85 lines
1.9 KiB
Cheetah
85 lines
1.9 KiB
Cheetah
<!-- TMPL_INCLUDE Name="members-top.inc" -->
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<!-- TMPL_IF Name="NOK" -->
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<!-- TMPL_VAR Name="string" -->
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<!-- TMPL_ELSE -->
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<H1> Confirm Record </H1>
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<!-- TMPL_LOOP Name="identsloop" -->
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<!-- TMPL_IF Name="cardchild" -->
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<table border=0 cellspacing=0 cellpadding=5>
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
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<td background="<!-- TMPL_VAR Name="image" -->">
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<B> NEW MEMBER </B>
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</td>
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<td>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Name</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="name" -->
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</td>
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</tr>
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<tr valign=top bgcolor="<!-- TMPL_VAR Name="main" -->" >
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<td background="<!-- TMPL_VAR Name="image" -->">
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<B> MEMBERSHIP DETAILS </B>
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</td>
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<td>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Membership Number</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="bornum" -->
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Date of birth</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="dob" -->
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Sex</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="sex" -->
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>School</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="school" -->
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>General Notes</B>
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</td>
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<td>
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<!-- TMPL_VAR Name="notes" -->
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</td>
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</tr>
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</TABLE><p>
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<!-- /TMPL_IF -->
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<!-- /TMPL_LOOP -->
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<form action="/cgi-bin/koha/insertjdata.pl" method=post>
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<!-- TMPL_LOOP NAME=inputsloop -->
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<input type=hidden name="<!-- TMPL_VAR NAME="key" -->" value="<!-- TMPL_VAR NAME="value" -->">
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<!-- /TMPL_LOOP -->
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<input type=submit name=submit value=submit>
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</form>
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<!-- /TMPL_IF -->
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<!-- TMPL_INCLUDE Name="members-bottom.inc" -->
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