquaroni.com\/contacto\/13333-2\/","title":{"rendered":""},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_estilos-formidable\" id=\"frm_form_2_container\" data-token=\"c14847ddf294316717a1c0deb6a1e2e8\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_solicituddeempleo\"  data-token=\"c14847ddf294316717a1c0deb6a1e2e8\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Solicitud de empleo<\/legend>\r\n<h3 class=\"frm_form_title\">Solicitud de empleo<\/h3>\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"solicituddeempleo\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"59732e7b64\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/13333\/\" \/><div id=\"frm_field_68_container\" class=\"frm_form_field  frm12 frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_first frm_html_container form-field\">\n<h4><strong>Al momento de llenar la solicitud desde una pc \/ laptop utilice la tecla tab o mouse  para navegar. <\/strong><\/h4>\n<\/div>\n<div id=\"frm_field_343_container\" class=\"frm_form_field  frm12 frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_first frm_html_container form-field\">\n<h3><strong>I INFORMACI\u00d3N GENERAL<\/strong><\/h3>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <div  id=\"field_ykl6a_label\" class=\"frm_primary_label\">Nombre\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_ykl6a_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tNombre\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_6\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ykl6a_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tNombre\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_ykl6a_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[6][first]\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Nombre no es v\u00e1lido\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_6_first_desc\">Nombre<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ykl6a_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tApellidos\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_ykl6a_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[6][last]\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Nombre no es v\u00e1lido\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_6_last_desc\">Apellidos<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_c0rok\" id=\"field_c0rok_label\" class=\"frm_primary_label\">Lugar y Fecha de nacimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c0rok\" name=\"item_meta[7]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm6 frm_first frm_sixth\">\r\n    <label for=\"field_83o6s\" id=\"field_83o6s_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_83o6s\" name=\"item_meta[8]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_ou644\" id=\"field_ou644_label\" class=\"frm_primary_label\">No. de DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ou644\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_uvu3q\" id=\"field_uvu3q_label\" class=\"frm_primary_label\">Extendido en\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_uvu3q\" name=\"item_meta[10]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_8atbc\" id=\"field_8atbc_label\" class=\"frm_primary_label\">Direcci\u00f3n actual\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8atbc\" name=\"item_meta[11]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_7wuff\" id=\"field_7wuff_label\" class=\"frm_primary_label\">Direcci\u00f3n anterior\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7wuff\" name=\"item_meta[12]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_3ixru\" id=\"field_3ixru_label\" class=\"frm_primary_label\">Tel\u00e9fono casa\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_3ixru\" name=\"item_meta[14]\" value=\"\"  data-invmsg=\"Tel\u00e9fono no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_notq2\" id=\"field_notq2_label\" class=\"frm_primary_label\">Tel\u00e9fono celular\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_notq2\" name=\"item_meta[15]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Tel\u00e9fono no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n    <label for=\"field_o8qty\" id=\"field_o8qty_label\" class=\"frm_primary_label\">Estado civil\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[16]\" id=\"field_o8qty\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Estado civil no es v\u00e1lido\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"---\">&#8212;<\/option><option  value=\"Casado (a)\">Casado (a)<\/option><option  value=\"soltero (a)\">soltero (a)<\/option><option  value=\"Viudo (a)\">Viudo (a)<\/option><option  value=\"divorciado (a)\">divorciado (a)<\/option><option  value=\"Unido (a)\">Unido (a)<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_k4kwt\" id=\"field_k4kwt_label\" class=\"frm_primary_label\">Correo electr\u00f3nico\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_k4kwt\" name=\"item_meta[29]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Correo electr\u00f3nico no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_94qfa\" id=\"field_94qfa_label\" class=\"frm_primary_label\">Nacionalidad\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_94qfa\" name=\"item_meta[17]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_u528g\" id=\"field_u528g_label\" class=\"frm_primary_label\">Genero\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[19]\" id=\"field_u528g\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Genero no es v\u00e1lido\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Masculino\">Masculino<\/option><option  value=\"Femenino\">Femenino<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm_first\">\r\n    <label for=\"field_eyp1\" id=\"field_eyp1_label\" class=\"frm_primary_label\">No. Licencia de conducir\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_eyp1\" name=\"item_meta[20]\" value=\"\"  data-invmsg=\"N\u00famero no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_348_container\" class=\"frm_form_field form-field  frm_top_container frm4  frm6 vertical_radio\">\r\n    <div id=\"field_5m3h8_label\" class=\"frm_primary_label\">Tipo de Licencia?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_348-0\"><label for=\"field_5m3h8-0\">\t\t<input type=\"radio\" name=\"item_meta[348]\" id=\"field_5m3h8-0\" value=\"A\"\n\t\t   data-invmsg=\"Tipo de Licencia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> A<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_348-1\"><label for=\"field_5m3h8-1\">\t\t<input type=\"radio\" name=\"item_meta[348]\" id=\"field_5m3h8-1\" value=\"B\"\n\t\t   data-invmsg=\"Tipo de Licencia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> B<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_348-2\"><label for=\"field_5m3h8-2\">\t\t<input type=\"radio\" name=\"item_meta[348]\" id=\"field_5m3h8-2\" value=\"C\"\n\t\t   data-invmsg=\"Tipo de Licencia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> C<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_348-3\"><label for=\"field_5m3h8-3\">\t\t<input type=\"radio\" name=\"item_meta[348]\" id=\"field_5m3h8-3\" value=\"M\"\n\t\t   data-invmsg=\"Tipo de Licencia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> M<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_w79ye\" id=\"field_w79ye_label\" class=\"frm_primary_label\">No. Afiliaci\u00f3n IGSS \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_w79ye\" name=\"item_meta[21]\" value=\"\"  data-invmsg=\"N\u00famero no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000000000000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_n0emv\" id=\"field_n0emv_label\" class=\"frm_primary_label\">NIT\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n0emv\" name=\"item_meta[22]\" value=\"\"  data-invmsg=\"N\u00famero no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_yivg0\" id=\"field_yivg0_label\" class=\"frm_primary_label\">No. Pasaporte\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_yivg0\" name=\"item_meta[23]\" value=\"\"  data-invmsg=\"N\u00famero no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_h8wli\" id=\"field_h8wli_label\" class=\"frm_primary_label\">Tipo de Sangre\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h8wli\" name=\"item_meta[24]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_awd0a\" id=\"field_awd0a_label\" class=\"frm_primary_label\">Estatura en metros\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_awd0a\" name=\"item_meta[25]\" value=\"\"  data-invmsg=\"N\u00famero no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_top_container frm6  frm6 frm_first vertical_radio\">\r\n    <div id=\"field_qorcd_label\" class=\"frm_primary_label\">\u00bfTiene negocio propio?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_26-0\"><label for=\"field_qorcd-0\">\t\t<input type=\"radio\" name=\"item_meta[26]\" id=\"field_qorcd-0\" value=\"s\u00ed\"\n\t\t   data-invmsg=\"\u00bfTiene negocio propio? no es v\u00e1lido\" aria-invalid=\"false\"  \/> s\u00ed<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_26-1\"><label for=\"field_qorcd-1\">\t\t<input type=\"radio\" name=\"item_meta[26]\" id=\"field_qorcd-1\" value=\"no\"\n\t\t   data-invmsg=\"\u00bfTiene negocio propio? no es v\u00e1lido\" aria-invalid=\"false\"  \/> no<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6\">\r\n    <label for=\"field_8zr3i\" id=\"field_8zr3i_label\" class=\"frm_primary_label\">\u00bfQue tipo de negocio?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8zr3i\" name=\"item_meta[27]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_131_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3><strong>II DATOS FAMILIARES<\/strong><\/h3>\n<\/div>\n<div id=\"frm_field_331_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos del Padre<\/h3>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_337_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_dcsw9\" id=\"field_dcsw9_label\" class=\"frm_primary_label\">Nombre del Padre\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dcsw9\" name=\"item_meta[337]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_338_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_i4tsl\" id=\"field_i4tsl_label\" class=\"frm_primary_label\">Apellidos\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i4tsl\" name=\"item_meta[338]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_2p8cr\" id=\"field_2p8cr_label\" class=\"frm_primary_label\">Direcci\u00f3n \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2p8cr\" name=\"item_meta[33]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm4 frm_third frm4 frm_first\">\r\n    <label for=\"field_t1edt\" id=\"field_t1edt_label\" class=\"frm_primary_label\">Tel\u00e9fono Casa\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_t1edt\" name=\"item_meta[35]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_b1061\" id=\"field_b1061_label\" class=\"frm_primary_label\">Celular\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_b1061\" name=\"item_meta[37]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm4 frm_third\">\r\n    <label for=\"field_n53rz\" id=\"field_n53rz_label\" class=\"frm_primary_label\">Fecha de Nacimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n53rz\" name=\"item_meta[39]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first frm_half frm_third\">\r\n    <label for=\"field_qy7f0\" id=\"field_qy7f0_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_qy7f0\" name=\"item_meta[38]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_pl9iw_label\" class=\"frm_primary_label\">Trabaja actualmente\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_41-0\"><label for=\"field_pl9iw-0\">\t\t<input type=\"radio\" name=\"item_meta[41]\" id=\"field_pl9iw-0\" value=\"SI\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_41-1\"><label for=\"field_pl9iw-1\">\t\t<input type=\"radio\" name=\"item_meta[41]\" id=\"field_pl9iw-1\" value=\"NO\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_jfp42\" id=\"field_jfp42_label\" class=\"frm_primary_label\">\u00bfPara qu\u00e9 empresa?