@extends('layouts.Registro.master')
@section('content')
    <div class="container">
        <div class="row center-block" style="width:50%">
            <div class="col-md-12 contentzoomform" id="registro">
                <div class="panel-heading">
                    <div class="panel-title text-center">REGISTRO DE USUARIOS</div>
                </div>
                <div class="col-md-12 text-center panel-guide">
                    <h4>Ingrese los siguientes datos:</h4>
                </div>
                {{
                    Form::open(array(
                        'route' => 'postRegistro',
                        'class' => 'zoomform',
                        'method' => 'post'
                        ))
                }}
                <!--form role="form" class="zoomform"-->
                    <div class="form-group" style="margin-bottom:5px;">
                        <label class="control-label sr-only" for="rifci">Documento de Identidad</label>
                    </div>
                    <div class="form-group col-md-3" style="padding-left:0px;">
                        {{-- Form::select('size', $tipodoc)--}}
                        <select id="tipodoc" name="tipodoc" class="form-control" ng-model="test">
                                                    </select>
                    </div>
                    <div class="form-group col-md-9" style="padding-left:0px;padding-right:0px;">
                        <input name="rifci" id="rifci" type="text" class="form-control invalidInput" placeholder="Nro. Documento de Identidad">
                    </div>
                    <div class="form-group">
                        <label class="control-label sr-only" for="nombre">Nombre(s)</label>
                        <input type="text" id="nombre" name="nombre" class="form-control invalidInput" placeholder="Nombre(s)">
                    </div>
                    <div class="form-group">
                        <label class="control-label sr-only" for="apellido">Apellido(s)</label>
                        <input id="apellido" name="apellido" type="text" class="form-control invalidInput" placeholder="Apellido(s)">
                    </div>
                    <div class="form-group" style="margin-bottom:5px;">
                        <label class="control-label sr-only" for="exampleInputEmail1">Teléfono Móvil</label>
                    </div>
                    <div class="form-group col-sm-4" style="padding-left:0px;">
                        <select id="codtlfmovil" name="codtlfmovil" class="form-control" ng-model="test">
                            <option value="0">Seleccione</option>
                            <option value="0412">0412</option>
                            <option value="0414">0414</option>
                            <option value="0416">0416</option>
                            <option value="0424">0424</option>
                            <option value="0426">0426</option>
                        </select>
                    </div>
                    <div class="form-group col-sm-8" style="padding-left:0px;padding-right:0px;">
                        <input id="tlfmovil" name="tlfmovil" type="text" class="form-control invalidInput" placeholder="Nro. Teléfono Móvil">
                    </div>
                    <div class="form-group">
                        <label class="control-label sr-only" for="correo">Correo Electrónico</label>
                        <input name="correo" id="correo" type="email" class="form-control invalidInput" placeholder="Correo Electrónico">
                    </div>
                    <div class="form-group">
                        <label class="control-label sr-only" for="confcorreo">Confirme Correo Electrónico</label>
                        <input id="confcorreo" name="confcorreo" type="email" class="form-control invalidInput" placeholder="Confirme Correo Electrónico">
                    </div>
                    <button type="submit" class="btn btn-primary center-block">REGISTRARSE</button>
                {{ Form::close() }}
                <div class="panel-footer">
                    <a href="{!! url('/registro') !!}" onclick="" class="pull-left">Regresar</a>&nbsp;</div>
            </div>
        </div>
    </div>
@endsection