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January 27, 2014 16:56
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<!doctype html> | |
<html lang="en"> | |
<head> | |
<meta charset="UTF-8"> | |
<title>Document</title> | |
<link href="assets/css/dist/css/bootstrap.min.css" rel="stylesheet" type="text/css"> | |
<link href="assets/css/dist/css/bootstrap-theme.min.css" rel="stylesheet" type="text/css"> | |
<link href="assets/css/stylesheet.css" rel="stylesheet" type="text/css"> | |
<script src="assets/js/jquery-1.10.2.min.js" type="text/javascript"></script> | |
<script src="assets/css/dist/js/bootstrap.min.js" type="text/javascript"></script> | |
</head> | |
<body> | |
<div id="site"> | |
<!-- Navbar --> | |
<div class="navbar navbar-default navbar-static-top" role="navigation"> | |
<div class="container"> | |
<div class="navbar-header"> | |
<a href="index.html" class="navbar-brand">DNE</a> | |
</div> | |
<div class="navbar-collapse collapse"> | |
<ul class="nav navbar-nav pull-right"> | |
<li> | |
<a href="index.html">Início</a> | |
</li> | |
<li> | |
<a href="#" class="dropdown-toggle" data-toggle="dropdown">Meu DNE <span class="caret"></span></a> | |
<ul class="dropdown-menu" role="menu"> | |
<li><a href="#">Solicitar DNE</a></li> | |
<li><a href="#">Solicitar Segunda via</a></li> | |
<li><a href="#">Minhas Solicitações</a></li> | |
</ul> | |
</li> | |
<li> | |
<a href="#" class="dropdown-toggle" data-toggle="dropdown">Minha conta <span class="caret"></span></a> | |
<ul class="dropdown-menu" role="menu"> | |
<li><a href="#">Alterar e-mail</a></li> | |
<li><a href="#">Alterar senha</a></li> | |
<li><a href="#">Sair</a></li> | |
</ul> | |
</li> | |
</ul> | |
</div> | |
</div> | |
</div> | |
<!-- # Navbar # --> | |
<div class="container"> | |
<div class="row"> | |
<h3 class="pull-left">Confirme os dados de sua solicitação</h3> | |
</div> | |
<table class="table solicitacoes"> | |
<thead> | |
<tr> | |
<th class="text-left" colspan="3">Dados pessoais</th> | |
</tr> | |
</thead> | |
<tbody> | |
<tr> | |
<td class="text-right row-label">Nome:</td> | |
<td class="text-left">Tiago Rigoletto</td> | |
<td class="text-right row-label">Data de nascimento:</td> | |
<td class="text-left">25/10/1987</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Nível de escolaridade:</td> | |
<td class="text-left">Pós-graduação</td> | |
<td class="text-right row-label">Número de telefone:</td> | |
<td class="text-left">(xx) 0011-2233</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Celular:</td> | |
<td class="text-left">(xx) 0011-2233</td> | |
<td class="text-right row-label">Documento de identificação:</td> | |
<td class="text-left">RG</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Número do documento:</td> | |
<td class="text-left">00.111.222-3</td> | |
<td class="text-right row-label">Orgão expedidor:</td> | |
<td class="text-left">SSP</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Nome da mãe:</td> | |
<td class="text-left">Maria Leopoldina</td> | |
<td class="text-right row-label">CPF:</td> | |
<td class="text-left">000.111.222-33</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">CEP:</td> | |
<td class="text-left">00111-222</td> | |
<td class="text-right row-label">Endereço:</td> | |
<td class="text-left">Rua Barão de Iguape</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Número:</td> | |
<td class="text-left">123</td> | |
<td class="text-right row-label">Complemento:</td> | |
<td class="text-left">apto 46</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Cidade:</td> | |
<td class="text-left">São Paulo</td> | |
<td class="text-right row-label">Estado:</td> | |
<td class="text-left">São Paulo</td> | |
</tr> | |
</tbody> | |
<thead> | |
<tr> | |
<th class="text-left" colspan="3">Dados pessoais</th> | |
</tr> | |
</thead> | |
<tbody> | |
<tr> | |
<td class="text-right row-label">Estado onde estuda:</td> | |
<td class="text-left">Minas Gerais</td> | |
<td class="text-right row-label">Cidade onde estuda:</td> | |
<td class="text-left">Belo Horizonte</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Nome da instituição:</td> | |
<td class="text-left">Pontifícia Universidade Católica</td> | |
<td class="text-right row-label">Curso:</td> | |
<td class="text-left">Design de Interação</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Série:</td> | |
<td class="text-left">3</td> | |
<td class="text-right row-label">Período:</td> | |
<td class="text-left">Manhã</td> | |
</tr> | |
<tr> | |
<td class="text-right row-label">Número da matrícula:</td> | |
<td class="text-left">2345678</td> | |
<td class="text-right row-label"></td> | |
<td class="text-left"></td> | |
</tr> | |
</tbody> | |
<thead> | |
<tr> | |
<th class="text-left" colspan="3">Dados do DNE</th> | |
</tr> | |
</thead> | |
<tbody> | |
<tr> | |
<td class="text-right row-label">Carteirinha:</td> | |
<td class="text-left">Carteirinha DCE PUC-MG</td> | |
<td class="text-right row-label">Valor:</td> | |
<td class="text-left">R$ 50,00</td> | |
</tr> | |
</tbody> | |
</table> | |
<button class="btn btn-primary pull-right">Confirmar pedido</button> | |
</div> | |
</div> | |
</body> | |
</html> |
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