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March 25, 2014 19:10
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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> | |
<style> | |
.file { | |
background-color: #eee; | |
padding: 15px; | |
} | |
.file .progress { | |
margin-bottom: 0; | |
} | |
</style> | |
</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 navbar-right"> | |
<li> | |
<button type="button" class="btn btn-popover" data-container="body" data-toggle="popover" data-placement="bottom" data-content="Vivamus sagittis lacus vel augue laoreet rutrum faucibus."> | |
<span class="glyphicon glyphicon-globe"></span> | |
<span class="badge pull-right">42</span> | |
</button> | |
<div class="popover bottom globe"> | |
<div class="arrow"></div> | |
<h3 class="popover-title">Notificações</h3> | |
<div class="popover-content"> | |
<div class="row"> | |
<div class="col-sm-2 text-center"> | |
<a href="#"><span class="glyphicon glyphicon-ok"></span></a> | |
</div> | |
<div class="col-sm-10 text-left"> | |
<p>Mathias Evangelista teve seu DNE entregue</p> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="col-sm-2 text-center"> | |
<a href="#"><span class="glyphicon glyphicon-warning-sign"></span></a> | |
</div> | |
<div class="col-sm-10 text-left"> | |
<p>Eric Stallone teve a validação de documentos negada</p> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="col-sm-2 text-center"> | |
<a href="#"><span class="glyphicon glyphicon-ok"></span></a> | |
</div> | |
<div class="col-sm-10 text-left"> | |
<p>Não foi possível entregar o DNE de Falcão Fernandes</p> | |
</div> | |
</div> | |
</div> | |
</div> | |
<!-- <a href="#" class="dropdown-toggle" data-toggle="dropdown"> | |
<span class="glyphicon glyphicon-globe"></span> | |
</a> | |
<ul class="dropdown-menu" role="menu"> | |
<li></li> | |
<li><a href="#"> | |
<span class="glyphicon glyphicon-warning-sign"></span> O DNE de Eric Stallone teve a validação de documentos negada</a> | |
</li> | |
</ul> --> | |
</li> | |
<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 senha</a></li> | |
<li><a href="#">Sair</a></li> | |
</ul> | |
</li> | |
</ul> | |
</div> | |
</div> | |
</div> | |
<!-- # Navbar # --> | |
<div class="container"> | |
<div class="row"> | |
<h3>Solicitar inclusão de agente</h3> | |
<br /> | |
<fieldset> | |
<legend>Dados gerais</legend> | |
<p class="help-block">Para realizar a solicitação, é necessário enviar uma cópia (ou foto) dos seguintes documentos: Cartão CPNJ, Contrato Social e Comprovante de endereço estabelecimento.</p> | |
<div class="row"> | |
<div class="form-group col-sm-8"> | |
<label for="nome" class="">CNPJ</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">Telefone Comercial</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<label for="nome" class="">Cartão CNPJ</label> | |
<div class="input-group"> | |
<input disabled type="text" class="form-control"> | |
<span class="input-group-btn"> | |
<button class="btn btn-default" type="button">Selecionar arquivo</button> | |
</span> | |
</div><!-- /input-group --> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<label for="nome" class="">Contrato social</label> | |
<div class="input-group"> | |
<input disabled type="text" class="form-control"> | |
<span class="input-group-btn"> | |
<button class="btn btn-default" type="button">Selecionar arquivo</button> | |
</span> | |
</div><!-- /input-group --> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<label for="nome" class="">Comprovante de endereço</label> | |
<div class="file"> | |
<div class="row"> | |
<div class="col-sm-8"> | |
<a href="#">nome_do_arquivo.jpeg</a> | |
</div> | |
<div class="col-sm-4"> | |
<div class="pull-right"> | |
<a href="#"> | |
<span class="glyphicon glyphicon-remove"></span> | |
</a> | |
</div> | |
<div class="pull-right col-sm-10"> | |
<div class="progress progress-striped active"> | |
<div class="progress-bar" role="progressbar" aria-valuenow="45" aria-valuemin="0" aria-valuemax="100" style="width: 100%"> | |
<span class="sr-only">Carregando</span> | |
</div> | |
</div> | |
</div> | |
</div> | |
</div> | |
</div> | |
</div> | |
</div> | |
</fieldset> | |
<fieldset> | |
<legend>Endereço comercial</legend> | |
<div class="row"> | |
<p>Componente de endereço</p> | |
</div> | |
</fieldset> | |
<fiedset> | |
<legend>Endereço de postagem</legend> | |
<div class="row"> | |
<p>Componente de endereço</p> | |
</div> | |
</fiedset> | |
<fieldset> | |
<legend>Responsáveis legais</legend> | |
<p class="help-block">Você pode cadastrar até quatro responsáveis legais, sendo necessário o envio uma cópia (ou foto) do RG e CPF de cada um.</p> | |
<div class="row"> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">Nome</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">RG</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">CPF</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">E-mail</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">Telefone</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
<div class="form-group col-sm-4"> | |
<label for="nome" class="">Celular</label> | |
<input type="text" class="form-control" id="nome" placeholder="CNPJ"> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<label for="nome" class="">Cópia do RG</label> | |
<div class="input-group"> | |
<input disabled type="text" class="form-control"> | |
<span class="input-group-btn"> | |
<button class="btn btn-default" type="button">Selecionar arquivo</button> | |
</span> | |
</div><!-- /input-group --> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="form-group col-sm-12"> | |
<label for="nome" class="">Cópia do CPF</label> | |
<div class="input-group"> | |
<input disabled type="text" class="form-control"> | |
<span class="input-group-btn"> | |
<button class="btn btn-default" type="button">Selecionar arquivo</button> | |
</span> | |
</div><!-- /input-group --> | |
</div> | |
</div> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="col-sm-12"> | |
<button class="btn btn-default"> | |
<span class="glyphicon glyphicon-plus"></span> | |
Adicionar outro responsável legal | |
</button> | |
</div> | |
</div> | |
</fieldset> | |
<br /> | |
<div class="row"> | |
<div class="col-sm-12"> | |
<button class="btn btn-primary pull-right">Enviar solicitação</button> | |
</div> | |
</div> | |
</div><!-- /.row --> | |
</div><!-- /.container --> | |
</div><!-- /.site --> | |
</body> | |
</html> |
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