forked from tohe/wmdeit_kaform
250 lines
6.4 KiB
HTML
250 lines
6.4 KiB
HTML
<!doctype html>
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<html >
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<head>
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<title>Kostenerstattungsforumlar</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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<div class="main-sidebar">
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<img alt="wikimedia logo" src="wmde.png"/>
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</div>
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<div class="main-content">
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<h1>Auslagenersatz</h1>
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<p>Du möchtest dir Kosten erstatten lassen, welche im Rahmen deines
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Projektes entstanden sind?<BR>
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Bitte fülle dieses Formular aus ...
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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>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="nickname" name="nickname"
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placeholder="Nickname*" />
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</div>
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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="Projekt-ID*" />
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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="Realname*" />
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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="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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<a href="#tab1" class="is-active">Banküberweisung</a>
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<a href="#tab2">Banküberweisung(Non-EU)</a>
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<a href="#tab3">PayPal</a>
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<a href="#tab4">Barauszahlung</a>
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</nav>
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<section id="tab1">
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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="Kontoinhaber" />
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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 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*" />
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</div>
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</div>
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<br>
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<input type="input" size="32" id="bic" name="purpose" placeholder="Verwendungszweck" />
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</section>
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<section id="tab2">
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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="Kontoinhaber" />
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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 type="input" size="32" id="iban" name="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="bic" name="BIC" placeholder="BIC/SWIFT*" />
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</div>
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</div>
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<br>
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<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Name der Bank*" />
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<br>
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<textarea class="nonEU" name="bankaddress" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Adresse der Bank (Strasse und Hausnummer/Postleitzahl/Land)"></textarea>
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<br>
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<textarea name="address" lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Deine Anschrift (Srtasse und Hausnummer/Postleitzahl/Land)
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"></textarea>
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<br>
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<input type="input" size="32" id="bic" name="purpose" placeholder="Verwendungszweck" />
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</section>
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<section id="tab3">
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<input class="paypal" type="input" size="32"
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id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
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</section>
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<section id="tab4">
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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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</div>
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<div class="is-col ">
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Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext Hilfetext
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</div>
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</div> <!-- is row -->
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<br>
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<div class="is-row">
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<div class="is-col is-70">
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<fieldset id="fieldset2">
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<legend>2. Erfasse deine Ausgaben</legend>
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<div class="is-row">
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<div class="is-col is-70">
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<div class="is-row">
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<div class="is-col is-60">
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<input id="a_type" type="text" name="type" placeholder="Auslagenart*"/>
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</div>
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<div class="is-col is-40">
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<input id="a_date" type="date" name="type" placeholder="Datum*"/>
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</div>
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</div>
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<br>
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<input id="a_description" type="text" name="description" placeholder="Beschreibung*"/>
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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 id="a_amount" type="text" name="amount" placeholder="Betrag*"/>
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</div>
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<div class="is-col">
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<input id="a_currency" type="text" name="curreny" placeholder="Waehrung*"/>
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</div>
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<div class="is-col">
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<button type="button" onclick="addTableRow();"
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class="button is-green">Ausgabe hinzufügen</button>
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</div>
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</div>
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</div>
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<div class="is-col is-30">
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<div id="uploadfield" class="form-item">
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</div>
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</div>
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</div>
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<br>
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<table id="tabtab" class="is-bordered is-striped">
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<thead>
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<tr>
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<th>Auslagenart</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>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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</fieldset>
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</div>
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<div class="is-col">
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hilfe 2
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</div>
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</div>
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<button onclick="addTableRow();"
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class="button is-green">Antrag elektronisch versenden</button>
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<button type="button" onclick="downloadDocument();"
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class="button is-orange">Herunterladen</button>
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</div>
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</div>
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<!-- <input type="submit" style="display:none" name="submitButton" /> -->
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</form>
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<!-- Kube JS (optional if you are using Kube CSS only) -->
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<script src="js/kube.min.js"></script>
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<script src="addons/upload/kube.upload.min.js"></script>
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<script src="addons/kube-addons.min.js"></script>
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<script src="kaform.js"></script>
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</div>
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</div>
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</body>
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</html>
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