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								<!doctype html>
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								<?php
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									$lang=$_GET['lang'];
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									if ( in_array ($lang, array('en_US'))){
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										$loc = "$lang".".utf8";
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										$loc1 = $lang;
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									}
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									else
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										$loc = "de_DE";
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									$domain = "messages";
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									setlocale(LC_MESSAGES, $loc); 
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									setlocale(LC_ALL, $loc); 
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									$results = putenv("LC_ALL=$loc");
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									$results = putenv("LC_MESSAGES=$loc");
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									$results = bindtextdomain($domain,"./locale");
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								?>
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								<html >
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								<head>
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									<title>Kostenerstattungsformular</title>
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									<meta charset="utf-8">
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									<meta name="viewport" content="width=device-width, initial-scale=1">
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									<!-- Kube CSS -->
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									<link rel="stylesheet" href="css/kube.min.css">
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									<link rel="stylesheet" href="addons/kube-addons.min.css" />
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									<link rel="stylesheet" href="master.css" />
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								</head>
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								<body>
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									<div class="page is-container">
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											2020-02-24 21:14:15 +00:00
										 
									 
								 
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									<div class="main-sidebar">
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										<img alt="wikimedia logo" src="Wikimedia_Deutschland-Logo.svg"/>
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									</div>      
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											2020-02-21 14:12:57 +00:00
										 
									 
								 
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									<div class="main-content">
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										<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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										<div class="is-row">
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										<div class="is-col is-70">
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											<fieldset>
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											<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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												<br>
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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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											2020-04-16 20:38:04 +00:00
										 
									 
								 
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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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												<br>
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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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												<br>
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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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												<br>
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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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											2021-07-06 17:01:18 +00:00
										 
									 
								 
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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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								<!--					<a href="#bank-paypal">PayPal</a>
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													<a href="#bank-bar">Barauszahlung</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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											2021-07-06 17:01:18 +00:00
										 
									 
								 
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							 | 
							
							
														<input type="input" size="32" name="Owner" placeholder="<?=_("Kontoinhabende Person")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
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							 | 
							
								
							 | 
							
							
														<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input type="input" size="32" id="iban" name="iban" placeholder="<?=_("IBAN*")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input type="input" size="32" id="bic" name="bic" placeholder="<?=_("BIC (wenn ausländische Bank)")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<br>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-04 11:01:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								<!--			<input type="input" size="32" id="purpose" name="purpose" placeholder="Verwendungszweck" /> -->
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											<textarea  id="comments" name="comments"
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											style="resize:both;" cols="32" rows="4" 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											placeholder="<?=_("Weitere Anmerkungen z.B. intermediäre Bank, Grund für abweichende Kontoinhbende Person")?>">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											</textarea >
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-04 11:01:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													</section>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-28 15:04:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													<section id="bank-noneu">
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input type="input" size="32" name="Owner" placeholder="<?=_("Kontoinhabende Person")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input type="input" size="32" id="n_iban" name="n_iban" placeholder="<?=_("Kontonummer*")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input type="input" size="32" id="n_bic" name="n_bic" placeholder="<?=_("BIC/SWIFT*")?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
														<br>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input class="EU nonEU" type="input" size="32" id="n_bank" name="n_bankname" placeholder="<?="Name der Bank*"?>" />
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 17:01:18 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<textarea  class="nonEU" name="n_bankaddress" id="n_bankaddress" style="resize:both;" cols="32" rows="4" 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											placeholder="<?=_("Adresse der Bank (Straße und Hausnummer/Postleitzahl/Land)")?>"></textarea>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<br>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<textarea name="n_address" lang="de" class="nonEU" id="n_address" style="resize:both;" cols="32" rows="4" 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											placeholder="<?=_("Deine Anschrift (Srtaße und Hausnummer/Postleitzahl/Land)")?>">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											</textarea>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-04 11:01:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								<!--			<input type="input" size="32" id="n_purpose" name="n_purpose" placeholder="Verwendungszweck" /> -->
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											<textarea  id="n_comments" name="n_comments"
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													style="resize:both;" cols="32" rows="4" 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													placeholder="<?=_("Weitere Anmerkungen z.B. intermediäre Bank,Grund für abweichende kontoinhabende Person")?>">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											</textarea>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-04 11:01:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													</section>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 09:17:08 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								<!--					<section id="bank-paypal">
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-28 15:04:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<input name="paypal" type="input" size="32"
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														       id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
									
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 09:17:08 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													</section> -->
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<!--					<section id="bank-bar">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													</section> -->
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													</div> <!-- i-col -->
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div> <!-- is-row -->
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											</fieldset>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										</div>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 16:46:34 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										<div class="is-col "> 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										<?php 	
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 15:27:53 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											$ct = @file_get_contents( "./locale/$loc1/h1.php"); 
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 16:46:34 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											if ($ct==false)
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												$ct = file_get_contents( "h1.php"); 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											echo $ct;
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										?>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										</div> <!-- is row -->
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:44:22 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										<br>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										<div class="is-col is-70">
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-25 08:07:29 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<fieldset id="fieldset2">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<legend><?=_("2. Erfasse deine Ausgaben")?></legend>
							 | 
						
					
						
							
								
