Main Koha release repository https://koha-community.org
You can not select more than 25 topics Topics must start with a letter or number, can include dashes ('-') and can be up to 35 characters long.
 
 
 
 
 
 

803 lines
45 KiB

[% USE Koha %]
[% USE KohaDates %]
[% SET userupdateview = 1 %]
[% INCLUDE 'doc-head-open.inc' %]
<title>[% IF ( LibraryNameTitle ) %][% LibraryNameTitle %][% ELSE %]Koha online[% END %] catalog &rsaquo; [% IF action == 'edit' %]Update your personal details[% ELSE %]Register a new account[% END %]</title>
[% INCLUDE 'doc-head-close.inc' %]
[% BLOCK cssinclude %][% END %]
</head>
[% IF action == 'edit' %]
[% INCLUDE 'bodytag.inc' bodyid='opac-patron-update' %]
[% ELSE %]
<body id="opac-patron-registration" class="opac">
[% END %]
[% INCLUDE 'masthead.inc' %]
<div class="main">
<ul class="breadcrumb">
<li><a href="/cgi-bin/koha/opac-main.pl">Home</a> <span class="divider">&rsaquo;</span></li>
[% IF action == 'edit' %]
<li><a href="/cgi-bin/koha/opac-user.pl">[% borrower.firstname %] [% borrower.surname %]</a> <span class="divider">&rsaquo;</span></li>
<li><a href="#">Your personal details</a></li>
[% ELSE %]
<li><a href="#">Register a new account</a></li>
[% END %]
</ul>
<div class="container-fluid">
<div class="row-fluid">
<div class="span2">
<div id="navigation">
[% INCLUDE 'navigation.inc' IsPatronPage=1 %]
</div>
</div>
<div class="span10">
[% IF action == 'edit' %]
<div id="update-account">
[% ELSE %]
<div id="add-account">
[% END %]
[% IF action == 'edit' %]
[% UNLESS OPACPatronDetails %]
<div class="alert alert-info">To make changes to your record please contact the library.</div>
[% END %]
[% END %]
[% IF empty_mandatory_fields %]
<div class="alert">You have not filled out all required fields. Please fill in all missing fields and resubmit.</div>
[% END %]
[% IF failed_captcha %]
<div class="alert">You typed in the wrong characters in the box before submitting. Please try again.</div>
[% END %]
<form method="post" action="/cgi-bin/koha/opac-memberentry.pl" id="memberentry-form">
[% UNLESS hidden.defined('branchcode') %]
<fieldset class="rows" id="memberentry_library">
<legend id="library_legend">Library</legend>
<ol>
<li>
<label>Card number</label>
<input type="text" value="[% borrower.cardnumber %]" disabled="disabled"/>
</li>
[% UNLESS hidden.defined('branchcode') %]
<li>
[% IF mandatory.defined('branchcode') %]
<label for="borrower_branchcode" class="required">
[% ELSE %]
<label for="borrower_branchcode">
[% END %]
Home library:</label>
<select id="borrower_branchcode" name="borrower_branchcode">
[% FOREACH b IN branches %]
[% IF b.value == borrower.branchcode %]
<option value="[% b.value %]" selected="selected">[% b.branchname %]</option>
[% ELSE %]
<option value="[% b.value %]">[% b.branchname %]</option>
[% END %]
[% END %]
</select>
</li>
[% END %]
</ol>
</fieldset>
[% END # / defined 'branchcode' %]
[% UNLESS
hidden.defined('title') && hidden.defined('surname') && hidden.defined('firstname') &&
hidden.defined('dateofbirth') && hidden.defined('initials') && hidden.defined('othernames') &&
hidden.defined('sex')
%]
<div class="row-fluid">
[% IF ( display_patron_image ) %]
<div class="span8">
[% ELSE %]
<div class="span12">
[% END %]
<fieldset class="rows" id="memberentry_identity">
<legend id="identity_legend">Identity</legend>
<ol>
[% UNLESS hidden.defined('title') || !member_titles %]
<li>
[% IF mandatory.defined('title') %]
<label for="borrower_title" class="required">
[% ELSE %]
<label for="borrower_title">
[% END %]
Salutation:</label>
<select id="borrower_title" name="borrower_title">
[% FOREACH mt IN member_titles %]
[% IF mt == borrower.title %]
<option value="[% mt %]" selected="selected">[% mt %]</option>
[% ELSE %]
<option value="[% mt %]">[% mt %]</option>
[% END %]
[% END %]
</select>
</li>
[% END %]
