{include file="cabecera2.html" titulo=$titulo}
<!-- Encabezado-->
<div id="encabezado">
{include file="encabezado.html"}
</div>
<!-- Fin Encabezado-->

<!-- Vinculos Horizontales-->
<div id="Link_horizontales">
<a href="primera.php">Principal</a>
</div>
<!-- Vinculos Horizontales-->

<!--Ficha de Registro -->
<script language="JavaScript" src="./js/agr_registro.js"></script>
<form name="registro"  method="post" action="registrado.php" enctype="multipart/form-data" class="form1">
<table>
<tr><td colspan=2 class=corto_tit>Ficha de Registro</td></tr>
<tr><td align="right"><b>C&eacute;dula:</b></td><td><select name="nac"><option>V<option>E</select>-<input type="text" size="8" name="ced" maxlength="8" id="ced" value="{$ced}"></td></tr>
<tr><td align="right"><b>Nombres:</b></td><td> <input type="text" size="20" name="nom" maxlength="20" id="nom" value="{$nom}" ></td></tr>
<tr><td align="right"><b>Apellidos:</b></td><td><input type="text" size="20"name="ape" maxlength="20" id="ape" value="{$ape}"></td></tr>
<tr><td align="right"><b>e-mail:</b></td><td><input type="text" size="30" name="email" maxlength="30" id="email" value="{$email}"></td></tr>
<tr><td align="right"><b>Indicador:</b></td><td><input type="text" size="12" name="telf" maxlength="11" id="telf" value="{$telf}"></td></tr>
<tr><td align="right"><b>Password:</b></td><td><input type="password" size="10" name="pass" maxlength="10" id="pass"></td></tr>
<tr><td align="right"><b>Confirmar Password:</b></td><td><input type="password" size="10" name="pass1" maxlength="10" id="pass1"></td></tr>
<tr><td>&nbsp;</td><td><input type="submit" value="Aceptar">&nbsp;&nbsp;&nbsp;&nbsp;<input type="reset" value="Borrar"></td></tr>
</table>
</form>
<br>
<hr>

{include file="pie.html"}