Koha/koha-tmpl/intranet-tmpl/npl/en/members/newjmember.tmpl

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<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Koha -- Confirm Details<!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
<!-- TMPL_INCLUDE NAME="masthead.inc" -->
<!-- TMPL_INCLUDE NAME="intranet-topmenu.inc" -->
<!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->
<div id="main">
<!-- TMPL_IF Name="NOK" -->
<div class="details"><h3>Error Completing Form</h3>
<p><!-- TMPL_VAR Name="string" --></p></div>
<!-- TMPL_ELSE -->
<!-- TMPL_LOOP Name="identsloop" -->
<!-- TMPL_IF Name="cardchild" -->
<div class="form">
<table>
<caption>Confirm Details for <!-- TMPL_VAR Name="name" --></caption>
<tr>
<th>Name</th><td><!-- TMPL_VAR Name="name" --></td>
</tr>
<tr>
<th>Membership Number</th>
<td><!-- TMPL_VAR Name="bornum" --></td>
</tr>
<tr>
<th>Barcode Number</th>
<td><!-- TMPL_VAR NAME="cardnumber" --></td>
</tr>
<tr>
<th>Date Of Birth</th>
<td><!-- TMPL_VAR Name="dob" --></td>
</tr>
<tr>
<th>Sex</th>
<td><!-- TMPL_VAR Name="sex" --></td>
</tr>
<!-- <tr>
<th>School</td>
<td><!-- TMPL_VAR Name="school" --></td>
</tr> -->
<!-- TMPL_IF NAME="notes" -->
<tr>
<th>General Notes</th>
<td><!-- TMPL_VAR Name="notes" --></td>
</tr>
<!-- /TMPL_IF -->
</table></div>
<!-- /TMPL_IF -->
<!-- /TMPL_LOOP -->
<form action="/cgi-bin/koha/insertjdata.pl" method="post">
<p><!-- TMPL_LOOP NAME="inputsloop" -->
<input type="hidden" name="<!-- TMPL_VAR NAME="key" -->" value="<!-- TMPL_VAR NAME="value" -->" />
<!-- /TMPL_LOOP -->
<input type="submit" name="submit" value="Save Changes to Patron Record" class="submit" /></p>
</form>
<!-- /TMPL_IF -->
</div>
<!-- TMPL_INCLUDE Name="intranet-bottom.inc" -->