@extends('master')
@section('style')
    <link rel='stylesheet' href="{{mix('/assets/css/app.css')}}" type='text/css' media='all' />
    <link rel='stylesheet' href="{{config('app.cdn_file')}}/assets/plugins/sweetalert2/sweetalert2.min.css" type='text/css' media='all' />
@endsection
@section('content')
    <style type="text/css">
        button,input{font-size:100%;margin:0;vertical-align:baseline;*vertical-align:middle;}
        button,input{line-height:normal;}
        .btn-info{color:#fff;background-color:#952E16;border-color:#952E16;box-shadow:none;text-transform: capitalize;
            font-size: 13px;}
        .btn-info:hover{color:#fff;background-color:#952E16;border-color:#952E16;}
        .btn-info:focus{color:#fff;background-color:#952E16;border-color:#952E16;box-shadow:0 0 0 0 rgba(58,176,195,.5);}
        .btn-info:disabled{color:#fff;background-color:#952E16;border-color:#952E16;}
        .input-group{position:relative;display:-ms-flexbox;display:flex;-ms-flex-wrap:wrap;flex-wrap:wrap;-ms-flex-align:stretch;align-items:stretch;width:100%;}
        .input-group>.form-control{position:relative;-ms-flex:1 1 auto;flex:1 1 auto;width:1%;min-width:0;margin-bottom:0;}
        .input-group>.form-control:focus{z-index:3;}
        .input-group:not(.has-validation)>.form-control:not(:last-child){border-top-right-radius:0;border-bottom-right-radius:0;}
        .input-group-append{display:-ms-flexbox;display:flex;}
        .input-group-append .btn{position:relative;z-index:2;}
        .input-group-append .btn:focus{z-index:3;}
        .input-group-append{margin-left:-1px;}
        .input-group-sm>.form-control:not(textarea){height:calc(1.8125rem + 6px);}
        .input-group-sm>.form-control,.input-group-sm>.input-group-append>.btn{padding:.25rem .5rem;font-size:.875rem;line-height:1.5;border-radius:.2rem;}
        .input-group>.input-group-append>.btn{border-top-left-radius:0;border-bottom-left-radius:0;}        
    </style>
<!-- ** Container ** -->
<div class="container">
    <section id="primary" class="content-full-width">
        <!-- #post-759 -->
        <div id="post-759" class="post-759 page type-page status-publish hentry">
            <div data-vc-full-width="true" data-vc-full-width-init="true" class="vc_row wpb_row vc_row-fluid safari-hack wpb_animate_when_almost_visible wpb_fadeInUp fadeInUp vc_row-o-equal-height vc_row-flex ult-vc-hide-row vc_row-has-fill wpb_start_animation animated" data-rtl="false" style="position: relative; left: -47px; box-sizing: border-box; width: 1204px; padding-left: 47px; padding-right: 47px;" data-row-effect-mobile-disable="true" data-img-parallax-mobile-disable="true">
                <div class="upb_row_bg vcpb-vz-jquery" data-upb_br_animation="" data-parallax_sense="30" data-bg-override="0" data-bg-animation="left-animation" data-bg-animation-type="h" data-animation-repeat="repeat" style="background-size: cover; background-repeat: repeat; background-color: rgba(0, 0, 0, 0); background-image: url(&quot;assets/uploads/2017/05/parallax-3.jpg&quot;); background-attachment: scroll; min-width: 1833px; left: 0px; width: 1832px; background-position: 50% -97px;">
                    <div class="upb_bg_overlay" style="background-color:rgba(0,0,0,0.75);"></div>
                </div>
                <div class="wpb_column vc_column_container vc_col-sm-12">
                    <div class="vc_column-inner ">
                        <div class="wpb_wrapper">
                            <div class="ult-spacer spacer-64f4e2fd89800" data-id="64f4e2fd89800" data-height="140" data-height-mobile="20" data-height-tab="140" data-height-tab-portrait="" data-height-mobile-landscape="" style="clear:both;display:block;"></div>
                        </div>
                    </div>
                </div>
                <div class="dt-sc-three-fifth column no-space wpb_column vc_column_container vc_col-sm-8 vc_col-has-fill">
                    <div class="vc_column-inner vc_custom_1496065640891">
                        <div class="wpb_wrapper">
                            <div class="ult-spacer spacer-64f4e2fd89984" data-id="64f4e2fd89984" data-height="60" data-height-mobile="60" data-height-tab="60" data-height-tab-portrait="" data-height-mobile-landscape="" style="clear:both;display:block;"></div>
                            <div class="ult-animation  ult-animate-viewport  ult-no-mobile " data-animate="fadeInDown" data-animation-delay="1.0" data-animation-duration="1" data-animation-iteration="1" style="opacity:1;-webkit-transition-delay: 1.0s; -moz-transition-delay: 1.0s; transition-delay: 1.0s;" data-opacity_start_effect="">
                                <div class="dt-sc-title with-right-border-decor animated fadeInDown" style="opacity:1;-webkit-animation-delay:1.0s;-webkit-animation-duration:1s;-webkit-animation-iteration-count:1; -moz-animation-delay:1.0s;-moz-animation-duration:1s;-moz-animation-iteration-count:1; animation-delay:1.0s;animation-duration:1s;animation-iteration-count:1;test">
                                    <h3>AFÍLIATE</h3>
                                </div>
                            </div>
                            <div class="ult-animation  ult-animate-viewport  ult-no-mobile " data-animate="flipInY" data-animation-delay="1.3" data-animation-duration="1" data-animation-iteration="1" style="opacity:1;-webkit-transition-delay: 1.3s; -moz-transition-delay: 1.3s; transition-delay: 1.3s;" data-opacity_start_effect="">
                                <form class="dt-sc-reservation-form dt-appointment-form animated flipInY" name="reservation-schedule-form" method="post" onsubmit="save(this); return false;" style="opacity:1;-webkit-animation-delay:1.3s;-webkit-animation-duration:1s;-webkit-animation-iteration-count:1; -moz-animation-delay:1.3s;-moz-animation-duration:1s;-moz-animation-iteration-count:1; animation-delay:1.3s;animation-duration:1s;animation-iteration-count:1;test" enctype="multipart/form-data">
                                    <div class="vc_row wpb_row vc_row-fluid" style="margin-bottom: 10px">                                        
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>N° documento</p>