[% UNLESS hidden.defined('surname') %]
<li>
[% IF mandatory.defined('surname') %]
<label for="borrower_surname" class="required">
[% ELSE %]
<label for="borrower_surname">
[% END %]
Surname:</label>
<input type="text" id="borrower_surname" name="borrower_surname" value="[% borrower.surname %]" />
[% IF mandatory.defined('surname') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('firstname') %]
<li>
[% IF mandatory.defined('firstname') %]
<label for="borrower_firstname" class="required">
[% ELSE %]
<label for="borrower_firstname">
[% END %]
First name:</label>
<input type="text" id="borrower_firstname" name="borrower_firstname" value="[% borrower.firstname %]" />
[% IF mandatory.defined('firstname') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('dateofbirth') %]
<li>
[% IF mandatory.defined('dateofbirth') %]
<label for="borrower_dateofbirth" class="required">
[% ELSE %]
<label for="borrower_dateofbirth">
[% END %]
Date of birth:</label>
<input type="text" id="borrower_dateofbirth" name="borrower_dateofbirth" value="[% borrower.dateofbirth | $KohaDates %]" size="10" />
[% UNLESS action == 'edit' && !OPACPatronDetails %]
[% UNLESS ( mandatory.defined('dateofbirth') ) %]
<a href="#" style="font-size:85%;text-decoration:none;" onclick="document.getElementById('borrower_dateofbirth').value='';return false;">Clear date</a>
[% END %]
[% END %]
[% IF mandatory.defined('dateofbirth') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('initials') %]
<li>
[% IF mandatory.defined('initials') %]
<label for="borrower_initials" class="required">
[% ELSE %]
<label for="borrower_initials">
[% END %]
Initials:</label>
<input type="text" id="borrower_initials" name="borrower_initials" value="[% borrower.initials %]" />
[% IF mandatory.defined('initials') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('othernames') %]
<li>
[% IF mandatory.defined('othernames') %]
<label for="borrower_othernames" class="required">
[% ELSE %]
<label for="borrower_othernames">
[% END %]
Other names:</label>
<input type="text" id="borrower_othernames" name="borrower_othernames" value="[% borrower.othernames %]" />
[% IF mandatory.defined('othernames') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('sex') %]
<li class="lradio">
<label for="sex-female" class="radio inline">Female:</label>
[% IF borrower.sex == 'F' %]
<input type="radio" name="borrower_sex" id="sex-female" value="F" checked="checked" />
[% ELSE %]
<input type="radio" name="borrower_sex" id="sex-female" value="F" />
[% END %]
<label for="sex-male" class="radio inline">Male:</label>
[% IF borrower.sex == 'M' %]
<input type="radio" name="borrower_sex" id="sex-male" value="M" checked="checked" />
[% ELSE %]
<input type="radio" name="borrower_sex" id="sex-male" value="M" />
[% END %]
<label for="sex-none" class="radio inline">N/A:</label>
[% IF borrower.sex == '' %]
<input type="radio" name="borrower_sex" id="sex-none" value="" checked="checked" />
[% ELSE %]
<input type="radio" name="borrower_sex" id="sex-none" value="" />
[% END %]
[% IF mandatory.defined('sex') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
</ol>
</fieldset>
</div>
[% IF ( display_patron_image ) %]
<div class="span4">
<p class="patronimage">
<img src="/cgi-bin/koha/opac-patron-image.pl" alt="" />
</p>
</div>
[% END %]
</div>
[% END # /UNLESS fields hidden %]
[% UNLESS
hidden.defined('streetnumber') && hidden.defined('address') && hidden.defined('address2') &&
hidden.defined('city') && hidden.defined('state') && hidden.defined('zipcode') &&
hidden.defined('country')
%]
<fieldset class="rows" id="memberentry_mainaddress">
<legend id="mainaddress_legend">Main address</legend>
<ol>
[% UNLESS hidden.defined('streetnumber') %]
<li>
[% IF mandatory.defined('streetnumber') %]
<label for="borrower_streetnumber" class="required">
