diff --git a/koha-tmpl/intranet-tmpl/default/en/members/member-picupload.tmpl b/koha-tmpl/intranet-tmpl/default/en/members/member-picupload.tmpl
new file mode 100644
index 0000000000..605f56d280
--- /dev/null
+++ b/koha-tmpl/intranet-tmpl/default/en/members/member-picupload.tmpl
@@ -0,0 +1,16 @@
+<!-- TMPL_INCLUDE NAME="members-top.inc" -->
+
+<div id="mainbloc">
+	<div id="bloc25">
+	<h2 class="members">Upload Picture</h2>
+	Member name:: <!-- TMPL_VAR NAME="name" --><!-- TMPL_VAR NAME="bornum" --><br>
+	<FORM ACTION="/cgi-bin/koha/members/member-picupload.pl" METHOD="post" ENCTYPE="multipart/form-data"> 
+    Photo to Upload: <INPUT TYPE="file" NAME="photo"> 
+    <INPUT TYPE="hidden" NAME="bornum" VALUE="<!-- TMPL_VAR NAME="bornum" -->">
+  
+ <br><br> 
+ <INPUT TYPE="submit" NAME="Submit" VALUE="Submit Form"> 
+ </FORM>
+	</div>
+</div>
+<!-- TMPL_INCLUDE NAME="members-bottom.inc" -->	
\ No newline at end of file