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jfp42\" name=\"item_meta[47]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_5zv5b\" id=\"field_5zv5b_label\" class=\"frm_primary_label\">Puesto que desempe\u00f1a\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5zv5b\" name=\"item_meta[46]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_4mgq\" id=\"field_4mgq_label\" class=\"frm_primary_label\">Direcci\u00f3n del lugar de trabajo\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4mgq\" name=\"item_meta[48]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_332_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos de la Madre<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_339_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_m90vh\" id=\"field_m90vh_label\" class=\"frm_primary_label\">Nombre de la Madre\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m90vh\" name=\"item_meta[339]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_340_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_g6iwf\" id=\"field_g6iwf_label\" class=\"frm_primary_label\">Apellidos\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_g6iwf\" name=\"item_meta[340]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_vzubh\" id=\"field_vzubh_label\" class=\"frm_primary_label\">Direcci\u00f3n \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vzubh\" name=\"item_meta[56]\" value=\"\"  data-reqmsg=\"Este campo no puede estar en blanco.\" aria-required=\"true\" data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm6 frm_third frm4 frm_first\">\r\n    <label for=\"field_1o2ue\" id=\"field_1o2ue_label\" class=\"frm_primary_label\">Tel\u00e9fono Casa\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_1o2ue\" name=\"item_meta[59]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_xjiwx\" id=\"field_xjiwx_label\" class=\"frm_primary_label\">Celular\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_xjiwx\" name=\"item_meta[58]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm_third\">\r\n    <label for=\"field_m5rb7\" id=\"field_m5rb7_label\" class=\"frm_primary_label\">Fecha de Nacimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m5rb7\" name=\"item_meta[57]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6  frm6 frm_third frm_first\">\r\n    <label for=\"field_b0fix\" id=\"field_b0fix_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_b0fix\" name=\"item_meta[60]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_z5pvd_label\" class=\"frm_primary_label\">Trabaja actualmente\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_61-0\"><label for=\"field_z5pvd-0\">\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_z5pvd-0\" value=\"SI\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_61-1\"><label for=\"field_z5pvd-1\">\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_z5pvd-1\" value=\"NO\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_qghpm\" id=\"field_qghpm_label\" class=\"frm_primary_label\">\u00bfPara qu\u00e9 empresa?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qghpm\" name=\"item_meta[63]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_88gv2\" id=\"field_88gv2_label\" class=\"frm_primary_label\">Puesto que desempe\u00f1a\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_88gv2\" name=\"item_meta[64]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_z41sc\" id=\"field_z41sc_label\" class=\"frm_primary_label\">Direcci\u00f3n del lugar de trabajo\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z41sc\" name=\"item_meta[65]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_312_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3><strong>Datos Hermano I<\/strong><\/h3>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_jzsmc\" id=\"field_jzsmc_label\" class=\"frm_primary_label\">Nombre Completo Hermano(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jzsmc\" name=\"item_meta[111]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_xl9t5\" id=\"field_xl9t5_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_xl9t5\" name=\"item_meta[114]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_py6h3\" id=\"field_py6h3_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_py6h3\" name=\"item_meta[113]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_32e9h\" id=\"field_32e9h_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_32e9h\" name=\"item_meta[112]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_oi3dm\" id=\"field_oi3dm_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oi3dm\" name=\"item_meta[115]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_313_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hermano II<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_7om3i\" id=\"field_7om3i_label\" class=\"frm_primary_label\">Nombre Completo Hermano(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7om3i\" name=\"item_meta[79]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_jrz6q\" id=\"field_jrz6q_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_jrz6q\" name=\"item_meta[82]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_wp14o\" id=\"field_wp14o_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_wp14o\" name=\"item_meta[84]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_afudv\" id=\"field_afudv_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_afudv\" name=\"item_meta[81]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_83_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6\">\r\n    <label for=\"field_qrjx7\" id=\"field_qrjx7_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qrjx7\" name=\"item_meta[83]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_314_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hermano III<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_90_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_czc3z\" id=\"field_czc3z_label\" class=\"frm_primary_label\">Nombre Completo Hermano(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_czc3z\" name=\"item_meta[90]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_7no9f\" id=\"field_7no9f_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_7no9f\" name=\"item_meta[91]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_94_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_vu5u9\" id=\"field_vu5u9_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_vu5u9\" name=\"item_meta[94]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_93_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_hf8kx\" id=\"field_hf8kx_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hf8kx\" name=\"item_meta[93]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_92_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_x8ma1\" id=\"field_x8ma1_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_x8ma1\" name=\"item_meta[92]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_315_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hermano IV<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_itgp4\" id=\"field_itgp4_label\" class=\"frm_primary_label\">Nombre Completo Hermano(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_itgp4\" name=\"item_meta[98]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_6y7nc\" id=\"field_6y7nc_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_6y7nc\" name=\"item_meta[96]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_d73h3\" id=\"field_d73h3_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_d73h3\" name=\"item_meta[99]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_95_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_bwvlx\" id=\"field_bwvlx_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bwvlx\" name=\"item_meta[95]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_ejb8j\" id=\"field_ejb8j_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ejb8j\" name=\"item_meta[97]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_316_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos del C\u00f3nyuge<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_341_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_n8vtz\" id=\"field_n8vtz_label\" class=\"frm_primary_label\">Nombre del C\u00f3nyuge\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n8vtz\" name=\"item_meta[341]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_342_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_6vnfc\" id=\"field_6vnfc_label\" class=\"frm_primary_label\">Apellidos\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6vnfc\" name=\"item_meta[342]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_xu80a\" id=\"field_xu80a_label\" class=\"frm_primary_label\">Direcci\u00f3n \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xu80a\" name=\"item_meta[102]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm6 frm4 frm4 frm_first\">\r\n    <label for=\"field_uy2vk\" id=\"field_uy2vk_label\" class=\"frm_primary_label\">Tel\u00e9fono Casa\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_uy2vk\" name=\"item_meta[103]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_naycs\" id=\"field_naycs_label\" class=\"frm_primary_label\">Celular\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_naycs\" name=\"item_meta[104]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm4\">\r\n    <label for=\"field_csnhj\" id=\"field_csnhj_label\" class=\"frm_primary_label\">Fecha de Nacimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_csnhj\" name=\"item_meta[105]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6  frm6 frm4 frm_first\">\r\n    <label for=\"field_nqpby\" id=\"field_nqpby_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_nqpby\" name=\"item_meta[106]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_dpze6_label\" class=\"frm_primary_label\">Trabaja actualmente\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_107-0\"><label for=\"field_dpze6-0\">\t\t<input type=\"radio\" name=\"item_meta[107]\" id=\"field_dpze6-0\" value=\"SI\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_107-1\"><label for=\"field_dpze6-1\">\t\t<input type=\"radio\" name=\"item_meta[107]\" id=\"field_dpze6-1\" value=\"NO\"\n\t\t   data-invmsg=\"Trabaja actualmente no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_4ggu8\" id=\"field_4ggu8_label\" class=\"frm_primary_label\">\u00bfPara qu\u00e9 empresa?