{"id":188,"date":"2021-03-02T19:54:17","date_gmt":"2021-03-02T22:54:17","guid":{"rendered":"https:\/\/www.uogc.org.ar\/?page_id=188"},"modified":"2021-04-09T23:27:20","modified_gmt":"2021-04-10T02:27:20","slug":"solicitud-de-afiliacion","status":"publish","type":"page","link":"https:\/\/www.uogc.org.ar\/uogc\/solicitud-de-afiliacion\/","title":{"rendered":"Solicitud de Afiliaci\u00f3n"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"188\" class=\"elementor elementor-188\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-271042a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"271042a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-92f724a\" data-id=\"92f724a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-236f612 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"236f612\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Pr\\u00f3ximo&quot;,&quot;step_previous_label&quot;:&quot;Previo&quot;,&quot;step_type&quot;:&quot;icon_text&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Solicitud de Afiliaci\u00f3n\" aria-label=\"Solicitud de Afiliaci\u00f3n\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"188\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"236f612\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Solicitud de Afiliaci\u00f3n\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"188\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_23d5989 elementor-col-100\">\n\t\t\t\t\t<div width=100% style=\"background-color:#909090\" align=\"center\"><h4><b>DATOS DEL TITULAR<\/b><\/h4><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApellido\/s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido]\" id=\"form-field-apellido\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c3bd181 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c3bd181\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre\/s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c3bd181]\" id=\"form-field-field_c3bd181\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5d90632 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5d90632\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTipo Documento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5d90632]\" id=\"form-field-field_5d90632\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"DNI\" selected=\"selected\">DNI<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CI\">CI<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"LE\">LE<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d245929 elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d245929\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00b0 Documento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d245929]\" id=\"form-field-field_d245929\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_8414001 elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8414001\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de Nacimiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_8414001]\" id=\"form-field-field_8414001\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-01-01\" max=\"2099-12-31\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_2d68c8f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2d68c8f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00b0 CUIL\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_2d68c8f]\" id=\"form-field-field_2d68c8f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"N\u00b0 de CUIL (sin guiones)\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_162c177 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_162c177\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEstado Civil\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_162c177]\" id=\"form-field-field_162c177\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"SOLTERO\">SOLTERO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CASADO\">CASADO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"VIUDO\">VIUDO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SEPARADO\">SEPARADO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2e72169 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2e72169\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00b0 Tel\u00e9fono Fijo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2e72169]\" id=\"form-field-field_2e72169\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_391c6db elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_391c6db\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00b0 de Tel\u00e9fono Celular\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_391c6db]\" id=\"form-field-field_391c6db\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"N\u00b0 de celular: c\u00f3digo de \u00e1rea sin (0) y sin el (15)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7f6eda6 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7f6eda6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDomicilio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7f6eda6]\" id=\"form-field-field_7f6eda6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Calle\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4f3567a elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4f3567a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltura\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4f3567a]\" id=\"form-field-field_4f3567a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Altura\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8d7f077 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8d7f077\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCod.Postal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8d7f077]\" id=\"form-field-field_8d7f077\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cod.Postal\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e339f84 elementor-col-75\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e339f84\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLocalidad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e339f84]\" id=\"form-field-field_e339f84\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Localidad\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_c0707c5 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c0707c5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProvincia\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_c0707c5]\" id=\"form-field-field_c0707c5\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Buenos Aires\">Buenos Aires<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Capital Federal\">Capital Federal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Catamarca\">Catamarca<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chaco\">Chaco<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chubut\">Chubut<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"C\u00f3rdoba\" selected=\"selected\">C\u00f3rdoba<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Corrientes\">Corrientes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Entre Rios\">Entre Rios<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"EXTRANJERO\">EXTRANJERO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Formosa\">Formosa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Jujuy\">Jujuy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"La Pampa\">La Pampa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"La Rioja\">La Rioja<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mendoza\">Mendoza<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Misiones\">Misiones<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Neuqu\u00e9n\">Neuqu\u00e9n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rio Negro\">Rio Negro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Salta\">Salta<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Juan\">San Juan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Luis\">San Luis<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santa Cruz\">Santa Cruz<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santa Fe\">Santa Fe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santiago del Estero\">Santiago del Estero<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tierra del Fuego\">Tierra del Fuego<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tucuman\">Tucuman<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_89198ad elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_89198ad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNacionalidad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_89198ad]\" id=\"form-field-field_89198ad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-75 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_168d26d elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_168d26d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha Iniciaci\u00f3n Laboral\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_168d26d]\" id=\"form-field-field_168d26d\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-01-01\" max=\"2099-12-31\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_70bdda4 elementor-col-75\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_70bdda4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTarea que realiza en la empresa (describir)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_70bdda4]\" id=\"form-field-field_70bdda4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_abec00b elementor-col-100\">\n\t\t\t\t\t<div width=100% style=\"background-color:#909090\" align=\"center\"><BR><h4><b>DATOS DEL EMPLEADOR<\/b><\/h4><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ac51aae elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ac51aae\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRaz\u00f3n Social