3 <TMPL_INCLUDE NAME="members-top.inc">
5 <FONT SIZE=6><em><TMPL_VAR NAME=header></em></FONT><br>
7 <form action=/cgi-bin/koha/newmember.pl method=post>
8 <input type=hidden name=joining value="<TMPL_VAR NAME=dateenrolled>">
9 <input type=hidden name=expiry value="<TMPL_VAR NAME=expiry>">
10 <input type=hidden name=type value="borrowers">
11 <input type=hidden name=borrowernumber value="<TMPL_VAR NAME=member>">
12 <input type=hidden name=updtype value="<TMPL_VAR NAME=updtype>">
14 <table border=0 cellspacing=0 cellpadding=5 >
17 <td COLSPAN=2><input type=reset value="Borrar Todo"></td>
18 <td COLSPAN=3 ALIGN=RIGHT><font size=4 face='arial,helvetica'>Usuario# <TMPL_VAR NAME=member>, Id de Usuario* <input type=text name=cardnumber size=10 value="<TMPL_VAR NAME=cardnumber>"><br></td>
22 <td COLSPAN=3 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>INFORMACION PERSONAL DEL USUARIO</b></td>
23 <td COLSPAN=2 ALIGN=RIGHT background="<TMPL_VAR name="themelang">/images/background-mem.gif">*
24 <input type="radio" name="sex" value="F"<TMPL_IF NAME=female> checked</TMPL_IF>>F
25 <input type="radio" name="sex" value="M"<TMPL_UNLESS NAME=female> checked</TMPL_UNLESS>> M
26 <B>Fecha de Nac.</B> (<TMPL_VAR NAME=dateformat>)
27 <input type=text name=dateofbirth size=10 value="<TMPL_VAR NAME=dateofbirth>">
31 <tr valign=top bgcolor=white>
32 <td><FONT SIZE=2>Título</FONT></td>
33 <td><FONT SIZE=2>Iniciales</FONT></td>
34 <td><FONT SIZE=2><b>Nombres*</b></FONT></td>
35 <td><FONT SIZE=2><b>Apellido*</b></FONT></td>
36 <td><FONT SIZE=2>Nombre Preferido</FONT></td>
38 <tr valign=top bgcolor=white>
39 <td><TMPL_VAR name="Mr">
41 <option value=" "<TMPL_VAR name="title_selected_">>Sin título</option>
42 <option value="Miss"<TMPL_VAR name="title_Miss">>Srta</option>
43 <option value="Mrs"<TMPL_VAR name="title_Mrs">>Sra</option>
44 <option value="Ms"<TMPL_VAR name="title_Ms">>Ms</option>
45 <option value="Mr" <TMPL_VAR name="title_Mr">>Sr</option>
46 <option value="Dr" <TMPL_VAR name="title_Dr">>Dr</option>
47 <option value="Sir" <TMPL_VAR name="title_Sir">>Sir</option>
50 <td><input type=text name=initials size=5 value="<TMPL_VAR NAME=initials>"></td>
51 <td><input type=text name=firstname size=20 value="<TMPL_VAR NAME=firstname>"></td>
52 <td><input type=text name=surname size=20 value="<TMPL_VAR NAME=surname>"></td>
53 <td><input type=text name=othernames size=20 value="<TMPL_VAR NAME=othernames>"></td>
57 <tr valign=top bgcolor=white>
58 <TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
59 <td colspan=2><FONT SIZE=2>Ethnicity</FONT></td>
60 <td colspan=2><FONT SIZE=2>Ethnicity Notes</FONT></td>
62 <td colspan=2> </td><td colspan=2> </td>
64 <td><FONT SIZE=2><b>Categoría de membrecía*</b></FONT></td>
66 <tr valign=top bgcolor=white>
68 <TMPL_IF name="ethcatpopup">
69 <select name="ethnicity" size=1>
70 <TMPL_LOOP NAME=ethnicityloop>
71 <option value=<TMPL_VAR NAME=value><TMPL_VAR NAME=selected>><TMPL_VAR NAME=label>
76 <TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
77 <td colspan=2><input type=text name=ethnicnotes size=40 ></td>
79 <td colspan=2> </td>
81 <td><TMPL_VAR NAME=catcodepopup></td>
85 <tr valign=top bgcolor="99cc33" >
86 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>DIRECCION DEL USUARIO</b></td>
89 <tr valign=top bgcolor=white>
