Koha/koha-tmpl/intranet-tmpl/default/en/members/jmemberentry.tmpl

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<HTML>
<!-- startmenu (member)
this includes the head-container and <body>
including this via var contradicts the separation of code and design
a solution via tmpl_include would be better -->
<TMPL_VAR NAME=startmenumember>
<!-- here comes the junior stuff -->
<BLOCKQUOTE>
<FONT SIZE=6><em>Add New Junior Member </em></font><br>
<form action=/cgi-bin/koha/newjmember.pl method=post>
<!--<input type=hidden name=joining value="">
<input type=hidden name=expiry value="">
<input type=hidden name=type value="borrowers">-->
<input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
<input type=hidden name=updtype value=I>
<input type=hidden name=area value="<TMPL_VAR NAME=area>">
<input type=hidden name=city value="<TMPL_VAR NAME=city>">
<input type=hidden name=street value="<TMPL_VAR NAME=address>">
<input type=hidden name=streetaddress value="<TMPL_VAR NAME=streetaddress>">
<input type=hidden name=streetcity value="<TMPL_VAR NAME=streetcity>">
<input type=hidden name=phone value="<TMPL_VAR NAME=phone>">
<input type=hidden name=phoneday value="<TMPL_VAR NAME=phoneday>">
<input type=hidden name=faxnumber value="<TMPL_VAR NAME=faxnumber>">
<input type=hidden name=emailaddress value="<TMPL_VAR NAME=emailaddress>">
<input type=hidden name=contactname value="<TMPL_VAR NAME=contactname>">
<input type=hidden name=altphone value"<TMPL_VAR NAME=altphone>">
<table border=0 cellspacing=0 cellpadding=5 >
<tr valign=top><td COLSPAN=1><input type=reset value="Clear all Fields"></td></tr>
<tr valign=top bgcolor="99cc33" ><td COLSPAN=5 background="/images/background-mem.gif"></td></tr>
<tr valign=top bgcolor="99cc33" ><td COLSPAN=5 background="/images/background-mem.gif">
<B>PARENT OR GUARDIAN </b></td></tr>
<tr valign=top bgcolor=white>
<td>
<SELECT NAME="title" SIZE="1">
<OPTION value=" ">No Title
<TMPL_LOOP NAME=titleloop>
<OPTION value="<TMPL_VAR NAME=title>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=title>
</TMPL_LOOP>
</SELECT>
</td>
<td><input type=text name=firstname_guardian size=20 value="<TMPL_VAR NAME=firstname>"></td>
<td colspan=2><input type=text name=surname_guardian size=20 value="<TMPL_VAR NAME=surname>"></td>
<td><input type=text name=guardian_number size=20 value="<TMPL_VAR NAME=cardnumber>"></td>
</tr>
<tr valign=top bgcolor=white>
<td><FONT SIZE=2>Title</FONT></td>
<td><FONT SIZE=2>Given Names*</FONT></td>
<td colspan=2><FONT SIZE=2>Surname*</FONT></td>
<td><FONT SIZE=2>Membership No.</FONT></td>
</tr>
<tr><td>&nbsp; </TD></TR>
<TMPL_LOOP NAME=cmemloop>
<tr valign=top bgcolor="99cc33">
<td COLSPAN=5 background="/images/background-mem.gif">
<B>CHILD <TMPL_VAR NAME=count></b>
</td>
</TR>
<tr valign=top></tr>
<TR>
<td COLSPAN=4 ALIGN=RIGHT ><font size=3 face='arial,helvetica'>
<STRONG>Member# <TMPL_VAR NAME=cmember>, Card Number*</STRONG>
</TD>
<TD>
<input type=text name=cardnumber_child_<TMPL_VAR NAME=i> size=20 value=""><br>
<input type=hidden name=bornumber_child_<TMPL_VAR NAME=i> value="<TMPL_VAR NAME=cmember>">
</td>
</TR>
<tr bgcolor=white>
<td><input type=text name=firstname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
<td><input type=text name=surname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
<td><input type=text name=dateofbirth_child_<TMPL_VAR NAME=i> size=10 value=""></TD>
<TD>
<input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="F">F
<input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="M">M*
</td>
<TD align=right><input type=text name=school_child_<TMPL_VAR NAME=i> size=20 value=""></TD>
</tr>
<tr valign=top bgcolor=white>
<td><FONT SIZE=2>Given Names*</FONT></td>
<td><FONT SIZE=2>Surname*</FONT></td>
<td><FONT SIZE=2>Date of Birth<BR> (dd/mm/yy)*</FONT></td>
<td><FONT SIZE=2>&nbsp;</FONT></td>
<td><FONT SIZE=2>School</FONT></td>
</tr>
<tr valign=top bgcolor=white>
<td COLSPAN=5><textarea name=altnotes_child_<TMPL_VAR NAME=i> wrap=physical cols=70 rows=3></textarea></td>
</tr>
<tr valign=top bgcolor=white>
<td><FONT SIZE=2>Notes</font></td>
</tr>
<tr><td>&nbsp; </TD></TR>
</TMPL_LOOP>
<tr valign=top bgcolor=white>
<td COLSPAN=5 align=right >
<input type=image src="/images/save-changes.gif" WIDTH=188 HEIGHT=44 ALT="Add New Member" border=0>
</td>
</tr>
</TABLE>
</form>
<TMPL_VAR NAME=endmenumember>
</body>
</HTML>