Fixed bug #404
[koha.git] / koha-tmpl / intranet-tmpl / default / en / newjmember.tmpl
1 <TMPL_INCLUDE Name="members-top.inc">
2
3 <TMPL_IF Name="NOK">
4         <TMPL_VAR Name="string">
5 <TMPL_ELSE>
6         <H1> Confirm Record </H1>
7         <TMPL_LOOP Name="identsloop">
8                 <TMPL_IF Name="cardchild">
9                         <table border=0 cellspacing=0 cellpadding=5>
10                                 <tr valign=top bgcolor="<TMPL_VAR Name="main">" >
11                                         <td background="<TMPL_VAR Name="image">">
12                                         <B> NEW MEMBER </B>
13                                         </td>
14                                         <td>
15                                         &nbsp;
16                                         </td>
17                                 </tr>
18                                 <tr valign=top bgcolor="white" >
19                                         <td>
20                                         <B>Name</B>
21                                         </td>
22                                         <td>
23                                         <TMPL_VAR Name="name">
24                                         </td>
25                                 </tr>
26                                 <tr valign=top bgcolor="<TMPL_VAR Name="main">" >
27                                         <td background="<TMPL_VAR Name="image">">
28                                         <B> MEMBERSHIP DETAILS </B>
29                                         </td>
30                                         <td>
31                                         &nbsp;
32                                         </td>
33                                 </tr>
34                                 <tr valign=top bgcolor="white" >
35                                         <td>
36                                         <B>Membership Number</B>
37                                         </td>
38                                         <td>
39                                         <TMPL_VAR Name="bornum">
40                                         </td>
41                                 </tr>
42                                 <tr valign=top bgcolor="white" >
43                                         <td>
44                                         <B>Date Of Birth</B>
45                                         </td>
46                                         <td>
47                                         <TMPL_VAR Name="dob">
48                                         </td>
49                                 </tr>
50                                 <tr valign=top bgcolor="white" >
51                                         <td>
52                                         <B>Sex</B>
53                                         </td>
54                                         <td>
55                                         <TMPL_VAR Name="sex">
56                                         </td>
57                                 </tr>
58                                 <tr valign=top bgcolor="white" >
59                                         <td>
60                                         <B>School</B>
61                                         </td>
62                                         <td>
63                                         <TMPL_VAR Name="school">
64                                         </td>
65                                 </tr>
66                                 <tr valign=top bgcolor="white" >
67                                         <td>
68                                         <B>General Notes</B>
69                                         </td>
70                                         <td>
71                                         <TMPL_VAR Name="notes">
72                                         </td>
73                                 </tr>
74                         </TABLE><p>
75                 </TMPL_IF>
76   </TMPL_LOOP>
77         <form action="/cgi-bin/koha/insertjdata.pl" method=post>
78                 <TMPL_LOOP NAME=inputsloop>
79                         <input type=hidden name="<TMPL_VAR NAME="key">" value="<TMPL_VAR NAME="value">">
80                 </TMPL_LOOP>
81                 <input type=submit name=submit value=submit>
82         </form>
83 </TMPL_IF>
84
85 <TMPL_INCLUDE Name="members-bottom.inc">