koha-tmpl/intranet-tmpl/default/fr/members/memberentry.tmpl

   1 <TMPL_INCLUDE NAME="members-top.inc">
   2
   3 <FONT SIZE=6><em><TMPL_VAR NAME=header></em></FONT><br>
   4
   5 <form action=/cgi-bin/koha/newmember.pl method=post>
   6         <input type=hidden name=joining value="<TMPL_VAR NAME=dateenrolled>">
   7         <input type=hidden name=expiry value="<TMPL_VAR NAME=expiry>">
   8         <input type=hidden name=type value="borrowers">
   9         <input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
  10         <input type=hidden name=updtype value="<TMPL_VAR NAME=updtype>">
  11
  12         <table border=0 cellspacing=0 cellpadding=5 >
  13         <tr valign=top>
  14                 <td COLSPAN=2>
  15                 <input type=reset value="Effacer tous les champs">
  16                 </td>
  17                 <td COLSPAN=3 ALIGN=RIGHT>
  18                         <font size="4" face="arial,helvetica">N&deg; de lecteur<TMPL_VAR NAME=member>, N&deg; de carte*
  19                         <input type=text name=cardnumber size=10 value="<TMPL_VAR NAME=cardnumber>">
  20                         <br>
  21                         </font>
  22                 </td>
  23         </tr>
  24         <tr valign=top>
  25                 <td COLSPAN=3 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><b>DETAILS PERSONNELS LECTEUR</b></td>
  26                 <td COLSPAN=2 ALIGN=RIGHT background="<TMPL_VAR name="themelang">/images/background-mem.gif">*
  27                         <input type="radio" name="sex" value="F" <TMPL_IF NAME=female>checked</TMPL_IF>>F
  28                         <input type="radio" name="sex" value="M" <TMPL_UNLESS NAME=female>checked</TMPL_UNLESS>> M <B>Date de naissance</B> (jj/mm/aa)
  29                         <input type=text name=dateofbirth size=10 value="<TMPL_VAR NAME=dateofbirth>">
  30                 </td>
  31         </tr>
  32
  33         <tr valign=top bgcolor=white>
  34                 <td><FONT SIZE=2>Titre</FONT></td>
  35                 <td><FONT SIZE=2>Initiales</FONT></td>
  36                 <td><font size="2">Pr&eacute;noms*</font></td>
  37                 <td><font size="2">Nom*</font></td>
  38                 <td><font size="2">Nom d'usage</font></td>
  39         </tr>
  40         <tr valign=top bgcolor=white>
  41                 <td>
  42                 <SELECT NAME="title">
  43                         <option<TMPL_VAR name="title_selected_ "> value=" ">Aucun</option>
  44                         <option value="Mlle"<TMPL_VAR name="title_Mlle">>Miss</option>
  45                         <option value="Mme"<TMPL_VAR name="title_Mme">>Mrs</option>
  46                         <option <TMPL_VAR name="title_M"> value="M" >M</option>
  47                         <option value="Dr" <TMPL_VAR name="title_Dr">>Dr</option>
  48                 </SELECT>
  49                 </td>
  50                 <td>
  51                 <input type=text name=initials size=5 value="<TMPL_VAR NAME=initials>">
  52                 </td>
  53                 <td>
  54                 <input type=text name=firstname size=20 value="<TMPL_VAR NAME=firstname>">
  55                 </td>
  56                 <td>
  57                 <input type=text name=surname size=20 value="<TMPL_VAR NAME=surname>">
  58                 </td>
  59                 <td>
  60                 <input type=text name=othernames size=20 value="<TMPL_VAR NAME=othernames>">
  61                 </td>
  62         </tr>
  63
  64         <tr valign=top bgcolor=white> <TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
  65                 <td colspan=2>&nbsp;</td>
  66                 <td colspan=2>&nbsp;</td>
  67                 <TMPL_ELSE>
  68                 <td colspan=2>&nbsp;</td>
  69                 <td colspan=2>&nbsp;</td>
  70                 </TMPL_IF>
  71                 <td><font size="2">Cat&eacute;gorie d'utilisateur*</font></td>
  72         </tr>
  73         <tr valign=top bgcolor=white>
  74                 <td colspan=4>
  75                         <TMPL_VAR NAME=catcodepopup></td>
  76         </tr>
  77
  78         <tr valign=top bgcolor="99cc33" >
  79                 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>ADRESSE DU LECTEUR</b></td>
  80         </tr>
  81
  82         <tr valign=top bgcolor=white>
  83                 <td  COLSPAN=3><font size="2">Adresse postale*</font></td>
  84                 <td><font size="2">Ville*</font></td>
  85                 <td><font size="2">CP</font></td>
  86         </tr>
  87         <tr valign=top bgcolor=white>
  88                 <td COLSPAN=3>
  89                 <input type=text name=address size=40 value="<TMPL_VAR NAME=streetaddress>">
  90                 </td>
  91                 <td>
  92                 <input type=text name=city size=20 value="<TMPL_VAR NAME=city>">