[% ELSE %]
<label for="borrower_streetnumber">
[% END %]
Street number:</label>
<input type="text" id="borrower_streetnumber" name="borrower_streetnumber" value="[% borrower.streetnumber %]" />
[% IF mandatory.defined('streetnumber') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('address') %]
<li>
[% IF mandatory.defined('address') %]
<label for="borrower_address" class="required">
[% ELSE %]
<label for="borrower_address">
[% END %]
Address:</label>
<input type="text" id="borrower_address" name="borrower_address" value="[% borrower.address %]" />
[% IF mandatory.defined('address') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('address2') %]
<li>
[% IF mandatory.defined('address2') %]
<label for="borrower_address2" class="required">
[% ELSE %]
<label for="borrower_address2">
[% END %]
Address 2:</label>
<input type="text" id="borrower_address2" name="borrower_address2" value="[% borrower.address2 %]" />
[% IF mandatory.defined('address2') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('city') %]
<li>
[% IF mandatory.defined('city') %]
<label for="borrower_city" class="required">
[% ELSE %]
<label for="borrower_city">
[% END %]
City:</label>
<input type="text" id="borrower_city" name="borrower_city" value="[% borrower.city %]" />
[% IF mandatory.defined('city') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('state') %]
<li>
[% IF mandatory.defined('state') %]
<label for="borrower_state" class="required">
[% ELSE %]
<label for="borrower_state">
[% END %]
State:</label>
<input type="text" id="borrower_state" name="borrower_state" value="[% borrower.state %]" />
[% IF mandatory.defined('state') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('zipcode') %]
<li>
[% IF mandatory.defined('zipcode') %]
<label for="borrower_zipcode" class="required">
[% ELSE %]
<label for="borrower_zipcode">
[% END %]
Zip/Postal code:</label>
<input type="text" id="borrower_zipcode" name="borrower_zipcode" value="[% borrower.zipcode %]" />
[% IF mandatory.defined('zipcode') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('country') %]
<li>
[% IF mandatory.defined('country') %]
<label for="borrower_country" class="required">
[% ELSE %]
<label for="borrower_country">
[% END %]
Country:</label>
<input type="text" id="borrower_country" name="borrower_country" value="[% borrower.country %]" />
[% IF mandatory.defined('country') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
</ol>
</fieldset>
[% END %]
[% UNLESS
hidden.defined('phone') && hidden.defined('phonepro') && hidden.defined('mobile') &&
hidden.defined('email') && hidden.defined('emailpro') && hidden.defined('fax')
%]
<fieldset class="rows" id="memberentry_contact">
<legend id="contact_legend">Contact information</legend>
<ol>
[% UNLESS hidden.defined('phone') %]
<li>
[% IF mandatory.defined('phone') %]
<label for="borrower_phone" class="required">
[% ELSE %]
<label for="borrower_phone">
[% END %]
Primary phone:</label>
<input type="text" id="borrower_phone" name="borrower_phone" value="[% borrower.phone %]" />
[% IF mandatory.defined('phone') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('phonepro') %]
<li>
[% IF mandatory.defined('phonepro') %]
<label for="borrower_phonepro" class="required">
[% ELSE %]
<label for="borrower_phonepro">
[% END %]
Secondary phone:</label>
<input type="text" id="borrower_phonepro" name="borrower_phonepro" value="[% borrower.phonepro %]" />
[% IF mandatory.defined('phonepro') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('mobile') %]
<li>
[% IF mandatory.defined('mobile') %]
<label for="borrower_mobile" class="required">
[% ELSE %]
<label for="borrower_mobile">
[% END %]
Other phone:</label>
<input type="text" id="borrower_mobile" name="borrower_mobile" value="[% borrower.mobile %]" />
[% IF mandatory.defined('mobile') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('email') %]