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4ggu8\" name=\"item_meta[109]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_hkn53\" id=\"field_hkn53_label\" class=\"frm_primary_label\">Puesto que desempe\u00f1a\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hkn53\" name=\"item_meta[108]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_zu5y8\" id=\"field_zu5y8_label\" class=\"frm_primary_label\">Direcci\u00f3n del lugar de trabajo\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zu5y8\" name=\"item_meta[110]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_322_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>DATOS DE LOS HIJOS<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_323_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hijo I<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_87_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_w2jie\" id=\"field_w2jie_label\" class=\"frm_primary_label\">Nombre Completo de Hijo(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w2jie\" name=\"item_meta[87]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_88_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_kz3rn\" id=\"field_kz3rn_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_kz3rn\" name=\"item_meta[88]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_bmr5d\" id=\"field_bmr5d_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_bmr5d\" name=\"item_meta[89]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_za2s5\" id=\"field_za2s5_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_za2s5\" name=\"item_meta[85]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_86_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_oopnz\" id=\"field_oopnz_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupacion\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oopnz\" name=\"item_meta[86]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_324_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hijo II<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_ereiv\" id=\"field_ereiv_label\" class=\"frm_primary_label\">Nombre Completo de Hijo(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ereiv\" name=\"item_meta[120]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_y9v70\" id=\"field_y9v70_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_y9v70\" name=\"item_meta[118]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_32fip\" id=\"field_32fip_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_32fip\" name=\"item_meta[116]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"10000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_j1rx1\" id=\"field_j1rx1_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j1rx1\" name=\"item_meta[119]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_y3x40\" id=\"field_y3x40_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_y3x40\" name=\"item_meta[117]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_325_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hijo III<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_125_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_rwr3e\" id=\"field_rwr3e_label\" class=\"frm_primary_label\">Nombre Completo de Hijo(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rwr3e\" name=\"item_meta[125]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_124_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_d1o3l\" id=\"field_d1o3l_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_d1o3l\" name=\"item_meta[124]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_v0n61\" id=\"field_v0n61_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_v0n61\" name=\"item_meta[122]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_123_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_fpcxd\" id=\"field_fpcxd_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fpcxd\" name=\"item_meta[123]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_slsn9\" id=\"field_slsn9_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_slsn9\" name=\"item_meta[121]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_326_container\" class=\"frm_form_field  frm_half frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_html_container form-field\">\n<h3>Datos Hijo IV<\/h3>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_127_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_u4v5q\" id=\"field_u4v5q_label\" class=\"frm_primary_label\">Nombre Completo de Hijo(a)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_u4v5q\" name=\"item_meta[127]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_126_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ee0wj\" id=\"field_ee0wj_label\" class=\"frm_primary_label\">Edad\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_ee0wj\" name=\"item_meta[126]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_128_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_wo1\" id=\"field_wo1_label\" class=\"frm_primary_label\">No. De DPI\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_wo1\" name=\"item_meta[128]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first\">\r\n    <label for=\"field_ui0bh\" id=\"field_ui0bh_label\" class=\"frm_primary_label\">Domicilio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ui0bh\" name=\"item_meta[129]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_130_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_x908n\" id=\"field_x908n_label\" class=\"frm_primary_label\">Profesi\u00f3n \/ Ocupaci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_x908n\" name=\"item_meta[130]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field  frm2 frm12 frm4 frm6 frm_three_fourths frm10 frm12 frm12 frm_first frm_html_container form-field\">\n<h3><strong>III ESTUDIOS<\/strong><\/h3>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_317_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h4>Primaria:<\/h4>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_iu2fu\" id=\"field_iu2fu_label\" class=\"frm_primary_label\">Grado nivel Primaria\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_iu2fu\" name=\"item_meta[136]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_cgm7a\" id=\"field_cgm7a_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cgm7a\" name=\"item_meta[134]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm12  frm6 frm_first\">\r\n    <label for=\"field_bt96z\" id=\"field_bt96z_label\" class=\"frm_primary_label\">A\u00f1o Inicio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_bt96z\" name=\"item_meta[135]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm6\">\r\n    <label for=\"field_hdrm7\" id=\"field_hdrm7_label\" class=\"frm_primary_label\">A\u00f1o Fin\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_hdrm7\" name=\"item_meta[133]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_318_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h4>B\u00e1sicos:<\/h4>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_140_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_aoz1x\" id=\"field_aoz1x_label\" class=\"frm_primary_label\">Grado nivel B\u00e1sico \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_aoz1x\" name=\"item_meta[140]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_bguge\" id=\"field_bguge_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bguge\" name=\"item_meta[141]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm6 frm_first frm_third\">\r\n    <label for=\"field_hsyln\" id=\"field_hsyln_label\" class=\"frm_primary_label\">A\u00f1o Inicio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_hsyln\" name=\"item_meta[139]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm6\">\r\n    <label for=\"field_pa2y3\" id=\"field_pa2y3_label\" class=\"frm_primary_label\">A\u00f1o Fin\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_pa2y3\" name=\"item_meta[142]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_319_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h4>Diversificado:<\/h4>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_w4xwt\" id=\"field_w4xwt_label\" class=\"frm_primary_label\">Grado nivel Diversificado\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w4xwt\" name=\"item_meta[149]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_fb2xo\" id=\"field_fb2xo_label\" class=\"frm_primary_label\">Carrera\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fb2xo\" name=\"item_meta[151]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_153_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_fsg9x\" id=\"field_fsg9x_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fsg9x\" name=\"item_meta[153]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_152_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm12  frm6 frm_first\">\r\n    <label for=\"field_j0ngt\" id=\"field_j0ngt_label\" class=\"frm_primary_label\">A\u00f1o Inicio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_j0ngt\" name=\"item_meta[152]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm6\">\r\n    <label for=\"field_ld6dd\" id=\"field_ld6dd_label\" class=\"frm_primary_label\">A\u00f1o Fin\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_ld6dd\" name=\"item_meta[150]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_320_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h4>Universidad:<\/h4>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_154_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_bcpcy\" id=\"field_bcpcy_label\" class=\"frm_primary_label\">Grado nivel Universitario\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bcpcy\" name=\"item_meta[154]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_155_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ptt2y\" id=\"field_ptt2y_label\" class=\"frm_primary_label\">Carrera\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ptt2y\" name=\"item_meta[155]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_j6240\" id=\"field_j6240_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j6240\" name=\"item_meta[156]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_157_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm12  frm6 frm_first\">\r\n    <label for=\"field_c27wh\" id=\"field_c27wh_label\" class=\"frm_primary_label\">A\u00f1o Inicio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_c27wh\" name=\"item_meta[157]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_158_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm6\">\r\n    <label for=\"field_gg4o3\" id=\"field_gg4o3_label\" class=\"frm_primary_label\">A\u00f1o Fin\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_gg4o3\" name=\"item_meta[158]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_321_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h5>Maestr\u00eda:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_s1axo\" id=\"field_s1axo_label\" class=\"frm_primary_label\">Grado nivel Maestr\u00eda \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_s1axo\" name=\"item_meta[159]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_61oji\" id=\"field_61oji_label\" class=\"frm_primary_label\">Carrera\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_61oji\" name=\"item_meta[163]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_161_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_fmu7n\" id=\"field_fmu7n_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fmu7n\" name=\"item_meta[161]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_160_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm12  frm6 frm_first\">\r\n    <label for=\"field_8b7zh\" id=\"field_8b7zh_label\" class=\"frm_primary_label\">A\u00f1o Inicio\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_8b7zh\" name=\"item_meta[160]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_162_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm12  frm6\">\r\n    <label for=\"field_fgr90\" id=\"field_fgr90_label\" class=\"frm_primary_label\">A\u00f1o Fin\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_fgr90\" name=\"item_meta[162]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_top_container frm3 vertical_radio\">\r\n    <div id=\"field_boxl8_label\" class=\"frm_primary_label\">\u00bfEstudia?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_166-0\"><label for=\"field_boxl8-0\">\t\t<input type=\"radio\" name=\"item_meta[166]\" id=\"field_boxl8-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfEstudia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_166-1\"><label for=\"field_boxl8-1\">\t\t<input type=\"radio\" name=\"item_meta[166]\" id=\"field_boxl8-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfEstudia? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_167_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_1pf83\" id=\"field_1pf83_label\" class=\"frm_primary_label\">Carrera:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1pf83\" name=\"item_meta[167]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_168_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_wo09h\" id=\"field_wo09h_label\" class=\"frm_primary_label\">\u00bfEn qu\u00e9 horario?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wo09h\" name=\"item_meta[168]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_169_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_as4yv\" id=\"field_as4yv_label\" class=\"frm_primary_label\">Grado:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_as4yv\" name=\"item_meta[169]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_170_container\" class=\"frm_form_field form-field  frm_top_container frm5\">\r\n    <label for=\"field_1ggu0\" id=\"field_1ggu0_label\" class=\"frm_primary_label\">Establecimiento\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1ggu0\" name=\"item_meta[170]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_172_container\" class=\"frm_form_field  frm12 frm_half frm_third frm_two_thirds frm_three_fourths frm10 frm12 frm12 frm_first frm_html_container form-field\">\n<h3><strong>Indique qu\u00e9 Cursos ha Recibido y son de Relevancia:<\/strong><\/h3>\n<\/div>\n<div id=\"frm_field_327_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h5>Curso I:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_176_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_first\">\r\n    <label for=\"field_ex1sp\" id=\"field_ex1sp_label\" class=\"frm_primary_label\">Instituci\u00f3n Otorgante Curso I:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ex1sp\" name=\"item_meta[176]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_178_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_77lfh\" id=\"field_77lfh_label\" class=\"frm_primary_label\">Lugar:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_77lfh\" name=\"item_meta[178]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_174_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_7znbe\" id=\"field_7znbe_label\" class=\"frm_primary_label\">Curso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7znbe\" name=\"item_meta[174]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_177_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_1v20e\" id=\"field_1v20e_label\" class=\"frm_primary_label\">Fecha:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1v20e\" name=\"item_meta[177]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_328_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h5>Curso II:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_179_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_first\">\r\n    <label for=\"field_n4g4l\" id=\"field_n4g4l_label\" class=\"frm_primary_label\">Instituci\u00f3n Otorgante Curso II:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n4g4l\" name=\"item_meta[179]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_180_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_dsrt\" id=\"field_dsrt_label\" class=\"frm_primary_label\">Lugar:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dsrt\" name=\"item_meta[180]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_182_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_7wlb3\" id=\"field_7wlb3_label\" class=\"frm_primary_label\">Curso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7wlb3\" name=\"item_meta[182]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_181_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_migkz\" id=\"field_migkz_label\" class=\"frm_primary_label\">Fecha:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_migkz\" name=\"item_meta[181]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_329_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h5>Curso III:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_183_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_first\">\r\n    <label for=\"field_3wu13\" id=\"field_3wu13_label\" class=\"frm_primary_label\">Instituci\u00f3n Otorgante Curso III:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3wu13\" name=\"item_meta[183]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_186_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_6isge\" id=\"field_6isge_label\" class=\"frm_primary_label\">Lugar:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6isge\" name=\"item_meta[186]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_184_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_od0ut\" id=\"field_od0ut_label\" class=\"frm_primary_label\">Curso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_od0ut\" name=\"item_meta[184]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_185_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_gc74o\" id=\"field_gc74o_label\" class=\"frm_primary_label\">Fecha:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gc74o\" name=\"item_meta[185]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_330_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<h5>Curso IV:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_189_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_first\">\r\n    <label for=\"field_2fxuv\" id=\"field_2fxuv_label\" class=\"frm_primary_label\">Instituci\u00f3n Otorgante Curso IV:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2fxuv\" name=\"item_meta[189]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_190_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_wlj28\" id=\"field_wlj28_label\" class=\"frm_primary_label\">Lugar:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wlj28\" name=\"item_meta[190]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_188_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_2rzym\" id=\"field_2rzym_label\" class=\"frm_primary_label\">Curso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2rzym\" name=\"item_meta[188]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_187_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_kcne\" id=\"field_kcne_label\" class=\"frm_primary_label\">Fecha:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_kcne\" name=\"item_meta[187]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_191_container\" class=\"frm_form_field  frm12 frm6 frm4 frm4 frm12 frm10 frm12 frm12 frm_first frm_html_container form-field\">\n<h4><strong>IV. Datos Laborales<\/strong><\/h4>\n<\/div>\n<div id=\"frm_field_193_container\" class=\"frm_form_field  frm12 frm6 frm4 frm4 frm12 frm10 frm12 frm12 frm_html_container form-field\">\n<h4>(Empiece por el trabajo actual, si lo tuviere)<\/h4>\n<\/div>\n<div id=\"frm_field_192_container\" class=\"frm_form_field  frm4 frm_html_container form-field\">\n<h5>a) Empleo Anterior \/ Actual:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_194_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\r\n    <label for=\"field_unfnn\" id=\"field_unfnn_label\" class=\"frm_primary_label\">Nombre de la Empresa Empleo Anterior \/ Actual:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_unfnn\" name=\"item_meta[194]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_196_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_61a9r\" id=\"field_61a9r_label\" class=\"frm_primary_label\">Direcci\u00f3n:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_61a9r\" name=\"item_meta[196]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_197_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_wtnqj\" id=\"field_wtnqj_label\" class=\"frm_primary_label\">Tel\u00e9fono:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wtnqj\" name=\"item_meta[197]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_198_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\r\n    <label for=\"field_ghwb5\" id=\"field_ghwb5_label\" class=\"frm_primary_label\">\u00daltimo puesto que ocup\u00f3:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ghwb5\" name=\"item_meta[198]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_199_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_md285\" id=\"field_md285_label\" class=\"frm_primary_label\">Salario inicial:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_md285\" name=\"item_meta[199]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"1000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_200_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_9ksod\" id=\"field_9ksod_label\" class=\"frm_primary_label\">Salario final:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_9ksod\" name=\"item_meta[200]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_201_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_l6rri\" id=\"field_l6rri_label\" class=\"frm_primary_label\">Fecha  de Ingreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l6rri\" name=\"item_meta[201]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_202_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6\">\r\n    <label for=\"field_aaahx\" id=\"field_aaahx_label\" class=\"frm_primary_label\">Fecha de Egreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_aaahx\" name=\"item_meta[202]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_203_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_two_thirds\">\r\n    <label for=\"field_cf9wy\" id=\"field_cf9wy_label\" class=\"frm_primary_label\">Nombre del Jefe Inmediato\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cf9wy\" name=\"item_meta[203]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_206_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_o1bjy_label\" class=\"frm_primary_label\">\u00bfTiene inconveniente en que se le soliciten referencias a su patrono?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_206-0\"><label for=\"field_o1bjy-0\">\t\t<input type=\"radio\" name=\"item_meta[206]\" id=\"field_o1bjy-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_206-1\"><label for=\"field_o1bjy-1\">\t\t<input type=\"radio\" name=\"item_meta[206]\" id=\"field_o1bjy-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_207_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_zhohh\" id=\"field_zhohh_label\" class=\"frm_primary_label\">Motivo de retiro o \u00bfpor qu\u00e9 desea retirarse?