<div class="modal fade in" id="fichaAlumno" tabindex="-1" aria-hidden="true">
    <div class="modal-dialog modal-lg">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-hidden="true"></button>
                <h4 class="modal-title caption-subject font-blue-secondary sbold uppercase">Ficha de Postulaci&oacute;n del Alumno</h4>
            </div>
            <div class="modal-body">
                <div id="errors-container"></div>
                <div class="form-body">
                    <h4 class="form-title" style="text-left: center;padding-top: 10px; padding-bottom: 5px;"><i class="icon-plus"></i> Datos personales y correo electr&oacute;nico</h4>
                    <div class="row">
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="dni">DNI</label>
                                {!! Form::text('dni', $datos['dni'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="sexo">Sexo</label>
                                {!! Form::text('sexo', $datos['sexo'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="fecha_nacimiento">Fecha Nacimiento</label>
                                {!! Form::text('fecha_nacimiento', date_format( new DateTime($datos['nacio_fecha']), 'd/m/Y' ), array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-1">
                            <div class="form-group">
                                <label class="control-label" for="edad">Edad</label>
                                {!! Form::text('edad', $datos['edad'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="estado_civil">Estado Civil</label>
                                {!! Form::text('estado_civil', $datos['estado_civil'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-3">
                            <div class="form-group">
                                <label class="control-label" for="correo">Correo Electr&oacute;nico</label>
                                {!! Form::text('correo', $datos['email'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <h4 class="form-title" style="text-left: center;padding-top: 10px; padding-bottom: 5px;"><i class="icon-home"></i> Lugar de Nacimiento y Telefono(s) de contacto </h4>
                    <div class="row">
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="departamento">Departamento</label>
                                {!! Form::text('departamento', $nacimiento['departamento'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="provincia">Provincia</label>
                                {!! Form::text('provincia', $nacimiento['provincia'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="distrito">Distrito</label>
                                {!! Form::text('distrito', $nacimiento['distrito'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="telefono1">Tel&eacute;fono 1</label>
                                {!! Form::text('telefono1', $datos['telefono_principal'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="telefono2">Tel&eacute;fono 2</label>
                                {!! Form::text('telefono2', $datos['telefono_secundario'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <h4 class="form-title" style="text-left: center;padding-top: 10px; padding-bottom: 5px;"><i class="icon-briefcase"></i> Ocupación - Condición y Centro Laboral del Postulante </h4>
                    <div class="row">
                        <div class="col-md-4">
                            <div class="form-group">
                                <label class="control-label" for="ocupacion">Ocupaci&oacute;n</label>
                                {!! Form::text('ocupacion', $datos['ocupacion'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-4">
                            <div class="form-group">
                                <label class="control-label" for="condicion_laboral">Condici&oacute;n Laboral</label>
                                {!! Form::text('condicion_laboral', $datos['condicion_laboral'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-4">
                            <div class="form-group">
                                <label class="control-label" for="institucion_empresa">Instituci&oacute;n o Empresa</label>
                                {!! Form::text('institucion_empresa', $datos['institucion_empresa'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <h4 class="form-title" style="text-align: left;padding-top: 10px; padding-bottom: 5px;"><i class="icon-users"></i> Familiares y/o Apoderado de contacto </h4>
                    <h4 class="form-title" style="text-align: left;"><i class="icon-user"></i> Padre </h4>
                    <div class="row">
                        <div class="col-md-2"  style="padding-right: 0">
                            <div class="form-group">
                                <label class="control-label" for="nombres_padre">Nombre</label>
                                {!! Form::text('nombres_padre', $datos['nombres_padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-1">
                            <div class="form-group">
                                <label class="control-label" for="apoderado">Apoderado</label>
                                {!! Form::text('apoderado', $apoderado['padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="ocupacion_padre" style="margin-left: 10%;">Ocupaci&oacute;n</label>
                                {!! Form::text('ocupacion_padre', $datos['ocupacion_padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="centrolaboral_padre">Centro Laboral</label>
                                {!! Form::text('centrolaboral_padre', $datos['centrolaboral_padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="telefono_padre">Tel&eacute;fono</label>
                                {!! Form::text('telefono_padre', $datos['telefono_padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-3">
                            <div class="form-group">
                                <label class="control-label" for="email_padre">Correo El&eacute;ctronico</label>
                                {!! Form::text('email_padre', $datos['email_padre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>
                    <h4 class="form-title" style="text-align: left;"><i class="icon-user-female"></i> Madre </h4>
                    <div class="row">
                        <div class="col-md-2" style="padding-right: 0">
                            <div class="form-group">
                                <label class="control-label" for="nombres_madre">Nombre</label>
