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<div class="content">
  <h2>Formulario de Optimización de Crédito</h2>
  <form action="?registro=Activo" enctype="multipart/form-data" name="registro" method="post">

    <input type="hidden" name="id_us" value="">

    <label class="form-label">Primer Nombre *</label>
    <input type="text" class="form-control" name="fn_primer_nombre" required>

    <label class="form-label">Segundo Nombre (opcional)</label>
    <input type="text" class="form-control" name="fn_segundo_nombre">

    <label class="form-label">Apellidos *</label>
    <input type="text" class="form-control" name="fn_apellidos" required>

    <label class="form-label">Número de Teléfono *</label>
    <input type="text" class="form-control" name="fn_telefono" required>

    <label class="form-label">Email *</label>
    <input type="email" class="form-control" name="fn_email" required>

    <label class="form-label">Número de Seguro Social (SSN) *</label>
    <input type="text" class="form-control" name="fn_ssn" required>

    <label class="form-label">Fecha de Nacimiento *</label>
    <input type="date" class="form-control" name="fn_fecha_nacimiento" required>

    <label class="form-label">Dirección (Personal) *</label>
    <input type="text" class="form-control" name="fn_direccion" required>

    <label class="form-label">Ciudad *</label>
    <input type="text" class="form-control" name="fn_ciudad" required>

    <label class="form-label">Estado *</label>
    <input type="text" class="form-control" name="fn_estado" required>

    <label class="form-label">Código Postal *</label>
    <input type="text" class="form-control" name="fn_codigo_postal" required>

    <h4>Agencia de Reporte de Crédito</h4>
    <label class="form-label">Agencia *</label>
    <input type="text" class="form-control" name="fn_agencia" required>

    <label class="form-label">Correo - Reporte de Crédito</label>
    <input type="email" class="form-control" name="fn_correo_reporte">

    <label class="form-label">Clave - Reporte de Crédito</label>
    <input type="password" class="form-control" name="fn_clave_reporte">

    <h4>Acceso a Transunion</h4>
    <input type="text" class="form-control" name="fn_usuario_transunion" placeholder="Usuario Transunion *" >
    <input type="password" class="form-control" name="fn_clave_transunion" placeholder="Clave Transunion *" >
    <p>Crea tu clave en TransUnion y accede a tu historial crediticio de forma segura <a href="https://service.transunion.com/dss/orderStep1_form.page" target="_new" >Inscribete aqui</a></p>
    <h4>Acceso a Experian</h4>
    <input type="text" class="form-control" name="fn_usuario_experian" placeholder="Usuario Experian *" >
    <input type="password" class="form-control" name="fn_clave_experian" placeholder="Clave Experian *" >
    <p>Crea tu clave en Experian y accede a tu historial crediticio de forma segura <a href="https://usa.experian.com/login/" target="_new" >Inscribete aqui</a></p>
    
    <h4>Acceso a Equifax</h4>
    <input type="text" class="form-control" name="fn_usuario_equifax" placeholder="Usuario Equifax *" >
    <input type="password" class="form-control" name="fn_clave_equifax" placeholder="Clave Equifax *" >
    <p>Crea tu clave en Equifax y accede a tu historial crediticio de forma segura <a href="https://my.equifax.com/consumer-registration/UCSC/#/personal-info" target="_new" >Inscribete aqui</a></p>
    
    <h4>Acceso a SMARCREDIT</h4>
    <label class="form-label">Usuario</label>
    <input type="text" class="form-control" name="fn_usuario_smarcredit">
      

    <label class="form-label">Clave</label>
    <input type="password" class="form-control" name="fn_clave_smarcredit">
      <p>Crea tu clave en SMARCREDIT y accede a tu historial crediticio de forma segura <a href=" https://www.smartcredit.com/?PID=89218" target="_new" >Inscribete aqui</a></p>
    
    <h4>Dun & Bradstreet Login</h4>
    <label class="form-label">Usuario</label>
    <input type="text" class="form-control" name="fn_usuario_dnb">

    <label class="form-label">Clave</label>
    <input type="password" class="form-control" name="fn_clave_dnb">
      <p>Crea tu clave en Dun y accede a tu historial crediticio de forma segura <a href="https://my.dnb.com/login" target="_new" >Inscribete aqui</a></p>
    
    <h4>Documentos Personales</h4>
    <label class="form-label">ID (Documento de Identidad) *</label>
    <input type="file" class="form-control" name="fn_doc_id">
    
    <label class="form-label">SSN (Tarjeta de Seguro Social) *</label>
    <input type="file" class="form-control" name="fn_doc_ssn">

    <label class="form-label">Estado de cuenta bancario / Factura de servicios *</label>
    <input type="file" class="form-control" name="fn_doc_direccion">

    <h4>Financiamiento de Negocio</h4>
    <label class="form-label">Carta de verificación del EIN</label>
    <input type="file" class="form-control" name="fn_doc_ein">

    <label class="form-label">Documento entidad comercial</label>
    <input type="file" class="form-control" name="fn_doc_entidad">

    

    <button type="submit" class="btn btn-primary">Enviar</button>
  </form>
</div>
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