Koha/koha-tmpl/intranet-tmpl/default/fr/members/memberentry.tmpl

<TMPL_INCLUDE NAME="members-top.inc">

<FONT SIZE=6><em><TMPL_VAR NAME=header></em></FONT><br>

<form action=/cgi-bin/koha/newmember.pl method=post>
	<input type=hidden name=joining value="<TMPL_VAR NAME=dateenrolled>">
	<input type=hidden name=expiry value="<TMPL_VAR NAME=expiry>">
	<input type=hidden name=type value="borrowers">
	<input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
	<input type=hidden name=updtype value="<TMPL_VAR NAME=updtype>">

	<table border=0 cellspacing=0 cellpadding=5 >
	<tr valign=top>
		<td COLSPAN=2>
		<input type=reset value="Effacer tous les champs">
		</td>
		<td COLSPAN=3 ALIGN=RIGHT>
			<font size="4" face="arial,helvetica">N&deg; de lecteur<TMPL_VAR NAME=member>, N&deg; de carte*
			<input type=text name=cardnumber size=10 value="<TMPL_VAR NAME=cardnumber>">
			<br>
			</font>
		</td>
	</tr>
	<tr valign=top>
		<td COLSPAN=3 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><b>DETAILS PERSONNELS LECTEUR</b></td>
		<td COLSPAN=2 ALIGN=RIGHT background="<TMPL_VAR name="themelang">/images/background-mem.gif">*
			<input type="radio" name="sex" value="F" <TMPL_IF NAME=female>checked</TMPL_IF>>F
			<input type="radio" name="sex" value="M" <TMPL_UNLESS NAME=female>checked</TMPL_UNLESS>> M <B>Date de naissance</B> (jj/mm/aa)
			<input type=text name=dateofbirth size=10 value="<TMPL_VAR NAME=dateofbirth>">
		</td>
	</tr>

	<tr valign=top bgcolor=white>
		<td><FONT SIZE=2>Titre</FONT></td>
		<td><FONT SIZE=2>Initiales</FONT></td>
		<td><font size="2">Pr&eacute;noms*</font></td>
		<td><font size="2">Nom*</font></td>
		<td><font size="2">Nom d'usage</font></td>
	</tr>
	<tr valign=top bgcolor=white>
		<td>
		<SELECT NAME="title">
			<option<TMPL_VAR name="title_selected_ "> value=" ">Aucun</option>
			<option value="Mlle"<TMPL_VAR name="title_Mlle">>Miss</option>
			<option value="Mme"<TMPL_VAR name="title_Mme">>Mrs</option>
			<option <TMPL_VAR name="title_M"> value="M" >M</option>
			<option value="Dr" <TMPL_VAR name="title_Dr">>Dr</option>
		</SELECT>
		</td>
		<td>
		<input type=text name=initials size=5 value="<TMPL_VAR NAME=initials>">
		</td>
		<td>
		<input type=text name=firstname size=20 value="<TMPL_VAR NAME=firstname>">
		</td>
		<td>
		<input type=text name=surname size=20 value="<TMPL_VAR NAME=surname>">
		</td>
		<td>
		<input type=text name=othernames size=20 value="<TMPL_VAR NAME=othernames>">
		</td>
	</tr>

	<tr valign=top bgcolor=white> <TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
		<td colspan=2>&nbsp;</td>
		<td colspan=2>&nbsp;</td>
		<TMPL_ELSE>
		<td colspan=2>&nbsp;</td>
		<td colspan=2>&nbsp;</td>
		</TMPL_IF>
		<td><font size="2">Cat&eacute;gorie d'utilisateur*</font></td>
	</tr>
	<tr valign=top bgcolor=white>
		<td colspan=4>
			<TMPL_VAR NAME=catcodepopup></td>
	</tr>

	<tr valign=top bgcolor="99cc33" >
		<td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>ADRESSE DU LECTEUR</b></td>
	</tr>

	<tr valign=top bgcolor=white>
		<td  COLSPAN=3><font size="2">Adresse postale*</font></td>
		<td><font size="2">Ville*</font></td>
		<td><font size="2">CP</font></td>
	</tr>
	<tr valign=top bgcolor=white>
		<td COLSPAN=3>
		<input type=text name=address size=40 value="<TMPL_VAR NAME=streetaddress>">
		</td>
		<td>
		<input type=text name=city size=20 value="<TMPL_VAR NAME=city>">
		</td>
		<td>
			<TMPL_VAR name="CGIbranch">
		</td>
	</tr>