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zhohh\" name=\"item_meta[207]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_208_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h5>b) Empleo Anterior:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_211_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\r\n    <label for=\"field_ff3oa\" id=\"field_ff3oa_label\" class=\"frm_primary_label\">Nombre de la Empresa Empleo Anterior:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ff3oa\" name=\"item_meta[211]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_213_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_esw80\" id=\"field_esw80_label\" class=\"frm_primary_label\">Direcci\u00f3n:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_esw80\" name=\"item_meta[213]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_212_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_ap5st\" id=\"field_ap5st_label\" class=\"frm_primary_label\">Tel\u00e9fono:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ap5st\" name=\"item_meta[212]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_214_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\r\n    <label for=\"field_tr48x\" id=\"field_tr48x_label\" class=\"frm_primary_label\">\u00daltimo puesto que ocup\u00f3:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tr48x\" name=\"item_meta[214]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_215_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_nwpv4\" id=\"field_nwpv4_label\" class=\"frm_primary_label\">Salario inicial:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_nwpv4\" name=\"item_meta[215]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_216_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_pmmog\" id=\"field_pmmog_label\" class=\"frm_primary_label\">Salario final:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_pmmog\" name=\"item_meta[216]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_218_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_tdyfm\" id=\"field_tdyfm_label\" class=\"frm_primary_label\">Fecha  de Ingreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tdyfm\" name=\"item_meta[218]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_219_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6\">\r\n    <label for=\"field_tal9y\" id=\"field_tal9y_label\" class=\"frm_primary_label\">Fecha de Egreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tal9y\" name=\"item_meta[219]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_220_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_two_thirds\">\r\n    <label for=\"field_4zx41\" id=\"field_4zx41_label\" class=\"frm_primary_label\">Nombre del Jefe Inmediato\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4zx41\" name=\"item_meta[220]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_221_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_8psgv_label\" class=\"frm_primary_label\">\u00bfTiene inconveniente en que se le soliciten referencias a su patrono?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_221-0\"><label for=\"field_8psgv-0\">\t\t<input type=\"radio\" name=\"item_meta[221]\" id=\"field_8psgv-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_221-1\"><label for=\"field_8psgv-1\">\t\t<input type=\"radio\" name=\"item_meta[221]\" id=\"field_8psgv-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_222_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_id95k\" id=\"field_id95k_label\" class=\"frm_primary_label\">Motivo de retiro:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_id95k\" name=\"item_meta[222]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_223_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h5>c) Empleo Anterior:<\/h5>\n<p><\/p>\n<\/div>\n<div id=\"frm_field_224_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\r\n    <label for=\"field_aohih\" id=\"field_aohih_label\" class=\"frm_primary_label\">Nombre de la Empresa Empleo Anterior:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_aohih\" name=\"item_meta[224]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_225_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_8qzkb\" id=\"field_8qzkb_label\" class=\"frm_primary_label\">Direcci\u00f3n:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8qzkb\" name=\"item_meta[225]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_226_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_eqlw8\" id=\"field_eqlw8_label\" class=\"frm_primary_label\">Tel\u00e9fono:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eqlw8\" name=\"item_meta[226]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_227_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\r\n    <label for=\"field_u66m5\" id=\"field_u66m5_label\" class=\"frm_primary_label\">\u00daltimo puesto que ocup\u00f3:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_u66m5\" name=\"item_meta[227]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_229_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ght4w\" id=\"field_ght4w_label\" class=\"frm_primary_label\">Salario inicial:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_ght4w\" name=\"item_meta[229]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_228_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_obsru\" id=\"field_obsru_label\" class=\"frm_primary_label\">Salario final:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_obsru\" name=\"item_meta[228]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_230_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_r00re\" id=\"field_r00re_label\" class=\"frm_primary_label\">Fecha  de Ingreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_r00re\" name=\"item_meta[230]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_231_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6\">\r\n    <label for=\"field_idrd6\" id=\"field_idrd6_label\" class=\"frm_primary_label\">Fecha de Egreso:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_idrd6\" name=\"item_meta[231]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_232_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_two_thirds\">\r\n    <label for=\"field_lqcfs\" id=\"field_lqcfs_label\" class=\"frm_primary_label\">Nombre del Jefe Inmediato\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_lqcfs\" name=\"item_meta[232]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_233_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_mawn4_label\" class=\"frm_primary_label\">\u00bfTiene inconveniente en que se le soliciten referencias a su patrono?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_233-0\"><label for=\"field_mawn4-0\">\t\t<input type=\"radio\" name=\"item_meta[233]\" id=\"field_mawn4-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_233-1\"><label for=\"field_mawn4-1\">\t\t<input type=\"radio\" name=\"item_meta[233]\" id=\"field_mawn4-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTiene inconveniente en que se le soliciten referencias a su patrono? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_234_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_dny28\" id=\"field_dny28_label\" class=\"frm_primary_label\">Motivo de retiro:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dny28\" name=\"item_meta[234]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_235_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3><strong>V. Condici\u00f3n F\u00edsica:<\/strong><\/h3>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_237_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_6z85k\" id=\"field_6z85k_label\" class=\"frm_primary_label\">Color de cabello\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6z85k\" name=\"item_meta[237]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_238_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ue0yp\" id=\"field_ue0yp_label\" class=\"frm_primary_label\">Color de ojos\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ue0yp\" name=\"item_meta[238]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_239_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_7yguv\" id=\"field_7yguv_label\" class=\"frm_primary_label\">Color de Tez\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7yguv\" name=\"item_meta[239]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_240_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_tt4tk_label\" class=\"frm_primary_label\">\u00bfHa padecido alg\u00fan quebranto de salud?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_240-0\"><label for=\"field_tt4tk-0\">\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_tt4tk-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfHa padecido alg\u00fan quebranto de salud? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_240-1\"><label for=\"field_tt4tk-1\">\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_tt4tk-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfHa padecido alg\u00fan quebranto de salud? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_241_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_iecix\" id=\"field_iecix_label\" class=\"frm_primary_label\">\u00bfCu\u00e1l?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_iecix\" name=\"item_meta[241]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_243_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_xmnpb_label\" class=\"frm_primary_label\">\u00bfEs al\u00e9rgico a alg\u00fan medicamento?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_243-0\"><label for=\"field_xmnpb-0\">\t\t<input type=\"radio\" name=\"item_meta[243]\" id=\"field_xmnpb-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfEs al\u00e9rgico a alg\u00fan medicamento? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_243-1\"><label for=\"field_xmnpb-1\">\t\t<input type=\"radio\" name=\"item_meta[243]\" id=\"field_xmnpb-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfEs al\u00e9rgico a alg\u00fan medicamento? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_242_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_nkuz7\" id=\"field_nkuz7_label\" class=\"frm_primary_label\">\u00bfCu\u00e1l?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nkuz7\" name=\"item_meta[242]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_244_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\r\n    <label for=\"field_9r7no\" id=\"field_9r7no_label\" class=\"frm_primary_label\">\u00bfEn caso de sufrir alguna emergencia, a qui\u00e9n se le notifica ? \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9r7no\" name=\"item_meta[244]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_245_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_bjtbg\" id=\"field_bjtbg_label\" class=\"frm_primary_label\">Parentesco:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bjtbg\" name=\"item_meta[245]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_246_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_exkud\" id=\"field_exkud_label\" class=\"frm_primary_label\">Tel\u00e9fono (s):\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_exkud\" name=\"item_meta[246]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_247_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_kmcpz_label\" class=\"frm_primary_label\">Lunares visibles:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_247-0\"><label for=\"field_kmcpz-0\">\t\t<input type=\"radio\" name=\"item_meta[247]\" id=\"field_kmcpz-0\" value=\"SI\"\n\t\t   data-invmsg=\"Lunares visibles: no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_247-1\"><label for=\"field_kmcpz-1\">\t\t<input type=\"radio\" name=\"item_meta[247]\" id=\"field_kmcpz-1\" value=\"NO\"\n\t\t   data-invmsg=\"Lunares visibles: no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_248_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_dmh64_label\" class=\"frm_primary_label\">Tatuajes:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_248-0\"><label for=\"field_dmh64-0\">\t\t<input type=\"radio\" name=\"item_meta[248]\" id=\"field_dmh64-0\" value=\"SI\"\n\t\t   data-invmsg=\"Tatuajes: no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_248-1\"><label for=\"field_dmh64-1\">\t\t<input type=\"radio\" name=\"item_meta[248]\" id=\"field_dmh64-1\" value=\"NO\"\n\t\t   data-invmsg=\"Tatuajes: no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_249_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3><strong>VI Otros:<\/strong><\/h3>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_251_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h4>Escriba a continuaci\u00f3n los bienes que posee:<\/h4>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_253_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm12 frm_first vertical_radio\">\r\n    <div id=\"field_ifksx_label\" class=\"frm_primary_label\">Su vivienda es:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_253-0\"><label for=\"field_ifksx-0\">\t\t<input type=\"radio\" name=\"item_meta[253]\" id=\"field_ifksx-0\" value=\"Propia\"\n\t\t   data-invmsg=\"Su vivienda es: no es v\u00e1lido\" aria-invalid=\"false\"  \/> Propia<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_253-1\"><label for=\"field_ifksx-1\">\t\t<input type=\"radio\" name=\"item_meta[253]\" id=\"field_ifksx-1\" value=\"Alquilada\"\n\t\t   data-invmsg=\"Su vivienda es: no es v\u00e1lido\" aria-invalid=\"false\"  \/> Alquilada<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_253-2\"><label for=\"field_ifksx-2\">\t\t<input type=\"radio\" name=\"item_meta[253]\" id=\"field_ifksx-2\" value=\"Familiar\"\n\t\t   data-invmsg=\"Su vivienda es: no es v\u00e1lido\" aria-invalid=\"false\"  \/> Familiar<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_252_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_uxfm8\" id=\"field_uxfm8_label\" class=\"frm_primary_label\">\u00bfCu\u00e1nto paga por renta?