## -*- coding: utf-8 -*-
<%inherit file="../main.mako" />

<%def name="buildNavipath()">
  ${parent.buildNavipath()}
  <li><a href="${h.url(controller='case', action='index')}">${_('Case Management')}</a></li>
  <li><a href="${h.url(controller='case', action='new2')}">${_('Create new case')}</a></li>
</%def>

<div class="waska_form">
  <form id="waska_form" 
        action="${h.url(controller='case', action='newAction')}" 
        accept-charset="UTF-8"
        name="waska_form" method="POST">
    <h1>${_('Create new case document')}</h1>
    <fieldset>
      <legend>${_('Basic data')}</legend>
      <table>
        <tr>
          <td class="label">
            <label for="name">${_('Lastname')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60"
                   name="name" id="name" value="${c.case.last_name or ""}">
          </td>
        </tr>
        <tr>
          <td class="label">
            <label for="vorname">${_('Firstname')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60"
                   name="vorname" id="vorname"
                   value="${c.case.first_name or ""}">
          </td>
        </tr>
        <tr>
          <td class="label">
            <label for="adresse_strasse">${_('Street')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60" 
                   name="adresse_strasse" id="adresse_strasse" 
                   value="${c.case.street or ""}">
          </td>
        </tr>
        <tr>
          <td class="label">
            <label for="adresse_strassenr">${_('Streetnr')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60" 
                   name="adresse_strassenr" id="adresse_strassenr" 
                   value="${c.case.streetnr or ""}">
          </td>
        </tr>
        <tr>
          <td class="label">
            <label for="adresse_plz">${_('PLZ')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60"
                   name="adresse_plz" id="adresse_plz" 
                   value="${c.case.plz or ""}">
          </td>
        </tr>
        <tr>
          <td class="label">
            <label for="adresse_ort">${_('Place')}:</label>
          </td>
          <td>
            <input class="field" type="text" size="50" maxlength="60" 
                   name="adresse_ort" id="adresse_ort" 
                   value="${c.case.city or ""}">
          </td>
        </tr>
      </table>
    </fieldset>
    <div style="padding: 1em 0;">
      <p>${_('Please notice, that the acceptence statement is the base for entering personal data. Click on Print Statement. Use the Back button to get back to this page.')}</p>
    </div>
    ##<div class="waska_form_element w100">
    ##  Als PDF-Version verfügbare Einverständniserklärungen zum
    ##  handschriftlichen Ausfüllen:
    ##  <table>
    ##    <tr>
    ##      <td class="table_row_h">
    ##        Arabisch <a href="${h.url('/documents/ee_ar.pdf')}">download</a>
    ##      </td>
    ##      <td class="table_row_h">
    ##        Englisch <a href="${h.url('/documents/ee_en.pdf')}">download</a>
    ##      </td>
    ##    </tr>
    ##    <tr>
    ##      <td>Polnisch <a href="${h.url('/documents/ee_pl.pdf')}">download</a></td>
    ##      <td>Russisch <a href="${h.url('/documents/ee_ru.pdf')}">download</a></td>
    ##    </tr>
    ##    <tr>
    ##      <td class="table_row_h">
    ##        Türkisch <a href="${h.url('/documents/ee_tr.pdf')}">download</a>
    ##      </td>
    ##      <td class="table_row_h">
    ##        Deutsch
    ##        (Einwilligungserklärung ohne Hinweise zu Teilnehmernachweisen)
    ##        <a href="${h.url('/documents/ee_de_ohnetn.pdf')}">download</a>
    ##      </td>
    ##    </tr>
    ##  </table>
    ##</div>
    <div class="waska_form_element w100">
      <input type="checkbox" id="statement_signed" name="statement_signed"><label for="statement_signed">${_('The acceptence statement for entering, using and editing personal data has been obtained while initial meeting.')}</label>
    </div>
    
    % if g.mpuls_config.is_enabled('case-module', 'meta-server'):
    <div style="padding: 1em 0;">
	<p>${_('Please notice, that the sync acceptence statement is the base for using the AiR case.')} <a href="${h.url(controller='meta', action='print_empty_statement')}">${_('Print statement')}</a></p>
    </div>
    <div class="waska_form_element w100">
    	<input type="checkbox" id="sync_permission" name="sync_permission"><label for="sync_permisson">${_('The sync acceptence statement for using the AiR case has been obtained while the initial meeting.')}</label>
    </div>
    % endif

    <div class="input_space">
      <input type="submit" value="${_('Print statement')}" name="print" id="newCaseStatement">
      <input type="submit" value="${_('Create case document')}" name="save" id="newCaseSave">
    </div>
  </form>
</div>