{% if label1 %} {% with label=label1 class_label=class_label1 style_label=style_label1 %} {% include "assemblerpdf/fields/field_label.html" %} {% endwith %} {% endif %} {% with valor=valor1 name=name1 interactive=interactive1|default(interactive|default(True)) class_control=class_control1 style_control=style_control1 placeholder=placeholder1|default(placeholder|default('')) disabled=disabled1|default(disabled) %} {% include "assemblerpdf/fields/field_input.html" %} {% endwith %}

{% if label2 %} {% with label=label2 class_label=class_label2 style_label=style_label2 %} {% include "assemblerpdf/fields/field_label.html" %} {% endwith %} {% endif %} {% with valor=valor2 name=name2 interactive=interactive2|default(interactive|default(True)) class_control=class_control2 style_control=style_control2 placeholder=placeholder2|default(placeholder|default('')) disabled=disabled2|default(disabled) %} {% include "assemblerpdf/fields/field_input.html" %} {% endwith %}

{% if label3 %} {% with label=label3 class_label=class_label3 style_label=style_label3 %} {% include "assemblerpdf/fields/field_label.html" %} {% endwith %} {% endif %} {% with valor=valor3 name=name3 interactive=interactive3|default(interactive|default(True)) class_control=class_control3 style_control=style_control3 placeholder=placeholder3|default(placeholder|default('')) disabled=disabled3|default(disabled) %} {% include "assemblerpdf/fields/field_input.html" %} {% endwith %}

{% if label4 %} {% with label=label4 class_label=class_label4 style_label=style_label4 %} {% include "assemblerpdf/fields/field_label.html" %} {% endwith %} {% endif %}

{% if valor4 == "Urbana" %} {% else %} {% endif %}

Urbana

{% if valor4 == "Rural" %} {% else %} {% endif %}

Rural