Cleaning up
[koha.git] / koha-tmpl / intranet-tmpl / default / de / members / jmemberentry.tmpl
1 <!-- TMPL_INCLUDE NAME="members-top.inc" -->
2 <div id="mainbloc">
3         <h1>Jugendlichen hinzuf&uuml;gen </h1><br>
4         <form action="/cgi-bin/koha/members/newjmember.pl" method="post">
5                 <!--<input type="hidden" name="joining" value="">
6                 <input type="hidden" name="expiry" value="">
7                 <input type="hidden" name="type" value="borrowers">-->
8                 <input type="hidden" name="borrowernumber" value="<!-- TMPL_VAR NAME="member" -->">
9                 <input type="hidden" name="updtype" value="I">
10                 <input type="hidden" name="area" value="<!-- TMPL_VAR NAME="area" -->">
11                 <input type="hidden" name="city" value="<!-- TMPL_VAR NAME="city" -->">
12                 <input type="hidden" name="physstreet" value="<!-- TMPL_VAR NAME="physstreet" -->">
13                 <input type="hidden" name="streetaddress" value="<!-- TMPL_VAR NAME="streetaddress" -->">
14                 <input type="hidden" name="streetcity" value="<!-- TMPL_VAR NAME="streetcity" -->">
15                 <input type="hidden" name="phone" value="<!-- TMPL_VAR NAME="phone" -->">
16                 <input type="hidden" name="phoneday" value="<!-- TMPL_VAR NAME="phoneday" -->">
17                 <input type="hidden" name="faxnumber" value="<!-- TMPL_VAR NAME="faxnumber" -->">
18                 <input type="hidden" name="emailaddress" value="<!-- TMPL_VAR NAME="emailaddress" -->">
19                 <input type="hidden" name="contactname" value="<!-- TMPL_VAR NAME="contactname" -->">
20                 <input type="hidden" name="altphone" value"<!-- TMPL_VAR NAME="altphone" -->">
21         
22                 <table border="0" cellspacing="0" cellpadding="5" >
23                 <tr>
24                         <th  colspan="5">
25                                 ELTERN ODER VORMUND 
26                         </th>
27                 </tr>
28                 <tr valign="top" bgcolor="white">
29                         <td>Anrede</td>
30                         <td>Vornamen*</td>
31                         <td colspan="2">Nachname*</td>
32                         <td>Benutzer Nr.</td>
33                 </tr>
34                 <tr>
35                         <td>
36                                 <select name="title" size="1">
37                                         <option value=" ">Kein Titel
38                                         <!-- TMPL_LOOP NAME="titleloop" -->
39                                         <option value="<!-- TMPL_VAR NAME="title" -->" <!-- TMPL_VAR NAME="selected" -->><!-- TMPL_VAR NAME="title" -->
40                                         <!-- /TMPL_LOOP -->
41                                 </select>
42                         </td>
43                         <td><input type="text" name="firstname_guardian" size="20" value="<!-- TMPL_VAR NAME="firstname" -->"></td>
44                         <td colspan="2"><input type="text" name="surname_guardian" size="20" value="<!-- TMPL_VAR NAME="surname" -->"></td>
45                         <td><input type="text" name="guardian_number" size="20" value="<!-- TMPL_VAR NAME="cardnumber" -->"></td>
46                 </tr>
47                 <!-- TMPL_LOOP NAME="cmemloop" -->
48                 <tr>
49                         <tH colspan="5">
50                                 KIND <!-- TMPL_VAR NAME="count" -->
51                         </tH>
52                 </tr>
53                 <tr>
54                         <td colspan="5">
55                                 Benutzer-Nr <!-- TMPL_VAR NAME="cmember" --> , Ausweisnummer* <input type="text" name="cardnumber_child_<!-- TMPL_VAR NAME="i" -->" size="20" value="<!-- TMPL_VAR NAME="jcardnumber" -->"><br>
56                                 <input type="hidden" name="bornumber_child_<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="cmember" -->">
57                         </td>
58                 </tr>
59                 <tr>
60                         <td>Vorname</td>
61                         <td>Nachname*</td>
62                         <td>Geburtsdatum (<!-- TMPL_VAR NAME="dateformat" -->)*</td>
63                         <td>&nbsp;</td>
64                         <td>Schule</td>
65                 </tr>
66                 <tr>
67                         <td><input type="text" name="firstname_child_<!-- TMPL_VAR NAME="i" -->" size="20" value=""></td>
68                         <td><input type="text" name="surname_child_<!-- TMPL_VAR NAME="i" -->" size="20" value=""></td>
69                         <td><input type="text" name="dateofbirth_child_<!-- TMPL_VAR NAME="i" -->" size="10" value=""></td>
70                         <td>
71                                 <input type="radio" name="sex_child_<!-- TMPL_VAR NAME="i" -->" value="F"><b>F</b>  <input type="radio" name="sex_child_<!-- TMPL_VAR NAME="i" -->" value="M"><b>M*</b>
72                         </td>
73                         <td><input type="text" name="school_child_<!-- TMPL_VAR NAME="i" -->" size="20" value=""></td>
74                 </tr>
75                 <tr>
76                         <td colspan="5">Die folgenden zwei Felder sind zur freien Verf&uuml;gung. Sie k&ouml;nnen f&uuml;r Statistikzwecke hilfreich sein.</td>
77                 <tr>
78                         <td>Sortierfeld 1</td>
79                         <td colspan="4">
80                                 <input type="text" name="sort1" value="<!-- TMPL_VAR NAME="sort1" -->">
81                         </td>
82                 </tr>
83                 <tr>
84                         <td>Sortierfeld 2</td>
85                         <td colspan="4">
86                                 <input type="text" name="sort2" value="<!-- TMPL_VAR NAME="sort2" -->">
87                         </td>
88                 </tr>
89                 <tr>
90                         <td>Bemerkung</td>
91                 </tr>
92                 <tr>
93                         <td colspan="5"><textarea name="altnotes_child_<!-- TMPL_VAR NAME="i" -->" wrap="physical" cols="70" rows="3"></textarea></td>
94                 </tr>
95                 <!-- /TMPL_LOOP -->
96                 <tr>
97                         <td>
98                                 <input type="submit" class="button members" value="OK">
99                         </td>
100                         <td><input type="reset" class="button members" value="Alle Felder l&ouml;schen"></td>
101                 </tr>
102         
103                 </table>
104         </form>
105 </div>
106
107 <!-- TMPL_INCLUDE NAME="members-bottom.inc" -->