forked from tohe/wmdeit_kaform
294 lines
7.7 KiB
PHP
294 lines
7.7 KiB
PHP
<!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">
|
|
<img alt="wikimedia logo" src="Wikimedia_Deutschland-Logo.svg"/>
|
|
</div>
|
|
<div class="main-content">
|
|
|
|
<h1>Auslagenersatz</h1>
|
|
<p>Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines
|
|
Projektes entstanden sind?<BR>
|
|
Bitte fülle dieses Formular aus ...
|
|
</p>
|
|
|
|
<form data-kube="kaform" name="theform" id="theform" action="submit.php" method="POST">
|
|
|
|
<div class="is-row">
|
|
<div class="is-col is-70">
|
|
<fieldset>
|
|
<legend>1. Erfasse deine Stammdaten</legend>
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input required type="input"
|
|
size="32" id="projectid" name="project"
|
|
placeholder="Projekt/Zweck der Reise*" />
|
|
</div>
|
|
</div>
|
|
<!-- <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="projectid" name="project"
|
|
placeholder="Projekt-ID*" />
|
|
</div>
|
|
</div>
|
|
--> <br>
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input required type="input" size="32"
|
|
` id="realname" name="realname" placeholder="Dein Realname (Vorname Nachname)*" />
|
|
</div>
|
|
<div class="is-col">
|
|
<input required type="input" size="32"
|
|
` id="wmdecontact" name="wmdecontact" placeholder="Deine Ansprechperson bei Wikimedia*" />
|
|
</div>
|
|
</div>
|
|
<br>
|
|
|
|
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input required type="tel" size="32"
|
|
id="phone" name="phone"
|
|
placeholder="Deine Telefonnummer" />
|
|
</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="Deine E-Mail-Adresse*" />
|
|
</div>
|
|
<div class="is-col">
|
|
</div>
|
|
</div>
|
|
<br>
|
|
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
|
|
<nav class="tabs" data-kube="tabs" data-equal="false">
|
|
<a href="#bank-eu" class="is-active">Banküberweisung</a>
|
|
<a href="#bank-noneu">Banküberweisung(Non-EU)</a>
|
|
<a href="#bank-paypal">PayPal</a>
|
|
<a href="#bank-bar">Barauszahlung</a>
|
|
</nav>
|
|
|
|
<section id="bank-eu">
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input type="input" size="32" name="Owner" placeholder="Kontoinhaberin" />
|
|
</div>
|
|
<div class="is-col">
|
|
</div>
|
|
</div>
|
|
<br>
|
|
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input type="input" size="32" id="iban" name="iban" placeholder="IBAN*" />
|
|
|
|
|
|
</div>
|
|
<div class="is-col">
|
|
<input type="input" size="32" id="bic" name="bic" placeholder="BIC*" />
|
|
</div>
|
|
</div>
|
|
<br>
|
|
<!-- <input type="input" size="32" id="purpose" name="purpose" placeholder="Verwendungszweck" /> -->
|
|
<textarea id="comments" name="comments"
|
|
style="resize:both;" cols="32" rows="4" placeholder="Weitere Anmerkungen
|
|
z.B. intermdiäre Bank,
|
|
Grund für abweichende Kontoinhaberin"></textarea>
|
|
|
|
|
|
|
|
|
|
</section>
|
|
|
|
|
|
<section id="bank-noneu">
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input type="input" size="32" name="Owner" placeholder="Kontoinhaberin" />
|
|
</div>
|
|
<div class="is-col">
|
|
</div>
|
|
</div>
|
|
<br>
|
|
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input type="input" size="32" id="n_iban" name="n_iban" placeholder="Kontonummer*" />
|
|
|
|
|
|
</div>
|
|
<div class="is-col">
|
|
<input type="input" size="32" id="n_bic" name="n_bic" placeholder="BIC/SWIFT*" />
|
|
