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203 lines
6.1 KiB
203 lines
6.1 KiB
<h1>
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<?php echo _( "Antrag auf Kostenerstattung")?>
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</h1>
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<p>
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<?php echo _("Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines Projektes entstanden sind?")?><BR>
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<?php echo _("Bitte fülle dieses Formular aus. Pflichtfelder sind mit einem * gekennzeichnet.")?>
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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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<fieldset> <legend><?php echo _("1. Erfasse deine Stammdaten")?></legend>
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<div class="is-row">
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<div class="is-col">
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<input required type="input"
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size="32" id="projectid" name="project"
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placeholder="<?php echo _("Projekt/Zweck der Reise*")?>" />
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<input required type="input" size="32"
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` id="realname" name="realname" placeholder="<?php echo _("Dein Realname (Vorname Nachname)*")?>" />
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</div>
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<div class="is-col">
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<input type="input" size="32"
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` id="wmdecontact" name="wmdecontact"
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placeholder="<?= _("Deine Ansprechperson bei Wikimedia")?>" />
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<input type="tel" size="32"
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id="phone" name="phone"
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placeholder="<?= _("Deine Telefonnummer")?>" />
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</div>
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<div class="is-col">
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<input required type="email" size="32" id="email"
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name="email" placeholder="<?= _("Deine E-Mail-Adresse*")?>" />
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</div>
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<div class="is-col">
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<nav class="tabs" data-kube="tabs" data-equal="false">
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<a href="#bank-eu" class="is-active"><?=_("Banküberweisung")?></a>
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<a href="#bank-noneu"><?=_("Banküberweisung (Non-EU)")?></a>
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</nav>
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<section id="bank-eu">
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<div class="is-row">
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<div class="is-col">
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<input type="input" size="32" name="Owner" placeholder="<?=_("Kontoinhabende Person")?>" />
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</div>
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<div class="is-col">
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<input type="input" size="32" id="iban" name="iban" placeholder="<?=_("IBAN*")?>" />
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</div>
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<div class="is-col">
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<input type="input" size="32" id="bic" name="bic" placeholder="<?=_("BIC (wenn ausländische Bank)")?>" />
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</div>
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</div>
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<textarea id="comments" name="comments" style="resize:none;" cols="32" rows="4"
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placeholder="<?=_("Weitere Anmerkungen z.B. intermediäre Bank, Grund für abweichende Kontoinhbende Person")?>"></textarea >
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</section>
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<section id="bank-noneu">
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<div class="is-row">
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<div class="is-col">
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<input type="input" size="32" name="Owner" placeholder="<?=_("Kontoinhabende Person")?>" />
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</div>
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<div class="is-col">
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<input type="input" size="32" id="n_iban" name="n_iban" placeholder="<?=_("Kontonummer*")?>" />
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</div>
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<div class="is-col">
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<input type="input" size="32" id="n_bic" name="n_bic" placeholder="<?=_("BIC/SWIFT*")?>" />
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</div>
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</div>
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<input class="EU nonEU" type="input" size="32" id="n_bank" name="n_bankname" placeholder="<?="Name der Bank*"?>" />
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<textarea class="nonEU" name="n_bankaddress" id="n_bankaddress" style="resize:both;" cols="32" rows="4"
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placeholder="<?=_("Adresse der Bank (Straße und Hausnummer, Postleitzahl, Ort, Land)")?>"></textarea>
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<br>
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<textarea name="n_address" lang="de" class="nonEU" id="n_address" style="resize:both;" cols="32" rows="4"
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placeholder="<?=_("Deine Anschrift (Srtaße und Hausnummer, Postleitzahl, Ort, Land)")?>"></textarea>
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<br>
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<textarea id="n_comments" name="n_comments"
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style="resize:both;" cols="32" rows="4"
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placeholder="<?=_("Weitere Anmerkungen, z.B. intermediäre Bank, Grund für abweichende kontoinhabende Person")?>"></textarea>
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</section>
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</div> <!-- i-col -->
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</div> <!-- is-row -->
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</fieldset>
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<fieldset id="fieldset2"> <legend><?=_("2. Erfasse deine Ausgaben")?></legend>
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<div class="is-row">
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<div class="is-col">
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<?=_("Währung:")?>
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</div>
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<div class="is-col">
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<select onchange="renumberTableRows()" id="currency" >
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<option value="EUR">EUR</option>
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<option value="USD">USD</option>
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<option value="CHF">CHF</option>
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<option value="XBT">XBT</option>
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</select>`
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</div>
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<div class="is-col">
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</div>
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</div>
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<table id="tabtab" class="is-responsive is-bordered is-striped">
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<thead>
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<tr>
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<th><?=_("Pos.")?></th>
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<th><?=_("Datum")?></th>
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<th><?=_("Beschreibung")?></th>
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<th><?=_("Betrag")?></th>
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<th><?=_("Währung")?></th>
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<th><?=_("Belege")?></th>
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<th><?=_("Löschen")?></th>
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</tr>
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</thead>
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<tbody id="tabbody">
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</tbody>
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</table>
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<div class="is-col">
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<button id="add_issue" type="button" onclick="addRow();"
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class="button is-green"><?=_("Ausgabe hinzufügen")?></button>
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</div>
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</fieldset>
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<br>
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<fieldset> <legend><?=_("3. Vorschuss und Sonstiges")?></legend>
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<div class="is-row">
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<div class="is-col valign="center"">
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<?=_("Ich habe bereits einen Vorschuss in folgender Höhe erhalten:")?>
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</div>
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<div class="is-col">
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<input input name="advance" id="advance" type="text" placeholder="0,00 EUR"/>
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</div>
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</div>
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<div class="is-row">
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<div class="is-col valign="center"">
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<?=_("Hiermit bestätige ich die Vollständig- und Richtigkeit meiner Angaben:")?>*
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</div>
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<div class="is-col">
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<input id="agree" type="checkbox" />
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</div>
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</div>
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<div class="is-row">
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<div class="is-col">
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<button type="button" onclick="downloadDocument(true);"
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class="button is-green"><?=_("Antrag elektronisch direkt an WMDE schicken")?></button>
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</div>
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<div class="is-col">
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<button type="button" onclick="downloadDocument(false);"
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class="button is-orange"><?=_("Antrag herunterladen und später einreichen")?></button>
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</div>
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</div>
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</fieldset>
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<input type="hidden" id="banktype" name="banktype"/>
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<input type="hidden" id="sendmail" name="sendmail"/>
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</form>
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<?php
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