1 <!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Borrower Details<!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
3 <h1>BORROWER DETAILS</h1>
5 <form name="form" method="post" action="/cgi-bin/members/borrowers_details.pl">
7 <!-- TMPL_IF NAME="Institution"-->
11 <label>borrower categorie</label>
12 <input type="text" name="description" size="20" value="<!-- TMPL_VAR NAME="description" -->" >
16 <label>organisation name</label>
17 <input style="text-transform:uppercase;" type="text" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->" >
23 <label>borrower categorie</label>
24 <input type="text" name="description" size="20" value="<!-- TMPL_VAR NAME="description" -->" >
28 <input type="text" name="title" size="20" value="<!-- TMPL_VAR NAME="title" -->" >
32 <label>surname</label>
33 <input style="text-transform:uppercase;" type="text" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->" >
38 <label>firstname</label>
39 <input style="text-transform:capitalize;" type="text" name="firstname" size="20" value="<!-- TMPL_VAR NAME="firstname" -->">
42 <label>Date of birth </label>
43 <input type="text" name="dateofbirth" size="20" value="<!-- TMPL_VAR NAME="dateofbirth" -->">
52 <a href="#" onclick="window.close()">Close Window</a>