Empleador\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ac51aae]\" id=\"form-field-field_ac51aae\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_a60b023 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a60b023\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00b0 CUIT Empleador\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_a60b023]\" id=\"form-field-field_a60b023\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"CUIT sin guiones\" required=\"required\" min=\"1\" max=\"999999999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6d9c3cc elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6d9c3cc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono\/s Empleador\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6d9c3cc]\" id=\"form-field-field_6d9c3cc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_56b9241 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_56b9241\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDomicilio Empleador\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_56b9241]\" id=\"form-field-field_56b9241\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Calle\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_50a2210 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_50a2210\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltura\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_50a2210]\" id=\"form-field-field_50a2210\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Altura\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_167b402 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_167b402\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCod.Postal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_167b402]\" id=\"form-field-field_167b402\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cod.Postal\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5b229d1 elementor-col-100\">\n\t\t\t\t\t<div width=100% style=\"background-color:#909090\" align=\"center\"><BR><h4><b>GRUPO FAMILIAR PRIMARIO<\/b><\/h4><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco1 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-parentesco1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParentesco\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco1]\" id=\"form-field-parentesco1\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido1 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApellido\/s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido1]\" id=\"form-field-apellido1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre1 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre\/s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre1]\" id=\"form-field-nombre1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac1 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fecnac1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de Nacimiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac1]\" id=\"form-field-fecnac1\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni1 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dni1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDNI\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni1]\" id=\"form-field-dni1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco2 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco2]\" id=\"form-field-parentesco2\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido2 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido2]\" id=\"form-field-apellido2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre2 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre2]\" id=\"form-field-nombre2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac2 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac2]\" id=\"form-field-fecnac2\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni2 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni2]\" id=\"form-field-dni2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco3 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco3]\" id=\"form-field-parentesco3\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido3 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido3]\" id=\"form-field-apellido3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre3 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre3]\" id=\"form-field-nombre3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac3 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac3]\" id=\"form-field-fecnac3\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni3 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni3]\" id=\"form-field-dni3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco4 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco4]\" id=\"form-field-parentesco4\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido4 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido4]\" id=\"form-field-apellido4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre4 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre4]\" id=\"form-field-nombre4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac4 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac4]\" id=\"form-field-fecnac4\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni4 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni4]\" id=\"form-field-dni4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco5 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco5]\" id=\"form-field-parentesco5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido5 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido5]\" id=\"form-field-apellido5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre5 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre5]\" id=\"form-field-nombre5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac5 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac5]\" id=\"form-field-fecnac5\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni5 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni5]\" id=\"form-field-dni5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco6 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco6]\" id=\"form-field-parentesco6\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido6 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido6]\" id=\"form-field-apellido6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre6 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre6]\" id=\"form-field-nombre6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac6 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac6]\" id=\"form-field-fecnac6\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni6 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni6]\" id=\"form-field-dni6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-parentesco7 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[parentesco7]\" id=\"form-field-parentesco7\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"CONCUBINO\/A\">CONCUBINO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CONYUGE\">CONYUGE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO &lt; 25 A\u00d1OS\">DISCAPACITADO &lt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DISCAPACITADO  &gt; 25 A\u00d1OS\">DISCAPACITADO  &gt; 25 A\u00d1OS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"FAMILIAR A CARGO\">FAMILIAR A CARGO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HERMANA\">HERMANA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"HIJO\/A\">HIJO\/A<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NIETO\">NIETO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PADRE\">PADRE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SOBRINO\">SOBRINO<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"TITULAR\">TITULAR<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido7 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido7]\" id=\"form-field-apellido7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Apellido\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre7 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre7]\" id=\"form-field-nombre7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\/s\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecnac7 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecnac7]\" id=\"form-field-fecnac7\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1901-04-01\" max=\"2099-04-25\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-dni7 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[dni7]\" id=\"form-field-dni7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"DNI\" required=\"required\" min=\"1\" max=\"99999999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_90ecd3c elementor-col-100\">\n\t\t\t\t\t<div align=\"center\"><h5><b><u>DECLARACION JURADA DEL TITULAR: <\/u><\/b>Cumpliendo disposiciones legales vigentes, manifiesto por la presente en car\u00e1cter de declaraci\u00f3n jurada, que soy afiliado a la Uni\u00f3n Obrera Gr\u00e1fica Cordobesa.<\/h5><h6>Esta Informaci\u00f3n ser\u00e1 verificada y se dar\u00e1 respuesta a la solicitud por correo electr\u00f3nico declarado en el presente.<\/h6><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-envelope\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar Datos<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-188","page","type-page","status-publish","hentry"],"aioseo_notices":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-04 13:32:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/pages\/188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/comments?post=188"}],"version-history":[{"count":0,"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/pages\/188\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.uogc.org.ar\/uogc\/wp-json\/wp\/v2\/media?parent=188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}