1 <!-- TMPL_INCLUDE NAME="members-top.inc" -->
4 <!-- TMPL_IF NAME="addAction" -->
6 Add <!-- TMPL_IF NAME="institution" -->Institutional <!-- /TMPL_IF -->Member
14 <!-- TMPL_IF Name="NOK" -->
17 <p>The following fields have a forbidden value. Correct them and press OK again :</p>
18 <!-- TMPL_IF NAME="ERROR_cardnumber" -->
21 <!-- TMPL_IF NAME="ERROR_invalid_cardnumber" -->
22 Invalid cardnumber<br>
24 <!-- TMPL_IF NAME="ERROR_gender" -->
27 <!-- TMPL_IF NAME="ERROR_firstname" -->
30 <!-- TMPL_IF NAME="ERROR_surname" -->
33 <!-- TMPL_IF NAME="ERROR_address" -->
34 Postal Street Address<br>
36 <!-- TMPL_IF NAME="ERROR_city" -->
41 <form action="/cgi-bin/koha/members/memberentry.pl" method="post">
42 <input type="hidden" name="type" value="borrowers">
43 <input type="hidden" name="borrowernumber" value="<!-- TMPL_VAR NAME="borrowernumber" -->">
44 <input type="hidden" name="updtype" value="<!-- TMPL_VAR NAME="updtype" -->">
45 <input type="hidden" name="actionType" value="<!-- TMPL_VAR NAME="actionType" -->">
46 <input type="hidden" name="destination" value="<!-- TMPL_VAR NAME="destination" -->" />
47 <!-- TMPL_IF NAME="addAction" -->
48 <input type="hidden" name="op" value="add">
50 <input type="hidden" name="op" value="modify">
54 <td colspan="5"><b>Member# <!-- TMPL_VAR NAME="member" -->, Card number*</b> <input type="text" name="cardnumber" size="10" value="<!-- TMPL_VAR NAME="cardnumber" -->"></td>
57 <th colspan="5">MEMBER <!-- TMPL_UNLESS name="institution" -->PERSONAL<!-- /TMPL_UNLESS --> DETAILS</th>
60 <td><!-- TMPL_UNLESS name="institution" -->Salutation<!-- /TMPL_UNLESS --></td>
61 <td><!-- TMPL_UNLESS name="institution" -->Initials<!-- /TMPL_UNLESS --></td>
62 <td><!-- TMPL_UNLESS name="institution" --><b> Given Names*</b><!-- /TMPL_UNLESS --></td>
63 <td><!-- TMPL_IF NAME="institution" --><b>Institution name*</b><!-- TMPL_ELSE --><b> Surname*</b><!-- /TMPL_IF --></td>
64 <td><!-- TMPL_UNLESS name="institution" -->Prefered Name<!-- /TMPL_UNLESS --></td>
68 <!-- TMPL_UNLESS name="institution" -->
69 <!-- TMPL_VAR NAME="Mr" -->
71 <option <!-- TMPL_VAR NAME="title_selected_ " --> value=" ">No Title</option>
72 <option value="Miss" <!-- TMPL_VAR NAME="title_Miss" -->>Miss</option>
73 <option value="Mrs" <!-- TMPL_VAR NAME="title_Mrs" -->>Mrs</option>
74 <option value="Ms" <!-- TMPL_VAR NAME="title_Ms" -->>Ms</option>
75 <option <!-- TMPL_VAR NAME="title_Mr" --> value="Mr" >Mr</option>
76 <option value="Dr" <!-- TMPL_VAR NAME="title_Dr" -->>Dr</option>
77 <option value="Sir" <!-- TMPL_VAR NAME="title_Sir" -->>Sir</option>
82 <!-- TMPL_UNLESS name="institution" -->
83 <input type="text" name="initials" size="5" value="<!-- TMPL_VAR NAME="initials" -->">
87 <!-- TMPL_UNLESS name="institution" -->
88 <input type="text" name="firstname" size="20" value="<!-- TMPL_VAR NAME="firstname" -->">
91 <td><input type="text" name="surname" size="20" value="<!-- TMPL_VAR NAME="surname" -->"></td>
93 <!-- TMPL_UNLESS name="institution" -->
94 <input type="text" name="othernames" size="20" value="<!-- TMPL_VAR NAME="othernames" -->">
101 <!-- TMPL_UNLESS name="institution" -->
102 <input type="radio" name="sex" value="F"<!-- TMPL_IF NAME="female" --> checked<!-- /TMPL_IF -->>F
103 <input type="radio" name="sex" value="M"<!-- TMPL_UNLESS name="female" --> checked<!-- /TMPL_UNLESS -->> M
104 <!-- /TMPL_UNLESS -->
108 <!-- TMPL_UNLESS name="institution" -->
109 Date of Birth (<!-- TMPL_VAR NAME="dateformat" -->)
110 <input type="text" name="dateofbirth" size="10" value="<!-- TMPL_VAR NAME="dateofbirth" -->">
111 <!-- /TMPL_UNLESS -->
114 Category <!-- TMPL_VAR NAME="catcodepopup" -->
117 <!-- TMPL_IF NAME="ethcatpopup" -->
118 <tr valign="top" bgcolor="white">
119 <!-- TMPL_VAR NAME="ethcatpopup" -->
120 <td colspan="2">Ethnicity</td>
121 <td colspan="2">Ethnicity Notes</td>
124 <!-- TMPL_IF NAME="ethcatpopup" -->
125 <tr valign="top" bgcolor="white">
127 <!-- TMPL_IF NAME="ethcatpopup" -->
128 <select name="ethnicity" size="1">
129 <!-- TMPL_LOOP NAME="ethnicityloop" -->
130 <option value=<!-- TMPL_VAR NAME="value" --><!-- TMPL_VAR NAME="selected" -->><!-- TMPL_VAR NAME="label" -->
