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<?php
$codigosec=4;
require('contar.php');
?>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Incendios Forestales</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
</head>

<body link="#FF9900" vlink="#FF9900" alink="#FF9900" topmargin="0">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr> 
    <td width="128"><img src="incegra/1.gif" width="149" height="109"></td>
    <td align="left"><img src="incegra/2.gif" width="601" height="109"></td>
  </tr>
  <tr> 
    <td width="128" valign="top" background="incegra/f.gif" bgcolor="#FCF5C7"> 
      <p><img src="incegra/f.gif" width="12" height="13"><font face="Verdana, Arial, Helvetica, sans-serif"> 
      <table width="120" border="0" cellspacing="0" cellpadding="4">
        <tr> 
          <td colspan="2" valign="top" bgcolor="#F2F2F2"> 
            <?php
          include('reqcollap.php');
          ?>
          </td>
        </tr>
      </table>
      </font></p> </td>
    <td rowspan="2" valign="top"> 
      <table width="100%" border="0" cellspacing="0" cellpadding="8">
        <tr> 
          <td width="600"><table width="100%" border="1" cellpadding="6" cellspacing="0" bordercolor="#FFFFFF">
              <tr> 
                <td> <table width="100%" border="0" cellspacing="0" cellpadding="4">
                    <tr> 
                      <td valign="top"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                          <strong><font size="3">Cursos gratuitos, inscribase 
                          ya..!</font></strong></font></p>
                        <p align="left"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Teniendo 
                          en cuenta el &eacute;xito de los cursos y atendiendo 
                          las solicitudes de la ciudadan&iacute;a, el pr&oacute;ximo 
                          Mi&eacute;rcoles <strong>27 de Octubre de 2004</strong> 
                          se realizar&aacute; una nueva jornada de los Cursos 
                          Libres sobre Incendios Forestales. Si est&aacute; interesado 
                          (a) en participar, por favor diligencie el siguiente 
                          formato:</font></p>
                        <form name="form1" method="post" action="reqince3.php?patron=2.01">
                          <div align="center">
                            <table width="75%" border="1" cellpadding="2" cellspacing="0" bordercolor="#FFFFFF">
                              <tr> 
                                <td colspan="2" bgcolor="#CCCCCC"> <div align="center"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>FORMATO 
                                    DE INSCRIPCI&Oacute;N</strong></font></div></td>
                              </tr>
                              <tr> 
                                <td width="54%"><div align="left"><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                    <strong>NOMBRES Y APELLIDOS:</strong></font></div></td>
                                <td width="46%"><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="nombre" type="text" id="nombre">
                                  </font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>SEXO:</strong> 
                                  <select name="sexo" id="sexo">
                                    <option value="Masculino">Masculino</option>
                                    <option value="Femenino">Femenino</option>
                                  </select>
                                  </font><font size="1" face="Verdana, Arial, Helvetica, sans-serif">&nbsp;</font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>EDAD:</strong></font> <font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="edad" type="text" id="edad" size="5">
                                  A&ntilde;os </font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>DOCUMENTO DE IDENTIDAD.</strong></font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="cc" type="text" id="cc">
                                  </font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>DIRECCI&Oacute;N:</strong></font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>TEL&Eacute;FONO:</strong></font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="dire" type="text" id="dire">
                                  </font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="tel" type="text" id="tel">
                                  </font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>CORREO ELECTR&Oacute;NICO </strong>(si 
                                  lo tiene):</font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>NIVEL DE ESTUDIOS: </strong></font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="mail" type="text" id="mail">
                                  </font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <select name="estu" id="estu">
                                    <option value="Primaria">Primaria</option>
                                    <option value="Secundaria">Secundaria</option>
                                    <option value="T&eacute;cnica">T&eacute;cnica</option>
                                    <option value="Universitarios">Universitarios</option>
                                  </select>
                                  </font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                                  <strong>PROFESI&Oacute;N:</strong></font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"><strong> 
                                  OCUPACI&Oacute;N ACTUAL:</strong></font></td>
                              </tr>
                              <tr> 
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="profe" type="text" id="profe">
                                  </font></td>
                                <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                  <input name="ocup" type="text" id="ocup">
                                  </font></td>
                              </tr>
                              <tr> 
                                <td colspan="2"><div align="center"> <font size="1" face="Verdana, Arial, Helvetica, sans-serif"> 
                                    <input type="submit" name="Submit" value="Enviar mi inscripci&oacute;n">
                                    <input name="dia" type="hidden" id="dia" value="0">
                                    </font></div></td>
                              </tr>
                            </table>
                          </div>
                        </form>
                        </td>
                    </tr>
                  </table></td>
                  </tr>
            </table>
        </tr>
        <tr> 
          <td width="600"><table width="100%" border="0" cellspacing="0" cellpadding="6">
              <tr> 
                <td valign="top"> <table width="100%" border="1" cellpadding="4" cellspacing="0" bordercolor="#FFFFFF">
                    <tr> 
                      <td bordercolor="#CCCCCC"><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><img src="incegra/5.gif" width="8" height="12"> 
                        M&aacute;s Informaci&oacute;n de Incendios <br>
                        Forestales y Programa de Cerros <br>
                        Orientales: <a href="mailto:cerrosorientales@dama.gov.co"><font color="#FF9900">cerrosorientales@dama.gov.co</font></a>, 
                        <br>
                        Liliana Castro y Carlos Edgar Torres</font></td>
                    </tr>
                  </table></td>
              </tr>
            </table></td>
          <td>&nbsp;</td>
        </tr>
      </table></td>
  </tr>
  <tr> 
    <td width="128" valign="top" background="incegra/f.gif">&nbsp;</td>
  </tr>
  <tr> 
    <td width="128"><font face="Verdana, Arial, Helvetica, sans-serif">&gt;&gt; 
      </font></td>
    <td><font size="1" face="Verdana, Arial, Helvetica, sans-serif">Todos los 
      Derechos Reservados para el DAMA, Departamento T&eacute;cnico Administrativo 
      del Medio Ambiente<br>
      Sistema de Informaci&oacute;n Ambiental SIA-DAMA, 1998-2004, Bogot&aacute;, 
      Colombia. </font></td>
  </tr>
</table>
</body>
</html>

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