<li>
[% IF mandatory.defined('email') %]
<label for="borrower_email" class="required">
[% ELSE %]
<label for="borrower_email">
[% END %]
Primary email:</label>
<input type="text" id="borrower_email" name="borrower_email" value="[% borrower.email %]" />
[% IF mandatory.defined('email') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('emailpro') %]
<li>
[% IF mandatory.defined('emailpro') %]
<label for="borrower_emailpro" class="required">
[% ELSE %]
<label for="borrower_emailpro">
[% END %]
Secondary email:</label>
<input type="text" id="borrower_emailpro" name="borrower_emailpro" value="[% borrower.emailpro %]" />
[% IF mandatory.defined('emailpro') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('fax') %]
<li>
[% IF mandatory.defined('fax') %]
<label for="borrower_fax" class="required">
[% ELSE %]
<label for="borrower_fax">
[% END %]
Fax:</label>
<input type="text" id="borrower_fax" name="borrower_fax" value="[% borrower.fax %]" />
[% IF mandatory.defined('fax') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
</ol>
</fieldset>
[% END %]
[% UNLESS
hidden.defined('B_address') && hidden.defined('B_address2') && hidden.defined('B_city') &&
hidden.defined('B_state') && hidden.defined('B_zipcode') && hidden.defined('B_country') &&
hidden.defined('B_phone') && hidden.defined('B_email') && hidden.defined('contactnote')
%]
<fieldset class="rows" id="memberentry_alternateaddress">
<legend id="alternateaddress_legend">Alternate address</legend>
<ol>
[% UNLESS hidden.defined('B_address') %]
<li>
[% IF mandatory.defined('B_address') %]
<label for="borrower_B_address" class="required">
[% ELSE %]
<label for="borrower_B_address">
[% END %]
Address:</label>
<input type="text" id="borrower_B_address" name="borrower_B_address" value="[% borrower.B_address %]" />
[% IF mandatory.defined('B_address') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_address2') %]
<li>
[% IF mandatory.defined('B_address2') %]
<label for="borrower_B_address2" class="required">
[% ELSE %]
<label for="borrower_B_address2">
[% END %]
Address 2:</label>
<input type="text" id="borrower_B_address2" name="borrower_B_address2" value="[% borrower.B_address2 %]" />
[% IF mandatory.defined('B_address2') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_city') %]
<li>
[% IF mandatory.defined('B_city') %]
<label for="borrower_B_city" class="required">
[% ELSE %]
<label for="borrower_B_city">
[% END %]
City:</label>
<input type="text" id="borrower_B_city" name="borrower_B_city" value="[% borrower.B_city %]" />
[% IF mandatory.defined('B_city') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_state') %]
<li>
[% IF mandatory.defined('B_state') %]
<label for="borrower_B_state" class="required">
[% ELSE %]
<label for="borrower_B_state">
[% END %]
State:</label>
<input type="text" id="borrower_B_state" name="borrower_B_state" value="[% borrower.B_state %]" />
[% IF mandatory.defined('B_state') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_zipcode') %]
<li>
[% IF mandatory.defined('B_zipcode') %]
<label for="borrower_B_zipcode" class="required">
[% ELSE %]
<label for="borrower_B_zipcode">
[% END %]
Zip/Postal code:</label>
<input type="text" id="borrower_B_zipcode" name="borrower_B_zipcode" value="[% borrower.B_zipcode %]" />
[% IF mandatory.defined('B_zipcode') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_country') %]
<li>
[% IF mandatory.defined('B_country') %]
<label for="borrower_B_country" class="required">
[% ELSE %]
<label for="borrower_B_country">
[% END %]
Country:</label>
<input type="text" id="borrower_B_country" name="borrower_B_country" value="[% borrower.B_country %]" />
[% IF mandatory.defined('B_country') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_phone') %]
<li>
[% IF mandatory.defined('B_phone') %]
