"8C Osobne udaje súrodencov"
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<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="container"> <div class="row"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Osobné údaje súrodencov</legend> <h3>Súrodenec č. 1</h3> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_010_Meno">Meno:</label> <div class="controls"> <input id="C_008A_010_Meno" name="C_008A_010_Meno" type="text" placeholder="Meno" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_011_Priezvisko">Priezvisko</label> <div class="controls"> <input id="C_008A_011_Priezvisko" name="C_008A_011_Priezvisko" type="text" placeholder="Priezvisko" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_014_datum_narodenia">Dátum narodenia:</label> <div class="controls"> <input id="C_008A_014_datum_narodenia" name="C_008A_014_datum_narodenia" type="text" placeholder="Dátum narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_015_miesto_narodenia">Miesto narodenia:</label> <div class="controls"> <input id="C_008A_015_miesto_narodenia" name="C_008A_015_miesto_narodenia" type="text" placeholder="Miesto narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="C_008A_016_obcianstvo">Občianstvo:</label> <div class="controls"> <select id="C_008A_016_obcianstvo" name="C_008A_016_obcianstvo" class="input-xlarge"> <option>Ruská federácia</option> <option>Čína</option> <option>Čile</option> </select> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_017_trvale_bydlisko_mimo_SR">Adresa trvalého bydliska mimo SR:</label> <div class="controls"> <input id="C_008A_017_trvale_bydlisko_mimo_SR" name="C_008A_017_trvale_bydlisko_mimo_SR" type="text" placeholder="Adresa trvalého bydliska mimo SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008A_018_adresa_SR">Adresa bydliska v SR:</label> <div class="controls"> <input id="C_008A_018_adresa_SR" name="C_008A_018_adresa_SR" type="text" placeholder="Adresa bydliska v SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="C_001_007A_dieta">Je/Bude žiadateľom o prechodný pobyt na zlúčenie rodiny?</label> <div class="controls"> <label class="radio" for="C_001_007A_dieta"> <input type="radio" name="C_001_007A_dieta" id="C_001_007AV_dieta-0" value="Áno" checked="checked"> Áno </label> <label class="radio" for="C_001_007A_dieta-1"> <input type="radio" name="C_001_007A_dieta" id="C_001_007AV_dieta-1" value="Nie"> Nie </label> </div> </div> <h3>Súrodenec č. 2</h3> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_010_Meno">Meno:</label> <div class="controls"> <input id="C_008B_010_Meno" name="C_008B_010_Meno" type="text" placeholder="Meno" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_011_Priezvisko">Priezvisko</label> <div class="controls"> <input id="C_008B_011_Priezvisko" name="C_008B_011_Priezvisko" type="text" placeholder="Priezvisko" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_014_datum_narodenia">Dátum narodenia:</label> <div class="controls"> <input id="C_008B_014_datum_narodenia" name="C_008B_014_datum_narodenia" type="text" placeholder="Dátum narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_015_miesto_narodenia">Miesto narodenia:</label> <div class="controls"> <input id="C_008B_015_miesto_narodenia" name="C_008B_015_miesto_narodenia" type="text" placeholder="Miesto narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="C_008B_016_obcianstvo">Občianstvo:</label> <div class="controls"> <select id="C_008B_016_obcianstvo" name="C_008B_016_obcianstvo" class="input-xlarge"> <option>Ruská federácia</option> <option>Čína</option> <option>Čile</option> </select> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_017_trvale_bydlisko_mimo_SR">Adresa trvalého bydliska mimo SR:</label> <div class="controls"> <input id="C_008B_017_trvale_bydlisko_mimo_SR" name="C_008B_017_trvale_bydlisko_mimo_SR" type="text" placeholder="Adresa trvalého bydliska mimo SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008B_018_adresa_SR">Adresa bydliska v SR:</label> <div class="controls"> <input id="C_008B_018_adresa_SR" name="C_008B_018_adresa_SR" type="text" placeholder="Adresa bydliska v SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="C_001_007B_dieta">Je/Bude žiadateľom o prechodný pobyt na zlúčenie rodiny?</label> <div class="controls"> <label class="radio" for="C_001_007B_dieta"> <input type="radio" name="C_001_007B_dieta" id="C_001_007BV_dieta-0" value="Áno" checked="checked"> Áno </label> <label class="radio" for="C_001_007B_dieta-1"> <input type="radio" name="C_001_007B_dieta" id="C_001_007BV_dieta-1" value="Nie"> Nie </label> </div> </div> <h3>Súrodenec č. 3</h3> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_010_Meno">Meno:</label> <div class="controls"> <input id="C_008C_010_Meno" name="C_008C_010_Meno" type="text" placeholder="Meno" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_011_Priezvisko">Priezvisko</label> <div class="controls"> <input id="C_008C_011_Priezvisko" name="C_008C_011_Priezvisko" type="text" placeholder="Priezvisko" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_014_datum_narodenia">Dátum narodenia:</label> <div class="controls"> <input id="C_008C_014_datum_narodenia" name="C_008C_014_datum_narodenia" type="text" placeholder="Dátum narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_015_miesto_narodenia">Miesto narodenia:</label> <div class="controls"> <input id="C_008C_015_miesto_narodenia" name="C_008C_015_miesto_narodenia" type="text" placeholder="Miesto narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="C_008C_016_obcianstvo">Občianstvo:</label> <div class="controls"> <select id="C_008C_016_obcianstvo" name="C_008C_016_obcianstvo" class="input-xlarge"> <option>Ruská federácia</option> <option>Čína</option> <option>Čile</option> </select> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_017_trvale_bydlisko_mimo_SR">Adresa trvalého bydliska mimo SR:</label> <div class="controls"> <input id="C_008C_017_trvale_bydlisko_mimo_SR" name="C_008C_017_trvale_bydlisko_mimo_SR" type="text" placeholder="Adresa trvalého bydliska mimo SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008C_018_adresa_SR">Adresa bydliska v SR:</label> <div class="controls"> <input id="C_008C_018_adresa_SR" name="C_008C_018_adresa_SR" type="text" placeholder="Adresa bydliska v SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="C_001_007C_dieta">Je/Bude žiadateľom o prechodný pobyt na zlúčenie rodiny?