                                                </div>
                                                <div class="input-group input-group-sm">
                                                    <input type="text" minlength="8" maxlength="12" id="dni" name="dni" placeholder="Ingresar documento" oncut="return false" oncopy="return false" required class="form-control">
                                                    <span class="input-group-append">
                                                        <input type="hidden" name="search" id="search">
                                                        <button type="button" class="btn btn-info btn-flat" id="btn_search">Buscar</button>
                                                    </span>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Tipo documento</label>
                                                        <select name="tip" id="tip" class="block" required>
                                                            <option value="">Seleccionar</option>
                                                            <option value="1">DNI</option>
                                                            <option value="2">CARNET EXTRANJERIA</option>
                                                            <option value="3">PASAPORTE</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>                                       
                                    </div>
                                    <style type="text/css">
                                        select option.disabled:disabled {
                                           color:#999;
                                           background-color:#fff;
                                           font-weight: normal;
                                        }
                                        select option.disabled_title:disabled {
                                            color: #5f5f5f;
                                            background-color: #f5f5f5;
                                            font-weight: 500;
                                            text-align: center;
                                            /* font-size: 15px; */
                                            border-bottom: 1px solid #000;
                                        }                                        
                                       select option.enabled {
                                           color:#272727;
                                           background-color:#fff;
                                           font-weight: 500;
                                        }                                        
                                    </style>
                                    <div class="vc_row wpb_row vc_row-fluid">   
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <label>Sede a cual desea pertenecer</label>
                                                        <select name="sede" id="sede" class="dt-select-service block" required>
                                                            <option value="">Seleccionar</option>
                                                            @if(!empty($campus))
                                                                @foreach($campus as $item)
                                                                    @if(!empty($item->sed_pag))
                                                                        <option value="{{$item->sed_id}}" data="{{$item->sed_pag}}" @if(empty($item->sed_pag)) class="disabled" disabled @else class="enabled" @endif>{{$item->sed_nom}}</option>
                                                                    @endif 
                                                                @endforeach
                                                                <option value="" class="disabled_title" disabled>Próximamente</option>
                                                                @foreach($campus as $item)
                                                                    @if(empty($item->sed_pag))
                                                                        <option value="{{$item->sed_id}}" data="{{$item->sed_pag}}" @if(empty($item->sed_pag)) class="disabled" disabled @else class="enabled" @endif>{{$item->sed_nom}} @if(empty($item->sed_pag))@endif</option> 
                                                                    @endif 
                                                                @endforeach                                                                
                                                            @endif                                                             
                                                        </select>
                                                </div>
                                            </div>
                                        </div>                                        
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Nombres</label>
                                                        <input type="text" id="name" class="block" name="name" maxlength="50" placeholder="Ingresar Nombres" onchange="return removeSpaces(this)" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Apellido Paterno</label>
                                                        <input type="text" id="pat" onchange="return removeSpaces(this)" name="pat" class="block" placeholder="Ingresar Ap.Paterno" maxlength="25" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Apellido Materno</label>
                                                        <input type="text" id="mat" onchange="return removeSpaces(this)" class="block" name="mat" placeholder="Ingresar Ap. Materno" maxlength="25" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Sexo</label>
                                                        <select name="services" id="sex" class="block" required>
                                                            <option value="">Seleccionar</option>
                                                            <option value="M">Masculino</option>
