captura.html

<div class="row">
    <div class="col-md-12">
        <h1 class="page-header">
            Forma de Captura
        </h1>
    </div>
</div>

<div class="row">
  <div class="col-sm-12">
    <div class="panel panel-default">
      <div class="panel-heading">
        Forma de Captura
      </div>
      <div class="panel-body">
        <form id="capture-form">
          <div class="form-group">
            <label>Nombre</label>
            <input type="text" name="nombre" class="form-control"/>
          </div>
          <div class="form-group">
            <label>Paterno</label>
            <input type="text" name="apellido" class="form-control"/>
          </div>
          <div class="form-group">
            <label>Materno</label>
            <input type="text" name="materno" class="form-control"/>
          </div>
          <div class="form-group">
            <button type="submit" class="btn btn-primary">Guardar</button>
          </div>
        </form>
      </div>
    </div>
  </div>
</div>