<label for="borrower_B_phone" class="required">
[% ELSE %]
<label for="borrower_B_phone">
[% END %]
Phone:</label>
<input type="text" id="borrower_B_phone" name="borrower_B_phone" value="[% borrower.B_phone %]" />
[% IF mandatory.defined('B_phone') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('B_email') %]
<li>
[% IF mandatory.defined('B_email') %]
<label for="borrower_B_email" class="required">
[% ELSE %]
<label for="borrower_B_email">
[% END %]
Email:</label>
<input type="text" id="borrower_B_email" name="borrower_B_email" value="[% borrower.B_email %]" />
[% IF mandatory.defined('B_email') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('contactnote') %]
<li>
[% IF mandatory.defined('contactnote') %]
<label for="borrower_contactnote" class="required">
[% ELSE %]
<label for="borrower_contactnote">
[% END %]
Contact note:</label>
<textarea id="borrower_contactnote" name="borrower_contactnote" cols="30" rows="2">[% borrower.contactnote %]</textarea>
[% IF mandatory.defined('contactnote') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
</ol>
</fieldset>
[% END %]
[% UNLESS
hidden.defined('altcontactsurname') && hidden.defined('altcontactfirstname') && hidden.defined('altcontactaddress1') &&
hidden.defined('altcontactaddress2') && hidden.defined('altcontactaddress3') && hidden.defined('altcontactstate') &&
hidden.defined('altcontactzipcode') && hidden.defined('altcontactcountry') && hidden.defined('altcontactphone')
%]
<fieldset class="rows" id="memberentry_alternatecontact">
<legend id="alternatecontact_legend">Alternate contact</legend>
<ol>
[% UNLESS hidden.defined('altcontactsurname') %]
<li>
[% IF mandatory.defined('altcontactsurname') %]
<label for="borrower_altcontactsurname" class="required">
[% ELSE %]
<label for="borrower_altcontactsurname">
[% END %]
Surname:</label>
<input type="text" id="borrower_altcontactsurname" name="borrower_altcontactsurname" value="[% borrower.altcontactsurname %]" />
[% IF mandatory.defined('altcontactsurname') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactfirstname') %]
<li>
[% IF mandatory.defined('altcontactfirstname') %]
<label for="borrower_altcontactfirstname" class="required">
[% ELSE %]
<label for="borrower_altcontactfirstname">
[% END %]
First name:</label>
<input type="text" id="borrower_altcontactfirstname" name="borrower_altcontactfirstname" value="[% borrower.altcontactfirstname %]" />
[% IF mandatory.defined('altcontactfirstname') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactaddress1') %]
<li>
[% IF mandatory.defined('altcontactaddress1') %]
<label for="borrower_altcontactaddress1" class="required">
[% ELSE %]
<label for="borrower_altcontactaddress1">
[% END %]
Address:</label>
<input type="text" id="borrower_altcontactaddress1" name="borrower_altcontactaddress1" value="[% borrower.altcontactaddress1 %]" />
[% IF mandatory.defined('altcontactaddress1') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactaddress2') %]
<li>
[% IF mandatory.defined('altcontactaddress2') %]
<label for="borrower_altcontactaddress2" class="required">
[% ELSE %]
<label for="borrower_altcontactaddress2">
[% END %]
Address 2:</label>
<input type="text" id="borrower_altcontactaddress2" name="borrower_altcontactaddress2" value="[% borrower.altcontactaddress2 %]" />
[% IF mandatory.defined('altcontactaddress2') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactaddress3') %]
<li>
[% IF mandatory.defined('altcontactaddress3') %]
<label for="borrower_altcontactaddress3" class="required">
[% ELSE %]
<label for="borrower_altcontactaddress3">
[% END %]
City:</label>
<input type="text" id="borrower_altcontactaddress3" name="borrower_altcontactaddress3" value="[% borrower.altcontactaddress3 %]" />
[% IF mandatory.defined('altcontactaddress3') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactstate') %]
