@ -15,8 +15,8 @@
< / head >
< body >
< div class = "page is-container" >
< div class = "main-sidebar" > Sidebar< / div >
< div class = "main-content" >
< div class = "main-sidebar" > Sidebar< / div >
< div class = "main-content" >
< h1 > Antrag auf Kostenerstattung< / h1 >
< p > Bitte beachte beim Ausfüllen die
@ -27,7 +27,7 @@
< / p >
< h3 > Bitte fülle die allgemeinen Daten für die Erstattung aus.< / h3 >
< form action = "submit.php" method = "POST" >
< form name = "theform" id = "theform" action = "submit.php" method = "POST" >
< fieldset >
@ -58,7 +58,6 @@
< / fieldset >
< legend lang = "en" > Payout method< / legend >
< fieldset id = "bankdetails" >
< legend > Auszahlungsweg< / legend >
@ -83,31 +82,35 @@
< br > < br >
< label class = "EU nonEU" for = "owner" lang = "de" > Kontoinhaber< / label >
< label class = "EU nonEU" for = "owner" lang = "en" >
Bank account owner< / label >
< input class = "EU nonEU" type = "input" size = "32" id = "ownerDe" name = "Owner" placeholder = "wenn abweichend vom Realnamen" lang = "de" / > < input class = "EU nonEU" type = "input" size = "32" id = "ownerEn" name = "Owner" placeholder = "if different from full legal name" lang = "en" / >
< label class = "EU nonEU" for = "iban" lang = "de" > IBAN< / label > < label class = "EU nonEU" for = "iban" lang = "en" > Bank account number< / 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" lang = "de" > Name der Bank< / label > < label class = "EU nonEU" for = "bank" lang = "en" > Name of bank < / label > < input class = "EU nonEU" type = "input" size = "32" id = "bank" name = "Bankname" placeholder = "Banky McBankface" / >
< label class = "nonEU" for = "bankaddress" lang = "en" > Bank address< / label > < textarea lang = "en" class = "nonEU" id = "bankaddress" style = "resize:both;" cols = "32" rows = "4" placeholder = "Street and house number
Postal code and city
Country">< / textarea >
< label class = "nonEU" for = "address" lang = "en" > Your address< / label > < textarea lang = "en" class = "nonEU" id = "address" style = "resize:both;" cols = "32" rows = "4" placeholder = "Street and house number
Postal code and city
Country">< / textarea >
< label class = "EU nonEU" for = "comments" lang = "en" > Further comments< / label > < textarea lang = "en" class = "EU nonEU" id = "comments" style = "resize:both;" cols = "32" rows = "4" placeholder = "e.g. intermediary bank ,
reasons for differing account owner">< / textarea >
< label class = "nonEU" for = "bankaddress" lang = "de" > Bankanschrift< / label > < textarea lang = "de" class = "nonEU" id = "bankaddress" style = "resize:both;" cols = "32" rows = "4" placeholder = "Straße und Hausnummer
< label class = "EU nonEU" for = "owner" > Kontoinhaber< / label >
< input class = "EU nonEU" type = "input" size = "32" id = "ownerDe" name = "Owner" placeholder = "wenn abweichend vom Realnam en" / >
< 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" id = "bankaddress" style = "resize:both;" cols = "32" rows = "4" placeholder = "Straße und Hausnummer
Postleitzahl und Ort
Land">< / textarea >
< label class = "nonEU" for = "address" lang = "de" > Deine Anschrift< / label > < textarea lang = "de" class = "nonEU" id = "address" style = "resize:both;" cols = "32" rows = "4" placeholder = "Straße und Hausnummer
< label class = "nonEU" for = "address" > Deine Anschrift< / label > < textarea 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 lang = "de" class = "EU nonEU" id = "comments" style = "resize:both;" cols = "32" rows = "4" placeholder = "z.B. intermdiäre Bank ,
< label class = "EU nonEU" for = "comments" lang = "de" > Weitere Anmerkungen< / label >
< textarea class = "EU nonEU" id = "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"
@ -117,6 +120,7 @@ Grund für abweichende Kontoinhaberin">
< label > Dein Projekt / Zweck der Reise< / label >
< input type = "text" name = "projekt" / >
< br >
< h2 > Bitte trage deine einzelnen Kostenpositionen ein.< / h2 >
< p >
@ -142,16 +146,16 @@ Grund für abweichende Kontoinhaberin">
< / tbody >
< / table >
< input type = "submit" / >
< input type = "submit" style = "display:none" name = "submitButton" / >
< / form >
< button onclick = "addTableRow();"
class="button">Position hinzufü gen< / button >
< button onclick = "submitTable ();"
< button onclick = "document.theform.submitButton.click ();"
class="button">Absenden< / button >
<!-- 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 >