%doctype;
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
  <title>[*advanced request]</title>
  <meta name="robots" content="none"%/>
  <meta http-equiv="content-type" content="text/html; charset=%charset;"%/>
  <meta http-equiv="content-style-type" content="text/css"%/>
  <link rel="shortcut icon" href="%image_prefix;/favicon_gwd.png"%/>
%include.css;
%base_header;
</head>
<body%body_prop;>

<h1>[*advanced request]</h1>

<form method="POST" action="%action;">
%hidden;
<input type="hidden" name="m" value="AS_OK"%/>

<h4>[*first name/first names]0</h4>

<table border="1">
<tr align="left">
<td>
<input name="first_name" size="40" maxlength="200"%/>
</td>
</tr>
</table>

<h4>[*surname/surnames]0</h4>

<table border="1">
<tr align="left">
<td>
<input name="surname" size="40" maxlength="200"%/>
</td>
</tr>
</table>

%define;event(xx)
<table border="1"><tr align="left">
<td>[*place]</td>
<td><input name="xx_place" size="40" maxlength="200"%/></td>
</tr></table>
<table border="1"><tr align="left">
<td>[*after]</td>
<td>
[year/month/day]0<input name="xx1_yyyy" size="5" maxlength="5"%/>
[year/month/day]1<input name="xx1_mm" size="2" maxlength="2"%/>
[year/month/day]2<input name="xx1_dd" size="2" maxlength="2"%/>
</td>
</tr>
<tr align="left">
<td>[*before]</td>
<td>
[year/month/day]0<input name="xx2_yyyy" size="5" maxlength="5"%/>
[year/month/day]1<input name="xx2_mm" size="2" maxlength="2"%/>
[year/month/day]2<input name="xx2_dd" size="2" maxlength="2"%/>
</td>
</tr>
</table>
%end;

<h4>[*birth]</h4>
%apply;event("birth")

<h4>[*baptism]</h4>
%apply;event("bapt")

<h4>[*death]</h4>

<table border="1">
<tr align="left">
<td>
<select name="death">
<option value="Dead">[*died]</option>
<option value="NotDead">[*alive]</option>
<option value="" selected="selected">-</option>
</select>
</td>
</tr>
</table>
%apply;event("death")

<h4>[*burial]</h4>
%apply;event("burial")

<h4>[*occupation]</h4>

<table border="1">
<tr align="left">
<td>
<input name="occu" size="50" maxlength="200"%/>
</td>
</tr>
</table>

<h4>[*sex]</h4>

<input type="radio" name="sex" id="sexM" value="M"%/><label for="sexM">[M/F]0</label>
<input type="radio" name="sex" id="sexF" value="F"%/><label for="sexF">[M/F]1</label>
<input type="radio" name="sex" id="sexU" value="N" checked="checked"%/><label for="sexU">-</label>

<h4>[*married]0</h4>

<input type="radio" name="married" id="mY" value="Y"%/><label for="mY">[Y/N]0</label>
<input type="radio" name="married" id="mN" value="N"%/><label for="mN">[Y/N]1</label>
<input type="radio" name="married" id="mA" value="A" checked="checked"%/><label for="mA">-</label>

<p>
[*maximum]: <input name="max" size="5" value="100" maxlength="5"%/> [person/persons]1
<input type="submit" value="Ok"%/>
</p>

</form>

%base_trailer;
%copyright;
</body>
</html>
