<!-- VER aria-labelledby="exportar" -->
<div class="modal fade"  id="seccion-dossier" tabindex="-1" role="dialog" aria-labelledby="exportar" aria-hidden="true">
  <div class="modal-dialog">
    <div class="modal-content" style="line-height: 1em;padding:30px;">
			
			<form id="form_dossier" name="form_dossier" action="/generar-contenido-dossier" method="POST" target="_BLANK">
			{{ csrf_field() }}
	      <div class="col-md-12">
		      <div class="heading-block">
		        <h3 class="modal-title text-center margin-bottom-3">Solicitud de Dossier</h3>
		      </div>
	      </div>

	      <div class="modal-body text-center">
	        <div class="row">
						<div class="col-md-12">
							<div class="col-md-12">
							
								<div class="col-md-12">
									<div class="col-md-6">
										<label for="dossier_cuit">Cuit</label>
										<input id="dossier_cuit" name="dossier_cuit" value="{{ $cuit or '' }}" type="text"  class="form-control" readonly="">
									</div>
									
									<div class="col-md-6">
										<label for="dossier_rs">Razón Social</label>
										<input id="dossier_rs" name="dossier_rs" value="{{ $razon_social or '' }}" type="select" class="form-control" readonly="" >
									</div>
								</div>


								<div class="col-md-12">
									<div class="col-md-6">
										<label for="dossier_analisis">Tipo de análisis</label>
										<select id="dossier_analisis" name="dossier_analisis" class="form-control">
										  <option selected="" value="cliente">Cliente</option>
										  <option value="competencia">Competencia</option>
										  <option value="proveedor">Proveedores</option>
										  <option value="otro">Otro</option>
										</select>
									</div>

									<div class="col-md-6">
										<label for="dossier_condidencial">Confidencial</label>	
										<select id="dossier_confidencial" name="dossier_confidencial" class="form-control">
										  <option selected="" value="Cuenta y orden">Por cuenta y orden</option>
										  <option value="confidencial">Confidencial</option>
										</select>
									</div>

								</div>	

								<div class="col-mod-12">
									<label for="dossier_observacion">Observaciones</label>
									<textarea id="dossier_observacion" rows="4" cols="50" name="dossier_observacion" class="form-control"></textarea>								
								</div>

								<div class="col-md-12" style="margin-bottom: 20px;">

								<div class="col-md-2"></div>
									<div class="col-md-8">
										<label for="dossier_telefono">Teléfono</label>
										<input type="text" id="dossier_telefono" name="dossier_telefono" class="form-control">		
									</div>	
								<div class="col-md-2" ></div>
								</div>

							</div>						
						</div>
					
					<div class="row">

						<div id="loading_dossier" class="text-center " style="display:none;border:none;">
						  <div class="col-md-12">
						    <label>Cargando... Por favor aguarde un momento.</label>
						  </div>
						  <div class="col-md-12">
						    <img style="float:none;" src="/images/loading.gif" class="loading"/>
						  </div>
						</div>
						
						<div class="col-md-12">
							<div class="col-md-6">
								<button class="btn  btn-default btn-block" data-dismiss="modal" type="button">Cancelar</button>
							</div>
							<div class="col-md-6">
								<button class="btn btn-info btn-block btn-fidelitas"  type="submit">Enviar</button>
							</div>
						</div>
					</div>
	       </div>

	       </div>
	      </form>

    </div>
  </div>
</div>