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- <!doctype html>
- <html >
- <head>
- <title>Kostenerstattungsforumlar</title>
- <meta charset="utf-8">
-
- <meta name="viewport" content="width=device-width, initial-scale=1">
-
- <!-- Kube CSS -->
- <link rel="stylesheet" href="css/kube.min.css">
- <link rel="stylesheet" href="addons/kube-addons.min.css" />
-
- <link rel="stylesheet" href="master.css" />
-
- </head>
- <body>
- <div class="page is-container">
- <div class="main-sidebar">Wikimedia Logo</div>
- <div class="main-content">
-
- <h1>Auslagenersatz</h1>
- <p>Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines
- Projektes entstanden sind?<BR>
- Bitte fülle dieses Formular aus ...
- </p>
-
- <form data-kube="kaform" name="theform" id="theform" action="submit.php" method="POST">
-
- <div class="is-row">
- <div class="is-col is-70">
- <fieldset>
- <legend>1. Erfasse deine Stammdaten</legend>
- <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>
-
- <div class="is-row">
- <div class="is-col">
-
- <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>
- <br>
- <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>
- <br>
-
-
-
- <input type="input" size="32" id="bic" name="purpose" placeholder="Verwendungszweck" />
-
-
- </section>
- <section id="tab3">
- <input class="paypal" type="input" size="32"
- id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
-
-
- </section>
- <section id="tab4">
- </section>
-
-
-
- </div> <!-- i-col -->
- </div> <!-- is-row -->
-
- </fieldset>
-
- </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 -->
-
- <br>
-
- <div class="is-row">
- <div class="is-col is-70">
- <fieldset>
- <legend>2. Erfasse deine Ausgaben</legend>
- <div class="is-row">
- <div class="is-col is-70">
- <div class="is-row">
- <div class="is-col is-60">
- <input type="text" name="type" placeholder="Auslagenart*"/>
- </div>
- <div class="is-col is-40">
- <input type="date" name="type" placeholder="Dateum*"/>
- </div>
- </div>
- <br>
- <input type="text" name="description" placeholder="Beschreibung*"/>
- <br>
-
- <div class="is-row">
- <div class="is-col">
- <input type="text" name="amount" placeholder="Betrag*"/>
- </div>
- <div class="is-col">
- <input type="text" name="curreny" placeholder="Waehrung*"/>
- </div>
- <div class="is-col">
- <button onclick="addTableRow();" class="button is-green">Ausgabe hinzufügen</button>
- </div>
- </div>
-
- </div>
- <div class="is-col is-30">
- <div class="form-item">
- <div class="upload"
- data-kube="upload"
- data-type="file" data-multiple="true"
- data-target="#upload-target"
- data-url="upload.php" data-url-remove="delete.php"
- data-progress="true">
- </div>
- </div>
- </div>
- </div>
- <br>
- <table id="tabtab" class="is-bordered">
- <thead>
- <tr>
- <th>Auslagenart</th>
- <th>Datum</th>
- <th>Beschreibung</th>
- <th>Betrag</th>
- <th>Währung</th>
- <th>Löschen</th>
- </tr>
- </thead>
- <tbody id="tabbody">
- </tbody>
-
- </table>
- </fieldset>
- </div>
- <div class="is-col">
- hilfe 2
- </div>
-
- </div>
- <button onclick="addTableRow();"
- class="button is-green">Antrag elektronisch versenden</button>
- <button onclick="document.theform.submitButton.click();"
- class="button is-orange">Herunterladen</button>
-
- </div>
- </div>
-
-
- <input type="submit" style="display:none" name="submitButton" />
- </form>
-
-
-
-
- <!-- 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>
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