| 1 |
dpavlin |
1.1 |
{if ($warning ne "") } |
| 2 |
|
|
<p align="center" ><font color="#ff0000" size="+1">{$warning}</font></p> |
| 3 |
|
|
{/if} |
| 4 |
|
|
|
| 5 |
|
|
<form method="post" action="{$self}"> |
| 6 |
|
|
<input type="hidden" name="p" value="obrazac"> |
| 7 |
|
|
<p> |
| 8 |
|
|
{input type="radio" name="zanimanje" value="faramacevt"} Farmacevt |
| 9 |
|
|
{input type="radio" name="zanimanje" value="zdravnik"} Zdravnik |
| 10 |
|
|
{input type="radio" name="zanimanje" value="veterinar"} Veterinar |
| 11 |
|
|
<br> |
| 12 |
|
|
{input type="radio" name="zanimanje" value="drugo"} Drugo |
| 13 |
|
|
{input name="drugo_zanimanje" size="53"} |
| 14 |
|
|
</p> |
| 15 |
|
|
<table width="99%" border="0" bgcolor="#FFFFFF" cellpadding="0" cellspacing="0"> |
| 16 |
|
|
<tr> |
| 17 |
|
|
<td>{rinput name=login desc="Uporabni¹ko ime"}</td> |
| 18 |
|
|
<td>{input name=login desc="Uporabni¹ko ime" size=40}</td> |
| 19 |
|
|
</tr><tr> |
| 20 |
|
|
<td>{rinput name=geslo desc=Geslo}</td> |
| 21 |
|
|
<td>{input name="geslo" size="40"}</td> |
| 22 |
|
|
</tr><tr> |
| 23 |
|
|
<td>{rinput name="sender" desc="Ime in priimek"}</td> |
| 24 |
|
|
<td>{input name="sender" size="40"}</td> |
| 25 |
|
|
</tr><tr> |
| 26 |
|
|
<td>Naslov<br>(ulica in hi¹na ¹tevilka)</td> |
| 27 |
|
|
<td>{input name="ulica" size="40"}</td> |
| 28 |
|
|
</tr><tr> |
| 29 |
|
|
<td>po¹tna ¹tevilka</td> |
| 30 |
|
|
<td>{input name="posta" size="40"}</td> |
| 31 |
|
|
</tr><tr> |
| 32 |
|
|
<td>kraj</td> |
| 33 |
|
|
<td>{input name="kraj" size="40"}</td> |
| 34 |
|
|
</tr><tr> |
| 35 |
|
|
<td>telefonska ¹tevilka</td> |
| 36 |
|
|
<td>{input name="tel" size="40"}</td> |
| 37 |
|
|
</tr><tr> |
| 38 |
|
|
<td>{rinput name="reply" desc="el. po¹ta"}</td> |
| 39 |
|
|
<td>{input name="reply" size="40" type=email}</td> |
| 40 |
|
|
</tr> |
| 41 |
|
|
</table> |
| 42 |
|
|
<hr> |
| 43 |
|
|
<p><b>Podatki o zaposlitvi</b></p> |
| 44 |
|
|
<table width="99%" border="0" cellpadding="0" cellspacing="0"> |
| 45 |
|
|
<tr> |
| 46 |
|
|
<td>{rinput name="org" desc="Delovna organizacija"}</td> |
| 47 |
|
|
<td>{input name="org" size="40"}</td> |
| 48 |
|
|
</tr><tr> |
| 49 |
|
|
<td>telefon</td> |
| 50 |
|
|
<td>{input name="orgtel" size="40"}</td> |
| 51 |
|
|
</tr><tr> |
| 52 |
|
|
<td>faks</td> |
| 53 |
|
|
<td>{input name="orgfax" size="40"}</td> |
| 54 |
|
|
</tr><tr> |
| 55 |
|
|
<td>el. po¹ta</td> |
| 56 |
|
|
<td>{input name="orgemail" size="40"}</td> |
| 57 |
|
|
</tr> |
| 58 |
|
|
</table> |
| 59 |
|
|
|
| 60 |
|
|
<hr> |
| 61 |
|
|
<div align="center">Specializacija<br> |
| 62 |
|
|
{textarea name="specializacija" cols="60" rows="5"} |
| 63 |
|
|
</div> |
| 64 |
|
|
|
| 65 |
|
|
<hr> |
| 66 |
|
|
<div align="center">Strokovno podroèje |
| 67 |
|
|
{textarea name="podrocje" cols="60" rows="5"} |
| 68 |
|
|
</div> |
| 69 |
|
|
|
| 70 |
|
|
<hr> |
| 71 |
|
|
<div align="left"> |
| 72 |
|
|
Za pridobitev gesla je nujno izpolniti oznaèene vrstice. |
| 73 |
|
|
<input type="submit" name="submit" value="Po¹lji"> |
| 74 |
|
|
<input type="reset" name="Reset" value="Zbri¹i"> |
| 75 |
|
|
</div> |
| 76 |
|
|
|
| 77 |
|
|
</form> |
Parent Directory
| 
Revision Log