bdb46a885d2bc27db5628fa5fabe5fbdf7ceff4f
[koha.git] / koha-tmpl / intranet-tmpl / default / fr / members / memberentry.tmpl
1 <TMPL_INCLUDE NAME="members-top.inc">
2
3 <h1><TMPL_VAR NAME=header></h1><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><TMPL_VAR name="Mr">
42                 <SELECT NAME="title">
43                         <option<TMPL_VAR name="title_selected_ "> value=" ">Aucun</option>
44                         <option value="Miss"<TMPL_VAR name="title_Mlle">>Mlle</option>
45                         <option value="Mrs"<TMPL_VAR name="title_Mme">>Mme</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><b>Adresse postale*</b></FONT></td>
84                 <td><FONT SIZE=2><b>CP /Ville*</b></FONT></td>
85                 <td><FONT SIZE=2>Annexe rattachement</FONT></td>
86         </tr>
87         <tr valign=top bgcolor=white>
88                 <td COLSPAN=3><input type=text name=address size=40 value="<TMPL_VAR NAME=address>"></td>
89                 <td>
90                         <input type=text name="zipcode" size=20 value="<TMPL_VAR NAME="zipcode">"><br />
91                         <input type=text name=city size=20 value="<TMPL_VAR NAME=city>">
92                 </td>
93                 <td>
94                         <TMPL_VAR name="CGIbranch">
95                 </td>
96         </tr>
97
98         <tr valign=top bgcolor=white>
99                 <td COLSPAN=3><FONT SIZE=2>Autre adresse</FONT></td>
100                 <td><FONT SIZE=2>CP / Ville</FONT></td>
101         </tr>
102         <tr valign=top bgcolor=white>
103                 <td COLSPAN=3><input type=text name=streetaddress size=40 value="<TMPL_VAR NAME=streetaddress>"></td>
104                 <td>
105                         <input type=text name="homezipcode" size=20 value="<TMPL_VAR NAME="homezipcode">"></br/>
106                         <input type=text name=streetcity size=20 value="<TMPL_VAR NAME=streetcity>"></td>
107         </tr>
108
109         <tr valign=top bgcolor="99cc33">
110                 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>CONTACTER LE LECTEUR</b></td>
111         </tr>
112
113         <tr valign=top bgcolor=white>
114                 <td COLSPAN=2 ><font size="2">T&eacute;l&eacute;phone personnel</font></td>
115                 <td><font size="2">T&eacute;l&eacute;phone professionnel</font></td>
116                 <td><FONT SIZE=2>Fax</font></td>
117                 <td><FONT SIZE=2>Email</font></td>
118         </tr>
119         <tr valign=top bgcolor=white>
120                 <td COLSPAN=2>
121                 <input type=text name=phone size=20 value="<TMPL_VAR NAME=phone>">
122                 </td>
123                 <td>
124                 <input type=text name=phoneday size=20 value="<TMPL_VAR NAME=phoneday>">
125                 </td>
126                 <td>
127                 <input type=text name=faxnumber size=20 value="<TMPL_VAR NAME=faxnumber>">
128                 </td>
129                 <td>
130                 <input type=text name=emailaddress size=20 value="<TMPL_VAR NAME=emailaddress>">
131                 </td>
132                 <td>
133                 <input type=text name=textmessaging size=20 value="<TMPL_VAR NAME=textmessaging>">
134                 </td>
135         </tr>
136
137         <tr valign=top bgcolor="99cc33">
138                 <td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>AUTRE CONTACT</b></td>
139         </tr>
140
141         <tr valign=top bgcolor=white>
142                 <td   COLSPAN=3 ><FONT SIZE=2>Nom*</font></td>
143                 <td><font size="2">T&eacute;l&eacute;phone</font></td>
144                 <td><FONT SIZE=2>Relation avec le lecteur*</font></td>
145         </tr>
146         <tr valign=top bgcolor=white>
147                 <td COLSPAN=3 >
148                 <input type=text name=contactname size=40 value="<TMPL_VAR NAME=contactname>">
149                 </td>
150                 <td>
151                 <input type=text name=altphone size=20 value="<TMPL_VAR NAME=altphone>">
152                 </td>
153                 <td>
154                 <select name=altrelationship size=1>
155                         <TMPL_LOOP NAME=relshiploop>
156                         <OPTION <TMPL_VAR NAME=selected>><TMPL_VAR NAME=relationship>
157                         </TMPL_LOOP>
158                 </select>
159                 </td>
160         </tr>
161
162         <tr valign=top bgcolor=white>
163                 <td><font size="2">Remarques</font></td>
164                 <td COLSPAN=4>
165                 <textarea name=altnotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=altnotes></textarea>
166                 </td>
167         </tr>
168
169         <tr valign=top bgcolor="99cc33">
170                 <td  COLSPAN=5  background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>UTILISATION DE
171                 LA BIBLIOTHEQUE</B></td>
172         </tr>
173         <tr valign=top >
174                 <td><font size="2">Remarques</font></td>
175                 <td COLSPAN=4>
176                 <textarea name=borrowernotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=borrowernotes></textarea>
177                 </td>
178         </tr>
179         <tr>
180                 <td>&nbsp; </TD>
181         </TR>
182         <TMPL_IF NAME=modify>
183         <tr>
184                 <td COLSPAN=5><Font size=2>Indicateurs</font></td>
185         </tr>
186         <TMPL_LOOP NAME=flagloop>
187         <tr>
188                 <td COLSPAN=2><TMPL_VAR NAME=html></td>
189                 <td COLSPAN=3>
190                 <input type=radio name="<TMPL_VAR NAME=name>" value="1" <TMPL_VAR NAME=yes>>Oui
191                 <input type=radio name="<TMPL_VAR NAME=name>" value="0" <TMPL_VAR NAME=no>>Non </td>
192         </tr>
193         </TMPL_LOOP> </TMPL_IF>
194         <tr>
195                 <td></td>
196                 <td>
197                         <input type=hidden name=type value=<TMPL_VAR NAME="type">>
198                         <input type=image src="<TMPL_VAR name="interface">/<TMPL_VAR name="theme">/images/2rightarrow.png" ALT="Add New Member" border=0 ></td>
199         </tr>
200
201         </table>
202 </form>
203 <TMPL_INCLUDE NAME="members-bottom.inc">