                                                            <option value="F">Femenino</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Fecha Nacimiento</label>
                                                        <input type="date" id="nac" name="nac" class="block" max="9999-12-31" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-phone">Celular</label>
                                                        <input type="text" id="cel" name="cel" placeholder="Ingresar Numero" maxlength="9" class="block" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-phone">Dirección</label>
                                                        <input type="text" class="block" id="dir" name="dir" placeholder="Ingresar" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-email">Email</label>
                                                        <input type="email" id="ema" class="block lowercase" name="ema" placeholder="Ingresar Email" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Departamento</label>
                                                        <select name="dep" id="dep" class="dt-select-service block" onchange="getUbigeo(this.value, 1, '#pro');" required>
                                                            <option value="">Seleccionar</option>
                                                            @if(!empty($departments))
                                                                @foreach($departments as $item)
                                                                    <option value="{{$item->dep_cod}}">{{$item->dep_nom}}</option>  
                                                                @endforeach
                                                            @endif
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Provincia</label>
                                                        <select name="pro" id="pro" class="dt-select-service block" onchange="getUbigeo(this.value, 2, '#dis');" required>
                                                            <option value="">Seleccionar</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Distrito</label>
                                                        <select name="dis" id="dis" class="dt-select-service block" required>
                                                            <option value="">Seleccionar</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Nivel Académico</label>
                                                        <select name="aca" id="aca" class="dt-select-service block" required>
                                                            <option value="">Seleccionar</option>
                                                            <option value="E">Estudiante</option>
                                                            <option value="X">Egresado</option>
                                                            <option value="B">Bachiller</option>
                                                            <option value="P">Profesional</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div> 
                                        <div class="wpb_column vc_column_container vc_col-sm-12" id="divuni">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Universidad</label>
                                                        <select name="uni" id="uni" class="dt-select-service block">
                                                            <option value="">Seleccionar</option>
                                                            @if(!empty($universities))
                                                                @foreach($universities as $item)
                                                                    <option value="{{$item->uni_cod}}">{{$item->uni_nom}}</option>  
                                                                @endforeach
                                                            @endif                                                               
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-12 d-none" id="divcol">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Colegio Profesional</label>
                                                        <select name="col" id="col" class="dt-select-service block">
                                                            <option value="">Seleccionar</option>
                                                            @if(!empty($schools))
                                                                @foreach($schools as $item)
                                                                    <option value="{{$item->col_id}}">{{$item->col_nom}}</option>  
                                                                @endforeach
                                                            @endif                                                            
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-12">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Lugar de Trabajo</label>
                                                        <input type="text" id="tra" name="tra" class="block">
                                                    </p>
                                                </div>
                                            </div>
                                        </div>                                          
                                        <div class="wpb_column vc_column_container vc_col-sm-12 d-none" id="divban">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Banco (Deposito / Transferencia)</label>
                                                        <select name="ban" id="ban" required>
                                                            <option value="0">Seleccionar</option>
                                                            <option value="1">BCP - 305-92439877-0-98 (JUNEDAP - Ahorros)</option>
                                                            <option value="2">YAPE (945 779 211)</option>
                                                        </select>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-6 d-none" id="divpag">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Fecha de deposito</label>