                                {!! Form::text('nombres_madre', $datos['nombres_madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-1">
                            <div class="form-group">
                                <label class="control-label" for="apoderado">Apoderado</label>
                                {!! Form::text('apoderado', $apoderado['madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="ocupacion_madre" style="margin-left: 10%;">Ocupaci&oacute;n</label>
                                {!! Form::text('ocupacion_madre', $datos['ocupacion_madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="centrolaboral_madre">Centro Laboral</label>
                                {!! Form::text('centrolaboral_madre', $datos['centrolaboral_madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="telefono_madre">Tel&eacute;fono</label>
                                {!! Form::text('telefono_madre', $datos['telefono_madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-3">
                            <div class="form-group">
                                <label class="control-label" for="email_madre">Correo El&eacute;ctronico</label>
                                {!! Form::text('email_madre', $datos['email_madre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>
                    <h4 class="form-title" style="text-align: left;"><i class="icon-user-follow"></i> Familiar opcional </h4>
                    <div class="row">
                        <div class="col-md-2" style="padding-right: 0">
                            <div class="form-group">
                                <label class="control-label" for="nombres_apoderado">Nombre</label>
                                {!! Form::text('nombres_apoderado', $datos['nombres_apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-1">
                            <div class="form-group">
                                <label class="control-label" for="apoderado" style="text-align: left">Apoderado</label>
                                {!! Form::text('apoderado', $apoderado['apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="ocupacion_apoderado" style="margin-left: 10%;">Ocupaci&oacute;n</label>
                                {!! Form::text('ocupacion_apoderado', $datos['ocupacion_apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="centrolaboral_apoderado">Centro Laboral</label>
                                {!! Form::text('centrolaboral_apoderado', $datos['centrolaboral_apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="telefono_apoderado">Tel&eacute;fono</label>
                                {!! Form::text('telefono_apoderado', $datos['telefono_apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-3">
                            <div class="form-group">
                                <label class="control-label" for="email_apoderado">Correo El&eacute;ctronico</label>
                                {!! Form::text('email_apoderado', $datos['email_apoderado'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <h4 class="form-title" style="text-left: center;padding-top: 10px; padding-bottom: 5px;"><i class="icon-badge"></i> Estudios de Educación Secundaria</h4>
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <label class="control-label" for="colegio_nombre">Nombre de la Instituci&oacute;n Educativa</label>
                                {!! Form::text('colegio_nombre', $datos['colegio_nombre'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <label class="control-label" for="colegio_direccion">Direcci&oacute;n</label>
                                {!! Form::text('colegio_direccion', $datos['colegio_direccion'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <div class="row">
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="departamento">Departamento</label>
                                {!! Form::text('departamento', $colegio['departamento'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="provincia">Provincia</label>
                                {!! Form::text('provincia', $colegio['provincia'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="distrito">Distrito</label>
                                {!! Form::text('distrito', $colegio['distrito'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="colegio_turno">Turno</label>
                                {!! Form::text('colegio_turno', $datos['colegio_turno'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-2">
                            <div class="form-group">
                                <label class="control-label" for="colegio_promocion">Promoci&oacute;n (A&nacute;o)</label>
                                {!! Form::text('colegio_promocion', $datos['colegio_promocion'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>

                    <div class="row">
                        <div class="col-md-4">
                            <div class="form-group">
                                <label class="control-label" for="tipo_educacion">Tipo de educaci&oacute;n</label>
                                {!! Form::text('tipo_educacion', $datos['tipo_educacion'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label" for="estudios_concluidos">Observaci&oacute;n</label>
                                {!! Form::text('estudios_concluidos', $datos['estudios_concluidos'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-4">
                            <div class="form-group">
                                <label class="control-label" for="estudios_concluidos">Estudios Conclu&iacute;dos</label>
                                {!! Form::text('estudios_concluidos', $datos['estudios_concluidos'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                        <div class="col-md-8">
                            <div class="form-group">
                                <label class="control-label" for="descripcion_estudios_concluidos">Observaci&oacute;n</label>
                                {!! Form::text('descripcion_estudios_concluidos', $datos['descripcion_estudios_concluidos'], array('class' => 'form-control' , 'disabled' => 'disabled')) !!}
                            </div>
                        </div>
                    </div>
                    <div class="form-actions text-right">
                        <button type="button" class="btn btn-default" data-dismiss="modal">Cerrar</button>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>