Código PHP:
</font></strong></font></strong></font></font></td>
<td bgcolor="#FFFFFF"><font color="#FF0000" size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong><img src="../iconos/naranja.gif" width="8" height="9">
Beneficiario: </strong></font><font size="2"> </font>
</td>
<td bgcolor="#FFFFFF"><font color="#FF0000"><font color="#333333"><strong><font size="2">
<input name="nit" type="text" id="nit2" value="<? echo $data->nit; ?>" size="11" maxlength="11" validation="empty" validationHint="required" validationMsg="El campo Nit o CC Beneficiario es de tipo obligatorio">
</font><font size="3"></font></strong></font></font></td>
<td bgcolor="#FFFFFF"><font color="#FF0000" size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong><img src="../iconos/naranja.gif" width="8" height="9">
Empresa: </strong></font><font size="2"> </font></td>
<td bgcolor="#FFFFFF"><font color="#FF0000"><font color="#333333"><strong><font color="#FF0000"><font color="#333333"><strong><font color="#FF0000"><font color="#333333"><strong><font size="3"><font face="HandelGotDLig" color="#0099FF"><? echo $data->empresa; ?></font></font></strong></font></font></strong></font></font></strong></font></font></td>
</tr>
<tr>
<td height="19" bgcolor="#FFFFFF"><font color="#FF0000" size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong><img src="../iconos/naranja.gif" width="8" height="9">
CU: </strong></font><font size="2"> </font></td>
<td colspan="2" bgcolor="#FFFFFF"><font color="#FF0000"><font color="#333333"><strong><font size="2">
<input name="indcu" type="text" id="indcu2" value="<? echo $data->indcu; ?>" size="2" maxlength="2" validation="numeric" validationHint="required" validationMsg="El campo C.U es de tipo numerico y obligatorio">
</font><font size="3"></font></strong></font></font></td>
<td bgcolor="#FFFFFF"><font color="#FF0000" size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong><img src="../iconos/naranja.gif" width="8" height="9">
Fecha doc: </strong></font><font size="2"> </font></td>
<td bgcolor="#FFFFFF"><font color="#FF0000"><font size="2"><strong><font size="2"><strong><font size="2">
<select name="select" id="select4" validation="empty" validationhint="required" validationmsg="El campo Año documento es de tipo obligatorio">
<option value="05" <?php if($data->anodoc == "05") echo "selected"; ?>>2005</option>
<option value="06" <?php if($data->anodoc == "06") echo "selected"; ?>>2006</option>
<option value="07" <?php if($data->anodoc == "07") echo "selected"; ?>>2007</option>
<option value="08" <?php if($data->anodoc == "08") echo "selected"; ?>>2008</option>
<option value="09" <?php if($data->anodoc == "09") echo "selected"; ?>>2009</option>
<option value="10" <?php if($data->anodoc == "10") echo "selected"; ?>>2010</option>
<option value="11" <?php if($data->anodoc == "11") echo "selected"; ?>>2011</option>
<option value="12" <?php if($data->anodoc == "12") echo "selected"; ?>>2012</option>
<option value="13" <?php if($data->anodoc == "13") echo "selected"; ?>>2013</option>
<option value="14" <?php if($data->anodoc == "14") echo "selected"; ?>>2014</option>
<option value="15" <?php if($data->anodoc == "15") echo "selected"; ?>>2015</option>
<option value="16" <?php if($data->anodoc == "16") echo "selected"; ?>>2016</option>
</select>
</font><font color="#FF0000" size="1"> </font></strong></font><font color="#FF0000" size="1">
</font></strong></font><font color="#333333"><strong><font size="2">
<strong><font size="2">
<select name="select" id="select5" validation="empty" validationhint="required" validationmsg="El campo Mes documento es de tipo obligatorio">
<option value="01" <?php if($data->mesdoc == "01") echo "selected"; ?>>ENERO</option>
