<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="panel-title"> Carga de Autorizacion de Crédito </h4> </div> <div class="panel-body"> <form class="form-horizontal"> <div class="row"> <div class="col-md-4"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Producto</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> </div> <div class="row"> <div class="col-md-4"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Nro documento</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Apellido y Nombre</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> </div> <hr/> <div class="row"> <div class="col-md-4"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Disponible Autorizado</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> <div class="col-md-4"> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Cuota Maxima</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> </div> <div class="row"> <div class="col-md-4"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Monto Solicitado</label> <div class="col-md-8"> <input id="textinput" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> </div> <hr/> <div class="row"> <div class="col-md-6"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Condición de Venta</label> <div class="col-md-8"> <select id="activado-list" name="Activado" class="form-control"> <option value="N">Crédito en $</option> </select> </div> </div> </div> </div> <div class="row"> <div class="col-md-6"> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">Plan de Financiación</label> <div class="col-md-8"> <select id="activado-list" name="Activado" class="form-control"> <option value="N">Plan de 36...</option> </select> </div> </div> </div> </div> <div class="row"> <div class="col-md-4 col-md-offset-2"> <div class="row"> <table class="table table-striped custab"> <thead> <tr> <th>Cuota</th> <th>Monto</th> <th></th> </tr> </thead> <tr> <td>9</td> <td>822,20</td> <td class="text-center"><a class='btn btn-success btn-xs' href="#"><span class="glyphicon glyphicon-ok"></span> Selecciónar</a> </td> </tr> <tr> <td>12</td> <td>685,30</td> <td class="text-center"><a class='btn btn-success btn-xs' href="#"><span class="glyphicon glyphicon-ok"></span> Selecciónar</a> </td> </tr> <tr> <td>18</td> <td>536,21</td> <td class="text-center"><a class='btn btn-success btn-xs' href="#"><span class="glyphicon glyphicon-ok"></span> Selecciónar</a> </td> </tr> </table> </div> <div class="row"> <div class="form-group"> <label class="col-md-3 control-label" for="textinput">Cuotas</label> <div class="col-md-4"> <input id="textinput" disabled="true" name="textinput" type="text" placeholder="" class="form-control input-sm"> </div> </div> </div> </div> </div> <hr/> <div class="text-center"> <div class="btn-group" role="group" aria-label="..."> <button type="button" class="btn btn-success"><span class="glyphicon glyphicon-ok" aria-hidden="true"></span> Confirma</button> <button type="button" class="btn btn-danger"><span class="glyphicon glyphicon-remove" aria-hidden="true"></span> Cancela</button> </div> </div> </form> </div> </div>

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