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_uxfm8\" name=\"item_meta[252]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_250_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first vertical_radio\">\r\n    <div id=\"field_9segh_label\" class=\"frm_primary_label\">Posee Veh\u00edculo \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_250-0\"><label for=\"field_9segh-0\">\t\t<input type=\"radio\" name=\"item_meta[250]\" id=\"field_9segh-0\" value=\"SI\"\n\t\t   data-invmsg=\"Posee Veh\u00edculo  no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_250-1\"><label for=\"field_9segh-1\">\t\t<input type=\"radio\" name=\"item_meta[250]\" id=\"field_9segh-1\" value=\"NO\"\n\t\t   data-invmsg=\"Posee Veh\u00edculo  no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_254_container\" class=\"frm_form_field form-field  frm_top_container frm4 vertical_radio\">\r\n    <div id=\"field_9ymcs_label\" class=\"frm_primary_label\">\u00bfQu\u00e9 tipo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_254-0\"><label for=\"field_9ymcs-0\">\t\t<input type=\"radio\" name=\"item_meta[254]\" id=\"field_9ymcs-0\" value=\"Carro\"\n\t\t   data-invmsg=\"\u00bfQu\u00e9 tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Carro<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_254-1\"><label for=\"field_9ymcs-1\">\t\t<input type=\"radio\" name=\"item_meta[254]\" id=\"field_9ymcs-1\" value=\"Moto\"\n\t\t   data-invmsg=\"\u00bfQu\u00e9 tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Moto<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_254-2\"><label for=\"field_9ymcs-2\">\t\t<input type=\"radio\" name=\"item_meta[254]\" id=\"field_9ymcs-2\" value=\"Otro\"\n\t\t   data-invmsg=\"\u00bfQu\u00e9 tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Otro<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_255_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_q5fw8\" id=\"field_q5fw8_label\" class=\"frm_primary_label\">Especifique\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_q5fw8\" name=\"item_meta[255]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_256_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_o9ff9\" id=\"field_o9ff9_label\" class=\"frm_primary_label\">Modelo:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_o9ff9\" name=\"item_meta[256]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_257_container\" class=\"frm_form_field form-field  frm_top_container frm3\">\r\n    <label for=\"field_rlrea\" id=\"field_rlrea_label\" class=\"frm_primary_label\">Placa:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rlrea\" name=\"item_meta[257]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_261_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6 frm_first vertical_radio\">\r\n    <div id=\"field_q9nrm_label\" class=\"frm_primary_label\">\u00bfTiene ingreso adicionales a su sueldo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_261-0\"><label for=\"field_q9nrm-0\">\t\t<input type=\"radio\" name=\"item_meta[261]\" id=\"field_q9nrm-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTiene ingreso adicionales a su sueldo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_261-1\"><label for=\"field_q9nrm-1\">\t\t<input type=\"radio\" name=\"item_meta[261]\" id=\"field_q9nrm-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTiene ingreso adicionales a su sueldo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_259_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm6\">\r\n    <label for=\"field_njgnh\" id=\"field_njgnh_label\" class=\"frm_primary_label\">Origen\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_njgnh\" name=\"item_meta[259]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_260_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h4>Enumere sus Referencias Bancarias y Crediticias:<\/h4>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_258_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first vertical_radio\">\r\n    <div id=\"field_h3rgm_label\" class=\"frm_primary_label\">Posee Tarjeta de Cr\u00e9dito\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_258-0\"><label for=\"field_h3rgm-0\">\t\t<input type=\"radio\" name=\"item_meta[258]\" id=\"field_h3rgm-0\" value=\"SI\"\n\t\t   data-invmsg=\"Posee Tarjeta de Cr\u00e9dito no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_258-1\"><label for=\"field_h3rgm-1\">\t\t<input type=\"radio\" name=\"item_meta[258]\" id=\"field_h3rgm-1\" value=\"NO\"\n\t\t   data-invmsg=\"Posee Tarjeta de Cr\u00e9dito no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_262_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_xb3ol\" id=\"field_xb3ol_label\" class=\"frm_primary_label\">Banco\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xb3ol\" name=\"item_meta[262]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_263_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_e3ae7\" id=\"field_e3ae7_label\" class=\"frm_primary_label\">Monto\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_e3ae7\" name=\"item_meta[263]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_266_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm_first vertical_radio\">\r\n    <div id=\"field_g0tq6_label\" class=\"frm_primary_label\">Posee Pr\u00e9stamos \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_266-0\"><label for=\"field_g0tq6-0\">\t\t<input type=\"radio\" name=\"item_meta[266]\" id=\"field_g0tq6-0\" value=\"SI\"\n\t\t   data-invmsg=\"Posee Pr\u00e9stamos  no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_266-1\"><label for=\"field_g0tq6-1\">\t\t<input type=\"radio\" name=\"item_meta[266]\" id=\"field_g0tq6-1\" value=\"NO\"\n\t\t   data-invmsg=\"Posee Pr\u00e9stamos  no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_265_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_hw0ln\" id=\"field_hw0ln_label\" class=\"frm_primary_label\">Banco\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hw0ln\" name=\"item_meta[265]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_264_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ykwk8\" id=\"field_ykwk8_label\" class=\"frm_primary_label\">Monto\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_ykwk8\" name=\"item_meta[264]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_267_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm_first vertical_radio\">\r\n    <div id=\"field_1je13_label\" class=\"frm_primary_label\">Posee Cuenta de Ahorro\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_267-0\"><label for=\"field_1je13-0\">\t\t<input type=\"radio\" name=\"item_meta[267]\" id=\"field_1je13-0\" value=\"SI\"\n\t\t   data-invmsg=\"Posee Cuenta de Ahorro no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_267-1\"><label for=\"field_1je13-1\">\t\t<input type=\"radio\" name=\"item_meta[267]\" id=\"field_1je13-1\" value=\"NO\"\n\t\t   data-invmsg=\"Posee Cuenta de Ahorro no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_268_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_3r5iq\" id=\"field_3r5iq_label\" class=\"frm_primary_label\">Banco\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3r5iq\" name=\"item_meta[268]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_269_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_tj3jd\" id=\"field_tj3jd_label\" class=\"frm_primary_label\">Monto\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_tj3jd\" name=\"item_meta[269]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_272_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm4 frm_first vertical_radio\">\r\n    <div id=\"field_qjz5u_label\" class=\"frm_primary_label\">Posee Cuenta Monetaria\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_272-0\"><label for=\"field_qjz5u-0\">\t\t<input type=\"radio\" name=\"item_meta[272]\" id=\"field_qjz5u-0\" value=\"SI\"\n\t\t   data-invmsg=\"Posee Cuenta Monetaria no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_272-1\"><label for=\"field_qjz5u-1\">\t\t<input type=\"radio\" name=\"item_meta[272]\" id=\"field_qjz5u-1\" value=\"NO\"\n\t\t   data-invmsg=\"Posee Cuenta Monetaria no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_270_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ws3qu\" id=\"field_ws3qu_label\" class=\"frm_primary_label\">Banco\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ws3qu\" name=\"item_meta[270]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_271_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_fj2xn\" id=\"field_fj2xn_label\" class=\"frm_primary_label\">Monto\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_fj2xn\" name=\"item_meta[271]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_273_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_2m8v8\" id=\"field_2m8v8_label\" class=\"frm_primary_label\">Puesto al que aplica \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2m8v8\" name=\"item_meta[273]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_274_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_weaag\" id=\"field_weaag_label\" class=\"frm_primary_label\">Pretensi\u00f3n Salario\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_weaag\" name=\"item_meta[274]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"   min=\"1\" max=\"100000000000\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_275_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds\">\r\n    <label for=\"field_zpadx\" id=\"field_zpadx_label\" class=\"frm_primary_label\">\u00bfCu\u00e1ndo puede iniciar la relaci\u00f3n laboral?  \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zpadx\" name=\"item_meta[275]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_277_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_third frm_first vertical_radio\">\r\n    <div id=\"field_lxtj8_label\" class=\"frm_primary_label\">\u00bfTiene disponibilidad de horario, incluso fines de semana?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_277-0\"><label for=\"field_lxtj8-0\">\t\t<input type=\"radio\" name=\"item_meta[277]\" id=\"field_lxtj8-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTiene disponibilidad de horario, incluso fines de semana? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_277-1\"><label for=\"field_lxtj8-1\">\t\t<input type=\"radio\" name=\"item_meta[277]\" id=\"field_lxtj8-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTiene disponibilidad de horario, incluso fines de semana? