135 lines
No EOL
6.4 KiB
Cheetah
135 lines
No EOL
6.4 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Koha -- Patrons: <!-- TMPL_IF NAME="modify" -->Edit Record for <!-- TMPL_VAR NAME="surname" -->, <!-- TMPL_VAR NAME="firstname" --> (<!-- TMPL_VAR NAME="cardnumber" -->)<!-- TMPL_ELSE -->Add New Patron<!-- /TMPL_IF --><!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
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<!-- TMPL_INCLUDE NAME="masthead.inc" -->
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<!-- TMPL_INCLUDE NAME="members-topmenu.inc" -->
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<!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->
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<div id="main">
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<form action="/cgi-bin/koha/members/newmember.pl" method="post">
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<h1><!-- TMPL_IF NAME="addAction" -->Add New Patron<!-- TMPL_ELSE -->Update Patron Details<!-- /TMPL_IF -->:</h1><!-- TMPL_IF NAME="modify" --> <h2><!-- TMPL_VAR NAME="surname" -->, <!-- TMPL_VAR name="firstname" --></h2><!-- /TMPL_IF -->
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<div class="table">
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<table>
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<tr>
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<td><label for="surname">Last Name:</label></td><td><input type="text" id="surname" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->" /></td> <td><label for="sex">Sex:</label> </td>
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<td><input type="radio" id="sex" name="sex" value="F"<!-- TMPL_IF NAME="female" --> checked="checked"<!-- /TMPL_IF --> />F
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<input type="radio" name="sex" value="M"<!-- TMPL_UNLESS NAME="female" --> checked="checked"<!-- /TMPL_UNLESS --> /> M</td></tr>
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<tr>
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<td><label for="firstname">First Name:</label></td>
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<td><input type="text" id="firstname" name="firstname" size="20" value="<!-- TMPL_VAR NAME="firstname" -->" /></td><td><label for="dateofbirth">Date of Birth:</label></td>
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<td><input type="text" id="dateofbirth" name="dateofbirth" size="10" value="<!-- TMPL_VAR NAME="dateofbirth" -->" />
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(<!-- TMPL_VAR NAME=dateformat -->) </td>
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</tr>
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<tr>
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<td><label for="address">Address:</label> </td>
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<td colspan="3"><input type="text" id="address" name="address" size="25" value="<!-- TMPL_VAR NAME="address" -->" /><br />
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<input type="text" name="streetaddress" size="25" value="<!-- TMPL_VAr NAME="streetaddress" -->" /></td>
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</tr>
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<tr>
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<td><label for="city">City, State:</label></td>
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<td colspan="3"><input type="text" id="city" name="city" size="20" value="<!-- TMPL_VAR NAME="city" -->" /></td>
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</tr>
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<tr>
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<td><label for="zipcode">Zip:</label></td>
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<td colspan="3"><input id="zipcode" name="zipcode" type="text" value="<!-- TMPL_VAR NAME="zipcode" -->" size="20" />
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</td>
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</tr>
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<tr>
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<td><label for="phone">Phone (Home):</label></td>
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<td colspan="3"><input id="phone" type="text" name="phone" size="20" value="<!-- TMPL_VAR NAME="phone" -->" />
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</td>
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</tr>
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<tr>
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<td><label for="phoneday">Phone (Day):</label></td>
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<td colspan="3"><input id="phoneday" type="text" name="phoneday" size="20" value="<!-- TMPL_VAR NAME="phoneday" -->" />
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</td>
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</tr>
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<tr>
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<td><label for="faxnumber"> Fax:</label></td>
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<td colspan="3"><input id="faxnumber" type="text" name="faxnumber" size="20" value="<!-- TMPL_VAR NAME="faxnumber" -->" /></td>
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</tr>
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<tr>
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<td><label for="emailaddress">Email:</label></td>
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<td colspan="3"><input type="text" id="emailaddress" name="emailaddress" size="30" value="<!-- TMPL_VAR NAME="emailaddress" -->" /></td>
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</tr>
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<tr>
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<td><label for="borrowernotes">Notes:</label></td>
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<td colspan="3"><textarea id="borrowernotes" name="borrowernotes" cols="30" rows="3"><!-- TMPL_VAR NAME="borrowernotes" --></textarea></td>
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</tr>
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</table>
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</div>