	<tr valign=top bgcolor=white>
		<td COLSPAN=3><font size="2">Rue</font></td>
		<td><font size="2">Ville</font></td>
	</tr>
	<tr>
		<td>&nbsp; </TD>
	</TR>
	<tr valign=top bgcolor=white>
		<td COLSPAN=3>
		<input type=text name=streetaddress size=40 value="<TMPL_VAR NAME=streetaddress>">
		</td>
		<td>
		<input type=text name=streetcity size=20 value="<TMPL_VAR NAME=streetcity>">
		</td>
	</tr>

	<tr valign=top bgcolor="99cc33">
		<td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>CONTACTER LE LECTEUR</b></td>
	</tr>

	<tr valign=top bgcolor=white>
		<td COLSPAN=2 ><font size="2">T&eacute;l&eacute;phone personnel</font></td>
		<td><font size="2">T&eacute;l&eacute;phone professionnel</font></td>
		<td><FONT SIZE=2>Fax</font></td>
		<td><FONT SIZE=2>Email</font></td>
	</tr>
	<tr valign=top bgcolor=white>
		<td COLSPAN=2>
		<input type=text name=phone size=20 value="<TMPL_VAR NAME=phone>">
		</td>
		<td>
		<input type=text name=phoneday size=20 value="<TMPL_VAR NAME=phoneday>">
		</td>
		<td>
		<input type=text name=faxnumber size=20 value="<TMPL_VAR NAME=faxnumber>">
		</td>
		<td>
		<input type=text name=emailaddress size=20 value="<TMPL_VAR NAME=emailaddress>">
		</td>
	</tr>

	<tr valign=top bgcolor="99cc33">
		<td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>AUTRE CONTACT</b></td>
	</tr>

	<tr valign=top bgcolor=white>
		<td   COLSPAN=3 ><FONT SIZE=2>Nom*</font></td>
		<td><font size="2">T&eacute;l&eacute;phone</font></td>
		<td><FONT SIZE=2>Relation avec le lecteur*</font></td>
	</tr>
	<tr valign=top bgcolor=white>
		<td COLSPAN=3 >
		<input type=text name=contactname size=40 value="<TMPL_VAR NAME=contactname>">
		</td>
		<td>
		<input type=text name=altphone size=20 value="<TMPL_VAR NAME=altphone>">
		</td>
		<td>
		<select name=altrelationship size=1>
			<TMPL_LOOP NAME=relshiploop>
			<OPTION <TMPL_VAR NAME=selected>><TMPL_VAR NAME=relationship>
			</TMPL_LOOP>
		</select>
		</td>
	</tr>

	<tr valign=top bgcolor=white>
		<td><font size="2">Remarques</font></td>
		<td COLSPAN=4>
		<textarea name=altnotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=altnotes></textarea>
		</td>
	</tr>

	<tr valign=top bgcolor="99cc33">
		<td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>UTILISATION DE
		LA BIBLIOTHEQUE</B></td>
	</tr>
	<tr valign=top >
		<td><font size="2">Remarques</font></td>
		<td COLSPAN=4>
		<textarea name=borrowernotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=borrowernotes></textarea>
		</td>
	</tr>
	<tr>
		<td>&nbsp; </TD>
	</TR>
	<TMPL_IF NAME=modify>
	<tr>
		<td COLSPAN=5><Font size=2>Indicateurs</font></td>
	</tr>
	<TMPL_LOOP NAME=flagloop>
	<tr>
		<td COLSPAN=2><TMPL_VAR NAME=html></td>
		<td COLSPAN=3>
		<input type=radio name="<TMPL_VAR NAME=name>" value="1" <TMPL_VAR NAME=yes>>Oui
		<input type=radio name="<TMPL_VAR NAME=name>" value="0" <TMPL_VAR NAME=no>>Non </td>
	</tr>
	</TMPL_LOOP> </TMPL_IF>
	<tr>
		<td></td>
		<td><input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0 ></td>
	</tr>

	</table>
</form>
<TMPL_INCLUDE NAME="members-bottom.inc">