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_278_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_half frm_third vertical_radio\">\r\n    <div id=\"field_kjsps_label\" class=\"frm_primary_label\">\u00bfEstar\u00eda dispuesto a residir y laborar en el interior de la rep\u00fablica?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_278-0\"><label for=\"field_kjsps-0\">\t\t<input type=\"radio\" name=\"item_meta[278]\" id=\"field_kjsps-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfEstar\u00eda dispuesto a residir y laborar en el interior de la rep\u00fablica? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_278-1\"><label for=\"field_kjsps-1\">\t\t<input type=\"radio\" name=\"item_meta[278]\" id=\"field_kjsps-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfEstar\u00eda dispuesto a residir y laborar en el interior de la rep\u00fablica? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_279_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_tnrc9\" id=\"field_tnrc9_label\" class=\"frm_primary_label\">\u00bfEn donde?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tnrc9\" name=\"item_meta[279]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_280_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_l5nwu\" id=\"field_l5nwu_label\" class=\"frm_primary_label\">\u00bfPor qu\u00e9?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l5nwu\" name=\"item_meta[280]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_281_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_9lhh1_label\" class=\"frm_primary_label\">\u00bfTrabaja en la  empresa un familiar o amigo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_281-0\"><label for=\"field_9lhh1-0\">\t\t<input type=\"radio\" name=\"item_meta[281]\" id=\"field_9lhh1-0\" value=\"SI\"\n\t\t   data-invmsg=\"\u00bfTrabaja en la  empresa un familiar o amigo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_281-1\"><label for=\"field_9lhh1-1\">\t\t<input type=\"radio\" name=\"item_meta[281]\" id=\"field_9lhh1-1\" value=\"NO\"\n\t\t   data-invmsg=\"\u00bfTrabaja en la  empresa un familiar o amigo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_282_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_e2ve2\" id=\"field_e2ve2_label\" class=\"frm_primary_label\">\u00bfQui\u00e9n?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_e2ve2\" name=\"item_meta[282]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_283_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h4>Enumere sus Referencias Personales, que no sean familiares o patronos:<\/h4>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_333_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>Referencia I:<\/h3>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_284_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_xg1m1\" id=\"field_xg1m1_label\" class=\"frm_primary_label\">Nombre Referencia I\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xg1m1\" name=\"item_meta[284]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_285_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_ism6m\" id=\"field_ism6m_label\" class=\"frm_primary_label\">Direcci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ism6m\" name=\"item_meta[285]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_286_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_1o9vv\" id=\"field_1o9vv_label\" class=\"frm_primary_label\">Tel\u00e9fono\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1o9vv\" name=\"item_meta[286]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_334_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>Referencia II:<\/h3>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_287_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_m2lr\" id=\"field_m2lr_label\" class=\"frm_primary_label\">Nombre Referencia II:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m2lr\" name=\"item_meta[287]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_288_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_z8niv\" id=\"field_z8niv_label\" class=\"frm_primary_label\">Direcci\u00f3n:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z8niv\" name=\"item_meta[288]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_289_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_1w7b\" id=\"field_1w7b_label\" class=\"frm_primary_label\">Tel\u00e9fono\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1w7b\" name=\"item_meta[289]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_291_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>Estimado candidato:<br \/>\nS\u00edrvase llenar el siguiente cuestionario, solicitamos sea lo m\u00e1s honesto posible.<\/h3>\n<p>&nbsp;<\/p><\/div>\n<div id=\"frm_field_292_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_3ik19_label\" class=\"frm_primary_label\">1.  \u00bfAlguna vez usted ha estado bajo investigaci\u00f3n de cualquier tipo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_292-0\"><label for=\"field_3ik19-0\">\t\t<input type=\"radio\" name=\"item_meta[292]\" id=\"field_3ik19-0\" value=\"SI\"\n\t\t   data-invmsg=\"1.  \u00bfAlguna vez usted ha estado bajo investigaci\u00f3n de cualquier tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_292-1\"><label for=\"field_3ik19-1\">\t\t<input type=\"radio\" name=\"item_meta[292]\" id=\"field_3ik19-1\" value=\"NO\"\n\t\t   data-invmsg=\"1.  \u00bfAlguna vez usted ha estado bajo investigaci\u00f3n de cualquier tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_293_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_2lkbq\" id=\"field_2lkbq_label\" class=\"frm_primary_label\">Si su respuesta es s\u00ed, por favor detalle:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2lkbq\" name=\"item_meta[293]\" value=\"\"  data-invmsg=\"Texto no es v\u00e1lido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_294_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm12 frm_first frm_half vertical_radio\">\r\n    <div id=\"field_n3o5v_label\" class=\"frm_primary_label\">2.  \u00bfHa tratado alguna vez de ocultar su identidad por alg\u00fan motivo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_294-0\"><label for=\"field_n3o5v-0\">\t\t<input type=\"radio\" name=\"item_meta[294]\" id=\"field_n3o5v-0\" value=\"SI\"\n\t\t   data-invmsg=\"2.  \u00bfHa tratado alguna vez de ocultar su identidad por alg\u00fan motivo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_294-1\"><label for=\"field_n3o5v-1\">\t\t<input type=\"radio\" name=\"item_meta[294]\" id=\"field_n3o5v-1\" value=\"NO\"\n\t\t   data-invmsg=\"2.  \u00bfHa tratado alguna vez de ocultar su identidad por alg\u00fan motivo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_295_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_half vertical_radio\">\r\n    <div id=\"field_9d8co_label\" class=\"frm_primary_label\">3.  \u00bfExiste alg\u00fan documento falso o alterado en su papeler\u00eda?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_295-0\"><label for=\"field_9d8co-0\">\t\t<input type=\"radio\" name=\"item_meta[295]\" id=\"field_9d8co-0\" value=\"SI\"\n\t\t   data-invmsg=\"3.  \u00bfExiste alg\u00fan documento falso o alterado en su papeler\u00eda? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_295-1\"><label for=\"field_9d8co-1\">\t\t<input type=\"radio\" name=\"item_meta[295]\" id=\"field_9d8co-1\" value=\"NO\"\n\t\t   data-invmsg=\"3.  \u00bfExiste alg\u00fan documento falso o alterado en su papeler\u00eda? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_296_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_gw2lf_label\" class=\"frm_primary_label\">4.  \u00bfHa tenido usted alguna experiencia por la cual pudiera ser chantajeado m\u00e1s adelante?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_296-0\"><label for=\"field_gw2lf-0\">\t\t<input type=\"radio\" name=\"item_meta[296]\" id=\"field_gw2lf-0\" value=\"SI\"\n\t\t   data-invmsg=\"4.  \u00bfHa tenido usted alguna experiencia por la cual pudiera ser chantajeado m\u00e1s adelante? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_296-1\"><label for=\"field_gw2lf-1\">\t\t<input type=\"radio\" name=\"item_meta[296]\" id=\"field_gw2lf-1\" value=\"NO\"\n\t\t   data-invmsg=\"4.  \u00bfHa tenido usted alguna experiencia por la cual pudiera ser chantajeado m\u00e1s adelante? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_297_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_8f0qd_label\" class=\"frm_primary_label\">5.  \u00bfTiene usted alg\u00fan vinculo con personal al margen de la ley ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_297-0\"><label for=\"field_8f0qd-0\">\t\t<input type=\"radio\" name=\"item_meta[297]\" id=\"field_8f0qd-0\" value=\"SI\"\n\t\t   data-invmsg=\"5.  \u00bfTiene usted alg\u00fan vinculo con personal al margen de la ley ? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_297-1\"><label for=\"field_8f0qd-1\">\t\t<input type=\"radio\" name=\"item_meta[297]\" id=\"field_8f0qd-1\" value=\"NO\"\n\t\t   data-invmsg=\"5.  \u00bfTiene usted alg\u00fan vinculo con personal al margen de la ley ? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_298_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_lxaow_label\" class=\"frm_primary_label\">6.  \u00bfAlguna vez usted ha tenido alg\u00fan contacto con personas que vendan o distribuyan drogas ilegales?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_298-0\"><label for=\"field_lxaow-0\">\t\t<input type=\"radio\" name=\"item_meta[298]\" id=\"field_lxaow-0\" value=\"SI\"\n\t\t   data-invmsg=\"6.  \u00bfAlguna vez usted ha tenido alg\u00fan contacto con personas que vendan o distribuyan drogas ilegales? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_298-1\"><label for=\"field_lxaow-1\">\t\t<input type=\"radio\" name=\"item_meta[298]\" id=\"field_lxaow-1\" value=\"NO\"\n\t\t   data-invmsg=\"6.  \u00bfAlguna vez usted ha tenido alg\u00fan contacto con personas que vendan o distribuyan drogas ilegales? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_299_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_uw9g9_label\" class=\"frm_primary_label\">7.  \u00bfAlguna vez usted ha participado en alg\u00fan acto ilegal o indebido?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_299-0\"><label for=\"field_uw9g9-0\">\t\t<input type=\"radio\" name=\"item_meta[299]\" id=\"field_uw9g9-0\" value=\"SI\"\n\t\t   data-invmsg=\"7.  \u00bfAlguna vez usted ha participado en alg\u00fan acto ilegal o indebido? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_299-1\"><label for=\"field_uw9g9-1\">\t\t<input type=\"radio\" name=\"item_meta[299]\" id=\"field_uw9g9-1\" value=\"NO\"\n\t\t   data-invmsg=\"7.  \u00bfAlguna vez usted ha participado en alg\u00fan acto ilegal o indebido? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_300_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_bfpum_label\" class=\"frm_primary_label\">8.  \u00bfAlguna vez usted ha cometido alg\u00fan delito?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_300-0\"><label for=\"field_bfpum-0\">\t\t<input type=\"radio\" name=\"item_meta[300]\" id=\"field_bfpum-0\" value=\"SI\"\n\t\t   data-invmsg=\"8.  \u00bfAlguna vez usted ha cometido alg\u00fan delito? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_300-1\"><label for=\"field_bfpum-1\">\t\t<input type=\"radio\" name=\"item_meta[300]\" id=\"field_bfpum-1\" value=\"NO\"\n\t\t   data-invmsg=\"8.  \u00bfAlguna vez usted ha cometido alg\u00fan delito? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_301_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_bpuo3_label\" class=\"frm_primary_label\">9.  \u00bfAlguna vez aunque sea por curiosidad ha consumido alguna droga ilegal?