1 <TMPL_INCLUDE NAME="members-top.inc">
3 <h1><TMPL_VAR NAME=header></h1><br>
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>">
12 <table border=0 cellspacing=0 cellpadding=5 >
15 <input type=reset value="Effacer tous les champs">
17 <td COLSPAN=3 ALIGN=RIGHT>
18 <font size="4" face="arial,helvetica">N° de lecteur<TMPL_VAR NAME=member>, N° de carte*
19 <input type=text name=cardnumber size=10 value="<TMPL_VAR NAME=cardnumber>">
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>">
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">Prénoms*</font></td>
37 <td><font size="2">Nom*</font></td>
38 <td><font size="2">Nom d'usage</font></td>
40 <tr valign=top bgcolor=white>
41 <td><TMPL_VAR name="Mr">
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>
51 <input type=text name=initials size=5 value="<TMPL_VAR NAME=initials>">
54 <input type=text name=firstname size=20 value="<TMPL_VAR NAME=firstname>">
57 <input type=text name=surname size=20 value="<TMPL_VAR NAME=surname>">
60 <input type=text name=othernames size=20 value="<TMPL_VAR NAME=othernames>">
64 <tr valign=top bgcolor=white> <TMPL_IF NAME=ethcatpopup><TMPL_VAR NAME=ethcatpopup>
65 <td colspan=2> </td>
66 <td colspan=2> </td>
68 <td colspan=2> </td>
69 <td colspan=2> </td>
71 <td><font size="2">Catégorie d'utilisateur*</font></td>
73 <tr valign=top bgcolor=white>
75 <TMPL_VAR NAME=catcodepopup></td>
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>
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>
87 <tr valign=top bgcolor=white>
88 <td COLSPAN=3><input type=text name=address size=40 value="<TMPL_VAR NAME=address>"></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>">
94 <TMPL_VAR name="CGIbranch">
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>
102 <tr valign=top bgcolor=white>
103 <td COLSPAN=3><input type=text name=streetaddress size=40 value="<TMPL_VAR NAME=streetaddress>"></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>
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>
113 <tr valign=top bgcolor=white>
114 <td COLSPAN=2 ><font size="2">Téléphone personnel</font></td>
115 <td><font size="2">Téléphone professionnel</font></td>
116 <td><FONT SIZE=2>Fax</font></td>
117 <td><FONT SIZE=2>Email</font></td>
119 <tr valign=top bgcolor=white>
121 <input type=text name=phone size=20 value="<TMPL_VAR NAME=phone>">
124 <input type=text name=phoneday size=20 value="<TMPL_VAR NAME=phoneday>">
127 <input type=text name=faxnumber size=20 value="<TMPL_VAR NAME=faxnumber>">
130 <input type=text name=emailaddress size=20 value="<TMPL_VAR NAME=emailaddress>">
133 <input type=text name=textmessaging size=20 value="<TMPL_VAR NAME=textmessaging>">
137 <tr valign=top bgcolor="99cc33">
138 <td COLSPAN=5 background="<TMPL_VAR name="themelang">/images/background-mem.gif"><B>AUTRE CONTACT</b></td>
141 <tr valign=top bgcolor=white>
142 <td COLSPAN=3 ><FONT SIZE=2>Nom*</font></td>
143 <td><font size="2">Téléphone</font></td>
144 <td><FONT SIZE=2>Relation avec le lecteur*</font></td>
146 <tr valign=top bgcolor=white>
148 <input type=text name=contactname size=40 value="<TMPL_VAR NAME=contactname>">
151 <input type=text name=altphone size=20 value="<TMPL_VAR NAME=altphone>">
154 <select name=altrelationship size=1>
155 <TMPL_LOOP NAME=relshiploop>
156 <OPTION <TMPL_VAR NAME=selected>><TMPL_VAR NAME=relationship>
162 <tr valign=top bgcolor=white>
163 <td><font size="2">Remarques</font></td>
165 <textarea name=altnotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=altnotes></textarea>
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>
174 <td><font size="2">Remarques</font></td>
176 <textarea name=borrowernotes wrap=physical cols=70 rows=3><TMPL_VAR NAME=borrowernotes></textarea>
182 <TMPL_IF NAME=modify>
184 <td COLSPAN=5><Font size=2>Indicateurs</font></td>
186 <TMPL_LOOP NAME=flagloop>
188 <td COLSPAN=2><TMPL_VAR NAME=html></td>
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>
193 </TMPL_LOOP> </TMPL_IF>
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>
203 <TMPL_INCLUDE NAME="members-bottom.inc">