<html>
<head>
<title>Untitled Document</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<script language="JavaScript">
</script>
</head>
<body >
<form name="forma" id="forma" action="<? echo $PHP_SELF ?>" onSubmit="return validacion(this)" enctype="multipart/form-data" method="post">
<table width="909" border="1">
<tr>
<td width="21%"> </td>
<td width="35%"> </td>
<td width="44%"> </td>
</tr>
<tr>
<td colspan="3">DATOS GENERALES:</td>
</tr>
<tr>
<td>Nombre del profesor:</td>
<td><input name="textdgnom" type="text" id="textdgnom" value="<? echo $num_reg[0]; echo " ";echo $num_reg[1]; echo " "; echo $num_reg[2];?>" size="40" readonly="true">
</td>
<td width="44%"> </td>
</tr>
<tr>
<td>Academia:</td>
<td><select name="depto">
<option> </option>
<option>Mexico</option>
<option>Argentina</option>
</select>
</td>
<td>
<select name="acamat" style="display:none">
<option> </option>
<option value="matproyest">Sonora</option>
<option value="matalgeoytop">Baja California</option>
<option value="matanacalecu">chiapas</option>
<option value="matfinanacom">Nayarit</option>
<option value="matciecom">Durango</option>
</select>
<select name="acafis">
<option> </option>
<option value="fisteo">Bolivia</option>
<option value="fisinsele">Buenos Aires</option>
</select>
</td>
</tr>