<li>
[% IF mandatory.defined('altcontactstate') %]
<label for="borrower_altcontactstate" class="required">
[% ELSE %]
<label for="borrower_altcontactstate">
[% END %]
State:</label>
<input type="text" id="borrower_altcontactstate" name="borrower_altcontactstate" value="[% borrower.altcontactstate %]" />
[% IF mandatory.defined('altcontactstate') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactzipcode') %]
<li>
[% IF mandatory.defined('altcontactzipcode') %]
<label for="borrower_altcontactzipcode" class="required">
[% ELSE %]
<label for="borrower_altcontactzipcode">
[% END %]
Zip/Postal code:</label>
<input type="text" id="borrower_altcontactzipcode" name="borrower_altcontactzipcode" value="[% borrower.altcontactzipcode %]" />
[% IF mandatory.defined('altcontactzipcode') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactcountry') %]
<li>
[% IF mandatory.defined('altcontactcountry') %]
<label for="borrower_altcontactcountry" class="required">
[% ELSE %]
<label for="borrower_altcontactcountry">
[% END %]
Country:</label>
<input type="text" id="borrower_altcontactcountry" name="borrower_altcontactcountry" value="[% borrower.altcontactcountry %]" />
[% IF mandatory.defined('altcontactcountry') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
[% UNLESS hidden.defined('altcontactphone') %]
<li>
[% IF mandatory.defined('altcontactphone') %]
<label for="borrower_altcontactphone" class="required">
[% ELSE %]
<label for="borrower_altcontactphone">
[% END %]
Phone:</label>
<input type="text" id="borrower_altcontactphone" name="borrower_altcontactphone" value="[% borrower.altcontactphone %]" />
[% IF mandatory.defined('altcontactphone') %]<span class="required">Required</span>[% END %]
</li>
[% END %]
</ol>
</fieldset>
[% END %]
[% UNLESS action == 'edit' %]
<fieldset class="rows" id="memberentry_captcha">
<ol>
<li>
<label for="captcha" class="required">Verification:</label>
<input type="text" name="captcha" id="captcha" />
<input type="hidden" name="captcha_digest" value="[% captcha_digest %]" />
<span class="hint">Please type the following characters into the preceding box: <strong>[% captcha %]</strong></span>
<span class="hint">Note: The preceding box is case-sensitive. Ensure that the entered characters are in all-caps.</span>
</li>
</ol>
</fieldset>
[% END %]
[% IF ( borrower.ExtendedPatronAttributes ) %]
<fieldset class="rows">
<legend>Additional information</legend>
<ol>
[% FOREACH patron_attribute IN borrower.patron_attributes %]
<li>
<label>[% patron_attribute.description %]:</label>
[% IF ( patron_attribute.value_description ) %]
[% patron_attribute.value_description %]
[% ELSE %]
[% patron_attribute.value |html_line_break %]
[% END %]
</li>
[% END %]
</ol>
</fieldset>
[% END %]
[% IF action == 'edit' %]
[% IF OPACPatronDetails %]
<fieldset class="action">
<input type="hidden" name="action" value="update" />
<input type="submit" class="btn" value="Submit update request" />
</fieldset>
[% END %]
[% ELSE %]
<fieldset class="action">
<input type="hidden" name="action" value="create" />
<input type="submit" class="btn" value="Submit" />
</fieldset>
[% END %]
</form>
</div><!--/div id="update-account" -->
</div>
</div>
</div>
</div>
[% INCLUDE 'opac-bottom.inc' %]
[% BLOCK jsinclude %]
<script type="text/javascript">
//<![CDATA[
$(document).ready(function() {
[% IF action == 'edit' && !OPACPatronDetails %]
$("#memberentry-form :input").attr('readonly', true);
$("#borrower_branchcode").attr('disabled',true);
$("#borrower_title").attr('disabled',true);
$('#memberentry-form :radio').attr('disabled',true);
$('span.required').remove();
$('label.required').removeClass('required');
[% ELSE %]
$( "#borrower_dateofbirth" ).datepicker({ yearRange: "c-120:c" });
[% END %]
});
//]]>
</script>
[% INCLUDE 'calendar.inc' %]
[% END %]