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<!doctype html>
< html >
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< head >
< title > Kostenerstattungsforumlar< / title >
< meta charset = "utf-8" >
< meta name = "viewport" content = "width=device-width, initial-scale=1" >
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<!-- Kube CSS -->
< link rel = "stylesheet" href = "css/kube.min.css" >
< link rel = "stylesheet" href = "addons/kube-addons.min.css" / >
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< link rel = "stylesheet" href = "master.css" / >
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< / head >
< body >
< div class = "page is-container" >
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< div class = "main-sidebar" >
< img alt = "wikimedia logo" src = "wmde.png" / >
< / div >
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< div class = "main-content" >
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< h1 > Auslagenersatz< / h1 >
< p > Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines
Projektes entstanden sind?< BR >
Bitte fülle dieses Formular aus ...
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< / p >
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< form data-kube = "kaform" name = "theform" id = "theform" action = "submit.php" method = "POST" >
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< div class = "is-row" >
< div class = "is-col is-70" >
< fieldset >
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< legend > 1. Erfasse deine Stammdaten< / legend >
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< div class = "is-row" >
< div class = "is-col" >
< input required type = "input"
size="32" id="nickname" name="nickname"
placeholder="Nickname*" />
< / div >
< div class = "is-col" >
< input required type = "input"
size="32" id="projekt" name="project"
placeholder="Projekt-ID*" />
< / div >
< / div >
< br >
< div class = "is-row" >
< div class = "is-col" >
< input required type = "input" size = "32"
` name="realname" placeholder="Realname*" />
< / div >
< div class = "is-col" >
< / div >
< / div >
< br >
< div class = "is-row" >
< div class = "is-col" >
< input required type = "email" size = "32" id = "email"
name="email" placeholder="E-Mail-Adresse*" />
< / div >
< div class = "is-col" >
< / div >
< / div >
< br >
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< div class = "is-row" >
< div class = "is-col" >
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< nav class = "tabs" data-kube = "tabs" data-equal = "false" >
< a href = "#tab1" class = "is-active" > Banküberweisung< / a >
< a href = "#tab2" > Banküberweisung(Non-EU)< / a >
< a href = "#tab3" > PayPal< / a >
< a href = "#tab4" > Barauszahlung< / a >
< / nav >
< section id = "tab1" >
< div class = "is-row" >
< div class = "is-col" >
< input type = "input" size = "32" name = "Owner" placeholder = "Kontoinhaber" / >
< / div >
< div class = "is-col" >
< / div >
< / div >
< br >
< div class = "is-row" >
< div class = "is-col" >
< input type = "input" size = "32" id = "iban" name = "IBAN" placeholder = "IBAN*" / >
< / div >
< div class = "is-col" >
< input type = "input" size = "32" id = "bic" name = "BIC" placeholder = "BIC*" / >
< / div >
< / div >
< br >
< input type = "input" size = "32" id = "bic" name = "purpose" placeholder = "Verwendungszweck" / >
< / section >
< section id = "tab2" >
< div class = "is-row" >
< div class = "is-col" >
< input type = "input" size = "32" name = "Owner" placeholder = "Kontoinhaber" / >
< / div >
< div class = "is-col" >
< / div >
< / div >
< br >
< div class = "is-row" >
< div class = "is-col" >
< input type = "input" size = "32" id = "iban" name = "IBAN" placeholder = "Kontonummer*" / >
< / div >
< div class = "is-col" >
< input type = "input" size = "32" id = "bic" name = "BIC" placeholder = "BIC/SWIFT*" / >
< / div >
< / div >
< br >
< input class = "EU nonEU" type = "input" size = "32" id = "bank" name = "Bankname" placeholder = "Name der Bank*" / >
< br >
< textarea class = "nonEU" name = "bankaddress" id = "bankaddress" style = "resize:both;" cols = "32" rows = "4" placeholder = "Adresse der Bank (Strasse und Hausnummer/Postleitzahl/Land)" > < / textarea >
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< br >
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< textarea name = "address" lang = "de" class = "nonEU" id = "address" style = "resize:both;" cols = "32" rows = "4" placeholder = "Deine Anschrift ( Srtasse und Hausnummer / Postleitzahl / Land )
">< / textarea >
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< br >
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< input type = "input" size = "32" id = "bic" name = "purpose" placeholder = "Verwendungszweck" / >
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< / section >
< section id = "tab3" >
< input class = "paypal" type = "input" size = "32"
id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
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< / section >
< section id = "tab4" >
< / section >
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< / div > <!-- i - col -->
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< / div > <!-- is - row -->
< / fieldset >
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< / div >
< div class = "is-col " >
Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext
< / div >
< / div > <!-- is row -->
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< br >
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< div class = "is-row" >
< div class = "is-col is-70" >
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< fieldset id = "fieldset2" >
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< legend > 2. Erfasse deine Ausgaben< / legend >
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< div class = "is-row" >
< div class = "is-col is-70" >
< div class = "is-row" >
< div class = "is-col is-60" >
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< input id = "a_type" type = "text" name = "type" placeholder = "Auslagenart*" / >
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< / div >
< div class = "is-col is-40" >
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< input id = "a_date" type = "date" name = "type" placeholder = "Datum*" / >
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< / div >
< / div >
< br >
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< input id = "a_description" type = "text" name = "description" placeholder = "Beschreibung*" / >
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< br >
< div class = "is-row" >
< div class = "is-col" >
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< input id = "a_amount" type = "text" name = "amount" placeholder = "Betrag*" / >
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< / div >
< div class = "is-col" >
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< input id = "a_currency" type = "text" name = "curreny" placeholder = "Waehrung*" / >
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< / div >
< div class = "is-col" >
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< button type = "button" onclick = "addTableRow();"
class="button is-green">Ausgabe hinzufü gen< / button >
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< / div >
< / div >
< / div >
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< div class = "is-col is-30" >
< div id = "uploadfield" class = "form-item" >
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< / div >
< / div >
< / div >
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< br >
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< table id = "tabtab" class = "is-bordered is-striped" >
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< thead >
< tr >
< th > Auslagenart< / th >
< th > Datum< / th >
< th > Beschreibung< / th >
< th > Betrag< / th >
< th > Wä hrung< / th >
< th > Lö schen< / th >
< / tr >
< / thead >
< tbody id = "tabbody" >
< / tbody >
< / table >
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< / fieldset >
< / div >
< div class = "is-col" >
hilfe 2
< / div >
< / div >
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< button onclick = "addTableRow();"
class="button is-green">Antrag elektronisch versenden< / button >
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< button type = "button" onclick = "alert('hello');"
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class="button is-orange">Herunterladen< / button >
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< / div >
< / div >
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<!-- <input type="submit" style="display:none" name="submitButton" /> -->
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< / form >
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<!-- Kube JS (optional if you are using Kube CSS only) -->
< script src = "js/kube.min.js" > < / script >
< script src = "addons/upload/kube.upload.min.js" > < / script >
< script src = "addons/kube-addons.min.js" > < / script >
< script src = "kaform.js" > < / script >
< / div >
< / div >
< / body >
< / html >
