{"id":59,"date":"2021-02-23T20:42:08","date_gmt":"2021-02-24T02:42:08","guid":{"rendered":"https:\/\/rx.emedic.ucr.ac.cr\/CLSA2021\/?page_id=59"},"modified":"2021-02-23T20:43:16","modified_gmt":"2021-02-24T02:43:16","slug":"formulario-inscripcion-con-codigo","status":"publish","type":"page","link":"https:\/\/rx.emedic.ucr.ac.cr\/CLSA2021\/formulario-inscripcion-con-codigo\/","title":{"rendered":"Formulario Inscripci\u00f3n con C\u00f3digo"},"content":{"rendered":"<form  class=\"kaliforms-form-container bootstrap-wrapper  \" data-form-id=\"58\" style=\"opacity:0\"><h3>Inscripcion Beca<\/h3><div id=\"kaliforms-global-error-message-58\" class=\"global-error-message\"><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-5 \"><label  for=\"textbox11\">Nombre <span class=\"kali-required-mark\"><\/span><\/label><input  data-internal-id=\"textbox1\" type=\"text\" id=\"textbox11\" name=\"nombre\" data-properties.type=\"text\" required ><\/div><div class=\"col-12 col-md-5 offset-md-1\"><label  for=\"textbox112\">Apellidos <span class=\"kali-required-mark\"><\/span><\/label><input  data-internal-id=\"textbox2\" type=\"text\" id=\"textbox112\" name=\"apellidos\" data-properties.type=\"text\" required ><\/div><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-5 \"><label  for=\"textbox7\">Cedula o Pasaporte<\/label><input  data-internal-id=\"textbox7\" type=\"text\" id=\"textbox7\" name=\"identificacion\" data-properties.type=\"text\" ><\/div><div class=\"col-12 col-md-5 offset-md-1\"><label  for=\"textbox78\">C\u00f3digo de M\u00e9dico<\/label><input  data-internal-id=\"textbox8\" type=\"text\" id=\"textbox78\" name=\"coding-medico\" data-properties.type=\"text\" ><\/div><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-5 \"><label  for=\"email3\">Email <span class=\"kali-required-mark\"><\/span><\/label><input  data-internal-id=\"email3\" type=\"email\" id=\"email3\" name=\"email\"required  class=\"input\"><\/div><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-12 \"><label  for=\"textbox4\">Carrera<\/label><input  data-internal-id=\"textbox4\" type=\"text\" id=\"textbox4\" name=\"carrera\" data-properties.type=\"text\" ><\/div><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-5 \"><label  for=\"textbox45\">C\u00f3digo de Excepci\u00f3n <span class=\"kali-required-mark\"><\/span><\/label><input  data-internal-id=\"textbox5\" type=\"text\" id=\"textbox45\" name=\"codigo\" data-properties.type=\"text\" required ><small>Numero de oficio de la invitaci\u00f3n<\/small><\/div><\/div><div class=\"row kali-form-field-row\"><div class=\"col-12 col-md-12 \"><input  data-internal-id=\"submitbutton6\" type=\"submit\" id=\"submitButton6\" data-style=\"btn orange\"  name=\"submitButton6\" class=\"input btn orange\" value=\"Enviar\" ><\/div><\/div><input type=\"hidden\" name=\"ip_address\" readonly value=\"216.73.217.23\" \/><!-- This form 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