1 <form action="{!URL!}/modules.php?module=login&what=mydata"
2 method="POST" style="margin-bottom: 0px">
3 <table border="0" cellspacing="0" cellpadding="0" width="530"
4 class="member_main dashed" align="center">
6 <td colspan="5" height="7" class="seperator"> </td>
9 <td width="10" rowspan="25"> </td>
10 <td width="225" align="right">{--YOUR_LOGIN--}:</td>
11 <td width="10" class="seperator"> </td>
12 <td width="225"><strong>{!UID_VALUE!}</strong></td>
13 <td width="10" rowspan="25"> </td>
16 <td colspan="3" height="3" class="seperator"> </td>
19 <td align="right">{--GENDER--}:</td>
20 <td width="10" class="seperator"> </td>
21 <td><select name="gender" size="1" class="member_select">
22 <option value="M"{--M_DEFAULT--}>{--GENDER_M--}</option>
23 <option value="F"{--F_DEFAULT--}>{--GENDER_F--}</option>
24 <option value="C"{--C_DEFAULT--}>{--GENDER_C--}</option>
28 <td colspan="3" height="3" class="seperator"> </td>
31 <td align="right">{--SURNAME--}, {--FAMILY_NAME--}:</td>
32 <td width="10" class="seperator"> </td>
33 <td><INPUT type="text" name="surname" class="member_normal"
34 size="15" maxlength="255" value="$DATA[0]"> <INPUT
35 type="text" name="family_name" class="member_normal" size="15"
36 maxlength="255" value="$DATA[1]"></td>
39 <td colspan="3" height="3" class="seperator"> </td>
42 <td align="right">{--STREET_NR--}:</td>
43 <td width="10" class="seperator"> </td>
44 <td><INPUT type="text" name="street_nr" class="member_normal"
45 size="25" maxlength="255" value="$DATA[2]"></td>
48 <td colspan="3" height="3" class="seperator"> </td>
51 <td align="right">{--COUNTRY--}, {--ZIP--}, {--CITY--}:</td>
52 <td width="10" class="seperator"> </td>
53 <td>{!__COUNTRY_CONTENT!} <INPUT type="text" name="zip"
54 class="member_normal" size="5" maxlength="10" value="$DATA[4]">
55 <INPUT type="text" name="city" class="member_normal" size="20"
56 maxlength="255" value="$DATA[5]"></td>
59 <td colspan="3" height="3" class="seperator"> </td>
62 <td align="right">{--ADDY--}:</td>
63 <td width="10" class="seperator"> </td>
64 <td><INPUT type="text" name="addy" class="member_normal"
65 size="30" maxlength="255" value="$DATA[6]"></td>
68 <td colspan="3" height="3" class="seperator"> </td>
71 <td align="right">{--BIRTHDAY--}:</td>
72 <td width="10" class="seperator"> </td>
76 <td colspan="3" height="3" class="seperator"> </td>
79 <td align="center" colspan="3">{--MAX_REC_LIST--}</td>
82 <td colspan="3" height="7" class="seperator"> </td>
85 <td colspan="3" height="3" class="seperator member_note_bg"> </td>
88 <td colspan="3" align="center" class="member_note_bg"><span
89 class="member_note">{--MYDATA_NOTE--}</span></td>
92 <td colspan="3" height="3" class="seperator member_note_bg"> </td>
95 <td colspan="3" height="7" class="seperator"> </td>
98 <td align="right">{--PASS_1--}:</td>
99 <td width="10" class="seperator"> </td>
100 <td><INPUT type="password" name="pass1" class="member_normal"
101 size="25" maxlength="255"></td>
104 <td colspan="3" height="3" class="seperator"> </td>
107 <td align="right">{--PASS_2--}:</td>
108 <td width="10" class="seperator"> </td>
109 <td><INPUT type="password" name="pass2" class="member_normal"
110 size="25" maxlength="255"></td>
113 <td colspan="3" height="7" class="seperator"> </td>
116 <td colspan="3" align="center"><INPUT type="reset"
117 class="member_reset" value="{--CLEAR_FORM--}" /> <INPUT
118 type="submit" name="save" class="member_submit"
119 value="{--SAVE_CHANGES--}" /></td>
122 <td colspan="5" height="7" class="seperator"> </td>