<!doctype html>
<?php

	$lang=$_GET['lang'];
	if ( in_array ($lang, array('en_US'))){

		$loc = "$lang".".utf8";
		$loc1 = $lang;
	}
	else
		$loc = "de_DE";



	$domain = "messages";

	setlocale(LC_MESSAGES, $loc); 
	setlocale(LC_ALL, $loc); 

	$results = putenv("LC_ALL=$loc");
	$results = putenv("LC_MESSAGES=$loc");
	$results = bindtextdomain($domain,"./locale");
?>
<html >
<head>
	<title>Kostenerstattungsformular</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>
		<?php echo _( "Antrag auf Kostenerstattung")?>
		</h1>
		<p>
		<?php echo _("Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines Projektes entstanden sind?")?><BR>
		<?php echo _("Bitte fülle dieses Formular aus. Pflichtfelder sind mit einem * gekennzeichnet.")?>
		</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><?php echo _("1. Erfasse deine Stammdaten")?></legend>
				<div class="is-row">
					<div class="is-col"> 
						<input required type="input"
						   size="32" id="projectid" name="project"
						   placeholder="<?php echo _("Projekt/Zweck der Reise*")?>" />
					</div>
				</div>
				<br>
				<div class="is-row">
					<div class="is-col"> 
						<input required type="input" size="32"
						`		id="realname"	name="realname" placeholder="<?php echo _("Dein Realname (Vorname Nachname)*")?>" />
					</div>
					<div class="is-col"> 
						<input 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 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="<?=_("Kontoinhabende Person")?>" />
						</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 (wenn ausländische Bank)")?>" />
						</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. intermediäre Bank, Grund für abweichende Kontoinhbende Person")?>">
			</textarea >




					</section>


					<section id="bank-noneu">
						<div class="is-row">
						<div class="is-col">
						<input type="input" size="32" name="Owner" placeholder="<?=_("Kontoinhabende Person")?>" />
						</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 (Stra&szlig;e 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 (Srta&szlig;e 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. intermediäre Bank,Grund für abweichende kontoinhabende Person")?>">
			</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 	
			$ct = @file_get_contents( "./locale/$loc1/h1.php"); 
			if ($ct==false)
				$ct = file_get_contents( "h1.php"); 
			echo $ct;

		?>
		</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-col is-70">
				<?=_("Währung:")?>
				</div>
				<div class="is-col is-20">
					<select onchange="renumberTableRows()" id="currency"  >
			<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>
		
					</select>
				</div>

				<table id="tabtab" class="is-bordered is-striped">
				<thead>
				<tr>
					<th><?=_("Pos.")?></th>
					<th><?=_("Datum")?></th>
					<th><?=_("Beschreibung")?></th>
					<th><?=_("Betrag")?></th>
					<th><?=_("Währung")?></th>
					<th><?=_("Belege")?></th>
					<th><?=_("L&ouml;schen")?></th>
				</tr>
				</thead>
				<tbody id="tabbody">
				</tbody>
				</table>
				<div class="is-col">
					<button id="add_issue" type="button" onclick="addRow();" 
					class="button is-green"><?=_("Ausgabe hinzuf&uuml;gen")?></button>
				</div>

			</fieldset>
			<br>
			<fieldset>
				<legend><?=_("3. Vorschuss und Sonstiges")?></legend>
				<div class="is-row">
				<div class="is-col valign="center"">
						<?=_("Ich habe bereits einen Vorschuss erhalten in H&ouml;he von:")?>
				</div>
				<div class="is-col">
					<input input name="advance" id="advance" type="text" placeholder="0,00 EUR"/>
				</div>
				</div>	
				<br>

				<div class="is-row">
				<div class="is-col valign="center"">
						<?=_("Hiermit bestätige ich die Vollständig- und Richtigkeit meiner Angaben:")?>*
				</div>
				<div class="is-col">
					<input id="agree" type="checkbox" />
				</div>
				</div>	
			</fieldset>
		<button type="button" onclick="downloadDocument(true);"
		class="button is-green"><?=_("Antrag elektronisch direkt an WMDE schicken")?></button>

		<button type="button" onclick="downloadDocument(false);"
		class="button is-orange"><?=_("Antrag herunterladen und später einreichen")?></button>
			</div>
		<div class="is-col">
		<?php 
			$ct = @file_get_contents( "./locale/$loc1/h2.php"); 
			if ($ct==false)
				$ct = file_get_contents( "h2.php"); 
			echo $ct;

		?>
		</div>
			
		</div>

		</div>
	</div>
	<input type="hidden" id="banktype" name="banktype"/>  
	<input type="hidden" id="sendmail" name="sendmail"/>  
  
	<!--		<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="iban.js/iban.js"></script>
	<script src="js/kaform.js"></script>

      </div>
    </div>    
  </body>
</html>
