koha-tmpl/intranet-tmpl/default/en/members/jmemberentry.tmpl

   1 <HTML>
   2
   3 <!-- startmenu (member)
   4      this  includes the head-container and <body>
   5      including this via var contradicts the separation of code and design
   6      a solution via tmpl_include would be better -->
   7
   8 <TMPL_VAR NAME=startmenumember>
   9
  10 <!-- here comes the junior stuff -->
  11
  12 <BLOCKQUOTE>
  13
  14 <FONT SIZE=6><em>Add New Junior Member </em></font><br>
  15 <form action=/cgi-bin/koha/newjmember.pl method=post>
  16         <!--<input type=hidden name=joining value="">
  17         <input type=hidden name=expiry value="">
  18         <input type=hidden name=type value="borrowers">-->
  19         <input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
  20         <input type=hidden name=updtype value=I>
  21         <input type=hidden name=area value="<TMPL_VAR NAME=area>">
  22         <input type=hidden name=city value="<TMPL_VAR NAME=city>">
  23         <input type=hidden name=street value="<TMPL_VAR NAME=address>">
  24         <input type=hidden name=streetaddress value="<TMPL_VAR NAME=streetaddress>">
  25         <input type=hidden name=streetcity value="<TMPL_VAR NAME=streetcity>">
  26         <input type=hidden name=phone value="<TMPL_VAR NAME=phone>">
  27         <input type=hidden name=phoneday value="<TMPL_VAR NAME=phoneday>">
  28         <input type=hidden name=faxnumber value="<TMPL_VAR NAME=faxnumber>">
  29         <input type=hidden name=emailaddress value="<TMPL_VAR NAME=emailaddress>">
  30         <input type=hidden name=contactname value="<TMPL_VAR NAME=contactname>">
  31         <input type=hidden name=altphone value"<TMPL_VAR NAME=altphone>">
  32
  33         <table border=0 cellspacing=0 cellpadding=5 >
  34         <tr valign=top bgcolor="99cc33" >
  35                 <td  COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
  36                         <B>PARENT OR GUARDIAN </b>
  37                 </td>
  38         </tr>
  39         <tr valign=top bgcolor=white>
  40                 <td>
  41                 <SELECT NAME="title" SIZE="1">
  42                         <OPTION value=" ">No Title
  43                         <TMPL_LOOP NAME=titleloop>
  44                         <OPTION value="<TMPL_VAR NAME=title>"<TMPL_VAR NAME=selected>><TMPL_VAR NAME=title>
  45                         </TMPL_LOOP>
  46                 </SELECT>
  47                 </td>
  48                 <td><input type=text name=firstname_guardian size=20 value="<TMPL_VAR NAME=firstname>"></td>
  49                 <td colspan=2><input type=text name=surname_guardian size=20 value="<TMPL_VAR NAME=surname>"></td>
  50                 <td><input type=text name=guardian_number size=20 value="<TMPL_VAR NAME=cardnumber>"></td>
  51         </tr>
  52         <tr valign=top bgcolor=white>
  53                 <td><FONT SIZE=2>Title</FONT></td>
  54                 <td><FONT SIZE=2>Given Names*</FONT></td>
  55                 <td colspan=2><FONT SIZE=2>Surname*</FONT></td>
  56                 <td><FONT SIZE=2>Membership No.</FONT></td>
  57         </tr>
  58         <TMPL_LOOP NAME=cmemloop>
  59         <tr valign=top bgcolor="99cc33">
  60                 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
  61                         <B>CHILD <TMPL_VAR NAME=count></b>
  62                 </td>
  63         </TR>
  64         <TR>
  65                 <td  COLSPAN=4   ALIGN=RIGHT ><font size=3 face='arial,helvetica'>
  66                         <STRONG>Member# <TMPL_VAR NAME=cmember>, Card Number*</STRONG>
  67                 </TD>
  68                 <TD>
  69                         <input type=text name=cardnumber_child_<TMPL_VAR NAME=i> size=20 value=""><br>
  70                         <input type=hidden name=bornumber_child_<TMPL_VAR NAME=i> value="<TMPL_VAR NAME=cmember>">
  71                 </td>
  72         </TR>
  73         <tr bgcolor=white>
  74                 <td><input type=text name=firstname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
  75                 <td><input type=text name=surname_child_<TMPL_VAR NAME=i> size=20 value=""></td>
  76                 <td><input type=text name=dateofbirth_child_<TMPL_VAR NAME=i> size=10 value=""></TD>
  77                 <TD>
  78                         <input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="F">F
  79                         <input type="radio" name="sex_child_<TMPL_VAR NAME=i>" value="M">M*
  80                 </td>
  81                 <TD align=right><input type=text name=school_child_<TMPL_VAR NAME=i> size=20 value=""></TD>
  82         </tr>
  83         <tr valign=top bgcolor=white>
  84                 <td><FONT SIZE=2>Given Names*</FONT></td>
  85                 <td><FONT SIZE=2>Surname*</FONT></td>
  86                 <td><FONT SIZE=2>Date of Birth<BR> (dd/mm/yy)*</FONT></td>
  87                 <td><FONT SIZE=2>&nbsp;</FONT></td>
  88                 <td><FONT SIZE=2>School</FONT></td>
  89         </tr>
  90         <tr valign=top bgcolor=white>
  91                 <td  COLSPAN=5><textarea name=altnotes_child_<TMPL_VAR NAME=i> wrap=physical cols=70 rows=3></textarea></td>
  92         </tr>
  93         <tr valign=top bgcolor=white>
  94                 <td><FONT SIZE=2>Notes</font></td>
  95         </tr>
  96         </TMPL_LOOP>
  97         <tr valign=top bgcolor=white>
  98                 <td colspan=2 align="center"><input type=reset value="Clear all Fields"></td>
  99                 <td  COLSPAN=3 align="center">
 100                         <input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0>
 101                 </td>
 102         </tr>
 103
 104         </TABLE>
 105 </form>
 106
 107
 108 <TMPL_VAR NAME=endmenumember>
 109
 110 </body>
 111 </HTML>