135 <!-- TMPL_IF NAME="ethcatpopup" --><!-- TMPL_VAR NAME="ethcatpopup" -->
136 <td colspan="2"><input type="text" name="ethnicnotes" size="40" ></td>
138 <td colspan="2"> </td>
144 <th colspan="5">MEMBER ADDRESS</th>
148 <td colspan="2"><b>Postal Address*</b></td>
150 <td><b> Town*</b></td>
151 <td>Joining Branch</td>
154 <td colspan="2"><input type="text" name="streetaddress" size="40" value="<!-- TMPL_VAR NAME="address" -->"></td>
156 <input type="text" name="zipcode" size="10" maxlength="20" value="<!-- TMPL_VAR NAME="zipcode" -->">
159 <input type="text" name="city" size="20" value="<!-- TMPL_VAR NAME="city" -->">
162 <!-- TMPL_VAR NAME="CGIbranch" -->
168 <td colspan="2">Street Address if different</td>
173 <td colspan="2"><input type="text" name="physstreet" size="40" value="<!-- TMPL_VAR NAME="physstreet" -->"></td>
175 <input type="text" name="homezipcode" size="10" maxlength="20" value="<!-- TMPL_VAR NAME="homezipcode" -->">
178 <input type="text" name="streetcity" size="20" value="<!-- TMPL_VAR NAME="streetcity" -->"></td>
182 <td colspan="2" >Phone home</td>
187 <td colspan="2"><input type="text" name="phone" size="20" value="<!-- TMPL_VAR NAME="phone" -->"></td>
188 <td><input type="text" name="faxnumber" size="20" value="<!-- TMPL_VAR NAME="faxnumber" -->"></td>
189 <td><input type="text" name="emailaddress" size="20" value="<!-- TMPL_VAR NAME="emailaddress" -->"></td>
194 <td colspan="2" >Phone daytime</td>
200 <td colspan="2"><input type="text" name="phoneday" size="20" value="<!-- TMPL_VAR NAME="phoneday" -->"></td>
206 <!-- TMPL_UNLESS name="institution" -->
208 <th colspan="5">ALTERNATE CONTACT DETAILS</th>
212 <td colspan="3">Full Name</td>
214 <td>Relationship</td>
217 <td colspan="3"><input type="text" name="contactname" size="40" value="<!-- TMPL_VAR NAME="contactname" -->"></td>
218 <td><input type="text" name="altphone" size="20" value="<!-- TMPL_VAR NAME="altphone" -->"></td>
220 <select name="altrelationship" size="1">
221 <!-- TMPL_LOOP NAME="relshiploop" -->
222 <option <!-- TMPL_VAR NAME="selected" -->><!-- TMPL_VAR NAME="relationship" --></option>
227 <!-- /TMPL_UNLESS -->
231 <td colspan="4"><textarea name="altnotes" cols="70" rows="3"><!-- TMPL_VAR NAME="altnotes" --></textarea></td>
236 <th colspan="5" >LIBRARY USE</th>
239 <!-- TMPL_IF NAME="addAction" -->
240 <td>Joining date (leave blank for today)</td>
241 <td><input type="text" name="joining" size="12" maxlength="10" value="<!-- TMPL_VAR name="joining" -->"></td>
243 <td>Joining date</td>
244 <td><!-- TMPL_VAR name="joining" --></td>
246 <td>Expiry date (leave blank for auto calc)</td>
247 <td><input type="text" name="expiry" size="12" maxlength="10" value="<!-- TMPL_VAR name="expiry" -->"></td>
250 <td>Borrower message (appears in OPAC)</td>
251 <td colspan="4"><textarea name="textmessaging" cols="70" rows="3"><!-- TMPL_VAR NAME="textmessaging" --></textarea></td>
254 <td>Circulation note (appears during issue/return)</td>
255 <td colspan="4"><textarea name="borrowernotes" cols="70" rows="3"><!-- TMPL_VAR NAME="borrowernotes" --></textarea></td>
257 <tr><td colspan="5">FLAGS</td></tr>
258 <!-- TMPL_LOOP NAME="flagloop" -->
260 <td colspan="2"><!-- TMPL_VAR NAME="html" --></td>
261 <td colspan="3"><input type="radio" name="<!-- TMPL_VAR NAME="name" -->" value="1" <!-- TMPL_VAR NAME="yes" -->>Yes
262 <input type="radio" name="<!-- TMPL_VAR NAME="name" -->" value="0" <!-- TMPL_VAR NAME="no" -->>No
268 <td colspan="5">The 2 following fields are available for your own usage. They can be useful for stat purposes</td>
270 <td>Sorting field 1</td>
272 <!-- TMPL_IF Name="CGIsort1" -->
273 <!-- TMPL_VAR Name="CGIsort1" -->
275 <input type="text" name="sort1" value="<!-- TMPL_VAR NAME="sort1" -->">
280 <td>Sorting field 2</td>
282 <!-- TMPL_IF Name="CGIsort2" -->
283 <!-- TMPL_VAR Name="CGIsort2" -->
285 <input type="text" name="sort2" value="<!-- TMPL_VAR NAME="sort2" -->">
293 <input type="hidden" name="type" value="<!-- TMPL_VAR NAME="type" -->">
294 <input type="reset" value="Clear all Fields" class="button">
295 <input type="submit" value="Save" class="button">
301 <!-- TMPL_INCLUDE NAME="members-bottom.inc" -->