</div>
|
|
</div>
|
|
<br>
|
|
<input class="EU nonEU" type="input" size="32" id="n_bank" name="n_bankname" placeholder="Name der Bank*" />
|
|
<br>
|
|
|
|
<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>
|
|
<br>
|
|
<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>
|
|
<br>
|
|
|
|
|
|
|
|
<!-- <input type="input" size="32" id="n_purpose" name="n_purpose" placeholder="Verwendungszweck" /> -->
|
|
<textarea id="n_comments" name="n_comments"
|
|
style="resize:both;" cols="32" rows="4" placeholder="Weitere Anmerkungen
|
|
z.B. intermdiäre Bank,
|
|
Grund für abweichende Kontoinhaberin"></textarea>
|
|
|
|
|
|
|
|
</section>
|
|
<section id="bank-paypal">
|
|
<input name="paypal" type="input" size="32"
|
|
id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
|
|
|
|
|
|
</section>
|
|
<section id="bank-bar">
|
|
</section>
|
|
|
|
|
|
|
|
</div> <!-- i-col -->
|
|
</div> <!-- is-row -->
|
|
|
|
</fieldset>
|
|
|
|
</div>
|
|
<div class="is-col ">
|
|
<?php include "h1.php"; ?>
|
|
</div>
|
|
</div> <!-- is row -->
|
|
|
|
<br>
|
|
|
|
<div class="is-row">
|
|
<div class="is-col is-70">
|
|
<fieldset id="fieldset2">
|
|
<legend>2. Erfasse deine Ausgaben</legend>
|
|
|
|
|
|
<div class="is-row">
|
|
<div class="is-col is-70">
|
|
<div class="is-row">
|
|
<div class="is-col is-60">
|
|
<input id="a_date" type="date" name="type" placeholder="Datum*"/>
|
|
|
|
<!-- <input id="a_type" type="text" name="type" placeholder="Auslagenart*"/> -->
|
|
</div>
|
|
<div class="is-col is-40">
|
|
</div>
|
|
</div>
|
|
<br>
|
|
<input id="a_description" type="text" name="description" placeholder="Beschreibung*"/>
|
|
<br>
|
|
|
|
<div class="is-row">
|
|
<div class="is-col">
|
|
<input id="a_amount" type="text" name="amount" placeholder="Betrag*"/>
|
|
</div>
|
|
<div class="is-col">
|
|
<select id="a_currency" name="currency" >
|
|
<option value="EUR">EUR</option>
|
|
<option value="USD">USD</option>
|
|
<option value="CHF">CHF</option>
|
|
<option value="BTC">BTC</option>
|
|
</select>
|
|
<!-- <input id="a_currency" type="text" name="curreny" placeholder="Waehrung*"/> -->
|
|
</div>
|
|
<div class="is-col">
|
|
<button type="button" onclick="addTableRow();"
|
|
class="button is-green">Ausgabe hinzufügen</button>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="is-col is-30">
|
|
<div id="uploadfield" class="form-item">
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<br>
|
|
<table id="tabtab" class="is-bordered is-striped">
|
|
<thead>
|
|
<tr>
|
|
<!-- <th>Auslagenart</th>-->
|
|
<th>Datum</th>
|
|
<th>Beschreibung</th>
|
|
<th>Betrag</th>
|
|
<th>Währung</th>
|
|
<th>Löschen</th>
|
|
</tr>
|
|
</thead>
|
|
<tbody id="tabbody">
|
|
</tbody>
|
|
|
|
</table>
|
|
</fieldset>
|
|
</div>
|
|
<div class="is-col">
|
|
hilfe 2
|
|
</div>
|
|
|
|
</div>
|
|
<button onclick="addTableRow();"
|
|
class="button is-green">Antrag elektronisch versenden</button>
|
|
|
|
<button type="button" onclick="downloadDocument();"
|
|
class="button is-orange">Herunterladen</button>
|
|
|
|
</div>
|
|
</div>
|
|
<input type="hidden" id="banktype" name="banktype"/>
|
|
|
|
<!-- <input type="submit" style="display:none" name="submitButton" /> -->
|
|
</form>
|
|
|
|
|
|
|
|
|
|
<!-- 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>
|
|
<script src="iban.js/iban.js"></script>
|
|
|
|
</div>
|
|
</div>
|
|
</body>
|
|
</html>
|