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<div class="table">
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<table>
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<caption>Alternate Contact</caption>
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<tr>
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<td><label for="contactname">Name:</label></td>
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<td colspan="3"><input type="text" id="contactname" name="contactname" size="40" value="<!-- TMPL_VAR NAME="contactname" -->" /></td>
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</tr>
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<tr>
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<td><label for="altphone">Phone:</label></td>
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<td><input type="text" id="altphone" name="altphone" size="20" value="<!-- TMPL_VAR NAME="altphone" -->" /></td>
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<td><label for="altrelationship">Relationship:</label></td>
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<td>
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<select name="altrelationship" id="altrelationship">
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<option value=""></option>
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<!-- TMPL_LOOP NAME="relshiploop" -->
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<option <!-- TMPL_VAR NAME="selected" -->><!-- TMPL_VAR NAME="relationship" --></option>
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<!-- /TMPL_LOOP -->
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</select>
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</td>
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</tr>
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<tr>
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<td><label for="altnotes">Notes:</label></td>
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<td colspan="3"><textarea id="altnotes" name="altnotes" cols="30" rows="3"><!-- TMPL_VAR NAME="altnotes" --></textarea></td>
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</tr>
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</table>
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</div>
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<!-- TMPL_IF NAME="modify" -->
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<div class="table">
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<table>
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<caption>Flags</caption>
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<!-- TMPL_LOOP NAME="flagloop" -->
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<tr>
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<td><label for="<!-- TMPL_VAR NAME="name" -->"><!-- TMPL_VAR NAME="html" --></label></td>
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<td><input type="radio" id="<!-- TMPL_VAR NAME="name" -->" name="<!-- TMPL_VAR NAME="name" -->" value="1" <!-- TMPL_VAR NAME="yes" --> />Yes
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<input type="radio" id="<!-- TMPL_VAR NAME="name" -->" name="<!-- TMPL_VAR NAME="name" -->" value="0" <!-- TMPL_VAR NAME="no" --> />No
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</td>
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</tr>
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<!-- /TMPL_LOOP -->
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</table></div>
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<!-- /TMPL_IF -->
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<div class="table"><table>
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<caption>Patron Details</caption>
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<tr><td><label for="membernumber">Member Number:</label></td><td><span class="ex"><!-- TMPL_VAR NAME="member" --></span></td></tr> <tr><td><label for="categorycode">Category:</label></td>
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<td><!-- TMPL_VAR NAME="catcodepopup" --></td></tr>
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<tr> <td><label for="branchcode">Branch:</label></td>
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<td><!-- TMPL_VAR name="CGIbranch" --></td></tr>
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<tr> <td><label for="cardnumber">Card Number:</label></td>
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<td>
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<input type="text" name="cardnumber" id="cardnumber" size="10" value="<!-- TMPL_IF NAME="modify" --><!-- TMPL_VAR NAME="cardnumber" --><!-- /TMPL_IF -->" maxlength="7" />
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<input type="hidden" name="joining" value="<!-- TMPL_VAR NAME="dateenrolled" -->" />
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<input type="hidden" name="expiry" value="<!-- TMPL_VAR NAME="expiry" -->" />
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<input type="hidden" name="type" value="borrowers" />
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<input type="hidden" name="borrowernumber" value="<!-- TMPL_VAR NAME="member" -->" />
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<input type="hidden" name="updtype" value="<!-- TMPL_VAR NAME="updtype" -->" /></td>
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</tr>
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</table></div>
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<p><input type="hidden" name="type" value="<!-- TMPL_VAR NAME="type" -->" /><input name="submit" type="submit" class="submit" value="<!-- TMPL_IF NAME="modify" -->Update<!-- TMPL_ELSE -->Add<!-- /TMPL_IF --> This Member" />
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<input class="cancel" type="button" value="Cancel" onclick="location.href='/cgi-bin/koha/members/moremember.pl?bornum=<!-- TMPL_VAR NAME="member" -->'; return false;" /></p>
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</form>
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</div>
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<!-- TMPL_INCLUDE NAME="intranet-bottom.inc" --> |