90 <td COLSPAN=3><FONT SIZE=2><b>Dirección Postal*</b></FONT></td>
91 <td><FONT SIZE=2><b>Ciudad*</b></FONT></td>
92 <td><FONT SIZE=2>Provincia</FONT></td>
94 <tr valign=top bgcolor=white>
95 <td COLSPAN=3><input type=text name=address size=40 value="<TMPL_VAR NAME=address>"></td>
96 <td><input type=text name=city size=20 value="<TMPL_VAR NAME=city>"></td>
98 <TMPL_VAR name="CGIbranch">
103 <tr valign=top bgcolor=white>
104 <td COLSPAN=3><FONT SIZE=2>Dirección de la calle, si es diferente</FONT></td>
105 <td><FONT SIZE=2>Ciudad</FONT></td>
107 <tr valign=top bgcolor=white>
108 <td COLSPAN=3><input type=text name=streetaddress size=40 value="<TMPL_VAR NAME=streetaddress>"></td>
109 <td><input type=text name=streetcity size=20 value="<TMPL_VAR NAME=streetcity>"></td>
113 <tr valign=top bgcolor="99cc33">
114 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>INFORMACION DE CONTACTO</b></td>
117 <tr valign=top bgcolor=white>
118 <td COLSPAN=2 ><FONT SIZE=2>Teléfono (Casa)</td>
119 <td><FONT SIZE=2>Fax</td>
120 <td><FONT SIZE=2>Email</td>
121 <td><FONT SIZE=2>Mensajero de texto</td>
123 <tr valign=top bgcolor=white>
124 <td COLSPAN=2><input type=text name=phone size=20 value="<TMPL_VAR NAME=phone>"></td>
125 <td><input type=text name=faxnumber size=20 value="<TMPL_VAR NAME=faxnumber>"></td>
126 <td><input type=text name=emailaddress size=20 value="<TMPL_VAR NAME=emailaddress>"></td>
127 <td><input type=text name=textmessaging size=20 value="<TMPL_VAR NAME=textmessaging>"></td>
131 <tr valign=top bgcolor=white>
132 <td COLSPAN=2 ><FONT SIZE=2>Teléfono (Día)</td>
137 <tr valign=top bgcolor=white>
138 <td COLSPAN=2><input type=text name=phoneday size=20 value="<TMPL_VAR NAME=phoneday>"></td>
145 <tr valign=top bgcolor="99cc33">
146 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>INFORMACION DE CONTACTO ALTERNATIVO</b></td>
149 <tr valign=top bgcolor=white>
150 <td COLSPAN=3 ><FONT SIZE=2><b>Nombre*</b></td>
151 <td><FONT SIZE=2>Teléfono</td>
152 <td><FONT SIZE=2><b>Parentesco*</b></td>
154 <tr valign=top bgcolor=white>
155 <td COLSPAN=3 ><input type=text name=contactname size=40 value="<TMPL_VAR NAME=contactname>"></td>
156 <td><input type=text name=altphone size=20 value="<TMPL_VAR NAME=altphone>"></td>
158 <select name=altrelationship size=1>
159 <TMPL_LOOP NAME=relshiploop>
160 <OPTION <TMPL_VAR NAME=selected>><TMPL_VAR NAME=relationship>
167 <tr valign=top bgcolor="99cc33">
168 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>PARA USO DE LA BIBLIOTECA</B></td>
170 <tr valign=top bgcolor=white>
171 <td><FONT SIZE=2>Notas</font></td>
172 <td COLSPAN=4><textarea name=altnotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=altnotes></textarea></td>
177 <td><FONT SIZE=2>Notes</font></td>
178 <td COLSPAN=4><textarea name=borrowernotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=borrowernotes></textarea></td>
181 <TMPL_IF NAME=modify>
182 <tr><td COLSPAN=5><Font size=2>PERMISOS</font></td></tr>
183 <TMPL_LOOP NAME=flagloop>
185 <td COLSPAN=2><TMPL_VAR NAME=html></td>
186 <td COLSPAN=3><input type=radio name="<TMPL_VAR NAME=name>" value="1" <TMPL_VAR NAME=yes>>Si
187 <input type=radio name="<TMPL_VAR NAME=name>" value="0" <TMPL_VAR NAME=no>>No
195 <td><input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Agregar Usuario" border=0 ></td>
200 <TMPL_INCLUDE NAME="members-bottom.inc">