wmdeit_kaform/ka.php

250 lines
6.3 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="wmde.png"/>
</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="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="Realname*" />
</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="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="#tab1" class="is-active">Banküberweisung</a>
<a href="#tab2">Banküberweisung(Non-EU)</a>
<a href="#tab3">PayPal</a>
<a href="#tab4">Barauszahlung</a>
</nav>
<section id="tab1">
<div class="is-row">
<div class="is-col">
<input type="input" size="32" name="Owner" placeholder="Kontoinhaber" />
</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="bic" name="purpose" placeholder="Verwendungszweck" />
</section>
<section id="tab2">
<div class="is-row">
<div class="is-col">
<input type="input" size="32" name="Owner" placeholder="Kontoinhaber" />
</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="Kontonummer*" />
</div>
<div class="is-col">
<input type="input" size="32" id="bic" name="BIC" placeholder="BIC/SWIFT*" />
</div>
</div>
<br>
<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Name der Bank*" />
<br>
<textarea class="nonEU" name="bankaddress" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Adresse der Bank (Strasse und Hausnummer/Postleitzahl/Land)"></textarea>
<br>
<textarea name="address" lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Deine Anschrift (Srtasse und Hausnummer/Postleitzahl/Land)
"></textarea>
<br>
<input type="input" size="32" id="bic" name="purpose" placeholder="Verwendungszweck" />
</section>
<section id="tab3">
<input class="paypal" type="input" size="32"
id="paypal" placeholder="Dein PayPal Account (paypal@example.com)" />
</section>
<section id="tab4">
</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_type" type="text" name="type" placeholder="Auslagenart*"/>
</div>
<div class="is-col is-40">
<input id="a_date" type="date" name="type" placeholder="Datum*"/>
</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">
<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 hinzuf&uuml;gen</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>W&auml;hrung</th>
<th>L&ouml;schen</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="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>
</div>
</div>
</body>
</html>