									
										
										
										
											2021-06-29 16:42:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<div class="is-col is-70">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<?=_("Währung:")?>
							 | 
						
					
						
							
								
									
										
										
										
											2021-06-29 16:42:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-col is-20">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<select onchange="renumberTableRows()" id="currency"  >
							 | 
						
					
						
							
								
									
										
										
										
											2024-02-08 11:52:27 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											<option value="EUR">EUR</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="CHF">CHF</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="GBP">GBP</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="USD">USD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="AUD">AUD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="BGN">BGN</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="BRL">BRL</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="CAD">CAD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="CNY">CNY</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="CZK">CZK</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="DKK">DKK</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="HKD">HKD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="HUF">HUF</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="IDR">IDR</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="ILS">ILS</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="INR">INR</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="ISK">ISK</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="JPY">JPY</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="KRW">KRW</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="MXN">MXN</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="MYR">MYR</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="NOK">NOK</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="NZD">NZD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="PHP">PHP</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="PLN">PLN</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="RON">RON</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="SEK">SEK</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="SGD">SGD</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="THB">THB</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="TRY">TRY</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								<option value="ZAR">ZAR</option>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										
							 | 
						
					
						
							
								
									
										
										
										
											2021-10-26 07:22:09 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													</select>
							 | 
						
					
						
							
								
									
										
										
										
											2021-06-29 16:42:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-25 08:07:29 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-25 00:23:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<table id="tabtab" class="is-bordered is-striped">
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:44:22 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<thead>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<tr>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Pos.")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Datum")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Beschreibung")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Betrag")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Währung")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Belege")?></th>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<th><?=_("Löschen")?></th>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:44:22 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</tr>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</thead>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<tbody id="tabbody">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</tbody>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</table>
							 | 
						
					
						
							
								
									
										
										
										
											2021-06-12 17:43:05 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<div class="is-col">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<button id="add_issue" type="button" onclick="addRow();" 
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													class="button is-green"><?=_("Ausgabe hinzufügen")?></button>
							 | 
						
					
						
							
								
									
										
										
										
											2021-06-12 17:43:05 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 16:46:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											</fieldset>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											<fieldset>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<legend><?=_("3. Vorschuss und Sonstiges")?></legend>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 16:46:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-col valign="center"">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<?=_("Ich habe bereits einen Vorschuss erhalten in Höhe von:")?>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 16:46:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-09 13:33:04 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
													<input input name="advance" id="advance" type="text" placeholder="0,00 EUR"/>
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 16:46:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</div>	
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<br>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-row">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-col valign="center"">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 18:40:01 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
														<?=_("Hiermit bestätige ich die Vollständig- und Richtigkeit meiner Angaben:")?>*
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-06 16:46:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												<div class="is-col">
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
													<input id="agree" type="checkbox" />
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												</div>	
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											</fieldset>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-02 10:49:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										<button type="button" onclick="downloadDocument(true);"
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										class="button is-green"><?=_("Antrag elektronisch direkt an WMDE schicken")?></button>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-02 10:49:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										<button type="button" onclick="downloadDocument(false);"
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-07 13:01:21 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										class="button is-orange"><?=_("Antrag herunterladen und später einreichen")?></button>
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-02 10:49:48 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											</div>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										<div class="is-col">
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 16:46:34 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										<?php 
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 15:27:53 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											$ct = @file_get_contents( "./locale/$loc1/h2.php"); 
							 | 
						
					
						
							
								
									
										
										
										
											2021-07-06 16:46:34 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
											if ($ct==false)
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
												$ct = file_get_contents( "h2.php"); 
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											echo $ct;
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										?>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:11:13 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
											
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
										</div>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-25 08:53:52 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 11:29:33 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
										</div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
									</div>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-28 15:04:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									<input type="hidden" id="banktype" name="banktype"/>  
							 | 
						
					
						
							
								
									
										
										
										
											2020-03-09 15:18:28 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									<input type="hidden" id="sendmail" name="sendmail"/>  
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 15:54:42 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								  
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-25 08:53:52 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									<!--		<input type="submit" style="display:none" name="submitButton" />  -->
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-20 13:45:47 +00:00
										 
									 
								 
							 | 
							
								
							 | 
							
								
							 | 
							
							
									</form>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-21 14:12:57 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-24 18:44:22 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-20 13:45:47 +00:00
										 
									 
								 
							 | 
							
								
							 | 
							
								
							 | 
							
							
									
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
									
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
									<!-- 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>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-28 15:04:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									<script src="iban.js/iban.js"></script>
							 | 
						
					
						
							
								
									
										
										
										
											2022-09-09 09:32:15 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
									<script src="js/kaform.js"></script>
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-28 15:04:43 +00:00
										 
									 
								 
							 | 
							
								
									
										
									
								
							 | 
							
								
							 | 
							
							
								
							 | 
						
					
						
							
								
									
										
										
										
											2020-02-20 13:45:47 +00:00
										 
									 
								 
							 | 
							
								
							 | 
							
								
							 | 
							
							
								      </div>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								    </div>    
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								  </body>
							 | 
						
					
						
							| 
								
							 | 
							
								
							 | 
							
								
							 | 
							
							
								</html>
							 |