<?php
    if (file_exists("./content/header.php")){
        include_once("./content/header.php");
    }
?>
<div class="pageCnt">
    <div class="centerCell">
        <div class="card">
            <div class="regTitCnt">
                <div class="lvlRegTit poppins-bold" id="titleLvlJur">Nivel Intermedio</div>
                <div class="lvlRegDsc poppins-regular" id="dscLvlJur">Complete los siguientes datos  de domicilio de la empresa  para subir de nivel en la aplicación</div>
            </div>
            <div class="regForm">
                <div class="tableCnt">
                    <div class="tableForm">
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">País</p>
                                <select id="countryid" disabled name="countryid" class="frmInpt poppins-regular">
                                    <option value="" class="poppins-medium" selected >Selecciona</option>
                                 </select>
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div>
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">Estado</p>
                                <select id="regionid" name="regionid" class="frmInpt poppins-regular">
                                    <option value="" class="poppins-medium" selected >Selecciona</option>
                                 </select>
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div>                       
                    </div>
                    <div class="tableForm">
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">Ciudad</p>
                                <select id="cityid" name="cityid" class="frmInpt poppins-regular">
                                    <option value="" class="poppins-medium" selected >Selecciona</option>
                                 </select>
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div>
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">Calle/Avenida</p>
                                <input type="text" name="street" placeholder="Calle/Avenida" class="frmInpt poppins-regular" id="street">
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div>                       
                    </div>
                    <div class="tableForm">
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">Casa / Apartamento Nro.</p>
                                <input type="text" name="domicile" placeholder="Casa / Apartamento Nro." class="frmInpt poppins-regular" id="domicile">
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div> 
                        <div class="cellForm cellForm50">
                            <div class="divForm">
                                <p class="poppins-bold">Número de Sucursales</p>
                                <select id="branchoffices" name="branchoffices" class="frmInpt poppins-regular">
                                    <option value="" class="poppins-medium" >Selecciona</option>
                                    <option class="poppins-medium" value="0">0</option>
                                    <option class="poppins-medium" value="1">1</option>
                                    <option class="poppins-medium" value="2">2</option>
                                    <option class="poppins-medium" value="3">3</option>
                                    <option class="poppins-medium" value="4">4</option>
                                    <option class="poppins-medium" value="5">5</option>
                                    <option class="poppins-medium" value="6">6</option>
                                    <option class="poppins-medium" value="7">7</option>
                                    <option class="poppins-medium" value="8">8</option>
                                    <option class="poppins-medium" value="9">9</option>
                                   
                                 </select>
                                <div class="poppins-regular errorReg"></div>
                            </div>
                        </div>                       
                    </div>
                    <div class="upldsCnt" id="upldsCnt">
                        <div class="tableForm">
                            <div class="cellForm cellForm50">
                                <div class="divForm">
                                    <p class="poppins-bold">Selfie con documento de identidad</span></p>
                                    <div class="divSearch">
                                        <div class="frmInpt searchText">
                                            <div class="poppins-regular">Seleccione</div>
                                        </div>
                                        <div class="searchBar">
                                            <input id="file01" type="file" class="fileInpt">
                                            <button type="submit" class="blueBtn poppins-medium searchLabel search">
                                                BUSCAR
                                            </button>
                                        </div>
                                    </div>
                                    <div class="poppins-regular errorReg"></div>
                                </div>
                            </div>
                            <div class="cellForm cellForm50">
                                <div class="divForm">
                                    <p class="poppins-bold invisible">-</p>
                                    <div class="tblImgBar">
                                        <div class="cellForm cellForm50 upProgCell invisible">
                                            <div class="progress">
                                                <div class="progBar"></div>
                                                <div class="progInfCnt">
                                                    <div class="cellIcProg">
                                                        <img src="./img/ic_aceptOn.svg">
                                                    </div>
                                                    <div class="cellTxtProg">
                                                        <p class="poppins-regular successfulUploadLabel">
                                                            Carga Exitosa
                                                        </p>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="cellForm cellForm25" style="vertical-align:middle;padding-right: 0;padding-left: 7px;">
                                            <button class="notReadyButton poppins-medium" >
                                                Vista Previa
                                            </button>
                                        </div> 
                                        <div class="cellForm cellForm25" style="vertical-align:middle;padding-right: 0;padding-left: 7px;">
                                            <button  class="delUp notReadyButton poppins-medium" >
                                                Eliminar
                                            </button>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="buttons">
                        <div id="previous"><button type="submit" id="previous-button" class="poppins-medium whiteBtn">REGRESAR</button></div>
                        <div id="later"><button type="submit" id="later-button" class="poppins-medium whiteBtn">GUARDAR</button></div>
                        <div id="save"><button type="submit" id="save-button" class="poppins-medium blueBtn"></button></div>
                        <div id="next"><button type="submit" id="next-button" class="poppins-medium blueBtn">CONTINUAR A NIVEL AVANZADO</button></div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>