  93                 </td>
  94                 <td>
  95                         <TMPL_VAR name="CGIbranch">
  96                 </td>
  97         </tr>
  98
  99         <tr valign=top bgcolor=white>
 100                 <td COLSPAN=3><font size="2">Rue</font></td>
 101                 <td><font size="2">Ville</font></td>
 102         </tr>
 103         <tr>
 104                 <td>&nbsp; </TD>
 105         </TR>
 106         <tr valign=top bgcolor=white>
 107                 <td COLSPAN=3>
 108                 <input type=text name=streetaddress size=40 value="<TMPL_VAR NAME=streetaddress>">
 109                 </td>
 110                 <td>
 111                 <input type=text name=streetcity size=20 value="<TMPL_VAR NAME=streetcity>">
 112                 </td>
 113         </tr>
 114
 115         <tr valign=top bgcolor="99cc33">
 116                 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>CONTACTER LE LECTEUR</b></td>
 117         </tr>
 118
 119         <tr valign=top bgcolor=white>
 120                 <td COLSPAN=2 ><font size="2">T&eacute;l&eacute;phone personnel</font></td>
 121                 <td><font size="2">T&eacute;l&eacute;phone professionnel</font></td>
 122                 <td><FONT SIZE=2>Fax</font></td>
 123                 <td><FONT SIZE=2>Email</font></td>
 124         </tr>
 125         <tr valign=top bgcolor=white>
 126                 <td COLSPAN=2>
 127                 <input type=text name=phone size=20 value="<TMPL_VAR NAME=phone>">
 128                 </td>
 129                 <td>
 130                 <input type=text name=phoneday size=20 value="<TMPL_VAR NAME=phoneday>">
 131                 </td>
 132                 <td>
 133                 <input type=text name=faxnumber size=20 value="<TMPL_VAR NAME=faxnumber>">
 134                 </td>
 135                 <td>
 136                 <input type=text name=emailaddress size=20 value="<TMPL_VAR NAME=emailaddress>">
 137                 </td>
 138         </tr>
 139
 140         <tr valign=top bgcolor="99cc33">
 141                 <td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>AUTRE CONTACT</b></td>
 142         </tr>
 143
 144         <tr valign=top bgcolor=white>
 145                 <td   COLSPAN=3 ><FONT SIZE=2>Nom*</font></td>
 146                 <td><font size="2">T&eacute;l&eacute;phone</font></td>
 147                 <td><FONT SIZE=2>Relation avec le lecteur*</font></td>
 148         </tr>
 149         <tr valign=top bgcolor=white>
 150                 <td COLSPAN=3 >
 151                 <input type=text name=contactname size=40 value="<TMPL_VAR NAME=contactname>">
 152                 </td>
 153                 <td>
 154                 <input type=text name=altphone size=20 value="<TMPL_VAR NAME=altphone>">
 155                 </td>
 156                 <td>
 157                 <select name=altrelationship size=1>
 158                         <TMPL_LOOP NAME=relshiploop>
 159                         <OPTION <TMPL_VAR NAME=selected>><TMPL_VAR NAME=relationship>
 160                         </TMPL_LOOP>
 161                 </select>
 162                 </td>
 163         </tr>
 164
 165         <tr valign=top bgcolor=white>
 166                 <td><font size="2">Remarques</font></td>
 167                 <td COLSPAN=4>
 168                 <textarea name=altnotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=altnotes></textarea>
 169                 </td>
 170         </tr>
 171
 172         <tr valign=top bgcolor="99cc33">
 173                 <td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>UTILISATION DE
 174                 LA BIBLIOTHEQUE</B></td>
 175         </tr>
 176         <tr valign=top >
 177                 <td><font size="2">Remarques</font></td>
 178                 <td COLSPAN=4>
 179                 <textarea name=borrowernotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=borrowernotes></textarea>
 180                 </td>
 181         </tr>
 182         <tr>
 183                 <td>&nbsp; </TD>
 184         </TR>
 185         <TMPL_IF NAME=modify>
 186         <tr>
 187                 <td COLSPAN=5><Font size=2>Indicateurs</font></td>
 188         </tr>
 189         <TMPL_LOOP NAME=flagloop>
 190         <tr>
 191                 <td COLSPAN=2><TMPL_VAR NAME=html></td>
 192                 <td COLSPAN=3>
 193                 <input type=radio name="<TMPL_VAR NAME=name>" value="1" <TMPL_VAR NAME=yes>>Oui
 194                 <input type=radio name="<TMPL_VAR NAME=name>" value="0" <TMPL_VAR NAME=no>>Non </td>
 195         </tr>
 196         </TMPL_LOOP> </TMPL_IF>
 197         <tr>
 198                 <td></td>
 199                 <td><input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0 ></td>
 200         </tr>
 201
 202         </table>
 203 </form>
 204 <TMPL_INCLUDE NAME="members-bottom.inc">