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_301-0\"><label for=\"field_bpuo3-0\">\t\t<input type=\"radio\" name=\"item_meta[301]\" id=\"field_bpuo3-0\" value=\"SI\"\n\t\t   data-invmsg=\"9.  \u00bfAlguna vez aunque sea por curiosidad ha consumido alguna droga ilegal? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_301-1\"><label for=\"field_bpuo3-1\">\t\t<input type=\"radio\" name=\"item_meta[301]\" id=\"field_bpuo3-1\" value=\"NO\"\n\t\t   data-invmsg=\"9.  \u00bfAlguna vez aunque sea por curiosidad ha consumido alguna droga ilegal? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_302_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_7gcyl_label\" class=\"frm_primary_label\">10.  \u00bfAlguna vez usted ha aceptado sobornos de cualquier tipo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_302-0\"><label for=\"field_7gcyl-0\">\t\t<input type=\"radio\" name=\"item_meta[302]\" id=\"field_7gcyl-0\" value=\"SI\"\n\t\t   data-invmsg=\"10.  \u00bfAlguna vez usted ha aceptado sobornos de cualquier tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_302-1\"><label for=\"field_7gcyl-1\">\t\t<input type=\"radio\" name=\"item_meta[302]\" id=\"field_7gcyl-1\" value=\"NO\"\n\t\t   data-invmsg=\"10.  \u00bfAlguna vez usted ha aceptado sobornos de cualquier tipo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_303_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_kyf1z_label\" class=\"frm_primary_label\">11.  \u00bfSe le ha acusado alguna vez de deshonestidad en cualquiera de sus empleos?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_303-0\"><label for=\"field_kyf1z-0\">\t\t<input type=\"radio\" name=\"item_meta[303]\" id=\"field_kyf1z-0\" value=\"SI\"\n\t\t   data-invmsg=\"11.  \u00bfSe le ha acusado alguna vez de deshonestidad en cualquiera de sus empleos? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_303-1\"><label for=\"field_kyf1z-1\">\t\t<input type=\"radio\" name=\"item_meta[303]\" id=\"field_kyf1z-1\" value=\"NO\"\n\t\t   data-invmsg=\"11.  \u00bfSe le ha acusado alguna vez de deshonestidad en cualquiera de sus empleos? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_304_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_gmxes_label\" class=\"frm_primary_label\">12.  \u00bfAlguna vez usted ha cometido alg\u00fan acto indebido del cual se haya arrepentido posteriormente?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_304-0\"><label for=\"field_gmxes-0\">\t\t<input type=\"radio\" name=\"item_meta[304]\" id=\"field_gmxes-0\" value=\"SI\"\n\t\t   data-invmsg=\"12.  \u00bfAlguna vez usted ha cometido alg\u00fan acto indebido del cual se haya arrepentido posteriormente? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_304-1\"><label for=\"field_gmxes-1\">\t\t<input type=\"radio\" name=\"item_meta[304]\" id=\"field_gmxes-1\" value=\"NO\"\n\t\t   data-invmsg=\"12.  \u00bfAlguna vez usted ha cometido alg\u00fan acto indebido del cual se haya arrepentido posteriormente? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_305_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_vjcv0_label\" class=\"frm_primary_label\">13.  \u00bfPerteneci\u00f3 o pertenece usted a alguna banda de delincuentes?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_305-0\"><label for=\"field_vjcv0-0\">\t\t<input type=\"radio\" name=\"item_meta[305]\" id=\"field_vjcv0-0\" value=\"SI\"\n\t\t   data-invmsg=\"13.  \u00bfPerteneci\u00f3 o pertenece usted a alguna banda de delincuentes? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_305-1\"><label for=\"field_vjcv0-1\">\t\t<input type=\"radio\" name=\"item_meta[305]\" id=\"field_vjcv0-1\" value=\"NO\"\n\t\t   data-invmsg=\"13.  \u00bfPerteneci\u00f3 o pertenece usted a alguna banda de delincuentes? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_307_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_s4l6_label\" class=\"frm_primary_label\">14.  \u00bfLo han involucrado en alg\u00fan tipo de fraude o chantaje?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_307-0\"><label for=\"field_s4l6-0\">\t\t<input type=\"radio\" name=\"item_meta[307]\" id=\"field_s4l6-0\" value=\"SI\"\n\t\t   data-invmsg=\"14.  \u00bfLo han involucrado en alg\u00fan tipo de fraude o chantaje? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_307-1\"><label for=\"field_s4l6-1\">\t\t<input type=\"radio\" name=\"item_meta[307]\" id=\"field_s4l6-1\" value=\"NO\"\n\t\t   data-invmsg=\"14.  \u00bfLo han involucrado en alg\u00fan tipo de fraude o chantaje? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_308_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n    <div id=\"field_qxakx_label\" class=\"frm_primary_label\">15.  \u00bfAlguna vez usted ha hecho algo por lo cual pudo haber sido detenido? ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_308-0\"><label for=\"field_qxakx-0\">\t\t<input type=\"radio\" name=\"item_meta[308]\" id=\"field_qxakx-0\" value=\"SI\"\n\t\t   data-invmsg=\"15.  \u00bfAlguna vez usted ha hecho algo por lo cual pudo haber sido detenido? ? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_308-1\"><label for=\"field_qxakx-1\">\t\t<input type=\"radio\" name=\"item_meta[308]\" id=\"field_qxakx-1\" value=\"NO\"\n\t\t   data-invmsg=\"15.  \u00bfAlguna vez usted ha hecho algo por lo cual pudo haber sido detenido? ? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_344_container\" class=\"frm_form_field form-field  frm_top_container frm6 vertical_radio\">\r\n    <div id=\"field_a0dgi_label\" class=\"frm_primary_label\">16.  \u00bfAlguna vez usted ha dicho alguna mentira para obtener algo?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_344-0\"><label for=\"field_a0dgi-0\">\t\t<input type=\"radio\" name=\"item_meta[344]\" id=\"field_a0dgi-0\" value=\"SI\"\n\t\t   data-invmsg=\"16.  \u00bfAlguna vez usted ha dicho alguna mentira para obtener algo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_344-1\"><label for=\"field_a0dgi-1\">\t\t<input type=\"radio\" name=\"item_meta[344]\" id=\"field_a0dgi-1\" value=\"NO\"\n\t\t   data-invmsg=\"16.  \u00bfAlguna vez usted ha dicho alguna mentira para obtener algo? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_309_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_lu4xn_label\" class=\"frm_primary_label\">17.  \u00bfPlanea usted ingresar a esta empresa para cometer alg\u00fan acto il\u00edcito?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_309-0\"><label for=\"field_lu4xn-0\">\t\t<input type=\"radio\" name=\"item_meta[309]\" id=\"field_lu4xn-0\" value=\"SI\"\n\t\t   data-invmsg=\"17.  \u00bfPlanea usted ingresar a esta empresa para cometer alg\u00fan acto il\u00edcito? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_309-1\"><label for=\"field_lu4xn-1\">\t\t<input type=\"radio\" name=\"item_meta[309]\" id=\"field_lu4xn-1\" value=\"NO\"\n\t\t   data-invmsg=\"17.  \u00bfPlanea usted ingresar a esta empresa para cometer alg\u00fan acto il\u00edcito? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_310_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_55a7g_label\" class=\"frm_primary_label\">18.  \u00bfMinti\u00f3 usted en la informaci\u00f3n proporcionada para este proceso de contrataci\u00f3n?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_310-0\"><label for=\"field_55a7g-0\">\t\t<input type=\"radio\" name=\"item_meta[310]\" id=\"field_55a7g-0\" value=\"SI\"\n\t\t   data-invmsg=\"18.  \u00bfMinti\u00f3 usted en la informaci\u00f3n proporcionada para este proceso de contrataci\u00f3n? no es v\u00e1lido\" aria-invalid=\"false\"  \/> SI<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_310-1\"><label for=\"field_55a7g-1\">\t\t<input type=\"radio\" name=\"item_meta[310]\" id=\"field_55a7g-1\" value=\"NO\"\n\t\t   data-invmsg=\"18.  \u00bfMinti\u00f3 usted en la informaci\u00f3n proporcionada para este proceso de contrataci\u00f3n? no es v\u00e1lido\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_290_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_t2re5\" id=\"field_t2re5_label\" class=\"frm_primary_label\">Declaraci\u00f3n\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[290]\" id=\"field_t2re5\" rows=\"5\"  data-frmval=\"Hago constar bajo mi palabra de honor, que toda la informaci\u00f3n anterior es correcta y verdadera y en caso de concederme el empleo, posteriormente la empresa compruebe que he faltado a la verdad, me someto a las sanciones establecidas en el c\u00f3digo de trabajo. Adem\u00e1s hago costar que estoy consciente que al establecer la relaci\u00f3n laboral, los primeros 60 d\u00edas ser\u00e1n de prueba y autorizo por este para que investiguen la veracidad de lo antes informado por m\u00ed, por las v\u00edas que considere convenientes. Es entendido que la presente solicitud y sus anexos pasan a ser propiedad de la empresa aunque no se me conceda el empleo. TAMBI\u00c9N: Autorizo voluntaria y expresamente que la informaci\u00f3n recopilada y\/o proporcionada por entidades p\u00fablicas o privadas y la generada de relaciones contractuales, crediticias o comerciales, ser\u00e1 reportada a centrales de riesgo o bur\u00f3s de cr\u00e9dito para ser tratada, almacenada o trasferida. Y autorizo expresamente a las entidades que prestan servicios de informaci\u00f3n, centrales de riesgos y bur\u00f3s de cr\u00e9dito, a recopilar, difundir o comercializar reportes o estudios que contengan informaci\u00f3n sobre mi persona.\r\n     \r\n\" data-invmsg=\"Declaraci\u00f3n no es v\u00e1lido\" aria-invalid=\"false\"  >Hago constar bajo mi palabra de honor, que toda la informaci\u00f3n anterior es correcta y verdadera y en caso de concederme el empleo, posteriormente la empresa compruebe que he faltado a la verdad, me someto a las sanciones establecidas en el c\u00f3digo de trabajo. Adem\u00e1s hago costar que estoy consciente que al establecer la relaci\u00f3n laboral, los primeros 60 d\u00edas ser\u00e1n de prueba y autorizo por este para que investiguen la veracidad de lo antes informado por m\u00ed, por las v\u00edas que considere convenientes. Es entendido que la presente solicitud y sus anexos pasan a ser propiedad de la empresa aunque no se me conceda el empleo. TAMBI\u00c9N: Autorizo voluntaria y expresamente que la informaci\u00f3n recopilada y\/o proporcionada por entidades p\u00fablicas o privadas y la generada de relaciones contractuales, crediticias o comerciales, ser\u00e1 reportada a centrales de riesgo o bur\u00f3s de cr\u00e9dito para ser tratada, almacenada o trasferida. Y autorizo expresamente a las entidades que prestan servicios de informaci\u00f3n, centrales de riesgos y bur\u00f3s de cr\u00e9dito, a recopilar, difundir o comercializar reportes o estudios que contengan informaci\u00f3n sobre mi persona.\r\n     \r\n<\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_345_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Enviar<\/button>\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__6671dd52611c6\">\n\t\t\t\t<label for=\"frm_email_2\" >\n\t\t\t\t\tSi eres humano, deja este campo en blanco.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_2\" type=\"text\" class=\"frm_verify\" name=\"frm__6671dd52611c6\" value=\"\" autocomplete=\"off\"  \/>\n\t\t\t<\/div>\n\t\t<\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":18,"featured_media":0,"parent":819,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>| Repuestos Acquaroni<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/repuestosacquaroni.com\/contacto\/13333-2\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"| Repuestos Acquaroni\" \/>\n<meta property=\"og:url\" content=\"https:\/\/repuestosacquaroni.com\/contacto\/13333-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Repuestos Acquaroni\" 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