</label> <div class="controls"> <label class="radio" for="C_001_007C_dieta"> <input type="radio" name="C_001_007C_dieta" id="C_001_007CV_dieta-0" value="Áno" checked="checked"> Áno </label> <label class="radio" for="C_001_007C_dieta-1"> <input type="radio" name="C_001_007C_dieta" id="C_001_007CV_dieta-1" value="Nie"> Nie </label> </div> </div> <h3>Súrodenec č. 4</h3> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_010_Meno">Meno:</label> <div class="controls"> <input id="C_008D_010_Meno" name="C_008D_010_Meno" type="text" placeholder="Meno" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_011_Priezvisko">Priezvisko</label> <div class="controls"> <input id="C_008D_011_Priezvisko" name="C_008D_011_Priezvisko" type="text" placeholder="Priezvisko" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_014_datum_narodenia">Dátum narodenia:</label> <div class="controls"> <input id="C_008D_014_datum_narodenia" name="C_008D_014_datum_narodenia" type="text" placeholder="Dátum narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_015_miesto_narodenia">Miesto narodenia:</label> <div class="controls"> <input id="C_008D_015_miesto_narodenia" name="C_008D_015_miesto_narodenia" type="text" placeholder="Miesto narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="C_008D_016_obcianstvo">Občianstvo:</label> <div class="controls"> <select id="C_008D_016_obcianstvo" name="C_008D_016_obcianstvo" class="input-xlarge"> <option>Ruská federácia</option> <option>Čína</option> <option>Čile</option> </select> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_017_trvale_bydlisko_mimo_SR">Adresa trvalého bydliska mimo SR:</label> <div class="controls"> <input id="C_008D_017_trvale_bydlisko_mimo_SR" name="C_008D_017_trvale_bydlisko_mimo_SR" type="text" placeholder="Adresa trvalého bydliska mimo SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008D_018_adresa_SR">Adresa bydliska v SR:</label> <div class="controls"> <input id="C_008D_018_adresa_SR" name="C_008D_018_adresa_SR" type="text" placeholder="Adresa bydliska v SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="C_001_007D_dieta">Je/Bude žiadateľom o prechodný pobyt na zlúčenie rodiny?</label> <div class="controls"> <label class="radio" for="C_001_007D_dieta"> <input type="radio" name="C_001_007D_dieta" id="C_001_007DV_dieta-0" value="Áno" checked="checked"> Áno </label> <label class="radio" for="C_001_007D_dieta-1"> <input type="radio" name="C_001_007D_dieta" id="C_001_007DV_dieta-1" value="Nie"> Nie </label> </div> </div> <h3>Súrodenec č. 5</h3> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_010_Meno">Meno:</label> <div class="controls"> <input id="C_008E_010_Meno" name="C_008E_010_Meno" type="text" placeholder="Meno" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_011_Priezvisko">Priezvisko</label> <div class="controls"> <input id="C_008E_011_Priezvisko" name="C_008E_011_Priezvisko" type="text" placeholder="Priezvisko" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_014_datum_narodenia">Dátum narodenia:</label> <div class="controls"> <input id="C_008E_014_datum_narodenia" name="C_008E_014_datum_narodenia" type="text" placeholder="Dátum narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_015_miesto_narodenia">Miesto narodenia:</label> <div class="controls"> <input id="C_008E_015_miesto_narodenia" name="C_008E_015_miesto_narodenia" type="text" placeholder="Miesto narodenia" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="C_008E_016_obcianstvo">Občianstvo:</label> <div class="controls"> <select id="C_008E_016_obcianstvo" name="C_008E_016_obcianstvo" class="input-xlarge"> <option>Ruská federácia</option> <option>Čína</option> <option>Čile</option> </select> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_017_trvale_bydlisko_mimo_SR">Adresa trvalého bydliska mimo SR:</label> <div class="controls"> <input id="C_008E_017_trvale_bydlisko_mimo_SR" name="C_008E_017_trvale_bydlisko_mimo_SR" type="text" placeholder="Adresa trvalého bydliska mimo SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="C_008E_018_adresa_SR">Adresa bydliska v SR:</label> <div class="controls"> <input id="C_008E_018_adresa_SR" name="C_008E_018_adresa_SR" type="text" placeholder="Adresa bydliska v SR" class="input-xlarge"> <p class="help-block">?</p> </div> </div> <!-- Multiple Radios --> <div class="control-group"> <label class="control-label" for="C_001_007E_dieta">Je/Bude žiadateľom o prechodný pobyt na zlúčenie rodiny?</label> <div class="controls"> <label class="radio" for="C_001_007E_dieta"> <input type="radio" name="C_001_007E_dieta" id="C_001_007EV_dieta-0" value="Áno" checked="checked"> Áno </label> <label class="radio" for="C_001_007E_dieta-1"> <input type="radio" name="C_001_007E_dieta" id="C_001_007EV_dieta-1" value="Nie"> Nie </label> </div> </div> <!-- Button (Double) --> <div class="control-group"> <label class="control-label" for="dalej"></label> <div class="controls"> <button id="dalej" name="dalej" class="btn btn-danger">Späť</button> <button id="spat" name="spat" class="btn btn-success">Ďalej</button> </div> </div> </fieldset> </form> </div> </div>

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