forked from tohe/wmdeit_kaform
161 lines
6.6 KiB
HTML
161 lines
6.6 KiB
HTML
<!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">Sidebar</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>.
|
|
</p>
|
|
<h3>Bitte fülle die allgemeinen Daten für die Erstattung aus.</h3>
|
|
|
|
<form action="submit.php" method="POST">
|
|
|
|
<fieldset>
|
|
<legend>Dein Projekt / Zweck der Reise</legend>
|
|
<input required type="input"
|
|
size="32" id="projekt" name="project"
|
|
placeholder="Projekt xy" />
|
|
</fieldset>
|
|
|
|
<fieldset>
|
|
<legend>Deine Ansprechperson bei Wikimedia</legend>
|
|
<input required type="input" size="32" id="wmdecontact"
|
|
name="wmdecontact" placeholder="John Doe" />
|
|
</fieldset>
|
|
|
|
<fieldset>
|
|
<legend>Deine Kontaktdaten</legend>
|
|
<label for="realname" >Dein Realname</label>
|
|
<input required type="input" size="32"
|
|
name="realname" placeholder="Corinna Commonsuser" />
|
|
<label for="email">E-Mail-Adresse</label>
|
|
<input required type="email" size="32" id="email"
|
|
name="email" placeholder="name@example.org" />
|
|
|
|
<label for="phone" >Telefonnummer</label>
|
|
<input required type="tel" size="32" "phone" name="phone"
|
|
placeholder="0123-456789" />
|
|
</fieldset>
|
|
<legend lang="en" >Payout method</legend>
|
|
|
|
<fieldset id="bankdetails">
|
|
<legend lang="de" >Auszahlungsweg</legend>
|
|
|
|
<input class="screen" type="radio" id="eu"
|
|
name="bank" value="EU" checked>
|
|
<label class="screen radio" for="eu"
|
|
lang="de">EU-Banküberweisung</label>
|
|
<label class="screen radio" for="eu"
|
|
lang="en">EU bank transfer</label>
|
|
<input class="screen" type="radio"
|
|
id="noneu" name="bank" value="Non-EU">
|
|
<label class="screen radio" for="noneu" lang="de">
|
|
Non-EU-Banküberweisung</label>
|
|
<label class="screen radio" for="noneu" lang="en">
|
|
Non EU bank transfer</label>
|
|
<input class="screen" type="radio" id="paypal"
|
|
name="bank" value="PayPal">
|
|
<label class="screen radio" for="paypal">PayPal</label>
|
|
<input class="screen" type="radio" id="bar"
|
|
name="bank" value="Bar">
|
|
<label class="screen radio" for="bar" lang="de">
|
|
Bargeld</label>
|
|
<label class="screen radio" for="bar" lang="en">Cash</label>
|
|
<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
|
|
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
|
|
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,
|
|
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" />
|
|
</fieldset>
|
|
|
|
|
|
<label>Dein Projekt / Zweck der Reise</label>
|
|
<input type="text" name="projekt"/>
|
|
|
|
<h2>Bitte trage deine einzelnen Kostenpositionen ein.</h2>
|
|
<p>
|
|
Bitte trage nur eine Ausgabe pro Zeile ein, lege den
|
|
Originalbeleg dem Antrag bei und kennzeichne den Beleg
|
|
mit der entsprechenden Zeilennummer. Aus der Beschreibung
|
|
soll zu ersehen sein, ob es sich um Transport, Dienstleistung,
|
|
Materialien, Verpflegung oder ähnliches handelt.
|
|
</p>
|
|
|
|
|
|
<table id="tabtab" class="is-bordered">
|
|
<thead>
|
|
<tr>
|
|
<th>Pos.</th>
|
|
<th>Beschreibung</th>
|
|
<th>Belegdatum</th>
|
|
<th>Betrag</th>
|
|
<th>Beleg</th>
|
|
</tr>
|
|
</thead>
|
|
<tbody id="tabbody">
|
|
</tbody>
|
|
|
|
</table>
|
|
<input type="submit"/>
|
|
</form>
|
|
<button onclick="addTableRow();"
|
|
class="button">Position hinzufügen</button>
|
|
<button onclick="submitTable();"
|
|
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>
|
|
<script src="addons/kube-addons.min.js"></script>
|
|
<script src="kaform.js"></script>
|
|
</div>
|
|
</div>
|
|
</body>
|
|
</html>
|