<option value="02" <?php if($data->mesdoc == "02") echo "selected"; ?>>FEBRERO</option>
<option value="03" <?php if($data->mesdoc == "03") echo "selected"; ?>>MARZO</option>
<option value="04" <?php if($data->mesdoc == "04") echo "selected"; ?>>ABRIL</option>
<option value="05" <?php if($data->mesdoc == "05") echo "selected"; ?>>MAYO</option>
<option value="06" <?php if($data->mesdoc == "06") echo "selected"; ?>>JUNIO</option>
<option value="07" <?php if($data->mesdoc == "07") echo "selected"; ?>>JULIO</option>
<option value="08" <?php if($data->mesdoc == "08") echo "selected"; ?>>AGOSTO</option>
<option value="09" <?php if($data->mesdoc == "09") echo "selected"; ?>>SEPTIEMBRE</option>
<option value="10" <?php if($data->mesdoc == "10") echo "selected"; ?>>OCTUBRE</option>
<option value="11" <?php if($data->mesdoc == "11") echo "selected"; ?>>NOVIEMBRE</option>
<option value="12" <?php if($data->mesdoc == "12") echo "selected"; ?>>DICIEMBRE</option>
</select>
</font><font color="#FF0000"><font size="2"><strong><font size="2"><strong><font size="2">
<select name="select" id="select6" validation="empty" validationhint="required" validationmsg="El campo Dia documento es de tipo obligatorio">
<option value="01" <?php if($data->diadoc == "01") echo "selected"; ?>>01</option>
<option value="02" <?php if($data->diadoc == "02") echo "selected"; ?>>02</option>
<option value="03" <?php if($data->diadoc == "03") echo "selected"; ?>>03</option>
<option value="04" <?php if($data->diadoc == "04") echo "selected"; ?>>04</option>
<option value="05" <?php if($data->diadoc == "05") echo "selected"; ?>>05</option>
<option value="06" <?php if($data->diadoc == "06") echo "selected"; ?>>06</option>
<option value="07" <?php if($data->diadoc == "07") echo "selected"; ?>>07</option>
<option value="08" <?php if($data->diadoc == "08") echo "selected"; ?>>08</option>
<option value="09" <?php if($data->diadoc == "09") echo "selected"; ?>>09</option>
<option value="10" <?php if($data->diadoc == "10") echo "selected"; ?>>10</option>
<option value="11" <?php if($data->diadoc == "11") echo "selected"; ?>>11</option>
<option value="12" <?php if($data->diadoc == "12") echo "selected"; ?>>12</option>
<option value="13" <?php if($data->diadoc == "13") echo "selected"; ?>>13</option>
<option value="14" <?php if($data->diadoc == "14") echo "selected"; ?>>14</option>
<option value="15" <?php if($data->diadoc == "15") echo "selected"; ?>>15</option>
<option value="16" <?php if($data->diadoc == "16") echo "selected"; ?>>16</option>
<option value="17" <?php if($data->diadoc == "17") echo "selected"; ?>>17</option>
<option value="18" <?php if($data->diadoc == "18") echo "selected"; ?>>18</option>
<option value="19" <?php if($data->diadoc == "19") echo "selected"; ?>>19</option>
<option value="20" <?php if($data->diadoc == "20") echo "selected"; ?>>20</option>
<option value="21" <?php if($data->diadoc == "21") echo "selected"; ?>>21</option>
<option value="22" <?php if($data->diadoc == "22") echo "selected"; ?>>22</option>
<option value="23" <?php if($data->diadoc == "23") echo "selected"; ?>>23</option>
<option value="24" <?php if($data->diadoc == "24") echo "selected"; ?>>24</option>
<option value="25" <?php if($data->diadoc == "25") echo "selected"; ?>>25</option>
<option value="26" <?php if($data->diadoc == "26") echo "selected"; ?>>26</option>
<option value="27" <?php if($data->diadoc == "27") echo "selected"; ?>>27</option>
<option value="28" <?php if($data->diadoc == "28") echo "selected"; ?>>28</option>
<option value="29" <?php if($data->diadoc == "29") echo "selected"; ?>>29</option>
<option value="30" <?php if($data->diadoc == "30") echo "selected"; ?>>30</option>
<option value="31" <?php if($data->diadoc == "31") echo "selected"; ?>>31</option>
</select>