|
|
|
@ -15,27 +15,123 @@ |
|
|
|
</head> |
|
|
|
<body> |
|
|
|
<div class="page is-container"> |
|
|
|
<div class="main-sidebar">Sidebar</div> |
|
|
|
<div class="main-sidebar">Wikimedia Logo</div> |
|
|
|
<div class="main-content"> |
|
|
|
|
|
|
|
<h1>Antrag auf Kostenerstattung</h1> |
|
|
|
<p>Bitte beachte beim Ausfüllen die |
|
|
|
<a target="_blank" href="https://www.wikimedia.de/wiki/ |
|
|
|
Gesch%C3%A4ftsordnung#Reisekostenordnung"> |
|
|
|
Reisekostenordnung |
|
|
|
</a>. |
|
|
|
<h1>Auslagenersatz</h1> |
|
|
|
<p>Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines |
|
|
|
Projektes entstanden sind?<BR> |
|
|
|
Bitte fülle dieses Formular aus ... |
|
|
|
</p> |
|
|
|
<h3>Bitte fülle die allgemeinen Daten für die Erstattung aus.</h3> |
|
|
|
|
|
|
|
<form name="theform" id="theform" action="submit.php" method="POST"> |
|
|
|
|
|
|
|
<fieldset> |
|
|
|
<div class="is-row"> |
|
|
|
<div class="is-col is-70"> |
|
|
|
<fieldset> |
|
|
|
<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> |
|
|
|
|
|
|
|
<legend>Dein Projekt / Zweck der Reise</legend> |
|
|
|
<input required type="input" |
|
|
|
size="32" id="projekt" name="project" |
|
|
|
placeholder="Projekt xy" /> |
|
|
|
</fieldset> |
|
|
|
<div class="is-row"> |
|
|
|
<div class="is-col"> |
|
|
|
|
|
|
|
<input class="screen" type="radio" id="eu" |
|
|
|
name="bank" value="EU" checked> |
|
|
|
<label class="screen radio" for="eu">EU-Banküberweisung</label> |
|
|
|
<br> |
|
|
|
<input class="screen" type="radio" |
|
|
|
id="noneu" name="bank" value="Non-EU"> |
|
|
|
<label class="screen radio" for="noneu"> |
|
|
|
Non-EU-Banküberweisung</label> |
|
|
|
<br> |
|
|
|
<input class="screen" type="radio" id="paypal" |
|
|
|
name="bank" value="PayPal"> |
|
|
|
<label class="screen radio" for="paypal">PayPal</label> |
|
|
|
<br> |
|
|
|
<input class="screen" type="radio" id="bar" |
|
|
|
name="bank" value="Bar"> |
|
|
|
<label class="screen radio" for="bar" lang="de"> |
|
|
|
Bargeld</label> |
|
|
|
<br><br> |
|
|
|
|
|
|
|
|
|
|
|
<label class="EU nonEU" for="owner" >Kontoinhaber</label> |
|
|
|
<input class="EU nonEU" type="input" size="32" id="ownerDe" name="Owner" placeholder="wenn abweichend vom Realnamen" /> |
|
|
|
|
|
|
|
<label class="EU nonEU" for="iban" >IBAN</label> |
|
|
|
<input class="EU nonEU" type="input" size="32" id="iban" name="IBAN" placeholder="DE0123…" /> |
|
|
|
|
|
|
|
<label class="EU nonEU" for="bic">BIC / SWIFT</label> |
|
|
|
<input class="EU nonEU" type="input" size="32" id="bic" name="BIC" placeholder="LBMU…" /> |
|
|
|
|
|
|
|
|
|
|
|
<label class="EU nonEU" for="bank" >Name der Bank</label> |
|
|
|
<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Banky McBankface" /> |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<label class="nonEU" for="bankaddress" >Bankanschrift</label> |
|
|
|
<textarea class="nonEU" name="bankaddress" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer |
|
|
|
Postleitzahl und Ort |
|
|
|
Land"></textarea> |
|
|
|
|
|
|
|
<label class="nonEU" for="address" >Deine Anschrift</label> |
|
|
|
<textarea name="address" lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer |
|
|
|
Postleitzahl und Ort |
|
|
|
Land"></textarea> |
|
|
|
<label class="EU nonEU" for="comments" lang="de">Weitere Anmerkungen</label> |
|
|
|
<textarea class="EU nonEU" id="comments" name="comments" |
|
|
|
style="resize:both;" cols="32" rows="4" placeholder="z.B. intermdiäre Bank, |
|
|
|
Grund für abweichende Kontoinhaberin"></textarea> |
|
|
|
|
|
|
|
|
|
|
|
<label class="paypal" for="accountnumber"> |
|
|
|
PayPal account</label> |
|
|
|
<input class="paypal" type="input" size="32" |
|
|
|
id="paypal" placeholder="paypal@example.com" /> |
|
|
|
|
|
|
|
</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 --> |
|
|
|
Hallo |
|
|
|
|
|
|
|
</div> |
|
|
|
</div> |
|
|
|
|
|
|
|
<fieldset> |
|
|
|
<legend>Deine Ansprechperson bei Wikimedia</legend> |
|
|
|
|
7u83
4 years ago