59 lines
1.5 KiB
Cheetah
59 lines
1.5 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Borrower Details<!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
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<div id="mainbloc">
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<h1>BORROWER DETAILS</h1>
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<form name="form" method="post" action="/cgi-bin/members/borrowers_details.pl">
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<div >
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<!-- TMPL_IF NAME="Institution"-->
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<p>
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<label>borrower categorie</label>
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<input type="text" name="description" size="20" value="<!-- TMPL_VAR NAME="description" -->" >
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</p>
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<p>
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<label>organisation name</label>
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<input style="text-transform:uppercase;" type="text" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->" >
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</p>
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<!-- TMPL_ELSE -->
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<p>
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<label>borrower categorie</label>
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<input type="text" name="description" size="20" value="<!-- TMPL_VAR NAME="description" -->" >
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</p>
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<p>
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<label>title</label>
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<input type="text" name="title" size="20" value="<!-- TMPL_VAR NAME="title" -->" >
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</p>
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<p>
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<label>surname</label>
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<input style="text-transform:uppercase;" type="text" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->" >
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</p>
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<p>
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<label>firstname</label>
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<input style="text-transform:capitalize;" type="text" name="firstname" size="20" value="<!-- TMPL_VAR NAME="firstname" -->">
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</p>
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<p>
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<label>Date of birth </label>
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<input type="text" name="dateofbirth" size="20" value="<!-- TMPL_VAR NAME="dateofbirth" -->">
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</p>
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<!-- /TMPL_IF -->
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<p>
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<div align="center">
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<a href="#" onclick="window.close()">Close Window</a>
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</div>
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</p>
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</form>
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