<body bgcolor="#FFFFFF" onload="MM_validateForm('afil_cod','','R','afil_no m','','R','afil_apell','','R','afil_ced','','RisNu m','afil_ed','','RisNum','afil_fnac','','R','afil_ direcc','','R','afil_telf','','RisNum','afil_tip', '','R','afil_hist','','R','afil_sed','','R');retur n document.MM_returnValue">
<p><a href="index1.php" title="Atras" target="_self">ATRAS </a></p>
<p><img src="Imagenes/IPASME1.jpg" width="1028" height="74" /></p>
<p> </p>
<p align="center">INGRESE SUS DATOS</p>
<form action="<?php echo $editFormAction; ?>" method="post" name="form1" id="form1">
<input type="hidden" name="MM_insert" value="form1" />
</form>
<form action="<?php echo $editFormAction; ?>" method="post" name="form2" id="form2">
<table align="center">
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_nom:</td>
<td><input type="text" name="afil_nom" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_apell:</td>
<td><input type="text" name="afil_apell" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_sex:</td>
<td><select name="afil_sex">
<option value="1" <?php if (!(strcmp(1, ""))) {echo "SELECTED";} ?>>Hombre</option>
<option value="2" <?php if (!(strcmp(2, ""))) {echo "SELECTED";} ?>>Mujer</option>
</select></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_ced:</td>
<td><input type="text" name="afil_ced" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_ed:</td>
<td><input type="text" name="afil_ed" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_fnac:</td>
<td><input type="text" name="afil_fnac" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_direcc:</td>
<td><input type="text" name="afil_direcc" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right">Afil_telf:</td>
<td><input type="text" name="afil_telf" value="" size="32" /></td>
</tr>
<tr valign="baseline">
<td nowrap="nowrap" align="right"> </td>
<td><input type="submit" value="Insertar registro" /></td>
</tr>
</table>
<input type="hidden" name="MM_insert" value="form2" />
</form>
<p> </p>
<p> </p>
<p> </p>
</body>
</html>
<?php