                                                        <input type="date" max="9999-12-31" id="pag" name="pag" class="block" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>                                        
                                        <div class="wpb_column vc_column_container vc_col-sm-6 d-none" id="divope">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label>Numero de operacion</label>
                                                        <input type="text" id="ope" onchange="return removeSpaces(this)" name="ope" placeholder="Ingresar N° Operación" maxlength="25" class="block" required>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-12 d-none" id="divvou">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-phone">Voucher escaneado (PNG, JPG) Máx 1MB</label><input type="file" id="voucher" name="voucher" class="block" required></p>
                                                    <p><img id="preview-voucher" width="300" style="padding-left: 10px; padding-right: 10px"></p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="wpb_column vc_column_container vc_col-sm-12">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-phone">Foto Tamaño Carnet (PNG, JPG) Máx 1MB</label><br><input type="file" id="carnet" name="carnet" class="block" required></p>
                                                    <p><img id="preview-carnet" width="300" style="padding-left: 10px; padding-right: 10px"></p>
                                                </div>
                                            </div>
                                        </div>
                                        <!--<div class="wpb_column vc_column_container vc_col-sm-12">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><label for="cli-phone">Foto Firma ó Rúbrica (PNG, JPG)</label><input type="file" id="firma" name="firma" required></p>
                                                    <p><img id="preview-firma" width="300" style="padding-left: 10px; padding-right: 10px"></p>
                                                </div>
                                            </div>
                                        </div>                                        
                                        <div class="wpb_column vc_column_container vc_col-sm-12">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">
                                                    <p><input type="checkbox" id="terms" name="terms" required> Acepto Terminos y Condiciones</p>
                                                </div>
                                            </div>
                                        </div> -->
                                        <div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper aligncenter">   
                                                    <button class="dt-sc-button filled medium show-time-shortcode block" value="Show Time" type="submit">Registrarse</button>
                                                </div>
                                            </div>
                                        </div>
                                        <!--<div class="wpb_column vc_column_container vc_col-sm-6">
                                            <div class="vc_column-inner ">
                                                <div class="wpb_wrapper">   
                                                    <a href="#payment" target="_self" title="" class="popup-with-payment dt-sc-button icon-right with-icon  filled rounded-corner medium type1"> Actualizar datos <span class="fa fa-paper-plane-o"> </span></a>
                                                </div>
                                            </div>
                                        </div>-->
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="dt-sc-two-fifth column no-space dt-sc-dark-bg wpb_column vc_column_container vc_col-sm-4 vc_col-has-fill">
                    <div class="vc_column-inner vc_custom_1496219206843">
                        <div class="wpb_wrapper">
                            <div class="ult-spacer spacer-64f4e2fd8b48f" data-id="64f4e2fd8b48f" data-height="60" data-height-mobile="60" data-height-tab="60" data-height-tab-portrait="" data-height-mobile-landscape="" style="clear:both;display:block;"></div>
                            <div class="ult-animation  ult-animate-viewport  ult-no-mobile " data-animate="fadeInDown" data-animation-delay="1.6" data-animation-duration="1" data-animation-iteration="1" style="opacity:1;-webkit-transition-delay: 1.6s; -moz-transition-delay: 1.6s; transition-delay: 1.6s;" data-opacity_start_effect="">
                                <div class="dt-sc-title with-right-border-decor animated fadeInDown" style="opacity:1;-webkit-animation-delay:1.6s;-webkit-animation-duration:1s;-webkit-animation-iteration-count:1; -moz-animation-delay:1.6s;-moz-animation-duration:1s;-moz-animation-iteration-count:1; animation-delay:1.6s;animation-duration:1s;animation-iteration-count:1;test">
                                    <h3>Contáctanos</h3>
                                </div>
                            </div>
                            <div class="ult-animation  ult-animate-viewport  ult-no-mobile " data-animate="bounceIn" data-animation-delay="2.2" data-animation-duration="1" data-animation-iteration="1" style="opacity:1;-webkit-transition-delay: 2.2s; -moz-transition-delay: 2.2s; transition-delay: 2.2s;" data-opacity_start_effect=""><a href="#" target="_self" title="" class="dt-sc-button medium icon-right with-icon filled rounded-corner green animated bounceIn" style="opacity:1;-webkit-animation-delay:2.2s;-webkit-animation-duration:1s;-webkit-animation-iteration-count:1; -moz-animation-delay:2.2s;-moz-animation-duration:1s;-moz-animation-iteration-count:1; animation-delay:2.2s;animation-duration:1s;animation-iteration-count:1;test"> Escríbenos al WhatsApp <svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" width="16" height="16" viewBox="0 0 48 48">
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